Sometimes I wonder what I used to do with all my spare time before it was spent thinking about my uterus...
Sunday, January 31, 2010
Strong Enough
Monday, January 25, 2010
Crossroads
A Little Secret
I began the appointment for my pap smear by arriving 10 minutes late. I'm typically the type to get there 20 minutes early, but the recent onslaught of storms has massacred the morning commute in the bay area. Fortunately I think my tardiness only resulted in less time that I'd spend in a paper gown. When my doctor came in we chatted briefly, but before she got started on my examination she noted on my chart that I wasn't using any contraceptives. When I explained to her that I'd been trying to get pregnant for two and a half years and just wrapped up six failed dIUI's, she shook her head, and looked down at the floor as she began to tell me about the four IVF cycles she had completed several years ago. She explained that she was older when she started trying so she knew it wouldn't be easy. Her first IVF cycle resulted in a chemical pregnancy which required a D&C. Just two days after her D&C she had to go back to work and delivered four babies over the course of two days. She said she bawled after every single delivery that weekend. Her next IVF resulted in her son. The one after that was a BFN. And the one after that resulted in twins, thanks to donor eggs.
I was astonished that she was so willing share her journey with a patient, maybe she just took pity on a fallen comrade. Whatever her reason I was, and am grateful for her honesty. Anyway, the appointment ended with both of us in tears although not necessarily sad tears.
Dr. Do Little
The second appointment was with the OBGYN, and Brian joined me. I'm still not sure what to say about this guy. I left the appointment kind of shaking my head. His only saving grace is that he works somewhat closely with the honorable Dr. Zouves, and even referred to him as his "mentor". Basically he thinks my issues may be immunological, and wants to run a boatload of blood tests to prove it. Fortunately he took pity on us and our crappy insurance situation and offered to file the blood tests under "Infectious Diseases", instead of "Infertility" so that our insurance would cover it.
He never really even got in to what our plan of action would be, he just did a lot of babbling about Natural Killer Cells. Which I'm not blowing off. I just don't much about it. I was impressed when he said that since implementing the immunology practices, his miscarriage rate has gone down from 33% to 20%. I still don't know about this guy though ...
Dr. Deja Vu
Despite being 20 minutes late this doctor was pretty awesome. He went over all of our test results and explained what everything meant. He also did an u/s "off the books" since our appointment was being paid for out of pocket. We were grateful for that. He wanted to take a look at my lining and check my antra-follicle count. Just like my test results, and just like we heard before - "Everything looks great" and "There doesn't appear to be any issues"... He did however suggest that Brian go to see a urologist. If not for fertility sake, just to make sure there are no other issues. He also said this doctor could confirm/define any chromosomal issues. Which is a whole other post in and of itself.
He wrapped up the appointment by telling us our options: Injectable dIUI's with a 20% success rate at $2,500. Orrrrrrrr. IVF with Brian's sperm, with a 40% success rate at $15,000. And this is where it gets complicated.
SERIOUSLY?!
This is literally, the exact same situation we were in last January. We need to make the decision between a moderately affordable dIUI that we could do as soon as we're ready (emotionally). Or we wait for an undefinable amount of time,(possibly a year) while we save up for IVF, but we should be able to use Brian's sperm.
The main reasons we decided in dIUI before were because:
A. IVF would be very difficult on us financially (Still is)
B. We were concerned about genetic issues that could be passed on to our children. Brian may have Marfan Syndrome, (we're going to get that officially diagnosed this week) He also has two very close relatives that are mentally handicapped. *This is something we were fully aware of when we started TTC, and just decided we'd be happy to have any child we were blessed with. But when Brian's SA's came back abnormal, our concerns about what could be passed on became greater.
C.Because IVF would be so difficult financially, we were having a difficult time justifying the 40-50% success rate over the financial risk. And it would mean we'd have to wait that much longer to get this show on the road.
I'll be completely honest and say that I am pretty lost at this point. The thought of Brian being the biological father makes my heart sing. But I'm still having a hard time justifying the financial risk and the time lapse. What if we take the next year off to save for IVF, and it doesn't work? Then not only we will we be extremely heartbroken and another year into this mess, but we'll be out 15k and have nothing to show for it... Part of me feels like if we're going to gamble on 15k we should just put it towards adoption - which has an exorbitantly higher rate of us coming home with an actual child. But I just don't know...
May I just say once again, just how fucking much infertility sucks.
Monday, January 18, 2010
Three Doctors and an Infertile Walk into a Bar...
But it wasn't. And I had to work. Meh. The only consolation is that this is still a four day work week for me. I'm taking Friday off. Not to watch movies and eat ramen. But to shop for a new RE.
My first appointment and order of business is with my GP. Time for my annual pap Smear. Fun, Fun. I was technically supposed to go in October, but I was SO sure I would be newly pregnant by then that I kept blowing it off. Yes, I know you can get a pap smear while you're pregnant, not that I need to worry about that now. Oh and I'm looking forward to the conversation with my doctor as our last one was right before we were sent to an RE. So I'll get to rehash all the goings on from the crappiest year of my life thus far. Remind me to get a mocha before I head in there, the elevation in blood sugar should keep me happy enough to refrain from gauging out my own eye's while I sit freezing in my paper gown waiting for my doctor who's always at least 25 minutes late.
Appointment deux, is with a local OBGYN, who was recommended by a friend who had a successful IUI with him. She delivered a healthy baby boy last month. I know, I know what you're thinking: An OB? Not an RE?! Has she gone quietly mad?! I assure you that when I go, it will most definitely not be quietly, and you'll all be the first to know. So this OB does a lot of the standard practices for IUI's that my RE would have, only this guys waiting room is not overlooking Alcatraz and the Bay Bridge. He maintains a practice outside of the hospital, and has fantastic reviews from my friend who's a mom because of him, and from the local physician's websites I found. I called a few weeks ago to ask if they would be able to work with donor sperm, and got the head Nurse Practitioner on the phone. She must have spent a good 20-30 minutes on the phone discussing my history, and how tough infertility can be. And how she was sorry I had to go through all this.
When Brian suggested we go see this Doctor, I totally blew him off. I was like: "Why would we go waste our time and money with a regular ol' doctor? We should be seeing a specialist". But my chat with the NP completely disarmed me. She was eloquent, and very kind and extremely inquisitive about the variables of my cycle. She asked if they had done any other testing after my multiple failed cycles. Such as looking for a clotting disorder, or polyps. The testing she was asking me about makes me think that we have been doing everything wrong from the beginning and I'm starting to freak out about it.
Fuck I hate the testing phase, I know it's exciting to get answers, but I went through this before, and I'm terrified that something major could have been missed.
My third and final appointment is at a very prestigious hospital with a very reputable RE, that came highly recommended by two of my IF buddies. (Thank you Lau and Nikki) I feel very confident about this doctor, and also pretty intimidated.
I'm starting to seriously panic about these appointments. I'm afraid that these doctors are going to question everything we've done up to this point. That they'll tell us the IUI's were a waste of time, and that we never had to do donor. I've always felt very well informed on our situation but now I'm literally questioning everything. Ugh, Friday suddenly feels very far away.
Lastly I'd like to thank you all for your incredibly thoughtful and reassuring comments on my last post. I was really concerned about alienating anyone - especially people I care about. I'm grateful that so many of you shared that you had felt the same way at one point or another. And I'm grateful to be reminded yet again, that I am in no way alone in all this. Hugs.
Monday, January 11, 2010
Happy Time: O-V-E-R
Then silly me, thinking that the water would be safe, I stuck a toe in this morning only to be greeted by TWO pregnancy announcements!!!! WHAT THE HELL WAS I THINKING?!?! I swear that place isn't going to be safe for me until I'm in menopause... And who knows if even then I'll be okay with it... Who can say how long IF will really stay with you. As of right now I can honestly say that I feel as though I am forever changed. I don't really think that pregnancy announcements will always sting as much as they do now, but I wonder how they will feel ten years from now, or even five. Will I still feel resentment for those who get pregnant easily?
And I have a confession to make... Lately I've started to feel a sting from announcements within the IF community... But it's not resentment. Those pregnancies, were hard won and I'm proud of the ladies who fought and finally won their battle. It's just that their happy news reminds me of what I'm still missing... And the longer I find myself sitting on the sidelines, the harder it is to keep sincerely cheering everyone else on. Ugh, I really hate admitting that, and I'm truly sorry if it hurts any ones feelings - that is most certainly not my intention. I feel like a complete asshole saying that, but I know if there's anywhere I can be 100% honest, it's here.
I really don't want those two announcements to bring me down, but damn it. I was hoping that being on a break would soften the blow of any news I got, because I wouldn't be knee deep in treatments or a tww. But they still suck just as much...
Okay. ENOUGH whining. Back to having some semblence of a normal life. I liked it a lot better that way. Being sad sucks.
Saturday, January 9, 2010
No Refunds
Friday, January 8, 2010
I'm Late
For International Blog Delurking Week. What did you think was late? My period?! BWAAAHAHAAHA!!!
Sheooooot I don't even know what cycle day I'm on, but I know it's way too early to see that bitch! You've just entered TTC vacation territory friend, and let me tell you the water is warmer than my belly after a lovely glass of Vodka neat.
Follow me, I'll give you the nickel tour... On my left we have a Yoga class where I won't have to worry about squishing or distressing a potential fetus. Followed by books that have nothing to do with infertility or trying to get pregnant. After that there is a glass, and sometimes even a half a bottle of wine. Red or White. Depends on what I'm cooking. Then on my right, we have a modest amount of soft cheeses, (cause I'm trying to watch my girlish figure) but dayum I forgot how good Feta tastes on a salad. And the grand finale of: Idon'thavetaplantherestofmymontharoundpoppingpillsorgettingintostirrups.
So far this break is going SO much better than I had anticipated. Every day I feel better and better. I've really been able to focus in on everything I enjoyed before my life was consumed by Infertility. You might remember the list I created a few weeks ago when I talked about the things I would do to better myself if I had to take a break? Well I'm proud to say that I have made a reasonable dent in that list.
1. Donate Blood: I'm going in on Saturday. I'm O+.
2. Lose some weight: Already going well, I've lost about three pounds to date. I'll be putting up a ticker shortly to help keep myself motivated.
3. Try Yoga. Started on Monday - it's great. Would you believe that Brian is doing the class with me? I really think it's going to be great for him as well.
4. Mend my broken heart. She's getting there. Today is probably the best one so far. Not for any particular reason. I just feel good. But I am completely aware that I still have a very long road ahead of me.
5. Read More. I have three new books, and three that have been at my house for MONTHS that I never got around too. I've started one, so I'm going to do my best to get as far as I can this weekend. I'm a sloooooooow reader, so I know I won't be able to finish it by Monday.
So anyway, back to the topic at hand. Delurking. We're all guilty of it. Please give me a little wave just to let me know you're there. You don't have to leave a monologue, just a simple "present" will do. Or you can recommend another book for me to read.
And I promise to do some delurking as well.