Thursday, February 10, 2011

Month 36, Cycle Day 11 - A continuation of our story.

Wow. I can hardly believe it's been three years since we started trying. No one ever plans for this scenario. It's a little shocking putting that in writing. I was having a fine day until just now. I'll be fine in a few minutes. This blog is a means to feeling better about the process, but I just hadn't stopped to think that this month marked out third year in trying to conceive. Unreal.

So I don't want drag the rest of our back story on too long, but I do think it's important to give anyone who happens upon this a sense of what we've tried/been through to date. I'm just going to pick up where I left off with my last post. Here goes:

A few months after discovering that the uterine fibroid was not likely the cause of our infertility I decided to see a surgical gynecologist (my OBGYN actually referred me to him) to discuss the option of removal. I was unconvinced that it wasn't causing at least some of our trouble and it makes for additional discomfort and cramping during my "normal" cycle. And I guess part of me just wanted a second opinion.

I met with Dr. O in July. He inquired about my gynecological history, looked over my charts and immediately asked if I'd been checked for endometriosis. I indicated that I had not. Dr. O said it was likely that I had the condition (many women do) and it could be the cause of our struggles. He recommended a laproscopic procedure to diagnose and remove any endometriosis he found. A simple outpatient procedure, in and out. I agreed to it and scheduled the surgery for the beginning of August.

The morning of the laproscopy (which was performed by Dr. O and Dr. J) I signed all of the consent forms and listened carefully to what they planned to do. Once they'd finished describing how they would remove any endometriosis, Dr. J asked, "If we find you have a tipped uterus or anything like that while we're in there do we have your consent to perform a uterine suspension?"  I agreed, not thinking much of anything else. Certainly I just had endometriosis, which of course was the root of my infertility. They were about to zap it out. I'd be pregnant in a few months. Get on with it!

As they wheeled me away I kissed my husband and drifted off into the anesthesia with dreams of babies. I woke up feeling like I'd been hit by a train. Incredibly nauseated with, pain in my lower abdomen like I'd never experienced. I was groggy and disoriented and growing panicky as I looked frantically for my husband, doctor or someone I at least recognized. Finally Dr. J came by and explained that they had not found endometriosis. What they'd discovered was that my uterus was indeed tipped and my ovaries were incredibly smooth. I had no idea what he was talking about. He went on to explain that the tipped uterus was a common abnormality. Simply a matter of how the uterus sits in ones pelvic region. As opposed to being straight up and down, my little bugger was leaning back toward my spine. So they strung it up. Pretty straight forward.  

But the smooth ovaries? Apparently that's a sign of  polycystic ovary syndrome (PCOS). Something none of my blood work indicated that I had, but there they were... quite smooth. I have images to prove it. I'll spare you by not including them in the post. So doctors J & O performed a procedure known as a wedge re-sectioning or ovarian diathermy (aka. they drilled my ovaries). This is where the extreme pain came in. I was in too much pain to process Dr. J's explanation at the time. Thankfully my husband was finally shown in and he was able to get the information necessary for the next few days.

Coming out of the anesthesia is miserable. I don't know that I've ever felt so helpless and weak. Even when the anesthesia had worn off, my stomach was so raw I couldn't hold down the pain medication. And I really needed the pain medication. I'm sure "ovarian drilling" says it all.

Mr. B finally called Dr. J and have him prescribe an anti-nausea suppository. Ick. Long story short it helped, I was able to take pain meds. and begin my recovery. I wasn't back to normal for about two weeks. But I was able to do most things, carefully, after three or four days.

As terrible as the process was. I felt so full of hope. I felt sure that we were on the road to a baby. It was our time.

We started "trying" again in October. In January we had our first IUI. It was unsuccessful... From here I'm going to shorten this whole story by summarizing. I'll inevitably go back through some of the details in later posts but this is becoming tedious to recount which I can only imagine would be that much more tedious to read!  We've had three IUI attempts total. We "try" every month but some months are ore aggressive than others (ie. drugs, shots, etc.). We're currently drug-free in our efforts. I'm exercising normally again (thanks god! - this is a whole different story) and aside from a few dietary restrictions life is basically normal. Except, of course, for the continual want for a child. Oh, I'm also seeing a therapist this afternoon. I can't wait. Really. I think it's long overdue.

And that's it. I'll write again soon(ish).  Until then...
Mrs. B



Wednesday, January 19, 2011

Day two: Our back story (and a few things I can't stand).

Before I get into this whole blogging thing any further I should explain that I will use words like vagina, semen, sperm, cervical mucus, ovaries, uterus... etc. in my posts. At this stage in the game I think all of the western hemisphere has seen me undressed from the waist down. I have had discussions with countless people about everything from sex organs to sexual positions. I have no humility remaining. It's all about the facts from here on out.

Oh, and I absolutely refuse to refer to my period as "AF", my husband as "DH" or a negative pregnancy test as a "BFN" and I will never say "baby dust" in wishing anyone luck in conception. Ick! Chat room speak is a giant pet peeve of mine and as it turns out I'm not 14 years old so referring to my menstrual cycle as Aunt Flow seems a little immature. I promise I'll try not to be crass but if medical terminology turns you off then you may as well give up on me now. Now that that's out of the way...

I don't plan to share our experiences in chronological order so I'm going to share our back story so you have a sense of where we're coming from. We started "trying" in February of 2008. Well... more accurately I should say we stopped using birth control in February. By June I was charting and using ovulation predictor kits. In September I made an appointment with my OB/GYN to chat about our situation. I'm going to side step here and say that I see the best OB in the world. I'll refer to him as Dr. J from here on out. He's so awesome, totally no nonsense, completely committed to his patients and willing to work with women who need reproductive assistance (as opposed to sending them to a reproductive endocrinologist who are often not covered by insurance). Being the down-to-brass-tacks guy that he is, he immediately gave me a prescription for Clomid and explained that we would increase the dose monthly if need be. I nodded happily as he explained the incremental steps in which they administer the drug, sure I'd be pregnant that month. 

Obviously that was not the case, so I saw him the following month. He increased my dosage and ordered blood work. This "basic intervention" went on for several months with no indications as to why we weren't conceiving. All of the labs were normal. My husband's semen analysis was perfect.  We have "unexplained infertility".

In the spring of 2009 I was having a routine ultrasound (as I always do on day three of my cycle, before Dr. J will prescribe the stimulation drugs) when we made a discovery. I have a uterine fibroid. I know this is going to sound insane but I was so excited. Certainly this is our issue. Get that puppy off of there and let's get on with it. I immediately scheduled a hospital ultrasound (Dr. J only has the trans-vaginal ultrasound in his office) to get a clearer image of the beast and plot our course of action. While we were at it we scheduled a hysterosalpingogram (HSG). The test to check fallopian tube function. Brimming with hope I waited out the two weeks until my test, happily buying maternity clothes and making lists of things we'd need for the nursery.

The ultrasound was simple (as simple as anything can be with an incredibly full bladder). The doctor determined that my cyst is a Subserous myoma (on the outside wall of my uterus). Good news and bad news; it's the least problematic of uterine fibroids but it's not likely the cause of our fertility issues. Ugh, I really was hoping this would be our answer. The HSG went well too. It hurt like a son of a gun but the results were what we'd hoped for. My fallopian tubes were not blocked. We were back to the drawing board. 

Okay, this post is getting excessively long. I will have to explain more soon. For now I'll end with this: If you are going through fertility struggles I'm so sorry. I wish you the best of luck. Hang in there. It's so, so hard.
xo, Mrs. B

Tuesday, January 18, 2011

Day one; Blog it out

Day one. Not to be confused with cycle day one. It's actually cycle day 16, but who's keeping track? This is blog day one, a blog I'm starting with the intention of chronicling my personal experience with infertility. My husband isn't super keen on the idea so we will remain anonymous, referred to only as Mr. and Mrs. B, thirty-somethings, otherwise healthy, trying desperately to have a baby.

As of today we are 35 months into our "journey" (I really hate it when it's referred to as a journey). It feels more like a battle. There are small victories along the way but each month is a fight. And to date each and every one of the 35 months has ended in defeat.

I should stop right here and explain that I do not intend for this to be an online pity party. One of the reasons I've decided to share our experience is because despite the sadness and struggles there are a lot of moments that are hysterically funny and others that have warmed my heart and created new appreciation and love between my husband and me. I intend to share the good the bad and the funny. I hope to gain peace through my writing and perhaps clarity in the decisions we make going forward. 

I make no promises as to how often I'll post and I'm not sure my writings will be organized or well edited, but I'm excited to be starting this blog.
Chat soon, Mrs. B