The ERA test Timeline

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Finally I am done with the ERA test, the dreaded ERA test,which I was so nervous to undergo, but now it’s almost two weeks and one more week to go for the the reports to arrive, but I am relieved that I am done with it. When my RE suggested ERA TEST, I obviously wanted to know why it was done , for what it was done, how painful and all but no where, it was written or spoken about how exactly the ERA procedure is done with the timeline.I have also written about the ERA test here , where I written about how I felt and convinced myself that ERA might be the answer,for ERA cycle my lining did grow fine it was almost more then 7.2 mm during day 12, compared to my previous cycles, but RE wanted to go ahead with ERA.

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I did read about how it did work for some people, and it did not work for few people , and it was painful for few, it was not painful for few, that’s it not much info.I thought I will write how my RE prepared me for the ERA test, the details I am giving here are done her in India , Bangalore. I am hoping that’s how its done through out the world , maybe with slight variation with the tablets and injections.

  • CD (candler day) 1 April 4th 2018
  • CD 2 April 5th Baseline scan, Started Estrogen tablet, one in the morning one at night, twelve hours apart .HRT cycle day 1, from the day estrogen is started in the HRT cycle it is considered as day 1, that’s what my RE told.
  • Took the estrogen as said above until 6th and 7th april.
  • CD 5, HRT cycle day 4, two estrogen tablets in the morning and two at night until CD 8, HRT cycle day 7.
  • CD 9, HRT cycle day 8 follow up scan with RE. My estrogen was upped by two estrogen tablets orally and one vaginally in the morning and the same dose at night.
  • CD 13, HRT cycle day 12 follow up scan, Progesterone pessaries tablets with duphaston tablet was added along with Estrogen, but from day 12 of HRT cycle all estrogen tablets had to be taken orally, three in the morning and three at night. Progesterone was to taken vaginally morning and night, duphaston orally one in the morning and one at night.
  • CD 18, HRT cycle day 17 the ERA TEST,in the morning I had to take all the above tablets and report to the clinic, my test was at 12.30 exact, timing was very important that’s what my RE told, and this is what they will follow for my next FET cycle.The procedure was a bit painful, but I would not do it again, it was very uncomfortable.
  • Later RE prescribed Meprate 10mg for ten days and told to stop all the medications and take Meprate along with my vitamins, once I stop Meprate I would get my period and go to on day 2 for baseline scan.era_results_eg

I asked my RE about progesterone shots because this is almost like mock transfer, so they would know better, but she told if that was necessary she would recommend that to me, she was against it, she told we will work it with the progesterone vaginal pessaries, so I left it their.Along with the above tablets I was also taking Metfomin 1000 mg per day, Folic acid tablet one per day, and vitamin D tablet one per day, to be frank since this was ERA cycle, last 5 day’s I dint take the vitamin and metformin tablets, I felt It was too many tablets, but in my FET cycle I will be taking all these.

Hope this post will help people, if anyone has any doubts or want any clarification please leave it in the comments section. The ERA test was done on 21st April 2018, I will getting the reports on 12th MAY 2018. My FET cycle has already began form 3rd MAY 2018.Hoping this cycle works for me, wish me luck people.

Z for Zygote # A To Z Challenge

DISCLAIMER

Zygote is a diploid cell resulting from the fusion of two haploid gametes; a fertilized ovum.

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Zygote: The cell formed by the union of a male sex cell (a sperm) and a female sex cell (an ovum). The zygote develops into the embryo following the instruction encoded in its genetic material, the DNA.

The unification of a sperm and an ovum to form a zygote constitutes fertilization.

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PS:The above content is from google ,I am not getting any words or ideas for the last few alphabets so the last few post’s will be like this only.


 

PS:I am not a doctor, these are just my findings, my experiences and my infertility warrior friends experiences,which are a part of my life. I am half doctor myself because we go though so much,sometimes I feel I know my diagnosis better than my RE(Reproductive Endocrinologist). Hope these posts make some sense for people who are not a part of this journey.This post is a part of #AtoZchallenge2018.

Y for Y chromosomes # A To Z Challenge

DISCLAIMER

The Y chromosome is one of the two sex chromosomes in humans (the other is the X chromosome). The sex chromosomes form one of the 23 pairs of human chromosomes in each cell. The Y chromosome spans more than 59 million building blocks of DNA (base pairs) and represents almost 2 percent of the total DNA in cells.

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Many genes are unique to the Y chromosome, but genes in areas known as pseudoautosomal regions are present on both sex chromosomes. As a result, men and women each have two functional copies of these genes. Many genes in the pseudoautosomal regions are essential for normal development.

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PS:The above content is from google ,I am not getting any words or ideas for the last few alphabets so the last few post’s will be like this only.


 

PS:I am not a doctor, these are just my findings, my experiences and my infertility warrior friends experiences,which are a part of my life. I am half doctor myself because we go though so much,sometimes I feel I know my diagnosis better than my RE(Reproductive Endocrinologist). Hope these posts make some sense for people who are not a part of this journey.This post is a part of #AtoZchallenge2018.

V for Vitrification # A to Z Challenge

DISCLAIMER

Vitrification in IVF can allow freezing of spare embryos with better post-thaw survival rates and higher pregnancy and live birth rates from frozen embryo transfer cycles. In simple terms Vitrification means freezing the embryos and also oocytes /eggs, for later or future use.

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vitrification is a solid glass-like cell, free of ice crystals.Vitrification can efficiently preserve spare eggs and embryos, so they can be used later on to achieve a pregnancy after thawing. Survival rates after vitrification and subsequent pregnancy rates are much better than they were with conventional slow freezing.

Vitrification is dependent on the placement of the oocyte/embryo in a very small volume of vitrification medium which is then cooled at an extreme rate, so that the embryos are flash frozen and preserved intact,content source, here.

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PS:I am not a doctor, these are just my findings, my experiences and my infertility warrior friends experiences,which are a part of my life. I am half doctor myself because we go though so much,sometimes I feel I know my diagnosis better than my RE(Reproductive Endocrinologist). Hope these posts make some sense for people who are not a part of this journey.This post is a part of #AtoZchallenge2018.

H for HRT #A to Z Challenge

DISCLAIMER

HRT means hormone replacement therapy. HRT is done during women’s menopausal age by replacing estrogen and progesterone. In infertility treatments HRT is done for FET. The embryo has to stick to our uterus, for that we need a good endometrial lining,for the lining to grow we need loads of estrogen.

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I am on HRT now, I have been taking estrogen from day 2 of my period for my lining to grow and make my lining good so that my frozen embabies stick in my uterus.The lining sometimes does not grow even with estrogen.One in 10 people don’t respond to estrogen, I am the one in ten person, its not like I don’t respond at all, I do respond but a bit slowly.

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I was on HRT twice both the times my lining did not grow as expected, it did grow but very slowly, my RE was not satisfied with the growth😏, so both the cycles were cancelled😞.Now again I am on estrogen tablets let’s see how it works, if in this cycle my lining grows well,RE will do ET(Embryo Transfer) or if it’s slow again like last time she might do ERA test.I am hoping that, in this cycle my lining will grow and I can just get done with ET, so who ever is reading this please keep me in yours prayers, thank you 😊.

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PS:I am not a doctor, these are just my findings, my experiences and my infertility warrior friends experiences, I am half doctor myself because we go though so much,sometimes I feel I know my diagnosis better than my RE(Reproductive Endocrinologist). Hope these posts make some sense for people who are not a part of this journey.This post is a part of #AtoZchallenge2018.

 

C for Complicated Chakravyuha #A to Z Challenge

DISCLAIMER

Its all complicated or we complicate it because we are so involved in this journey, each step is like a test we either pass or fail, if we pass we move to a even more complicated phase/test. Infertility  is like getting inside the chakravyuha  and not knowing how to come out of it successfully,even getting inside is not easy, that’s how chakravuyha right.Conception is the challenge those who are in this infertility journey will know better. In this infertility journey their is no clarity at all, we don’t know what next and what might happen the next moment, it all luck and hope we survive on.

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Infertility journey is complicated form the day one you start your treatment,until the never ending treatment is over,whether its successful or not. Once you get in the treatment cycle we are so  obsessed or at-least I am obsessed, with what is going on with my treatment, what next, why this is not working what that is not working, why dint my Re suggest this test, why did my friend’s RE suggest that, maybe that other clinic’s RE is good/better , we compare and complicate more.

Google complicates us more, everything our RE tells us during the regular consultations,I just go and google, and question is this test necessary, is this tablet necessary , is this correct or that other one would be good. I will always say to myself that I will not google but , naa I will go back to google my best friend again.Maybe that’s the part of life, which I cant change, complicate more.

A for Awareness – A to Z Challenge Starts

DISCLAIMER

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My first post is all about Awareness, about in-FERTILITY Awareness . The reason I started this blog and now a part of this challenge is because I want people to be aware of infertility and the struggle who go through. I want people to be aware that’s all, no sympathy and unwanted advise please.

I don’t want people who have not gone through infertility understand me, I don’t expect that at all even in my dreams, because people who have not gone through this will never ever understand the feeling, hurt ,emptiness, just reading, liking , reacting to my post or just listing to my/our rant is more than enough.That too in our Indian society it’s very difficult for a couple/person going through infertility and specifically for women, who have not conceived within a year, all the question and unwanted advise, thanks to our society where privacy does not exist in their lives.

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I will be writing many things about my infertility journey ,some unknown vocabulary to the fertile people , which I have already written here ,and my IVF journey. One more thing I want to add before I sigh off, this month also happen to be where one week is dedicated for infertility awareness.

The State of my Mind

DISCLAIMER

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I am in a phase of life where the my state of my mind is all confused, angry, sad, happy to an extent too, all mish-mash like this post. I just want to take it out of my system. I wanted to write this post form past few weeks but something or the other would come up and could not write, before you start reading this post I want to warn you because this is a long rant so if your already in a low mood or nothing is going right in your life right  now just ignore and don’t read this post.

When I started IVF treatment I was very positive and all, before starting it was a very different story ,those who been reading my blog would know it. Once all was fine and my injections started I was in a very positive frame of my mind, but obviously was worried if my follicles were growing fine, how many eggs were retrieved ,how many were mature, how many made it to embryo stage , then to day 3 to day 5 to blastocyst  uff, it was never ending but I was some what confident  and things were looking good.

Then came came the major downfall, my lining saga until now it is never ending, all my positivity has gone to the drain, when I started my treatment in this clinic (I want to reveal my clinics name will do it soon, it might help people in Bangalore who want to know  or read the reviews before proceeding their, the clinic has several branches throughout India and has good success rate I have heard lets see how it for me and my friend F.), ok coming back to the original topic when I started the treatment in the clinic, after the my first appointment with the RE I met the counselor.Later when it was confirmed that I would start my first IVF there, I met the counselor after my consultation with RE, she spoke to me very nicely and I felt nice and felt good that I chose this clinic for IVF.I never checked online about the clinic or did nothing about knowing the clinic because it was referred by my Gynecologist, I just went there that’s it.

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Why I am writing about this here is because after that one counselling  session, there was nothing do with the counselor, she would ask me or my friend how we were or whats going on once in a while when we would be waiting in the clinic to meet the RE,  that’s it nothing much. When nothing is progressing with the IVF because of my lining issues and my friend F’s loss which I mentioned here.

Luckily for me and my friend we had  each other, and for me this blog friends support and few more from infertility forum whom I could vent out and get beautiful response, so I am ok, but sometimes I feel its better to meet a professional counselor, here in India counseling is looked down upon but I am in search of a good counselor lets see how it works.

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Why I am writing all this you must be wondering, I am a very strong person, even now I am fine, doing everything I enjoy, doing what I want or I would not even blogged this and  try to take it out of my system, after my lining issues, my friend’s loss, one of my friends 2nd transfer failure , one more friends treatment is not going as expected, another friend dint get any embryos to transfer,failures everywhere, I sometime wonder if this IVF is ever going to work, I am not a pessimistic person, but all these failures are making me feeling low and losing hope. I am wondering is this thing called IVF is ever going to work, I also know many people who have had success with IVF and my own first cousin had her first baby via IVF, but sudden failures from all quarters has made me think like this, I know this phase too will be over,maybe my hormones are on work I was on BCP (birth control pills for down regg) until yesterday, so now I wait for the grand AF to arrive, and go for a baseline scan on day 2 ,to start prepping for the ERA test, and I am done with the rant.

If you have read until here, thank you and also from April I am a part of A to Z challenge check here, so you will see me writing more posts,and my ERA teat  prepping  update.

A to Z Challenge April 2018

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I always wanted to be a part of A to Z challenge from the time I came to know about it, but it never happened, this year I decided that I will take up this challenge, so I just signed up, anyone who wants to be a part of the challenge can sign up here. Why I wanted to write this time is mainly because of creating of awareness about in-FERTILITY.

Do check the link and if anyone want to be a part of the challenge do sign up and link back to me so that I can check out your posts, the more we write and open up about our infertility journey more better. In April you will be fed up with my posts, because everyday I will be posting apart form weekends and some days maybe two posts. I will be writing all about a to z about infertility so stay tuned.

Blog Anniversary and much more

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I have been MIA from almost three weeks, last year when I started this blog in March I just wrote the first post and vanished until July end. I think in march something happens to me and I don’t write much or nothing atall and yes It’s been a year since I started this blog, I started this blog on March 7th 2017, I wanted to write a post on my blog anniversary day but I have been caught with the twists and turns of life.

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The new plan was working to an extent,my follicles were growing fine, two dominant follicle’s were their but my RE was not satisfied with my lining and she does not want to risk my embryos. Anyways I wanted one full month of drug free and it has happened like the way I wanted. This month from day 15 I am on BCP’s(birth control pills) until 28th March. Then next month on day 2 I need to go for baseline scan, my RE told this cycle will be medicated but with injections and ERA test will be done,then it takes 3 weeks to get the report from Spain, and they will delay my periods so that I will get my period somewhat exact timing of the reports and they can start my FET, so according to my RE, my transfer will be in May, and I am praying that it will work this time.

I had started my acupuncture sessions, and few supplements but it did not help my lining, it might help few people not me.In between I took a second opinion form a different branch of which ever clinic I am going with a different doc, she saw my reports told that I have good embryos and also my lining grew fine in natural cycles and clomid too, maybe progynova tabs wont work for me and some people wont respond to estrogen tabs, she told injections will work for me, my uterus is normal and all, so I am relived, so planning to go with the flow as my doc, the new doc told that same thing going with the flow.

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Then as usual like this typical generation I started googling what ERA is done for, in all the pregnancy and IVF related forums, I read its done for implantation failures, and here I have not even have done one Embryo Transfer (ET), I was confused and worried, I was thinking that she is doing this test just for doing it and nothing else. When I consulted the infertility acupuncturist told about ERA she told that the test is not only done for implantation failure but also for persistent thin lining and your doc does not want to lose the good embryos, but I was not satisfied with her answer and was also not planning to do ERA at that time so left it their.

During my last visit to the clinic it was confirmed that I will be doing ERA next month, my RE also told that I can do ERA next month or wait for one more month, but I am already tired of the waiting game and told her that I will be doing ERA next month itself and asked her all my doubts, then after ERA , will my transfer happen next month after ERA or how what if is lining is still less, she told that’s the reason we do ERA we can know the receptiveness of the lining even if it is less, also with injections we can grow and one more reason she told indirectly was that, with injections and all that the lining will grow and they do not want to miss the window, so this test and in the end she told we will do everything to make you get pregnant but in the end I can give you 70 + 10 (for ERA).

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Once I was back home, again I started googling not the IVF or pregnancy or infertility forms but what ERA is and why, written and explained by doctors and clinics,so this time I read about just ERA not how who has gone through it , when ERA is done and for what its done, its done for two reasons one for obviously implantation failure and the other is for persistent thin lining, In my case she could have tried different method before ERA, but my be its my RE’s protocol I guess and I decided to go with a flow, sometimes we just need to believe and go with the flow.

On another note in one of the post about my friend F, she had transfer in Feb 3rd it was all positive, her beta was fine, but on the 7th week scan no heart beat, so she had to abort the baby, so this IVF/infertility journey is such a frustrating journey until we have our babies in our hand we will never know. If anyone has done ERA test do tell me how it worked for you thank you for reading until here.