KEEP IT IN THE PHAMLY

We decided to freeze our 2 viable embryos rather than do an immediate embryo transfer because I was so bloated from the IVF medications in March. Then in April, I had food poisoning, head colds and aching ovaries; it was just not a good time to schedule an embryo transfer because I wanted to be in good health to improve our chances of success. Even though I've heard from women who fell pregnant while they were sick as a dawg.

We let April come and go. My cycle was warped from all the IVF hormones and my usual 28-day menstrual cycle was a whopping 39 days. We decided my next cycle would be our first attempt at an embryo transfer. I had progesterone meds stocked up in the fridge - it is used to thicken your uterus lining to increase chances of the embryo embedding successfully, and got my medication plan from the fertility clinic in anticipation. But then my 28-day cycle came and went. Then my new 39-day cycle came and went. I had spot bleeding the weekend V came to visit and that usually means my period will start a few days later. But it didn't.

Then one Girls Night, Little Sissy Pham suggested I take a pregnancy test. She'd given me the tests she had from when she got pregnant with Nephew Pham. That Saturday morning I peed on the stick and was shocked to see the little plus symbol. Part of me couldn't believe it so I read the instruction box and saw that IVF medications can mess with results. I went downstairs to tell Boyfriend Pham. We were both surprised and happy, but unsure. I wish I'd researched it further before I told him that IVF meds can cause a false positive, which dampened our celebration somewhat. But IVF hormones stay in your system for approx. 10 days. It had been over a month since I was on those meds so we were very likely pregnant and could have been less reserved in our happiness!

Anyway, I went to the GP and asked for a blood test to confirm. One evening while taking the train home together I read an email from my doctor. He'd circled something on my blood test results and had scrawled, 'CONGRATS!' And that's how we learned we were definitely pregnant at 7.5 weeks. The doctor was surprised I hadn't tested sooner, but honestly, I was so focused on the embryo transfer, and in denial because we'd been trying for years without success - why would I be lucky enough to get pregnant now?

I am so blessed that we got pregnant 'naturally.' I put that in quotes because I am convinced the IVF hormones helped our cause. The only other life change was Boyfriend Pham left a toxic work environment for a very supportive new workplace. Maybe it was a combination of both - my body needed the fertility hormone boosts and Boyfriend Pham needed less stress. Whatever it was, I am so very grateful for our miracle embryo. My spot bleeding from a couple weeks back had been the embryo embedding into my uterus lining.

Next up: Pregnancy scans, tests and holding my breath between key milestones, willing my little embryo to stay healthy and keep growing.

Our fertility and pregnancy experience

The egg and sperm collection process was straightforward. The hormone injections were physically challenging but it was the wait for viable embryo news that was mentally challenging because it's out of your hands at this stage. It's up to science and luck.

I had my egg collection on a Wednesday and flew to Melbourne that Saturday to visit Phamly because Little Sissy Pham wanted her son to meet the Aunty we lived with for 2-3 years to finish high school after The Phamly moved to Brisbane. I didn't need to be there, really, but Little Sis is sentimental and wanted me there so why the hell not? I was mega bloated still from the meds but the soreness was gone.

On Friday, I received a call from the clinic to say of the 19 eggs they collected only 8 were mature enough to progress. Boyfriend Pham and I had opted for ICSI where they inject the sperm into the egg rather than placing the egg into a culture with the sperm to naturally try and fertilise, because we wanted to control as much of the process as we could. However, of the 8 mature eggs, they only injected 2 successfully, another 3 failed to survive the injection because they weren't mature enough and were too soft. The last 3 eggs they put in a culture to fertilise naturally.

It was disheartening to learn less than half the eggs collected were usable and we only had 5 chances at a viable embryo. I kept telling myself that we just need one good one to proceed, even though, mathematical me knows our odds are better with more than one shot. And so, it was a blessing that I had an impromptu trip to Melbourne with my nephew and his parents to distract me. Our next update would be on Monday. The weekend days were fine because they were filled with family, travel and feasting, but when I went to bed at night I missed Boyfriend Pham and was anxious about embryo news.

On Monday, I missed a call while on my way to visit Little Sissy's friend and her new bub. I called back and got the happy news that one of the eggs had developed into a healthy embryo, and there was one more they were monitoring its development. Unfortunately, the other three did not fertilise. They would update me the next day. One out of 19 so far. Sigh. Still, I told myself. Better than none.

The next day, Tuesday, we flew home. Our flight was delayed over an hour so we were stuck at the airport with a 1.5-year-old to entertain. Fortunately, our flight wasn't on time because while we were sitting in the food court trying to convince Nephew Pham that his Happy Meal box was the most entertaining toy in the world, I got a call from the clinic.

I remember this moment so clearly because Nephew Pham was watching me intently while I was on the phone and as I started to smile, he started to smile. By the end of the call, I was grinning from ear to ear and when I happily thanked the scientist for letting me know that we have 2 viable embryos, Nephew Pham read my emotions and started to cheer and wave his arms. It was such a happy memory. We'd doubled our chances for an embryo transfer, and Nephew Pham was cheering for what could be his future cousin!

Two out of 19 is not a great result, but we'll take anything we can get. I'm 39 years old and next year my fertility takes a statistical nose dive, which will make the odds forever not in our favour. I've had friends go through multiple egg collections with no embryos at the end of it. I've had friends who go through egg collections and get 5-8 viable embryos. Results feel random because there are so many factors that impact fertility.

Next up, scheduling an embryo transfer...

Our fertility and pregnancy experience

We had our first round of IVF egg collection in March 2023 after 11 days of not-very-fun belly injections for the wannabe mum. We had the option of doing the egg collection knocked out in the hospital or mild anaesthetic at the Life Fertility clinic. I opted for mild anaesthetic at the local clinic because I'm not particularly fussed by a pap smear, colposcopy or any other procedure that some women find invasive and distressing. Also, I am cheap and do not want to pay hospital and anesthetist fees unless I really have to.

On the day, I had to fast since nobody wanted me throwing up from the green whistle (anesthetic) I would have before the procedure. Boyfriend Pham drove us there since I'd be too woozy to drive after and he had to provide a fresh sample of sperm - double duties. I just had to rock up, strip off my bottom half, put on a medical gown with an open back and sit in a chair.

We arrived an hour before my procedure was scheduled, and Boyfriend Pham went first. When they called his name, another guy stood up and also approached the nurse. We were very confused since the guy's name turned out to be Ryan, which didn't sound anything like Boyfriend's name. The nurse took Boyfriend to a private room and checked his name and DOB a half dozen times to be sure she had the right person before he was left to produce sperm.

A half-hour later, it was my turn. I was taken to a second waiting area where my blood pressure was checked. The nurse then walked me through the post-procedural area where I saw a handful of dazed women in recovery chairs. I was quite happy to see them eating snacks. I was hungry. Then I was in the procedure room where there was a chair, screens, trays of medical devices and two friendly nurses. One was there to give me the green whistle and help me through the procedure. The other was there to assist the doctor. A scientist in the room adjoining popped his head in to say hi and let me know he'd be checking the eggs as they were collected.

When the doctor and his student doctor arrived, the nurse gave me the green whistle. I quickly started to feel light-headed and was soon giggling away. The doctor showed me the many follicles I'd grown on both ovaries. Once it was clear I was feeling the effects of the green whistle, the doctor applied the local anaesthetic. The injection hurt a bit but not much.; I barely noticed the procedure had started. The doctor started retrieving the contents of the follicles using needles. A nurse would take each tube to the next room where the scientist would check the contents for eggs and call out the count as we went.

Once the doctor was done and gone, the nurses packed up while I sat there for a little bit. I was still lightheaded but felt OK to walk so told the nurse I was ready to get dressed. They provided pads in case there was any spot bleeding but I'd worn my period undies so didn't need one. In the recovery area, I sat in a comfy lounge chair, applied a heat pack to my lower belly and stared longingly at the packet of potato chips I was given but couldn't eat because I was too tired.

At some point, the doctor walked through with another patient and called out that I must be OK because I was smiling. I don't know what I was smiling about - maybe dreaming of eating. After a short rest, I told the nurse I was ready to go home. She gave me a take-home heat pack and instructed me to take Panadol at home if needed for the pain. Boyfriend Pham greeted me in the main waiting area and I made him do a pit stop at a fish & chip shop where we dined in with my little heat pack and a funny walk. At home, I curled up on the couch and took some Panadol. I was a bit achey but it was similar to a bit of bad period pain. Nothing major.

One more thing worth mentioning is the anaesthetic makes you mega constipated so make sure you have poop-friendly foods like prunes.

All up we retrieved 19 eggs, which I'm told is on the higher end of the scale. Though, what matters most is the quality. That will come in my next post about the wait for embryo news.

Our fertility and pregnancy experience

After spending 2022 trying to figure out why we weren't pregnant, we started this year trying to make viable embryos.

2023 did not start off well for me. In January, I had my initial IVF appointment and had to get some blood tests. In February I had a hives breakout that wiped me out and then because my immune system took a beating, I immediately got a cold as soon as I started to overcome my allergy symptoms, followed by a bout of food poisoning. The worst part was, during the initial appointment, my new fertility doctor was baffled as to why my previous doctor put me on thyroid medications when my blood results showed I had normal thyroid function. Serenity now! 

I had to delay my egg collection because my blood results came back with a high level of a stress hormone, which was explained away by my allergies but we still had to wait until I was well enough to begin the IVF medications. The nurses sent my script to a specific pharmacy in Spring Hill, Brisbane. I could either pick it up in person or have it couriered. I opted to go get it and I'm glad I did because the pharmacist ended up stepping me through the injection process. I still watched instruction videos but I always feel better with in-person demos. 

There would be 10-12 days of injections depending on my cycle and when the doctor was available for consultation. Keep in mind when reading the below that there are different types of IVF hormones and doses - it's all catered to your specific needs so don't read this as a standard medication plan - it is what was best for me.

I had 11 days of Ovaleap 600IU injections to grow my follicles and increase the number of eggs to increase my chance of having some healthy eggs. I did not enjoy the injection pen. It had a sliding mechanism that made it go from 1 to 100 in speed, and the sudden shot of fluid into the belly hurt. This one gave me bruising most of the time.

From days 8-11, I started a second injection of Ganirelix / Orgalutran 250mcg to stop my eggs from being released from their follicles. This medication came with a slightly bigger needle tip but thankfully was a regular push syringe so I could control the speed at which I injected myself. By now, I was very bruised and tender so while I don't think this one bruised me, I was achy overall from the pen injections.

I am grateful my cycle meant I could get my scan on Day 11 and I skipped the last day of injections. On Day 11, my doctor did an ultrasound to confirm the meds had worked a treat and I had many follicles on both my left and right ovaries. He booked me in for an egg collection two days later. The night of the scan I injected myself with 2 syringes of Decapeptyl exactly 36 hours before my collection was scheduled.

Even though I dread the thought of doing another IVF round, the bruising and tenderness were probably the best of the side effects from the hormones. I experienced every common side effect listed on the warning labels and the severe and rare side effects as well. My symptoms ranged from standard bloating and gas to redness, soreness then my favourite: hives on my chest and neck. I contacted the clinic about the hives and ended up taking antihistamines and an ice pack. After the first couple of days, my body adjusted and the hives went away.

The scariest side effects were on the night of Day 8 when I first injected the Ganirelix. I injected myself at 7am each morning, and by 3pm that day I was feeling nauseous and bloated. By 6pm I was short of breath and had developed huge cankles to the point where when Boyfriend Pham came home, I got up to greet him and he said, 'Whoa, I think you should sit down.' So I did. I sat back on the couch and elevated my legs and pondered whether this was the rapid weight gain that I was meant to seek immediate medical help for.

I decided that if I went to emergency now on a Friday night and I wasn't in immediate danger then I'd wait around for hours while people with more urgent health issues were seen before me. So I would go in the morning after some sleep. I'm glad I did because I woke up to find my swollen legs and ankles had started to deflate. The next injection of Ganirelix didn't have the same side effects so I assume my body had just needed a bit of time to adjust to my new hormone levels.

As always, if you have any questions about my experience, feel free to email me via the email icon top-right if you aren't comfortable commenting. 

Our fertility and pregnancy experience

Fun fact: Boyfriend Pham sent me the 'how is prangent formed' video while we were office buddies and we both laughed deliriously - who knew we'd be trying to get prangent together a few years later. I was clueless about how is prangent formed when Boyfriend Pham and I first started trying beyond the general birds and bees talk. By ‘trying’ I mean we stopped avoiding pregnancy. My first GP doctor said to try for 6 months before seeking help. My second GP said to try for 12 months. All in all, we tried for over a year before getting a referral to see a fertility specialist. 

The first fertility specialist we went to was part of the Monash IVF group as one of my friends was using Monash IVF at the time and recommended them. She put Boyfriend Pham and me through a bunch of blood tests. Boyfriend Pham did a sperm test and I had the fun experience of having contrast fluid shot up my uterus in a hysterosalpingography (HSG) X-ray to see if my fallopian tubes were blocked. All our results came back good. There wasn't anything obvious stopping us from falling pregnant naturally.

After 8 months, I still didn't know why we couldn't become pregnant. Even though there's a lot of information out there about fertility and ways to boost fertility, I figure there isn't much research into the root causes of infertility because IVF exists as a workaround.

We were given the option to do artificial insemination as a next step, but during the paperwork process, the fertility specialist encouraged me to jump straight to IVF because I was 38 and about to turn 39 soon. Age 40 is an egg quality cliff for women better to sign up for IVF now in case it took a while. She specialised in private IVF but knew money was a concern for us so told me to get a referral to a bulk bill IVF clinic.

I went home and picked a bulk bill IVF centre based on location. I'd heard good things about Adore Fertility but they were across town, and I wanted convenience so I picked Life Fertility in Bowen Hills as it was closest to home. I read reviews that had mixed vibes about Dr Glenn Sterling, but I figure I'd judge for myself when I met him. At my first appointment, I realised why he may rub some people the wrong way. Dr Sterling has a great sense of humour and is big on Dad jokes, which is allowed because he's a father. I can see how some couples felt he was disrespectful or confronting for making light of a serious life situation. However, I love that he can share his medical knowledge while making me laugh because I'm someone who prefers to laugh at uncomfortable things than stress or cry. I really enjoyed the humour and the lighthearted way he explained how my body works and the somewhat daunting process it was about to go through.

It wasn't until we started IVF that I began to understand the timing, logistics, and magic that goes into creating life.

Next time on Keep it in The Phamly... IVF hormone injections and symptoms. Spoiler: I did not have a good time.

Our fertility and pregnancy experience

When I finally got COVID-19 and home quarantined for the first time last year, I signed up for a month of free Woolworths online grocery shopping. I have not unsubscribed. The $15 monthly subscription for unlimited, free deliveries (when you spend over a certain amount) is worth the 60-90 minutes I save every Sunday morning.

It means more time with Boyfriend Pham to start my day and more time with Dad Pham who I used to visit after the grocery shop. Also, no longer walking around the car park to find an available shopping cart in Inala Shopping Centre has been a dream come true. The poor Woolies trolley team cannot keep up with demand there.

The convenience of adding items to the cart in the mobile or web app as we use them up during the week is great for people with short-term memory brain fart symptoms. You add it as items run out and it saves your cart, then when you go back later to complete your order everything you ran out of during the week is ready to go. Woo!

There are some downsides to online groceries. Sometimes, your items are out of stock by the time the team picks up your order. Other times, they may pick your order but the bag/s do not make it to you. Whether they were given to someone else or left at the store, I never quite know. I've only had one major mix-up where half my order was missing. Other times it has been only 1-3 items. The good news is Olive, their chatbot can pull up your order and automatically refund any missing items. No need to call customer service and wait in a phone queue. But the vast majority of the time, my order arrives as expected so I rarely chat to Olive.

There's also the choice of fresh produce. I personally prefer smaller bananas but I suppose because the app charges per banana instead of by weight, the picker feels obliged to pick the ginormous bananas that I eat in two sittings. But, you know, if that was a dealbreaker then I could just shop in-store or at markets for my fresh produce. I take giant bananas for the convenience.

I've online grocery shopped for over a year and can think of only two times when I had to dash to the shops as an out-of-stock item was critical for meal prep that day.

Another online shopping fail will only affect dopey folks like me who don't pay close enough attention and buy items based on photos. You see, an image of tinned goods doesn't give you perspective. For example, a 125g tin of corn looks the same as a 370g tin of corn unless you read the description or zoom in on the photo of the label. I've had a couple of laughs when I accidentally ordered mini-corn and mini-cheese and giant freezer bags.

Overall, I cannot recommend online grocery shopping enough to save you logistics and time!

Boyfriend Pham and I don't have much in common in our daily lives. We share core principles and values though how we enact them is worlds apart, we share a love of food though mostly different foods; and our favourite colour is green - I've never asked for details but I'd assume different greens based on our history of not having much in common.

Boyfriend Pham is not one to do things by halves so when we painted our downstairs feature wall midnight blue-purple, he also painted a feature wall in our bedroom. We've binged quite a few Never Too Small videos on YouTube during the 2020-2021 lockdowns when we started to think smarter about how we use our space. He ended up buying the Never Too Small book by Joel Beath and found inspo in a tiny apartment that had a dark green wall framing balcony doors. It framed the jungle beyond the glass doors and made the view pop.

We own a mortgage debt for a humble townhouse in Brisbane and, well, let's say the previous owners or original builders did a bit of a hack job with paint colour combos. Our bedroom has four different shades of cream and beige across the walls, door, frames and skirting boards. Why?!

Boyfriend Pham plans to repaint the whole house room by room but first, he wanted to learn how to paint by doing small feature walls. His first attempt was the desk feature wall downstairs. Our bedroom was attempt two. We used a grey paint base under the forest green. The dark feature wall instantly changed the feel of the space. It's now cosy and warm and snug as we fall asleep; not beige, boring and bright.

We got new curtains that look nice... so long as you don't look down and see how we hemmed them with double-sided tape. Regrets. We wish we'd sewn the hem instead because ironing the tape ruined our rug by getting bits of glue on it, and also made the curtain hem permanently wrinkled. We did not research curtains at all compared to the weeks and months of pondering the feature wall colour and painting. Oops. We'll replace the curtains in a decade or so, I guess. How long do curtains last? I might know if I researched them.