Tuesday, January 19, 2010
Still here, still freaking out
Now that aside, I can't get rid of the feeling that it can't be this good, and certainly not this easy. I lie in bed trying to feel movement and freaking out when I can't. There are days when I feel gross and huge and I'm reassured...then the next day I will feel physically great but mentally stressed because I'm sure the pregnancy has ended because I feel TOO good. And then there is the guilt, feeling awful about complaining when I am in the middle of a healthy spontaneous pregnancy. But I know that I can say these things here....because I know you understand...thanks for being there.
Wednesday, November 18, 2009
Stop me if you heard this one....
Yes, I have become an anecdote. Now, let me clarify that we did not "relax" or "just forget about it for awhile". We did OPKs during that cycle and had very timed se.x. It was still stressful, the big difference is that I had no hope that it would work - why would I? I spent the first few days of vacation taking all sorts of cold and flu medication and stuff to help me sleep.
I am freaking out. Part of me wants to just be thrilled, but the infertile part of me is waiting for the other shoe to drop.
Friday, July 17, 2009
Better
The D&C went pretty well...as well as a D&C can get I suppose. One of my friends just started working in same day surgery, so she was the nurse that took care of me (she is also an infertile with beautiful twin girls via IVF). It was such a relief not to have to put on a brave face or tell my story. There were only two glitches today. One was when I was in the waiting room before the D&C and a woman parked her double stroller with her two kids under the age of 2 right in front of me....I promptly told C I needed to move and we went to the opposite side of the waiting room. And the second was the nurse anesthetist arguing with me on whether or not I really had aspiration pneumonia from an exploratory lap back in 2007. He was challenging me saying things like "well how do you know for sure that it was aspiration pneumonia?" Well, idiot, it is because that is what the doctor told me it was...I'm sorry that I didn't bring the medical records from that particular surgery to prove it to you. Then he says "well it sounds like the doctor was grasping at straws for a reason for the pneumonia". My DH, my rock, speaks up and says "you know what, my wife is having an emotionally difficult procedure this morning, could you please be sensitive?" What a guy!
I feel pretty run down, but physically mostly okay. I'm planning on taking an ambien tonight as I slept most of today and don't want to be up all night. As long as I continue to feel alright, I'll probably be using some of my time off from work to visit my parents on Cape Cod...as well as drink a fair amount of wine.
Good night all!
Thursday, July 16, 2009
Out of limbo and into a new kind of hell
I was crying..bawling actually, after the news of no heartbeat, ultrasound wand still in place. The RE was patting my leg, and saying over and over "I'm so sorry". Being sensitive to how I was dealing with the news and yet still being in stirups with a wand up my chickie, the RE asked the tech if she was finished with the imaging.
She says "just a couple more measurements".
I'm not sure what kind of measurements the tech needed that the RE couldn't have cared less about but, apparently she wanted to be very thorough about these apparently unnecessary images of my ovaries. The more she probed, the more I cried. And then I panicked, I felt violated, yet I wanted to be the good patient for "just a couple of more measurements". I finally wrapped my brain around the idea that I was going to have to be the one to stop this, but how? I was afraid that if it went on for another moment I was going to quite literally freak out. I was finally able form the words "I just can't"...and the torture came to an end.
I'm surprised that my RE let it go on as long as it did, but she told me afterward that she was getting ready to put and end to it right as I spoke up. I have no doubt that the tech will be spoken to...at least I hope so.
All of that said, I am relieved that there is a definitive answer in today's ultrasound. I'm having a D&C early tomorrow morning. I'll be taking some time off from work. As the nurse practitioner said today...this whole process has drained my cup and I need to take time for myself so I can fill it back up again.
Saturday, July 11, 2009
5 to 10%...
I must say that I have the most compassionate RE EVER. I was slumped over the table with my head in my hands when she walked in. She walked over to me, gave me a kiss on the forehead and wrapped both arms around me while I cried into her lab jacket. We sat and talked for almost 30 minutes about what this could mean, the likelihood that this pregnancy will end, possible blood testing for next time around, and of course what to do about my antidepressant. Coming off the Paxil abruptly was necessary due to the risk of heart defects, but the "discontinuation syndrome" has sucked eggs. I am dizzy, nauseous, profoundly irritable, and having some GI issues that I won't go into now. She gave me a note to be out of work for 1-2 weeks...I think based primarily on where I work. The thought of going to work the next day and dealing with babies and pregnant women made me feel ill. The RE reiterated her feeling that this failure is nothing more that old eggs. I left the office after several more hugs and encouraging words.
Anyway, I digress. My next ultrasound is on Wednesday. I have a feeling that will be the nail in the coffin so to speak. There are other possibilities, it could have been a late implanter and is just behind. C is holding out hope that things will be okay. I can't say that I feel the same way. I know I shouldn't be thinking about next cycle yet, besides not knowing what is going to happen with this one, I'm in no state of mind to be thinking about the possibility of another cycle.
Never in a million years did I think I would be here. Pregnant 3 times from 4 IVFs and still no baby....and no diagnosis other than my age. I remember starting this blog and thinking there is no way that I will still be doing this in a year (that was over 2 years ago). I also remember being so gitty from our 1st positive beta and thinking "how lucky am I that it worked on the first try!" I looked on the "Veterans Only" page of IVF Connections today and thought "this is the message board for me". No more Pollyanna optimism of an initial beta, or even a good first ultrasound...no those rose colored glasses have been ripped off.
In the meantime, every moment with my daughter I want to hug her so tightly. I want to bring back the memories of kicks in utero, breastfeeding, and baby belly laughs. I know that I am so lucky to have had these in the first place, and I'm also so stupid to have not cherished those memories ENOUGH, as I never occurred to me that I would not have another child.
Thursday, July 9, 2009
Am I wrong?
WHAT?
Here is what is going through my head: You mean the appointment that I talked to about, not only when I made it, but confirmed it earlier today? You mean the ultrasound that I have such anxiety about that I swore I was having a miscarriage the other morning? You mean the ultrasound where I might find out that there is no heartbeat and that this pregnancy is over and I will be such a mess that I will not be able to drive myself home because I will be such a puddle of mush?
What I said: Of course I do.
He said something else, but my head was spinning so that I didn't quite catch it. All I could manage to say was "You really don't want to have this conversation with me right now" After all we still had family over.
Later, I tried so hard to control my anger and yet express my feelings about what he had said and how it affected me. In return for my efforts to spare his feelings I received a blank stare and a timid "I'm sorry". He then left to go downstairs, I went to bed. No kiss goodnight.
Did I mention that I had to come off my antidepressant cold turkey and on top of dealing with the anxiety of waiting between ultrasounds, I am now going through withdrawal? What fun!
Ultrasound is today at 2:45. I'm almost tempted to go by myself......
Thursday, July 2, 2009
Mixed emotions
Anyway, so here's the scoop. Ultrasound was fine. There was a nice round gestational sac, a yolk sac, and a flicker of a heartbeat that they just couldn't quite capture yet. They saw everything that they were hoping to see...but it didn't seem like it was enough. I was greedy and wanted a strong, unquestionable heartbeat. I have relived the details of what was said and how, trying to ascertain whether the RE and the nurse (and the us tech) were really thrilled...as they flat out said they were, or if they are just trying to keep me in a positive state of mind until the next scan. They gave us a picture of our little nugget. They have never done that before, I've always gone into my own online medical record and downloaded it myself. So both DH and I are saying "this must be good, if they gave us the picture". So next scan is this Thursday at 7w2d. I was going to put it off a few days so that there would be more to see, but this is the only time that works.
In the meantime, I'm desperately trying to keep myself busy. We finally had two days of beautiful weather. (It has been lousy with rain and thunderstorms for WEEKS up here in the northeast). The sun came out for my daughter's 5th birthday party this weekend. It was an awesome party, just the right mix of some family and some friends...not too many of each. I dove head first into making my daughter's cake. A relatively new "hobby" that is usually fun and challenging and occasionally stressful.

It seems crazy to me that I feel like a Debbie Downer...and things are looking good! I have nothing but good news, but I remind myself that I have been here before and it all went to shit. I'm hoping that if we can get past eight weeks, I will loosen up a bit and actually say the words "I'm PG" (see...can't even write it).
Saturday, June 27, 2009
12dpo 18
14dpo 36
16dpo 87
20dpo 277
22dpo 511
24dpo 1437
It is hard not to compare previous cycles, which had higher numbers...but ultimately unsuccessful. I am now in a holding pattern until my ultrasound on Thursday. In the past they did a 5w6d us, this time it will be 6w2d. They are hoping to see a heartbeat at that time...and needless to say I do too. In the meantime, I'm very cautiously optimistic. It is difficult to enjoy any of the success so far, when I have come this far and been devastated. I have not proclaimed I'm pregnant...I usually say something like "well, there's something in there, I just don't know what yet". Don't get me wrong, I'm so thankful to have even gotten this point, especially since I thought this whole cycle was going to be a bust.
Wednesday, June 17, 2009
2nd beta
Sunday, June 14, 2009
12dpo
(So, have I been enough of a Debbie Downer with this post?...after all it IS good news. Note to self: be Zen and remember that I am PUPO).
Any success stories with low initial betas would be welcomed!!!!
Sunday, June 7, 2009
2dp3dt
I am now 2dp3dt. I called out from work today as I have been having some moderate cramping with pretty much any activity. Yesterday if I walked up the stairs, I would almost immediately start to cramp. I called the IF nurse on call and she said that even though the clinic does not officially have a bed rest policy following transfer, the cramping could be a sign that I am overdoing it and I need to take it easy. She also said that I shouldn't do anything that, if the cycle did not go well, I would regret doing. After talking with some co-workers today, they encouraged me to call out for tomorrow as well. I don't know why it is such a difficult decision for me....work can be physically grueling. Some days lunch consists of shoveling a sandwich down my gullet while standing next to the nurses' station, often times I don't have time to stay hydrated...let alone go to the bathroom. Then there are other days that requires busy work in the morning, then the afternoon is filled with chatting with co-workers. The problem is I never know how busy it will be (can't really predict when laboring women will be coming in). So my dilemma is that I feel pretty good, as long as I don't do anything...and when I don't do anything, I feel guilty. Anyone want to weigh in on whether or not I should call out for tomorrow? I've heard mixed opinions about bed rest and being inert...any insight would be appreciated.
Friday, June 5, 2009
Transfer
I've watched way too much TV, and even asked the cat if she thought this would take -so I believe I've hit a new low. Beta will be on the 14th, until then I will try my best to live in the moment and not analyze every little twinge.
Wednesday, June 3, 2009
3
Tuesday, June 2, 2009
ER
Monday, June 1, 2009
Shadows
So then it was the decision of what to do next? Do I take a couple of months off? I feel like I am so pressed for time 41 is looming around the corner for me. We decided to soldier on. The antidepressant has been a small miracle. I feel like the person I was 5 years ago, and it is such a relief to be in a place that I can truly laugh, relax (yikes!) and most importantly feel like I have the capacity to rationally cope with stress.
So we are doing another cycle. Actually I triggered last night, retrieval is at 8am on Tuesday. I had high hopes for this cycle because I am such a different place than I ever have been before. I am calm, "relaxed" (though I HATE to use that word), and dealing much better. However, I am not stimming as well as I have before. In previous cycles they have retrieved 14, 11 and 10 eggs all with great fertilization (11, 9, and 10). This cycle it looks like we may get 5 mature eggs. As I am writing this, I wonder if the poor stimming has anything to do with the methotrexate?! I've gotta write that down and ask the doc about that one. My nurse said it was just a down cycle, that I shouldn't expect to stim the same every time because each cycle can be so different. I did the same protocol as before: BCP, Lupron 20, 10 then 5u, Follistim 75 and 2 Menopur in the AM and Follistim 150 and 1 Menopur in the PM.
I've had a pretty rough weekend at work, yesterday I had a melt down - combination of stress of the day and hormones. Feeling better today, but quite mellow. I have no idea what to expect from tomorrow. My primary thought for today is to stay hydrated so the IV will go smoothly tomorrow. I have my favorite anesthesiologist lined up for my retrieval so I know I will be in good hands. Unfortunately my RE is away on vacation. I'm excusing her for this because it is her 20th wedding anniversary, and she told me that she would be thinking about me while she was having a fruity drink....and honestly I think she will make a point to send some good energy my way. The RE that will be doing both retrieval and transfer is very good, just not the warm and fuzzy type.
Once I'm up and about, I'll send out the retrieval report.
Wednesday, February 18, 2009
Ectopic
Tuesday, February 17, 2009
Betas betas everywhere
Unfortunately nothing has happened on the miscarriage front. I am at the point where I have mended (at least somewhat) on the emotional front and I just want to move on. My manager called this morning (not the same person that sent me the amazing email) and asked when I was coming back. Apparently there was a little miscommunication about my time off and they were expecting me there today. I was really hoping to go back by Thursday, but that doesn't look like that will happen. Since I have had no bleeding (only some very light and very small amount of spotting) they wanted me to repeat my beta today (it was 685) and follow up with an ultrasound tomorrow. Because of the slow rise of my betas they are concerned about a tubal pregnancy...what are the odds of the that, considering I only have one tube. Anyway, if they can rule out a tubal, and I still have not had a flow, then it looks like misoprostol for me.
I just want this chapter to be over. I have already started to calculate when I would likely cycle again...maybe fourth time will be a charm for me. Maybe we will switch things up a bit and do a 3dt. I'm sure they will also want to check an FSH with my next AF. In the meantime, I've got to get back on the exercise band wagon and focus on my diet...I have been doing nothing but emotional eating for the last few weeks...and it is starting to show.
Wednesday, February 11, 2009
The Silver Lining
- I feel very sad for you. Your heart is breaking. Words won't comfort.
I wish you could go to a place to be with women where they would surround you, and attend to you, and hold you, and let you be as raw as you need to be. We would do that here if we could, but we can't, or we can, but only intermittently, moments instead of hours. I fear the reality of what is going on in the external environment will crash into what is going on internally; physically, emotionally, and spiritually for you. I don't want where you are and what you are called to do to create more pain for you in this process. I think you should take care of yourself and think about being away from here now, not next week, but now. This may not be the best place for you to be, in fact, it may be harmful to your vulnerable heart. You are brave. You are strong, but perhaps not that strong. Who could be?
I trust you to make the decisions that best serve you. I will honor whatever you decide is best and right for you. You are a wonderful nurse, and we appreciate your work here- but not if comes at too great a cost to you. If on the other hand, you will find solace in the rythym of the work, the never-ending cycle, the company of women engaged in carinig for women- then of course, you should come. Only you know.
I am so very sorry. all my best to you. k
She ended up calling me later in the evening to "warn" me about a fellow co-worker who just announced her pregnancy and people have been talking about it. She didn't want me to walk in and be surprised by this news. In the end, I decided to take today off. I didn't sleep more than about 3 hours last night and yesterday I hurt my back and have not really been able to stand up straight. As it turns out I believe it was a good idea all around, shortly after I woke up I noticed the faintest of spotting, so I think that this pregnancy is declaring itself on its own. I took the progesterone last night, and originally had planned on taking it again today and repeat one more beta tomorrow, but now I truly feel like this is the end. I checked my work email this morning and this is another email from the clinical educator, not really a supervisor, but she has known pretty much every step of my journey.
- I'm so sorry for your loss. While I want to see you and hold you and cry with you, you can know my heart and thoughts are with you now and through the day. I'm glad you chose to stay home where you have more contol over your environment. Please let us know if we can do anything for you. Thank you for letting me journey with you.
I couldn't ask to have a more supportive work environment, I am blessed in that regard. So now I guess I just wait. We are planning on going out of town this weekend, it is my niece's birthday and we have been organizing this for quite some time. I'll call this the clinic this morning to see if there is any reason I shouldn't go. My family knows what is happening and they will all be supportive if I need time just to hang out in the corner. I'll have the next 3 days to myself and any longer than that and I may go batty.
Monday, February 9, 2009
Nothin' good
I guess I shouldn't get too far ahead of myself, but this is where I feel we are heading. I am also trying to wrap my head around doing another cycle. Because of my age I have always felt like I need to press full steam ahead...I'm not getting any younger after all. The RE did say that she would be ok with a 2 month break for me, but not 6. Maybe that would be just enough time to feel a little more normal, a little less hormonal and perhaps, dare I say it, a little more in shape.
In the mean time, another beta tomorrow. If has plateaued or dropped, then that indicates things are going south. If it continues to rise, then it could mean continued growth of placental tissue, but not embryonic...so that really doesn't mean anything.
I'm working really hard at trying to not feel anything. I don't want to give up totally, but I don't want to have false hope either. I wish I could just find a state of numbness and stay there for at least a week or so. Boy, do I want a drink!!
Friday, February 6, 2009
More Beta news
Today I was called in to work and I thought "well, this will be good, I will work today and all weekend and it will keep my mind off the impending ultrasound on Monday". I've been having some pregnancy symptoms and was expecting to have a nice jump today. The nurse on Wednesday said she was hoping the beta would be in the 1,000 range. Today's beta is...drum roll please.....874. Fuck! Now it has done it's 66% rise in 48, so officially things are still okay. But the nurse also said that for as far along as I am, 23dpo, she would expect the number to be higher. And then....I lost it. I went into 3 separate fits of uncontrollable crying while trying to hide myself away from my co-workers. I'm getting the double whammy of reliving the miscarriage as well as this freakin' back and forth with the betas. I am trying to hang on to the idea that 1/3 of women don't have a typical rises in their betas, and I now wonder what happens to the betas to those fertiles that don't have all of this lab work. I don't think I ever had a beta with Z.
Anyway, I was able to leave work...well I HAD to leave work, they really didn't have a choice. I would have been circulating and recovering a c-section which means I would have been one on one with this cute little fertile intact family. The idea of having to handle the baby was enough to send me into a small panic attack. So here I am at home, trying to find some sanity so that I can go back in to work tomorrow....and the next day, and not lose my ever lovin' mind.