Showing posts with label hope. Show all posts
Showing posts with label hope. 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.
 

Wednesday, 19 September 2012

Hello Second Trimester

I will be 14 weeks pregnant tomorrow.  I can't believe that I've actually made it to the second trimester.  This is not, of course, how I imagined it.  By now, we should be telling our families and friends that we are expecting, and basking in the excitement and relief that should accompany having passed the magical 12 week mark.  We should be making plans for the future, including where we will live when Bug arrives, and starting to think about names.  I should be starting to think about strollers and cribs, and how I will decorate the nursery.

We are not doing any of these things.

We are in a holding pattern.  Because the situation is still so precarious, we have not told anyone about the baby.  Our families do not even know (well, with the exception of my mother).  We do not discuss names, or make plans of any kind. I can't even say whether I will be able to leave the house any time soon.  We move from day to day, ultrasound to ultrasound, with our hearts in our throats.

I wish that for once, I could be like so many other pregnant women, for whom the miracle of giving life seems to come so easily.  I wish my body would just WORK the way it is supposed to.  

Clearly, my path to starting a family will not be so easy.  That does not mean though that I will not eventually get there, that I will not hold my baby in my arms someday.  Hopefully, that baby will be Bug, and "someday" will be March 2013.




Friday, 27 July 2012

Hoping for the Best

Well, the spotting stopped.  It really didn't last very long, just about two days.  It was also actually extremely light, notiwthstanding my initial melodramatic description of it as "bleeding."  It really started tapering off within hours of appearing.  The cramps are still coming and going, but I think they were there last week as well - I can't remember at this point.  They feel just like period cramps.  Anyway, I am trying not to assume the worst, but I am terrified.  I know that either spotting or cramps can be normal, but the two together are rarely a good sign.

I finally convinced my RE to move my viability ultrasound up by a week, to next Thursday, when I will be 7 weeks.  Hopefully, at that point I will see a strong heartbeat, and be told that everything is on track. 

In the interim, I went to the clinic that saw me through my last miscarriage, and had a beta drawn.  It was 12,600.  It had been 4,323 a little less than 5 days prior.  That gives me a doubling time of 75 to 77 hours, depending on how precise I am about what time the tests were taken (75 hours is precise).  I get that this is actually perfectly normal, given how high the betas are (1,200 - 6,000 should double every 72 to 96 hours, >6,000 can take >96 hours).  I still hate that it is not less than 48 hours though, even though I know that it is not expected to be at this point.

But yeah, the apparently normal doubling time is a good sign, and gives me some relief for sure!  With my last miscarriage, falling betas were my first real sign of trouble after spotting.

I'm not doing another beta, because I don't know what the upper limit of normal is at this HCG level, and I think I will probably just stress and worry if it is above 96 hours at all (as it apparently should be).

So now, all I can do is wait for that ultrasound, and hope, and pray. 

I have never prayed so hard for anything in my life.

I mean, everything could be okay.  I did start spotting brown a couple of days after an extremely invasive and uncomfortable internal ultrasound (seriously, she had it at like 90 degree angles at times).  That is normal, right?  And so are the cramps...right?  It could be okay.  Maybe, just maybe, I won't lose this baby too.

Saturday, 14 July 2012

PgAL

I honestly didn't think that I would be this scared.  But, I can't get seem to get my prior loss out of my head now, and I can't stop worrying that the same thing is going to happen again.  See, I have had cramps on and off for a few days.  Nothing severe, but sometimes they are sharp.  I keep trying to tell myself that they are gas pains or something, because they have moved around a little and that seems odd to me.  Today I have consistent, sharp-ish pain on my lower right side.  As much as I really am trying not to worry, it's kind of freaking me out.  I know that cramps can be normal, and I know that they may not be a big deal, especially since I am not spotting.  That said, I just can't seem to stop over-analyzing this and worrying.  *sigh* 

My first beta on Thursday was 135 at 14 DPO.  I am just hoping and praying that my second beta on Monday is where it should be - which is at least around 540.  If so, then I think I will be able to relax a little bit.  Until then, I guess I will just try to keep my mind off of it.  There really is nothing that can be done to prevent a loss at this point anyway - if it going to happen, it is going to happen. 



Friday, 6 July 2012

Looking Ahead

I know that this cycle hasn't quite come to an end just yet, but to be honest I am feeling a bit deflated, and not nearly as optimistic as I normally am. I blame it on the progesterone supplements - I really am a hormonal mess on this stuff. Anyway, I have been giving some thought to this whole process. My husband feels pretty strongly that the IUIs are not necessary, and that the sample-giving process is having a detrimental effect on his performance. He is obviously not a doctor, and I am certainly not convinced that he is right. That said, he does have some evidence to back him up. For example, he can point to the "natural" BFP we achieved from our November 2011 cycle, long before we had any reason to suspect that we had any fertility issues beyond my short luteal phase, and suspected progesterone deficiency. That may have simply been a stroke of luck, for surely, his sperm analysis does not suggest that pregnancy should have come so easily to us. The fact that we now also know that he has a varicoscele further supports the inference that his sample-giving difficulties do not tell the whole story.

Regardless, he feels pretty strongly about it, and has suggested several times this month that if this cycle isn't it, then we should consider giving the "old fashioned way" another chance. While I am not convinced that he is right, I think I might still agree to do it his way, just for one cycle. I think that would be enough to appease him. It will also give me a break from cycling, which I admit would be welcome. I reealize that I have not been doing the whole treatment thing for nearly as long as others, but that does not change the fact that it is difficult. This last cycle was my third consecutive month of being monitored (the first was for diagnostic purposes). I am already tired of waking up early and going into that office to be poked and prodded at least 7-12 days per month. My arms seem to be permanently bruised from the needles, and at times I feel like I get more action from the vag cam than I do from my husband. It is also extremely expensive. We have only minimal drug coverage, with an annual limit of just $1,000. My last cycle cost just under $1,600.

Perhaps a compromise would be to forego the IUIs, and thereby avoid the sample-giving hurdle, but still use the Gonal-f, to increase our chances with TI. Hmmm. Something to think about for sure.

I am of course getting ahead of myself again, as usual. I am only 8DPO. Maybe... just maybe.. you never know.