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Thursday, June 17, 2021

ERA CD14

Tuesday I went in for day 12 monitoring. Lining looked good but largest follicle was at 13 mm so they're giving it a few more days to grow. I think they want to see it closer to 18. My arm is getting really bruised from blood draws. Wednesday I got to see my obgyn for my annual appointment. Still love her. Today more monitoring and also an endo appointment for thyroid follow up. Largest follicle at 17 and lining up to over 9. I think I'll have to come back tomorrow. I hope not again on Saturday.

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I had a conversation with my obgyn about long term contraception. According to Jewish law, contraception for men is not allowed; there are no restrictions for use by women. If I don't want to take hormones, I can do an IUD or get my tubes tied at the next c section.  Getting tubes tied is a permanent long term solution with the added benefit of a decrease in the risk of ovarian cancer. I would still be able to use the uterus for pregnancy with frozen embryo transfers (our own, donated, or even carry as a surrogate for someone else). 

I'm not sure how I feel about this permanent option. IUD has its own benefits and challenges, such as being reversible but having heavier period and potential breakthrough bleeding (a halachic nightmare).  My fertile window is closing and likely within the next ten years this will be irrelevant, but for the next several years I don't want to have to take a daily pill. I also don't like the side effects of the hormones - for me it means headaches and elevated blood pressure. It's not something we need to figure out right now, just something I'm thinking about. 

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We're working on making healthier choices and getting our pandemic weight gain under control. I've oscillated up and down with the same 10 lbs. At transfer I don't want to weigh more than I did last transfer. To get there I need to lose 6 lbs. I'd like to lose more, but that's the current, realistic goal. 

Action items we're taking: 

  • Actively drinking more water. Daily goal set at 100 oz. I've been getting through about half. I definitely notice less munching when I'm full of water.  
  • Fill up on soup and salads. I've been good about taking a big salad for lunch. It takes planning and effort to make sure there are veg in the house, and take time to clean them and cut them, but worth it. My challenge is making sure I eat enough protein and fat along with it so that I'm not starving by the time I get home and snack before dinner.
  • Weight Watchers? Considering joining, not sure if it's worth the cost. I think accountability is key so I would appreciate the support. 
  • 5 min weights daily. Trying to make this a thing. I meant to start this week and just haven't. I don't know what the mental block is for it - everyone should be able to carve out 5 minutes of their day to lift weights, right? I have them in my bedroom and see them all the time. I just have to start. 
Once the cicadas are done (hopefully soon 🙏) we can restart our daily walks again. I always feel great after a long walk. I only recently noticed that the pain in my foot - self diagnosed as plantar fasciitis - has gone away and was very pleased with this realization. It started right after the birth and lasted about 18 months. 

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