Round 2… FIGHT!

Yesterday was CD 5 so I took my first Clomid pill.  It sounds like we’re going to be following the exact same path as the first round, 50mg of Clomid on cycle day 5 through 9.  Luckily for me, due to the timing of this cycle, I’m only scheduled for 1 follicle scan on Monday the 15th.  Hopefully we’ll see a nice large follicle and we’ll be able to trigger and do the IUI within the next couple of days.  (Please note I literally cannot keep track of any of these dates/timelines if I don’t write it all out here)  If that all works out as planned Christmas will fall right in the middle of the two week wait, which I think will help me to get through it a little easier so I’m feeling pretty good and optimistic so far.  I can’t say that I felt the same a mere 4 days ago…

So my doctor told me to call her if I got a positive result last time around and if not then wait until I got my period.  It seemed like it was taking weeks after the IUI for my period to finally show up so I was already anxious and anticipating another round of Provera.  I started spotting last Monday (December 1st) so I knew the flo was right around the corner so I mentally prepared myself for the struggle that is calling the office.  Now, I realize that they are a regular OBGYN and it has become BLATANTLY obvious that infertility treatment is NOT a core competency, but I’ve never felt so alone and misunderstood than the handful of times I’ve tried to get a hold of my Dr on the phone.

So I called my Dr’s office and I asked to speak to her and the very ‘nice’ lady at the receptionist station told me ‘Oh, she doesn’t talk to people over the phone.’

I was like what now?  So I said ‘Well, she told me to call her so I am just trying to get a hold of her.. is there someone else I should be talking to?’ and she replied with ‘I know that she is with patients right now so I don’t want to try and get a hold of her because I know that she’s busy.’

I then got the ‘Well are you pregnant?’

Me: ‘No.’

Then ‘Are you returning her call?’

I followed this up with a slight explanation of my dilemma by saying ‘Well, I just went through a round of Clomid with her and I need to know what the options are for next steps and I was supposed to get in touch with her when I got my period.’

I got back ‘A round of what? If you need to schedule an appointment then you need to call the appointment line.’

Me: ‘I realize that I need to make an appointment, but I can’t do that until I talk to my dr.  Is there no way for you to get word to her that I am trying to reach her?  I don’t understand what I’m supposed to do if I can’t get a hold of her.  Is there someone else I should be speaking to?’

Her: ‘Well I can try leaving a message with the triage nurse who can touch base with Dr X to see if there’s anything she needs to talk to you about DIRECTLY.’

Me: ‘Great, here’s my number for them to contact me.’

Her: Repeats back wrong phone number

Me: Corrects phone number

Her: Uh huh.

This was all at 9 AM on Monday morning.  Nobody called me back until Tuesday at noon.  Also, when I went in for my Clomid check on Friday, they helped TWO pregnant ladies ahead of me.  Even though I was there 30 MINUTES before EITHER of them.

After all of this I was understandably extremely upset and decided to look into my insurance a little further.  I found out that I can go to an RE without a referral so I’m thinking our next steps is to see one of the RE’s at the University of Minnesota.  At what point has anyone else moved to this step?  I know it’s still early for us in this whole journey but I only have up to $10,000 worth of infertility coverage on my insurance and I’d rather spend it on someone who actually knows what I’m talking about and will treat me with the same respect as a pregnant lady.

This year, I am thankful for Whiskey.

Saturday was the big day.  I was actually up extra early because I was catching an 8:00 movie with a group of my coworkers so I had basically the entire day to mull over the results.  It was negative, as I thought it would be, and I was immediately pissed about the fact that I spent 9 dollars to pee on something that only confirmed what I knew to be true.

So now I just wait for my cycle to start again.  I hope it happens naturally without the use of the Provera again.  I feel like I’ve heard somewhere that the second round tends to have a higher success rate than the first so here’s to hoping that’s actually true and not just something I made up in my head.

the end is nigh

Tomorrow officially marks the end of the 2WW and I’ll have the joyous experience of peeing on a stick and seeing one lonely line.

While it might just be the pessimist in me, I have been having some mild cramps today which leads me to believe that my period is knocking on my door.  So I am not going to be surprised at all if I see a negative test tomorrow morning.  Luckily I have a full day of plans including brunch, a movie and shopping with family and friends so I won’t have much time to wallow.

Here’s to cycle #2 and the hopes that I don’t get my hopes up too much next time around 🙂

Just Keep Swimming.

It has been one whole week and 2 days since I had the IUI and so far, I feel nothing.  Surely if this ‘took’ I would feel something by now right?  I keep reading all these stories about women that can feel the implantation and know right away that they are ‘with child.’  Being that I have been listening to my body so closely over the last 3 years I figured I would be one of them and that I would notice a change immediately.  So I’m feeling pretty down.. I knew going in that I would most likely have to at least try a few rounds of this but starting over and making more appointments kind of makes my head spin (especially if I have to try to work everything in around the holidays.. BLAH).

Speaking of the holidays, I couldn’t help but let myself get excited about the possibility of being pregnant this year.  I had lovely dreams of being able to get my dad something that said Grandpa on it for Christmas.  He has been waiting for a grandchild for years now and has a form of chronic Leukemia so we don’t really know how much time he has left..  I must admit this has always put an added pressure on me to get pregnant because I can’t imagine my father never meeting my children, it would break my heart if he passed away never knowing his grandkids.

As the days go on I find my self waking up and searching for any sort of symptom.. Do my boobs hurt, is there any spotting from implantation bleeding, do I feel ‘different’.. and I’m immediately disappointed when I realize that I feel like the same old me.  Now that I’m officially part of the Infertility Treatment Team I realize that I need to realign my expectations and really work on having a more realistic outlook.  I am only in the very beginning stages and I have a TON to be grateful for so I need to learn to take my wins as they come and just keep trying.

so you’re saying there’s a chance…

A lot has happened over the last few days, I will attempt to recap in chronological order…

Thursday

Thursday was cycle day 13 and I went in for my second scan.  The OBGYN that I see on a normal basis works out of two locations, this time I would be at the other location from my first scan.  The utrasound tech didn’t say a word the entire time so of course I assumed it was bad news.  She was also the same lady who made the tasteful pearl necklace joke when I was diagnosed.  I was then directed to the lab where I had to sit for 10 minutes because the DR I was randomly assigned that day didn’t have a room available yet.  I finally got to a room and waited another 20 minutes.  By this point I was freaking out and convinced that he would just come in and tell me all the follicles were lost and better luck next time.

He finally came in and I hated him immediately, there was just something about his face and how he refused to look me in the eyes when he spoke.

He told me that my scan looked good, things were still progressing and that he would have a nurse come in to go over the details of getting the Ovidrel and scheduling the IUI.  He then clacked away on his computer in silence for about 3 minutes and finally asked me if I had any questions.  I asked him how much they had progressed, if I even had more than one at this point based on my last appointment on Tuesday.  He clearly hadn’t read my chart and had no idea how much they had changed but was able to verify that I did have one large follicle on my right side and that it was ‘bigger’.  He then said to me “Now, I don’t want you to assume that you’re going to get pregnant this time because you probably won’t.  There’s only a 15 to maybe 20% percent chance that you’ll ever get pregnant doing the IUI.  This is more of a test the first time around.. Next time we’ll probably talk about upping your clomid levels to see if we can get you to produce multiple follicles.”  He then tole me have a nice day, wait for the nurse and called me YOUNG LADY.

I was furious.  Why am I even going through this if some doctor doesn’t even think it’ll work?  Why does this guy have to be such a condescending prick?  At that point I just wanted to get out of there but I had to verify all of the information with the nurse.  She talked me through how the Ovidrel would work, told me at least 6 times that I needed to call and page the on-call doctor at 9AM on Saturday (because of course my first time round would fall on a weekend so that the process would be infinitely more complicated) and sent me on my way to the pharmacy.

Friday

I had an all day offsite meeting for work on Friday so the day went by surprisingly fast.  I got home and opened up the Ovidrel.  For whatever reason, they print the instructions on a ginormous piece of paper and fold it up into a tiny little square.  By the time I got it open I was already sweating.  I read on to find that step one is clean the area with an alcohol wipe.  Of course I do not have this, nor did the pharmacy provide one in the bag they sent me home with, so I had to send my husband up to Walgreens.  HE IS GONE FOR 20 MINUTES.  Please keep in mind that the Walgreens is literally 1.2 miles from my house.  So I am a nervous angry wreck by the time he gets back.

I prep a small area on my tummy (I was going to record this whole process so that I could show it to and scar my future children but forgot) and stand there hoovering with the needle an inch away for at least 5 minutes.  I was freaking out.  My poor husband was behind me with his hands on my shoulders (I think he thought I might pass out) and I finally screamed at him to stop touching me.  I finally got up the courage to just *touch* the needle to my skin and low and behold it just sank right in there without me really feeling anything (I’d been pinching the little area for so long it probably had no feeling left).  I plunged away, pulled the needle out, threw it on the counter and commenced in a victory dance.  No idea why I was so scared.. but just the idea of having to do it again in a month here makes me feel nauseous.

No side effects at all from the Ovidrel that I could tell.  No bruising or anything, mostly just emotional trauma 🙂

Saturday

Saturday morning rolls around and I page my dr (who thank goodness happened to be the on-call dr on rotation this weekend) while my husband preps his sample at a clinic in the city.  We kill some time bumming around until the sample is ready and we are off for my first IUI.  I was pretty nervous, but felt a lot better knowing it was my trusted dr performing the procedure.  I’m not going to lie, it hurt like a mother f-er.  I had really intense cramping during the entire process which thankfully, only lasted about 2 minutes.  I immediately burst into tears the second she left the room and I could tell my husband was struggling to keep it together.  It just all felt so real at that moment, everything that we had been through up until that point came crashing down on me.  She wanted me to lay down for about 20 minutes before she sent us on our way (probably because she knows I’m a crier).

Monday

Fast forward to today.  Day 2 of the two week wait (which I finally know after not knowing what 2WW I kept seeing on people’s blogs!  woot, learning!) and I am really trying to think positively.  We’re trying to decide how many rounds of this we’re willing to do before we look into having the surgical procedure done on my husband to get rid of his varicoceles to raise his counts.

Here’s to hoping the first times the charm??

follicles, follicles what are they feeding you?

Apparently clomid does the ovaries good.

I had my first scan today to check the ‘progress’ of my follicle growing.  The technician was able to see one on the left side measuring at 15 and a larger, more dominant follicle on the right side measuring at a whopping 18.  They also found that the lining of my uterus was slightly thin (apparently a normal side effect of the clo) so I’ll be starting on some estrogen tonight for the next 5 days.  I’m almost too nervous to google the side effects of that so I’ll just let that be a fun surprise when I pick up my prescription after work.

I had to meet with a random doctor to discuss the results of the ultrasound but she was nice enough.  She told me that the fact I was producing any follicles this large was a great sign and that they usually see them ‘growing’ about a 1 each day (clearly I don’t remember the correct unit of measure for this so please play along), so we’re hoping that in my scan on Thursday morning they will be even bigger and I’ll get the ok for the trigger shot.

It was weird seeing my ovaries again after almost 2 years.  When I had my first ultra sound that initially lead to my PCOS diagnosis I was terrified.  I remember the technician at the time asking me if we were looking for signs of PCOS and when I said yes, gallantly pointing out how each one of my ovaries looked like a pearl necklace.  She even zoomed in on each one so that I could see it up on the TV screen.  And she was right, I could see all the little spots wreaking havoc on my insides like spots on a dalmatian.  I was devastated.  I have been healthy my entire life and wasn’t equipped to handle the news that something was in fact wrong and that it would change everything.

This time it was different, there were only a couple larger spots and when they zoomed in to take measurements she assured me that there were in fact follicles.  I could almost cry.  The fact that something was actually doing what it was supposed to do after two long years was such a foreign experience for me that I didn’t quite know how to react.  I can only hope that the rest of the process follows the same path.

Fingers crossed for bigger follicles later this week.

no day but todayyyyyyyy

Today is my first official day on the clo (this is what the cool kids call it right?).  Well, I took it last night before bed so I guess today’s kind of my first day?  Regardless, so far I feel like my normal self.  I think I had a spell of some slight hot flashes this morning while I was getting ready, but it really wasn’t anything to write home about.  I go in on the 4th for my first scan and I guess I don’t know how to not be nervous about it?  What if I don’t have any follicles?  What if I have too many?  Does that even happen?  Even after an hour long appointment on Tuesday (which included a 20 page ‘Infertility Packet’ and a super awkward moment where the nurse had to leave the room so that I could remove my tampon and put it in the hazardous waste bin..) I still feel so uneducated and lost.

This really is the beginning of our infertile journey.  Up until now, there are hundreds of factors that I could use to blame why we didn’t get pregnant.  Maybe I didn’t ovulate this month, maybe I drank too many glasses of wine at that happy hour, maybe it was that 2 week span that I had a bad cold and didn’t work out.. (over the course of 2 years it got pretty hard at the end to come up with any more) Now there really are no excuses.  Either this works or it doesn’t and we move on to plan B.  **Plan B is still yet to be determined.

Someone should really take the time to create a flowchart for these situations right?  Like did clomid work – yes (you have a baby the route ends here) or no – (please proceed to injectibles and IUI).  It doesn’t seem fair that we not only have to put up with the pain on not being able to conceive naturally, but that we also have to forge a path down this unknown road to nobody knows where.  I don’t know about you but it’s not somewhere I wanna be.

Here’s to hoping that this girl’s flowchart is very, very short.

whatifwhatifwhatifwhatifwhatifwhatifwhatifwhatifwhatifwhatifwhatifWHAT

You know what would be super nice??  If I had a crystal ball that would tell me my future fertility.  I’d even settle for a sleazy fortune teller that lures me into a dark tent and scams me out of 10$.  Really anything to soothe to naturally anxious mind.

I’m not the type of person that does well with uncertainty.  I just want to wake up tomorrow and have someone tell me ‘Hey, heads up.. This clomid you’re about to take?  Yeah.. It’s not gonna work..’  Until then I guess I’ll just have to deal with the million what if questions running through my head.

The numbers and statics do absolutely nothing for me. 20% chance of pregnancy – a number I see frequently when doing research.  The last time I checked that wasn’t a great percentage, in fact, I’m fairly positive that constitutes a failure right?

I take solace in the fact that my aunt managed to get pregnant using clomid.  She even had twins!  And this was 26 years ago.  Clearly this would mean that this is a tried and true method right?

I would love to read about everyone’s success stories, please share with me ASAP.

Watchu talkin bout fellow bloggers?

The main reason for my journey into the bloggesphere was to find people like me.  I was ecstatic to see that after my first post I already had two comments from people in the same position.  Like any normal non-fertile woman I made my way out to their respective sites and devoured their stories like jalapeno chips (immediately and as fast as possible).

I then found myself clicking through the other ladies that they follow, and who they follow, and who they follow… ETC.

Knowing there are so many of us (what do we call ourselves? is there an offish name? INFERTILE doesn’t really work for me.. can we all agree on something prettier?) out there was a double edged sword.  On the one hand, I was so comforted by the fact that I am not the only person in the universe that wants to punch my coworker in the face when she tells me she’s ‘accidentally pregnant’.  -Side note on this what is a socially acceptable response to this??  Someone please enlighten me.

On the other hand, however, I learned that I am a complete NEWB to this whole thing and it kind of made me feel like an outsider..  Am I the only one who didn’t know that there is an entire language around this stuff?!  Honestly I had no idea.  There are so many abbreviations and terms out there that I don’t even know where to start.  Is there like a Why am I  NOT Getting Pregs for Dummies book?  Do I google ‘infertility terms/abbrevs’?  Is there a beginners guide that I missed?  Cliff notes? Appendix?  WTF IS HAPPENING?

Anybody out there?  Thoughts?  HALP.

-Ash

Droppin Eggs

Sunday morning I dropped an egg on the floor.  I couldn’t help but wonder if that’s what it would look like inside my body when I start Clomid.

I spent the majority of my teen life/early 20’s on the pill.  Because of this I never knew that my cycle wasn’t regular.  I am a fairly healthy individual, I eat pretty clean and workout a few times every week.  After a year of ‘pulling the goalie’ with no baby I decided to see my doctor for some tests.  I was diagnosed with PCOS.  (Poly Cystic Ovarian S(uck-my-balls)drome) and found out that I would either need to try some medication or make some lifestyle changes in order to get myself regular.

Over the next year I started taking some yoga classes and really focused on reducing bad carbs from my diet.  Low and behold I had a regular flow for about 6 months.  Unfortunately I still didn’t get pregnant.  At that point we knew it was time to get the husband checked as well.  It really wasn’t fair that I was having all the fun here.

We then found out that he has low counts..  Still slightly within the normal range but on the low side of normal for total counts and motility.  The doctor we saw said that he has slight varicoceles and that we could try a couple different surgical procedures to have them removed/repaired, however, this would not guarantee that his numbers would ever improve.  He also stated that we were still perfectly capable of conceiving naturally but it just might take longer.

Another 8 months has passed since then and we are quickly realizing that our two wrongs do not make a right and we need some additional help.  I went to my doctor again armed with our new information and asked for advice.  She threw a couple of different options our way.. 1. Have my husband get the procedure and see if it helped his counts and keep trying the old fashioned way 2. Try a round of IUI 3. Try a round of Clomid and IUI and #4.. If money is no option and we want the highest success rate try IVF (We ended up going to an IVF seminar here in Minneapolis and I’ll save the story of that terrifying adventure for a future post..)

After a couple months of mulling it over we decided to go in for a round of Clomid and IUI.  Of course when we decided to pull the trigger and plan it out with my doctor I didn’t get my period..  So I’m on day 5 of Provera in the hopes that a week from now I’ll have a period and be able to start a cycle of treatment.

I’m not really sure what’s taken me so long to really go for it and try a treatment plan.. I think in the back of my mind I realized that once we tried something it really made it real you know?  Like, if this doesn’t work then we have to face the facts that we really are INFERTILE.  So far I’ve been able to pretend that it’s just taking longer than usual..

Has anyone else ever felt like this?  So scared to try that they’ve avoided it for years like we have?  I’d love to hear your thoughts and or stores about doing Clomid and IUI.