Showing posts with label fertility treatments. Show all posts
Showing posts with label fertility treatments. Show all posts

Tuesday, 1 January 2013

Reflecting on 2012

I do not generally revere New Years Eve or New Years day, mostly because I have never really been able to grasp what is so special about it, other than it being another excuse to celebrate and do something special with friends and loved ones.  In my view, a new year starts every single day - every single second, in fact.  In that sense, New Years is no different from any other day of the year, except that it marks the end (and beginning) of the calendar year.
  
That said, I do sometimes take the opportunity on New Years to reflect on the past 12 months, and to give some thought to how I want or anticipate the next 12 months to go.  I did just that last year, on January 1, 2012.  In retrospect, it is amazing how wrong I was.  2012 was nothing like we had expected.
  
I started 2012 full of hope, and plans.  We had been trying to conceive since September 2011, and did not yet know that we had been successful in creating a little life together in December.  Dreaming about starting our family was therefore my focus last New Years.  I knew nothing about miscarriage or fertility problems (other than that I suspected that I had low progesterone), and gave no thought whatsoever to the possibility that once I became pregnant, there might be any outcome other than a bouncing baby in my arms nine months later.
  
I also began 2012 somewhat resigned to the fact that I would be "stuck" in my then-current job forever.  I was a commercial litigator at the time.  While I loved (and still love) law from an academic perspective, I had come to realize over the course of my 6 year career that a private litigation practice did not make me happy.  In fact, in some ways, I hated it.  It was however all that I was trained to do.  After 7 years of school and tens of thousands of dollars in student loans, I felt trapped.  When we decided to start our family, I knew at that point that the time for making a drastic career change had passed.  We needed the stability and financial security that my position provided.  We could not afford to forgo my salary while I went back to school.  While I was willing to accept a salary cut in exchange for happiness, I had not yet found an alternate position or career opportunity that I felt would provide that trade off.  I had therefore accepted that I would return to my position as a litigator after taking no more than a few months of maternity leave following the birth of our first child.
 
 As I said, 2012 turned out very differently than I had expected. 
 
 In January 2012, we found out that I was pregnant.  We were shocked, as I had experienced what I thought was my period in December, in that I bled for a week, right on schedule.  As we tried again in what we thought was a new cycle in January, we could not figure out why I was not ovulating "on schedule", despite the fact that I continued to get postive ovulation test readings every day.  I started to bleed/spot after sex, which had become painful because my breasts literally felt like they were going to fall off.  So, against all logic, I took a test.  As I said, we were shocked to see two pink lines.  Shocked, and absolutely elated.
 
 Sadly though, the spotting continued.  I had several ultrasounds, where I saw our seemingly normal and healthy child, with a strong heartbeat each time.  There was no explanation for the bleeding; all we could do was hope and pray.  It was not enough.  We said goodbye to our angel baby in our home in late January, 2012. 
 
 I had thought that I had experienced pain and loss in my life before last year, and that I understood what it meant to have your heart broken.  I was wrong.  Nothing compared or can compare to the loss of a child, even when that child is still the size of a raspberry, growing inside you.  My entire world fell apart.  My heart was literally broken.
 
 Several days later, I received an email from a company that I had applied for a job with the previous August.  To say that it was my dream job is not an exageration.  I had coveted the position for years, however, there had been no openings for a long time.  I still checked their website weekly, and when I saw the posting, I could not get my resume out quickly enough. I went through the interview process, but had heard nothing from them for many weeks.  I had assumed and accepted that the job had gone to someone else.  Again, I was wrong.  Just days after losing our first child, I was offered my dream job - and the opportunity to escape a life that I had felt forced to accept.  It was such a bittersweet time.  I do believe though that that opportunity ultimately did help me heal (or hide) from the pain of our loss.
 
 Given that I was starting a new job, and not just any job, but THE job, we decided to put trying to conceive on hold for a few months while I settled in.  I also needed that time to mourn my first baby.  I was just not ready to try again so quickly.
 
 In the interim, we underwent fertility testing at the insistence of my doctor, who refused to deal with the progesterone deficiency without first running a full battery of tests.  The news was not good (although I certainly recognize that it could have been worse).  As I suspected, I was diagnosed with low progesterone.  I was also diagnosed with low ovarian reserve.  My husband had very low sperm motility, and a varicoscele. 
 
 We decided that in the circumstances, we couldn't wait any longer.  We therefore began trying again with the assistance of our fertility clinic, including one monitored natural cycle, one unmedicated IUI, and one cycle of Gonal-f.  That last cycle gave us our BFP.
 
 As you know from reading this blog, our second pregnancy did not go smoothly.  We had our second miscarriage early on, when we lost Bug's twin.  The hematoma and constant bleeding thereafter resulted in this pregnancy being by far the most difficult experience of my life.  To be falling ever more deeply in love with this child inside you, all the while knowing that you had a strong chance of losing him at any time....well, that was tough. 
 
 So here I sit again, reflecting on the last 12 months, and giving some thought to the future.  In the end, while 2012 brought more heartache than I could ever have anticipated, it also brought great joy, and good fortune.  We are so very blessed that through our love for each other (and with a little medical help), we were able to create yet another prescious life, who has thrived despite all odds.  Our relationship with each other has also grown stronger, as we faced the loss of two babies and the ever-present threat of losing Bug together.  The fact that I was lucky enough to finally find happiness and fulfillment in my career is an added and very meaningful bonus.
 
 As for looking ahead to 2013, well, I have I have very high hopes.  While I know that life can turn out very differently than you anticipate, I refuse to enter this year with anything but hope, faith and optimism.  I can't wait to meet our son, and to begin this new chapter in our lives together, as a family.
 

Saturday, 9 June 2012

Someday...

I have never had a blog before.  I have certainly thought about it, and in fact kept a journal for many years (hardcopy - yes, I am old).  I have always enjoyed writing. Frankly, I don't know what has held me back... but in any event, here I am. I have finally decided to give this blogging business a chance. 

So, what will I write about?  I'm not sure yet.  For now, I think I think it makes sense to start with what has become the major focus of my thoughts and attention as of late - trying to conceive with diagnosed fertility issues. 

I won't go so far as to say that I am struggling with infertility - I frankly don't think that I am there yet, and I believe that to adopt that label at this point would be insulting to the many women who have been trying for far longer than myself, and whose strength and spirit are both humbling, and inspiring.  My husband (MH) and I have however been diagnosed with a number of fertility issues - low progesterone, low ovarian reserve, low motility, and a varicocele (further testing pending).  All but one of those diagnoses came as a shock to both of us.  We are still reeling from, and trying to come to terms with, this new reality.

MH and I have been trying to start our family since September 1, 2011.  By that time, we had been together for more than 8 years.  My husband was 35, and I was 31.  We had finally decided that it was time.  We were both excited, and nervous.  It never occured to either of us that we might encounter any difficulty in starting this new chapter in our lives.  We both (very naively) assumed that if we had unprotected sex, then I would be pregnant within a month or two (at the most).  After all, wasn't that we had always been told?

We have always known that we wanted children, but we were never in any hurry to get there.  I was in university until I was 24, and then at the beginning of a very demanding career in a male-dominated profession.  I wanted "prove myself" and establish my career before turning my mind to children.

We thought we had all the time in the world.

Whenever someone asked when or if we were going to have children, our response was always to say that of course we wanted to start a family "someday", but "not just yet." 

Fast-forward to September 2011.  We finally decided to take the plunge and so, I began charting my temperatures and tracking my other fertility signs.  I quickly discovered that I had a painfully short luteal phase (LP).  My concerns were dismissed by everyone, including my family doctor, who did not know what a luteal phase was (!).  I finally convinced him to refer me to a specialist.  My goal of course was to simply have my progesterone tested at 7 days past ovulation (DPO), in order to determine whether I needed to be taking progesterone supplements in order to stave off my period and sustain a pregnancy, if one were to occur.  This process took several months. 

In the meantime, I became pregnant in December 2011.  I actually did not know that I was pregnant until mid-January 2012, when we were in the midst of trying to time our sex during what we thought was a new cycle.  I had begun bleeding at 8DPO in December, right on time.  I bled for 7 days, as usual.  I also had a negative pregnancy test that day (way too early to test, I know!).  I therefore assumed that I had my period, and went on with my life.  It was only after I had positive ovulation tests four days in a row in January, nausea and extremely sore breasts that I thought "okay, I know this is crazy, but I am going to take a test."  Lo and behold, I was knocked up.  We were so excited!

Unfortunately, our excitement turned to apprehension within hours as I realized that what I thought was mid-cycle spotting in January could in fact be indicative of a problem given that I was pregnant.  Our fears were confirmed via numerous betas and ultrasounds (in which I heard the heartbeat, twice) and ultimately, I miscarried naturally at home over the course of several days.  I was 8 weeks, 3 days pregnant.

Around the same time, I began a new job with a great company.  We decided that we would take a short break.

We started trying again in April, and finally met with a specialist and had testing done in May 2012.  My only concern was my progesterone, but my RE insisted that I have full testing done before she would treat me.  I anticipated that I had low progesterone so I was prepared for some bad news, but I frankly did not expect there to be any other issues.  Unfortunately, I was wrong.  In addition to low progesterone, I was diagnosed with low ovarian reserve (!).  My husband was diagnosed with low motility at 26% (should be at least >40%).  He has also now been diagnosed with a vericocele.  He will be doing further testing, and is scheduled to see a urologist soon.

Because of MH's low motility, we have been told that our chances of conceiving with timed intercourse alone are not great.  We are therefore proceeding with IUIs.  Our first cycle will be natural.  I will thereafter be taking increasing doses of Gonal-F.

So, there you have it.  We are continuing on our journey to start our family via the world of fertility treatments and procedures. 

While I am still confident that we will have children someday, I now realize that "someday" may just be a little farther off on the horizon than I had anticipated, and our path might not be as straight and flat as I had hoped.    Hopefully though, we will still get there soon.