Monday, 28 June 2010

Back on birth control.

As of today, I am back on the pill, and starting my first IVF cycle, using the standard long suppression protocol. However, my clinic is closed over the summer, so I don’t start Menopur injections until Thursday August 19, which is another seven weeks away.

I am so excited that the time has finally arrived for us to start this cycle. After two clomid IUIs and two injectable IUIs, I am hoping that the process will be familiar, though hopefully with a different outcome.

With my IUIs, I always spontaneously ovulated before my lining had time to thicken. Hopefully the supression from Suprefact will hold everything back a bit so my endometrium has time to mature, if not with a fresh cycle, then maybe a frozen cycle.

I am hoping that work is not too busy around that time, that I don’t have too many early morning meetings, and that there isn’t anything critical when I suddenly have to take a few days off. Once again, I will begin the familiar pattern of trips to the clinic in the morning, anxious afternoons waiting by the phone, and then injections in the evening.

I am still a bit nervous about the retrieval. The nurse assured me that they administer plenty of pain relief during the procedure, and even put a special note in my file that I can have a Xanax before the procedure. I took something like that before my laparoscopy, and it made the world of difference. Funnily enough, knowing that I won’t be feeling anxious before the procedure is enough in itself to substantially decrease my worries.

So it is time for me to make my way twice around the circle of birth control pills, and then the real adventure will start to begin.

Wednesday, 2 June 2010

Ectopic ruled out

The doctor called me today, and told me that my hCG level was 19.

While this is good, in terms of no-emergency-surgery-for-an-ectopic, it is the final confirmation that this is indeed the end of this chapter.

Strange to think that I'd probably still produce a positive result on a home urine test.

I wonder how high my hCG levels got. Did they break 1500? Would we have been able to see a sac if we had gone in a week earlier?

It's funny, but this week is actually easier for me than last week. Those days of seeing all that blood, not knowing what was happening, and feeling so helpless were really tough. My heart would sore or dive depending on my symptoms. So much anxiety. Now that it is over, I don't need to worry any more. What's done is done.

In just over a week, I will be submitting my paperwork and picking up my medication for our first IVF cycle.

Tuesday, 1 June 2010

6w4d Miscarriage

For the first week after my beta, I was very optimistic – looking at dopplers and imagining how to tell my mum. Thinking about a January birth, signing us up for a pregnancy information evening.

From 5 weeks 6 days, the brown spotting became heavier. My husband would look at me and call me his “beautiful pregnant wife”, but I asked him to stop. I still don’t feel comfortable saying that word out loud. Every day was a mixture of hope and anxiety. The days ticked slowly past.

By 6 weeks 3 days, there was tissue, and by 6 weeks 4 days, there was a great deal of bright red blood. I didn’t feel any pain, but I knew that this was not a very good sign.

Today was the day of my scan, and I woke up today a bundle of nerves, pushing my husband out of the house so that we ended up arriving at the hospital half an hour early. They had me down for a 12 week NT scan, and as I corrected the receptionist, I felt like such a sham. I hated hearing myself say “I am seven weeks pregnant”. We turned the corner to the waiting room, and I was confronted with a long line of baby bumps. That was really hard for me, watching them walk out with smiles and little print outs of hands and feet. The wait was excruciating, but eventually my name was called.

I dumped my coat and bag on the floor in the corner, and the nurse chastised me, telling me to hang up my beautiful coat. Seriously, my coat. I threw it on a chair, anxious to just get to the scan. They asked me to pop up on the chair fully clothed, like I was getting an abdominal scan. I tried to tell them that I needed an internal scan, but first they started firing all these questions at me. Last menstrual period. 17th April, ovulation 9 days after that. Name of my family doctor? I told them that I don’t have one. Name of my gynaecologist? I told them that I don’t have one. “But you need one!”, the nurse explained “Who is going to follow you through this pregnancy?” This is when I lost it.

With my eyes full of tears, I said to them “There has been a lot of bleeding, let’s just make sure that there is a pregnancy first, then I can answer these questions”. I could barely stand or speak after that, and my husband gently took over, telling them about our reproductive history. They asked me to take my pants off, and I sat on the table half naked and shaking.

My uterus came into focus, and it was the same as I have always seen it – tight as a clam. The doctor was called quickly. They interrogated me – what made me think I was pregnant? Just a urine test at home? No, I told them, I had a blood test of 477 at 21 days post ovulation. I am so glad I got that blood test. I am glad that the system has some sort of concrete record that I was pregnant, that I wasn’t just mad.

The doctor was quite kind, gently explaining that she could not see anything in the uterus, and now her job was to search for something outside the uterus. She carefully looked along my ovaries and checked for extra fluid in my abdomen. There were no signs of an ectopic pregnancy. She tried to tell me that “at least you can get pregnant”, but I told her that after two years of trying, a miscarriage isn’t that much comfort.

They sent me off to get a blood test to completely rule out an ectopic, and told me they would send a copy of everything to the fertility centre for their records.

I then walked down the hall to the fertility centre to make another IVF intake appointment, and I was glad to hear that they can fit me in next week.

So how am I now?

I am comforted that I don’t have an ectopic, and I am reassured that I should be able to start my IVF cycle with my next cycle.

I am relieved that the worrying and anxiety are over.

I am thankful that I have a wonderful husband who held my hand through the whole ordeal, and who manages to make me smile every day.

But I am very sad that I am no longer pregnant.

I am so disappointed that we will never have a January 2011 baby.

I am worried that even if I manage to get pregnant again, I will not stay that way.

I am bitter than two pink lines will never mean the same thing again.

I am exhausted.