appointed time · Infertility · iui · trying to conceive

We are scheduled!

On Friday I had a follow-up ultrasound to assess my progress. I should have expected to not be ready given that my cycles are already on the longer side; but I guess I thought the clomid might have worked so well that I would have been ready to trigger Sunday or Monday for an IUI yesterday or today.

Unsurprisingly, my ovaries had other ideas and they have just been plugging along at their own speed. I had about 6 follicles close to 10 mm but nothing larger. So the NP scheduled my next ultrasound, and we talked about how to prevent multiples (aka cancelling the cycle if too many follicles matured).

So I spent the weekend stressing about both the lack of maturity (on CD 9) and the potential for too many to mature and having wasted time and money on everything so far.

Yesterday I went back for another ultrasound. And hallelujah; one 15.2 mm follicle on one side, one 14.8 follicle on the other, and one additional follicle that’s right around 10 (she did not seem concerned about that).

She did a few more calculations on expected growth; and I have instructions to take the trigger shot tomorrow night at 10 pm and then we go in for the IUI first thing Saturday morning!!

Also was started on vaginal estrogen for thin uterine lining; apparently the clomid has had that unwanted effect. Hopefully the estrogen bulks things up enough to support any egg(s) that might get fertilized over the weekend.

So I’m relieved, and hopeful, and ready. It’s still not “exciting” in the normal sense, but in another (given the previous uncertainty), I am a little excited. Just to have a green light and to move forward with this step.

 

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how to · Infertility · iui · journal entry · Resolution update · trying to conceive

On ‘exciting’

Couple updates before the main content of the post.

  • I gave up on the resolutions. I found I didn’t have the motivation anymore once my cycle started; it was supposed to get me through a cycle and it did, and I’m not sure I want to continue it for now. It definitely helped get some better patterns in place though and I have been reminded of the variety of activities I can use to fill time when I am so inclined.
  • Took my last dose of Clomid today. No significant unpleasant side effects thus far; though I guess it maybe hasn’t started working yet. Had hot flashes one night; and the last 2-3 days I’ve been abnormally tired.

I noticed something at the start of this cycle that irked me. I shared with several people that we were beginning a medicated/timed IUI cycle (as my period had arrived)…and two of the responses (from someone who is currently pregnant and someone who had no trouble conceiving at all) were essentially, “Yay, that’s so exciting!!” 

No, it’s really not. It’s not exciting to be disappointed again, it’s not exciting to have to pursue assistance with getting pregnant. It’s not exciting to anticipate going on hormone meds with potentially nasty side effects; to anticipate having to go be inseminated at the doctor’s office just to increase our chances (not even a guarantee!) of conception.

I wanted to respond with, “oh yeah, it’s the best; isn’t it a bummer that you haven’t had the opportunity to do it too?” 

See, getting pregnant is exciting. Hearing the heartbeat is exciting. Getting to start decorating the nursery is exciting. Having a baby is exciting. Starting an IUI cycle? Not so much.

Don’t get me wrong; I’m so grateful that we have the resources to pursue this option right now. I’m hopeful that it’s just this little boost we need to finally make a baby.  But I’m also sad that we have to, and very afraid that the disappointment if it doesn’t work will be worse than all the ones before it.

As an aside; my mom and my sister responded much better to the initial news. My mom’s text was, “I’m sorry, that’s not what we were hoping for….are you feeling peaceful about this next step?” My sister echoed the apology, asked how I was holding up, and then when I shared the above ‘exciting!’ responses, she says, “yeah, careless choice of words; it’s emotional, heavy, and little (big) glimmer of hope to you.” 

I guess what I (re) learned here is that it is so important not to assume you know what others are feeling. Just ask them. Don’t project your emotions onto a situation; and realize that by doing this you risk simplifying a complicated emotional reaction. And this doesn’t just apply to infertility; though it’s my journey right now so I’m rather focused on that aspect.

 

Infertility · iui · trying to conceive · ttc

On to IUI

On the bright side, at least I didn’t have to wait until February.

I am also trying to be encouraged that my cycle was (again) regular for me and I ovulated right around the time I would have expected.

I just really hoped (at the beginning, anyway) that this last ‘unassisted cycle’ would be the one and that we wouldn’t need to do treatment.

But here we are.

Cycle Day 1.

I was able to get into to see my RE today actually. She did the preliminary ultrasound, which showed about 10 follicles per ovary; and reviewed the plan.

Saturday I start a 5 day course of Clomid.

Next Friday (the 25th) I go back for a follow up ultrasound.

Based on those results, assuming things are where they need to be, she wants to plan for the IUI either Tuesday or Wednesday of the following week. (29th or 30th). This will be preceded by a trigger shot of Ovidrel and sex (hopefully we can still manage to make this one romantic and enjoyable despite the circumstances!).

Then we wait two weeks…and go back for a pregnancy test.

With the exception of today because I’m pouting (and crampy), I’m planning to try to continue my ‘resolutions’ just to keep myself sane/healthy. However I will probably resume cycle tracking just so we are able to utilize every chance we can; and I’m curious to see what my body does on these meds.

daily art · Infertility · Resolution update · trying to conceive

Resolutions update week 4

Before I summarize…

1 Wednesday was just one of those bad days. Felt pretty discouraged and depressed and sad. My blog post about sympathy and empathy was definitely on the whiny/pity party side. But husband helped me work through it (again) and I’ve been feeling a little better.

2 Brother got married yesterday; so I didn’t get most of my goals done yesterday (or Friday-helping set up, traveling, etc). (Aside: she is using an IUD for birth control, so let’s just say if she gets pregnant before we do, I’m going to be super annoyed *shrug*

Since 1/4/19 (8 days)

  • Bible reading: every day
  • thankfuls: every day
  • reading: 6 of 8
  • creative: 6 of 8. (photo session with cousins, photo editing, multiple paintings in one day (so that covers my missed days), designed a couple personalized burp cloths, wrote a blog post, and did another watercolor)
  • cleaning; 7 of 8
  • yoga or walking: 5 of 8; missed two in a row over the weekend
  • piano: 3 of 8
  • date/activity with husband: dinner out on Sunday; art night at home on Monday.
  • jigsaw puzzle: no
  • blog update: done

So overall not too bad in light of the above notes (and the bachelorette party on the 5th). I keep missing the jigsaw puzzle (I just don’t have as much down time as I expected) and I’m not keeping up with my ‘every other day’ activities very well. Also drank my quart of water every day, and overall managing to eat very healthily.

TTC update. While I’m not tracking (and trying unsuccessfully not to keep thinking about it, though it is more manageable for the most part); I do think that there’s a good chance I ovulated around the 4th between the few signs that I noticed without even looking for them. If so, I guess that means I should expect AF by the end of this week or the beginning of next…so I’m not sure I’ll be able to wait til February to test (assuming she doesn’t show). We’ll see. 

appointed time · Infertility · journal entry · trying to conceive

On bitterness

I found something out this week that made me feel very bitter. I had to have a long talk with God about it to even start to come to a place where I can be at peace with the situation. In the event that this blog somehow does not remain anonymous I cannot share any more than that. I wish I could, but what I found out is not my story to tell. I’ll touch on that again at the end of the post.

I went through the list of things I know to be true; then proceeded to have it out with God for the ‘unfairness’ of it all (which turned into a general meltdown about being so worn out from this journey of infertility and just crying out that frustration and pain). Then I cycled back to the initial truths and let them ruminate a little, and this is what it boils down to.

1) Blessings from God are not dependent on our behavior. Thank goodness for that; if it was, none of us would have anything good. We’re all pretty broken and rotten…my very bitterness and negativity already merit some degree of punishment. We may not understand why God chooses to give blessings to certain people who have done ______, and we may not understand why God doesn’t give us certain blessings when we have done ______, but at the end of the day; any blessing we are given is God showing his grace to us.

And I of all people should know that to be true. I was ashamed to realize that if it came down to not deserving something because of a previous action or decision…I should not be married right now. I rushed into my first marriage, disregarded my parent’s wisdom, and ended up getting divorced. Yet I got a second chance, I was given so much grace…and have been blissfully married for 17 months to a man who is everything I could have ever imagined. But some people, especially those who may still be waiting on their first love, may look at my story and think, “seriously? She gets that? Look what she did!”

2) I am only living in my story. I don’t get to know all the details of everyone else’s. I kept thinking of something Aslan says to Shasta in the Chronicles of Narnia…in fact, it’s so succinct and appropriate that I probably won’t even say much else. Shasta wants to know why Aslan wounded Aravis earlier in the story, this is the response. I imagine he says this very gently and kindly, but also in a no-nonsense, firm tone.

“Child,” said the Voice, “I am telling you your story, not hers. I tell no one any story but his own.”

And honestly, we won’t even get to know all of our story until it’s done. How silly am I to think that I would ever be given the inside scoop on someone else’s. I can’t know what’s going on inside their heads or hearts; and I am not privy to what God is choosing to work on in their lives. If I truly believe that his timing is perfect, that doesn’t just apply to my story.

So I’m trying to let the bitterness go. I’m trying to rest in how God showered blessings on me when I didn’t deserve them, and letting him gently but firmly remind me that he doesn’t tell me any story but mine.

Infertility · Resolution update

Resolutions update week 3

I won’t have time tomorrow (future sister-in-law’s bachelorette party all day), so here’s my update for this week so far.

Today I may have just taken a break…was up late last night for work and just needed to veg out a bit after the last few weeks of work overall…so today’s data will impair my results a bit. Oh well.

  • bible reading: every day
  • reading: every day. Mostly the new book I got (Empty Womb, Aching Heart), one of the days it was a CEU lesson for my license renewal. *shrug*
  • cleaning: every day.
  • creative: see yesterday’s post for my art projects. Today I think I’m just going to skip but maybe I’ll color a little later while I watch Netflix
  • thankfuls: every day
  • piano: 4 of 6 days
  • yoga/walk: 3 of 6 days. Skipping today because I’m tired (see above) and tomorrow part of the bachelorette party is a yoga lesson in the park so I figure that double counts
  • puzzle: done
  • date night/activity: dinner out on Sunday night, game night with him and family on Monday night
  • blog update: done
  • drank 1 quart of water every day

And while I’m not tracking this cycle (and yes, I still think about it all the time but it’s been manageable so far with all the activities to distract me…), I did notice a gush of watery mucus today and I’m about 3 weeks in which is when I’m usually in my window. So here’s hoping. I may not be able to wait until the end of January though if I am indeed a day or two away from ovulation.

daily art · Resolution update · Uncategorized

Amateur artist in the making.

My first week of art projects (proof that I’m doing it!)

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-Friday night; using watercolor pencils.

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Sunday: Pine trees (watercolor paint)

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Monday: experiment with watercolor application techniques and color mixing. Only used a red/blue paint in this entire piece. Reminds me of a girl running…fitting that it was done on New Year’s Eve. #bye2018

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Tuesday: Disappearing Road (oil pastels)

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Wednesday: my attempt to follow a video tutorial for a mountain lake. Mine and his vary just a *little*. (watercolors)

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Thursday: floral arrangement (acrylics)

Not going to lie, I’m pretty pleased with how (most) of these turned out; given that I’ve never really done anything like this before (except for the occasional ‘paint night’ and when I was a child)

Infertility · Resolution update

Resolutions update post 1

This is going to be super short since I’m on call this weekend for hospice and no joke; worst on-call weekend so far. There’s supposed to be an RN and and LVN on call on weekends; the RN to do any visits that are scheduled as “daily RN” and admissions, the LVN to assist with the as needed visits that inadvertently happen. The LVN called off and no replacement was found. So it’s just me…for 67 patients…for 60 hours. I started at 7:15am, got home at 4 pm…and still have the potential to get called out at any time.

Anyway. Enough of that. So much for a short post. *shrug*

All that to say; as far as my resolution project, with the exception of yesterday and today (because I literally have had no down time since yesterday morning), I have been doing very well.

*read the Bible: every day

*other reading: Anne of Green Gables book 5, started book 6; attempted to read “Go Set A Watchman” but gave up (didn’t like it), John Donne

*cleaned something/did house-maintaining activities: every day

*creative enterprises: photography twice, blog post, a poem, a short story, and doodling

*thankfuls: every day.

*dates: photo taking date in LA, looking at Christmas lights

*piano: 3 of 7 days

*yoga: 4 of 7 days

*puzzle: didn’t happen. Hopefully next week.

*blog check in: done

Also: I drank at least 1 quart of water every day, and managed to avoid for the most part too many snack/junk foods (though one of my patient’s families baked me a bag of Christmas goodies so how could I not?). I’m also proud of myself for making a super healthy/fertility boosting trail mix that I’ve snacked on all week instead of junk food; as well as juicing/making smoothies to supplement my diet during the week.

With the exception of yesterday and today: doing very well at this project! *pats self on back*

Now to go try to sleep a little more before I get called out again.

 

how to · Infertility · iui · trying to conceive

Resolved

Aunt Flo arrived today in all her unwelcome glory. I knew she was coming between the negative test at 12 dpo and a temp drop when I woke up. So I spent the morning between my hospice visits fighting back tears of disappointment and frustration and anger and longing and aching.

Then, somehow, it abated. Just like every cycle, hope begins to rebirth. I allow the grief to do it’s thing, then in his grace God reminds me that he is still faithful. I couldn’t even explain what did it this time. I didn’t even recognize it when it happened. Just, suddenly, I wasn’t overwhelmed by sadness.

I’ve (almost) decided that this upcoming cycle…our last one before we pursue assisted reproductive methods (IUI)…should be one without the pressure of tracking. I was initially so desperate to catch our fertile window, so hung up on knowing when I ovulated to know when I could test. I didn’t do well before with not tracking. But I think I can do it one more time. I think, for the health of my marriage and my own spiritual growth I need to let it all go and just be. We will do life, be intimate, enjoy each other…and if I haven’t started my period by February 1st, I’ll take a test. If I have, then we’ll proceed with IUI. Simple.

And to keep myself distracted, to productively fill the time, and to recognize what it can look like to enjoy my life in this child-free time…here are my “resolves” for the next 7 weeks. This blog space will be my accountability. I’ll try to check in at least once a week with updates on how well I’m doing. The list is long but some of the things could take as little as 5 minutes so it’s not really all that much. I’m even going to put the list on my refrigerator.

  • read my Bible: every day
  • read at least a chapter from a book: every day. (maybe I’ll resume my ‘alphabetical by author progression through my book collection. I’m somewhere in the D’s)
  • yoga or walk: at least every other day
  • something creative (drawing or other art, coloring, photography, scrapbooking, writing): every day
  • play the piano: at least every other day
  • clean something: every day. (will probably make a schedule for this)
  • intentional date night or memory-making activity with husband: at least once a week
  • do a jigsaw puzzle: at least once a week
  • list 5 things I’m thankful for: every day

Here’s to making this cycle the best one yet.

appointed time · Infertility · trying to conceive

Waiting

Two weeks ago I was convinced that tomorrow (assuming AF hadn’t arrived) I’d get up in the morning and get the best birthday present ever.

With the delays in ovulation (again) I’m likely only 6-7 dpo, so testing tomorrow is not the best idea. I’m planning to wait until the end of next week. Granted, we follow up with the fertility clinic on Thursday so I imagine they’ll run a standard test anyway if I haven’t already started a new cycle.

But I found something out yesterday that freaked me out a little (honestly, a lot) and I don’t want to even wait to go back to the fertility clinic…or rather, I do want to wait because I don’t want to know what I think I know.

My AMH level is 9.927. This hormone measures egg reserve and can indicate how much longer you may be fertile. Our doctor told us she wanted to see something above 2, anything below 1.5 is concerning. I was initially excited to see such a high number then thought; ‘wait, if 1.5-2 is considered low normal…what would cause it to be as high as 9?”

Turns out, the primary reason is PCOS. It’s actually one of the main ways they diagnose PCOS in the absence of other clear indicators, from the little research I did. When the number is high, usually it’s because there are high numbers of eggs in the ovaries that have started to develop but didn’t finish.

So that was a great discovery. I know I’m not the fertility doctor, and by scouring the internet and self-diagnosing I’m doing the very thing that bugs every health professional…but I’m a little freaked.

I’ve thought it was a possibility before given my irregular cycles, but I’ve always convinced myself I didn’t have it because my cycles are still within a fairly normal range (usually not more that 45-50 days, and that long only happening every 3-4 cycles), I usually confirm ovulation with opks and a temp shift, and I don’t have any of the other obvious symptoms associated with PCOS except for excessive chin hair, but that’s partly due to the fact that I pluck anything that looks slightly dark like it’s going out of style and hair tends to grow back in darker once shaved/plucked.

But it might explain why my OPKs do such weird things…like almost being positive for days in a row, or having several sets of positives interspersed with negatives. And slow/irregular temperature rises. And 16 months of infertility.

So I guess now we wait. My favorite thing ever.

I’m still hopeful that we still get a positive and go on to have a healthy pregnancy. Even if I do have PCOS I know pregnancy isn’t impossible…and as I have to keep reminding myself, even with PCOS God can bless us with this in his perfect timing.