November 25, 2011

Stuff

It's Friday, the day after Thanksgiving, and I'm tired. Although I'm not a Black Friday shopper normally, I did come across some good sales on things I was looking to get anyway, so I spent some time online in the wee hours of the morning shopping. It would have gone quicker and smoother had the vendors' checkout system not crashed. But it got fixed and I got my stuff. I'm super excited about it, too. :) No. You can't know what I got... there are people who read this blog whose Christmas gifts would be spoiled if I told. But trust me. It's awesome!

Thanksgiving went well. It was me, DH & 2 other friends. DH & I cooked. And I must say, my turkey came out really well. I zested an orange, mixed it with a stick of softened butter, and then slathered it on. Then I sprinkled dried rosemary and black pepper on top. As more flavoring, I quartered the zested orange and quartered an onion and stuffed it all inside (I stuffed before I lathered the butter on... way less mess). Chicken broth was the liquid of choice in the pan. Although I don't eat the skin so didn't taste the orange, the meat was super moist and flavorful. If I keep this up, I'm going to be forced to cook the turkey every holiday (up until last Christmas, DH and/or my FIL did the holiday cooking... and it was good).

In other news, I chipped the corner of one of my front bottom teeth while I was sleeping. Don't know how it happened, but I vaguely remember feeling the chipped part on my tongue, and picking it off and putting it on my nightstand. It's not visible since it's on the bottom, and it doesn't hurt. So I'd considered not bothering to go have it fixed. But my DH wisely pointed out that while it's not a problem now, it likely will be in the future, so why not get it fixed now? Good point. I knew there was a reason why I married him... he's all logical and stuff.

November 19, 2011

RE visit #3

Sorry, this one will be long. A lot went on in this visit.

Seven days after RE visit #2, I went in for an hysterosalpingogram (HSG) on CD10. This is an x-ray that takes a look at the insides of the uterus and fallopian tubes to make sure there aren't any blockages in the tubes and/or to check to make sure the uterus is properly formed and are no problems within like polyps or a septate (separated uterus). They must take place after you're done with AF, but absolutely no later than CD10. The doctors operate under the assumption that any day after that, you could be pregnant.

And at the same appointment, DH was to submit a semen analysis (SA), and after that, we were to have a fertility drug consult. So fun times were to be had by all this day.

To prepare myself for the HSG, I read up on the procedure and read other women's stories about their experiences. And I read some horrible accounts that made me more than a little nervous for it. But by the same token, there were women who had no problems whatsoever. I really hoped I fell into this latter group.

So the day came, a bitter cold February morning, and DH & I drove the 100 miles to the hospital where the HSG was to take place. We were directed to the radiology department, which happened to be in the sketchy-looking basement. It didn't help my nerves. But we got in the room and I was told to undress totally, except for my socks if I wanted to keep them on. I was given a gown to wear. DH was allowed to stay and watch, so he got suited up in lead. He was definitely more excited about this than I was.

I get up on the table and position myself kinda like I was going in for a pap. The RE inserted a special balloon catheter up my lady parts, and proceeded to inject the contrast dye. I was told that I might feel some mild cramping from the balloon. It took just a few more seconds before I started to feel them. They felt like normal PMS cramps, and I thought that's as bad as they would get.

In the meantime, the dye is shooting up my uterus and into the fallopian tubes. As I could see the dye spilling into my abdominal cavity (which is normal), I was told that there were no blockages in my tubes, and that my uterus looked good. Yay! DH thought it was the coolest thing to see the dye work its way up and show the shape of my inner lady parts. It was pretty cool, I admit.

But at that point, I wasn't paying that much attention anymore. Because my normal PMS cramps turned into the cramps from hell. Like, I seriously thought my uterus was trying to make a break for it and was trying to take my ovaries, too. And to cap it all off, when I got off the table to go change in the bathroom, the nurse hands me a diaper-sized maxi pad. Without wings. It's to catch the dye that comes back down with gravity, as well as the spotting that was created by the procedure. Awesome.

So after I change, we leave and go to the fertility clinic for DH's SA. He went in and did his thing, which he wasn't too excited about, but I reminded him that out of everything going on this day, he gets off easy (pun not intended). All the while, I patiently sit and wait for my uterus to stop rebelling and for my Advil to kick in. Didn't happen. Then after he came back out, we went into a another room for the consult.

The nurse basically talked about the 1st-tier drugs that don't require a lot of money... which basically was metformin and clomid. She didn't think metformin would work for me for whatever reason (HA! Totally wrong), so she really tried to push clomid. The thing is, when this clinic prescribes clomid, they require monitoring and they require you to use an injection of another drug ($$$) to induce ovulation. So while the drug itself is pretty cheap, it's not cheap when you add in those other things.

Because monitoring means 1) driving 200 miles roundtrip, at least twice, sometimes up to 4 times in order to 2) get a transvaginal ultrasound to see how your follicles are developing. So when you add up gas money, time away from work, multiple ultrasound costs, the cost of the inject, as well as any charges you may incur by seeing the doctor, well... just one clomid cycle would cost at least $500. And that's only assuming I have to go twice. Insurance would pick up a lot of it, but it still was uncomfortably expensive for something I would likely have to do for many cycles.

Anyway, I'm getting away from the consult. She went through a few things, but we were both super super leery of drugs, so we left without any prescription. So then we went to do some shopping since we were in a city with actual places to shop at. I had to sit in the car in the mall parking lot with my pants unbuttoned and unzipped for a good 20 minutes. I finally sucked it up and took MORE Advil and was praying to God that a total of 4 would do the trick. It did. I almost cried when they went away after about 2 hours. After that, I was able to enjoy the shopping.

The overall result of this day was: my tubes were clear, my uterus looked good, DH's SA came back normal and we decided to hold off on drugs.

And here's my advice if anyone finds themselves having to do an HSG... take 2 Advil before the procedure, and if needed, take 2 after the procedure. Also know that you might spot and lightly cramp for about the next week, and unless you want an old skool maxi pad supplied by the hospital, bring one of your own. Doctors don't tell you that. But maybe my reaction to the procedure was one of the more extreme. But it's better to be prepared than not prepared at all.

And thus is the end of our experiences at the RE. Just a month later, I was laid off and lost my insurance with infertility coverage, so going back just isn't financially feasible. So we're still just going on with hope and patience... and a little help from drugs. I can't say it enough, I love metformin!

November 16, 2011

RE visit #2

(After the diagnosis of PCOS, I threw myself into learning about it, and to see if there were any natural remedies that would help me. So it was quite some time before we went back to the RE. Just letting you know that the first 2 appointments were pretty spread out, which usually isn't the case once one starts seeing an RE.)

On one particular cycle, I was getting tired of getting yanked around by my body and its inability to ovulate in a timely manner. So I called the RE and requested progesterone to force AF. They agreed and send the prescription right on over to my pharmacy. The plan was to call the day AF actually came, which was about 10 days after I started the progesterone pills, and make an appointment for a baseline ultrasound. These are given to make sure your uterus is properly shedding its lining during AF. One is also required in order to make an appointment to get an hysterosalpingogram (HSG). This is an x-ray that takes a look at the insides of the uterus and fallopian tubes to make sure there aren't any blockages in the tubes and/or to check to make sure the uterus is properly formed and are no problems within. This happened on visit #3, so I won't talk about it yet... you'll just have to wait. :)

Anyway, this baseline ultrasound was another transvaginal, done on CD3 (which was gross), and again, it wasn't as uncomfortable as many make it out to be. Not saying it was fun, but I made do. Now to me, ultrasounds in general are just a bunch of shapes. Even if someone points to something specific, I still can't see it. And so I just nodded my head when the tech pointed to the evidence that my lining was shedding just fine. As long as it's doing its job, I'm good to go. Then I had some more blood drawn, though not as much as the first time. And that was it. I was done within 30 minutes and then I headed back 100 miles to get to work.

On my way out, I made the appointment for an HSG, which would be done within the week. Stay tuned!

November 12, 2011

RE visit #1

Back when I was working (and had insurance that covered infertility treatments pretty well), I had made the decision to make an appointment with a Reproductive Endocrinologist (RE) as soon as we hit the 1 year TTC mark. Luckily, we live in an area that isn't as populated, so I didn't even need a referral... I just called. I got an appointment pretty much right away, and didn't need to go through infertility seminars that many RE's make patients go through. Score!

But I was cautious too. I knew my husband's stance on medicines, and I knew my stance on assisted reproductive technology (ART), so how the heck would the RE be able to help us? I told myself that at the moment, we were just going to be getting some testing done to see what was up, and that we'd cross whatever bridge we needed to, when it came.

So came the first appointment. It wasn't too bad... just a lot of cycle history info given while the doctor wrote it down, a ton of blood taken (quote from DH to the phlebotomist... "you're going to leave some for her, right?") and finally, a transvaginal ultrasound. Honestly, I thought it would be worse, but I hardly felt anything. Anyway, they wanted to get a look at my ovaries to see if they were polycystic.

They were. The tech showed them to me, and pointed out the "string of pearls" that indicated many developing follicles on each ovary. At this point, I kind of knew about PCOS, but not really, so I wasn't concerned about it. But then a day later when I got the lab results back, I got a jolt when I realized I would need to learn about it in a hurry... my LH level was super high, which when combined with the presence of polycystic ovaries, gave me the diagnosis of PCOS. Awesome. Not.

November 8, 2011

19 Kids and Counting

This morning, it was announced that Jim Bob and Michelle Duggar are expecting their 20th child. Immediately, there were posts on the internet slamming them for various reasons, most of which though were aimed at their common sense. But that is probably nothing new to them, as they've probably heard it since their 10th child.

So here's how I feel about it. Am I happy for them? Yes. They are living according to their religious beliefs regarding children and don't think they're doing it just because they have a TV show. Their first baby born on camera was #15, so you just gotta know they'd keep having them regardless of whether the camera was there or not. It's clearly what they want, and they should be allowed to practice their religion, even if it is something neither you or I would choose ourselves. And if they were on welfare or other public assistance, I would think differently. But they can afford the amount of children they have, so I can't fault them there.

But do I question the wisdom of having more children after Michelle developed severe enough preeclampsia that #19 was born at 25 weeks? Definitely. There is a pretty good chance she'll have it again, which is life-threatening, and with her age (45) the chances are also good of having a baby with some handicap. They've been extremely lucky so far, and I hope this one falls in that same category. But sooner or later when you play Russian Roulette, you're going to lose.

At the same time, I'm also very sad for their existing children, specifically the older girls. For those unfamiliar with the family, Michelle actually does very little parenting, instead leaving it mostly for her 4 eldest daughters. They are 21, 20, 19 & 18. The babies these girls raise clearly consider their older sisters as mothers, and Michelle as that one who calls herself their mother, but is only occasionally around. And there's another daughter who just turned 14... you gotta believe this next baby will be hers for the primary care after Michelle's done breastfeeding. So far she's avoided the bulk of child-rearing, mostly due to her age, but now she's a "woman" in their view, and it's time to learn.

It's all kind of sad and happy at the same time.

November 6, 2011

November 4, 2011

Ugh...

I hate being sick. I guess no one really likes it, but it's one of those things that you mostly forget about once you're better. So when wee little germs invade your body and try to establish a kingdom, it comes as a surprise at how awful you feel.

So I went to the doctor today because I simply was not getting better... in fact, I had no voice for most of today. I was just going to ride it out, but my husband urged me to go, since this is exactly the reason why we have health insurance. I can report that I do not have strep, nor bronchitis. I have a viral infection that I'm supposed to ride out. Surprise, surprise. It always seems to be something untreatable...

In the meantime, I will continue to cough fire and blow my nose. Fun times. *eyeroll*

November 3, 2011

Symptoms

One of the pitfalls of TTC, is that in the LP, we dissect each and every symptom we get. Like right now, I'm sick. Illness is one of the symptoms one can get when implantation happens, since your immune system is lowered. So it makes me a little hopeful, ya know? But then I have to take a step back and tell myself that I might in fact just be sick.

And then there are the symptoms that are nearly identical to those of PMS. Those suck. So when my boobs start hurting, which they do every single cycle, I can't assume that I'm pregnant. Same thing with cramps, skin breakouts, backaches, mood swings, increased hunger and spotting... all of which are very common in the first weeks after conception. Doesn't stop me from looking at them under the microscope though.

I just wish I was one of *those* women who knew, without a doubt, that they were pregnant without testing, and they turned out to be right. Yeah, that's one of my many pipe dreams.

November 1, 2011

Natural Family Planning

Before my husband and I got married, we were all about the condoms. I simply did not want a child out of wedlock, and at that time, I had no idea what was in store for us. But once we got hitched, it seemed to me that maybe we could lose the condoms, since if I got pregnant, I wouldn't be an unwed mother, and we were going to start trying soon anyway, so why not?

So I started researching various forms of birth control that didn't involve barriers. And it came down to basically 3 options: birth control pills, shots and natural family planning. Considering that I had a bad experience with BCP's in college (a period every 2 weeks and depression), I really wanted to avoid them. Shots were an interesting idea, but we wanted to start trying relatively soon after the wedding, and shots are more of a long-term option. So natural family planning it was.

NFP got a bad rap from my Catholic friends who had to sit through pre-marriage seminars about it, so I initially didn't think it would be for me. But once I started to learn about it, I found that it was really interesting and it makes one very aware of their body and all the various processes that go into a woman's cycle, and that could only be good, right?

How it works is, every morning right when you wake up and before you even get out of bed, you take your temperature using a special thermometer. It measures the temperature into the hundredths instead of tenths like regular ones. And then you plot it on a chart (I use FertilityFriend.com... it's got a widely used charting system, and it's free!). You also track other things like cervical mucus and other symptoms, like headaches, cramps, etc. I won't go into it much, but the ultimate goal was to identify when you're most fertile, and then BD like there's no tomorrow... or if you're using it for birth control, avoid sex at all costs.

And the kind of bad part, is that it's slightly addicting for someone TTC. In the LP, it's very common for me to just stare at my chart and ponder exactly what that morning's temperature means, and whether that twinge near my ovaries was just a twinge or something more. Then I have to make myself step away from the chart, because I am no closer to figuring out my body than I was when I first began charting.

But I do know one thing for sure... I will now almost always know when I'm about to O. There's no way to unlearn this kind of knowledge. Makes me wish more women would learn NFP... then at the very least, women would know more about their own bodies. And I'll go out on a limb and say that if I should be blessed with a daughter, she will learn how to chart when she gets The Talk, which will be about the time she gets her first period. It'll be a good learning experience, I think.

Yeah, I plan ahead.