Just a fair warning ahead of time, this post is medically detailed, which might be boring to read, but is for me to remember as much as anyone else :) As I posted previously, we had a miscarriage and a chemical pregnancy in the fall. And in case I didn't define it, a chemical pregnancy is a cruel twist where you find out you are "pregnant" but the embryo doesn't implant properly. So, in essence, your hormones give you that sought after "positive" but your body (quickly) adjusts itself. Since we had gone through genetic testing at this point, I decided to discuss some further evaluation with my endocrinologist, who happens to be a "reproductive endocrinologist" or RE. I didn't even really consider that aspect of her practice, as looking for a strong endocrinologist had been my main priority. To be honest, I had had enough with "fluke events" that come with no explanation. So, she suggested some in-depth monitoring of my "cycle" to if/how much my PCOS was affecting my ability to stay pregnant.
It turns out that I had "ovulatory dysfunction." In my case, I was lucky enough that my ovaries were still releasing eggs on their own, but the eggs were not mature enough. It is hard to say whether or not this caused or contributed to my miscarriages, but it is possible. She said that we could keep trying naturally, or, that she had enough evidence to move forward with fertility treatment. In my mind, I was all for non-invasive treatment. I had heard from friends and co-workers that they just took some medicine, and "poof!" all worked out. My RE does not function that way. She charged a (hefty) fee because of the intensive contact we would need each cycle, which even includes texting me from her cell phone whenever needed. This has proved to be such a blessing-- I mean, how many people get that kind of contact with their doctor? What I didn't understand about this was how intensive the contact would be. Each month, I would have 3-5 appointments, strictly timed medicinal regimens, including a shot each month. Then, the dreaded "2 week wait" as online forums call it, where we see if we develop a whole new reason to worry, or if we have to start over.
My continuous comment from the last 4.5 years has been....I LOVE science. Genetics, our bodies and how they function....it is fascinating to me. I just wish I could see it from the outside looking in, sometimes :) Regardless of that sentiment, I am thankful to have the opportunity to have options.
I will say this whole experience...the last 6 months...has made me so much more sensitive to moms and friends going through fertility treatment. I am reminded that oftentimes, people don't think about their audience with enough empathy. I was, and probably still am that person. I have vivid memory of sitting with two amazing ladies that I grew up with, one of which was expecting at the time, and asking her sister when it was "her turn" in the baby department. I didn't know she had recently had a devastating miscarriage. I felt horrible at the time, but even worse after I experienced it for myself. The bottom line is that most of the time, people mean well and want you to be happy. But it was a great lesson for me to remember that I need to consider how what I say might affect someone.
The last thought I have is unrelated to fertility, per se, and more related to the hilarity that is family "planning." I know we have been on people's "I wonder when..." list for a while now. We have long passed the usual 2-3 year window between siblings. The funny thing is that we waited on purpose. Parker is beautiful, sweet, and complete trouble. We are overwhelmed 90% of the time, and sleeping the other 10%. Even at his happiest, he has a lot of doctor appointments, medical expenses, therapies, meetings, etc. It is a lot to manage. It took us a while to be able to handle that within our marriage. We decided we were ready last April. We never expected to have secondary infertility. My point to you is....sure, go ahead, try and "plan." The reality is that none of this is going to ever go according to your time table. You have to find a way to be at peace with that. I haven't yet, but some day, I'll look back on all of this, and understand better.
So, for now, think happy baby thoughts for us. We are waiting for our "rainbow baby" with lots of love (and nearly equal amounts of anxiety).
I. Love. You.
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