Last Post of 2017: A Birth Story

Last year’s last post of the year was a tough read. Sure I was hopeful because we had 1 pgd perfect embryo on ice but the year itself was so so rough. And here I am a year later writing my very own birth story. Wow.

Man, I wish I knew where to begin. I want to start with how I’m feeling but those feelings are just too complex to unpack right now so I’m just going to start at the beginning and just recount his birth as it went from start to finish. Just the facts. This is going to be a long post.

I wrapped up work on Friday the 15th. It was a relief but didn’t really feel real since it was a Friday. The weekend was pretty uneventful. Had dinner at my mom-in-law’s, Went to a Christmas party and Sunday we had friends over then N and I went to watch Star Wars as our last hoorah together.

On Monday I had the fullest schedule. In hindsight I wonder if I did too much. That morning I was feeling a lot of the contractions and I told N to keep his phone nearby but I’d been having them all the time so we both brushed it off.

9am: I had an appointment with one of the cats. All is well, just a check up and some shots.

10:45am: Chiropractor appointment in Providence. Set up a follow up appointment for Friday. He wishes me luck for the version the following day. Stop at Target to buy a baby book.

12pm: Get home and rest for a while but all the while I’m running through the laundry list of things we have to get done. I still have to finalise my and N’s bag. There’s no telling what could happen at the version the next day.

2:45pm: Go to last OB appointment before the version. Everything looks good. We set up an appointment for next Wednesday in case everything goes well with the version.

3:45pm: Head straight from OB to Orthodontist appointment to tighten braces. I’m feeling a bit anxious about the next day because that damned bag isn’t packed. why didn’t I pack it last week? It’s okay, I have all night to get myself calm. I’m just doing my checklist in my head but I’m also going through the things I haven’t done. Like I haven’t really taken the gentle birth classes seriously. I haven’t really listened to my hypnosis tracks. I bought my affirmations but haven’t read them really. Can I really do this? Shit is getting real now. But it’s okay, the version will go well and I’ll have time to get my shit together. There’s time.

4pm: Walk into the orthodontist office and check in. As soon as I sit down I feel a quick sharp pain in my vagina and warm liquid starts flowing down my thighs. WTF! Luckily my pants are dark and there’s only one other lady in the waiting room. I make a mad dash for the ladies room but I know this is my water breaking. It stops when I get to the toilet. I check and there’s nothing red or brown. My heart is racing and I’m suddenly very excited. This is it. But what the heck do I tell the receptionist? and how wet are my pants? I check and it’s not too too bad. I could leave without a big scene.I text my girlfriends back home to tell them what’s up. One is the best nurse in the world so I’m hoping she has good advice. They all just say to go home and get my ass ready to go to the hospital. As I pull my pants up to contemplate and exit strategy another big gush. There’s no time to think. I stick my head out the door, the receptionist desk is right across from me. She looks at me curiously. “I’m just going going to leave if that’s okay, I think my water just broke”.
“What’s that?”
“Um, my water just broke, I’m gonna go, if that’s okay.”
“What?!! Yes Yes go go oh my god go!”
“Okay, everything is okay in there, I’ll reschedule the appointment when I…”
“Oh my god it’s okay just go!!!”
I run my wet ass outta there as quick as I can and I hear “That’s so exciting!” as I close the door behind me.

I call N on my way home. He’s at Home Depot looking at trim. He’ll drop everything and meet me at home. Not to worry, we have time. Contractions shouldn’t really start for at least an hour. I’ll go home and shower and pack that damned bag in the meantime.

I call B to recount the story and have a laugh. She also says to go home and take a shower I have about an hour to kill. While I’m talking to her I feel my first real contraction. Like what I’ve been feeling before but way more painful. But bearable. Hmm, I thought they only start a little later. No worries, that was a little one. I have time.

I call another friend to have another laugh for some company. Another contraction during that call. Hmmm.

4:20pm: Walk into the house. Parents are laying on the blow up mattress in the tv room
“Okay guys, please please don’t panic. Please don’t panic. My water just broke. I need you to not panic and go to the car and please wipe my seat down for me. I’m going to jump in the shower and then I’m going to need help packing my bag”
They both jump  up simultaneously and panic ensues. I leave them behind and jump in the shower.
Two more contractions while I’m in there and the stuff just keeps coming out of me. It is really cool how it all works. The heat of the water on my back is great and I’m able to collect my thoughts. I’m excited. N walks in and he sticks his head around the curtain and we chat about our feelings and stuff. We’re both calm but we both say we have time. But I tell him I’ve now had 4 contractions. I should probably time them.
I tell him to text the doula even though she’s at a resort with her family and she likely won’t make it to the hospital. It’s okay. We’ll text the backup doula, L.
I get out of the shower and instruct everyone to eat. N says I should probably eat too and he’s right but I have zero appetite. Everyone is eating, I’m standing in the bedroom looking at the closet… What the fuck do I wear?
“What do I wear??!!”
All the while I’m texting my friends to keep them up to date. Consensus is wear any damn thing. I’m opting for pyjama pants, nursing sports bra to labour in maybe, a sweatshirt and slippers, no socks. Another big contraction. This one is big! I yell for N to come and put pressure on my hips. One of the techniques the doula taught us.
I’m starting to panic a little. I’m not dressed yet and the bag isn’t packed!
I put mom on bag duty but I’m remembering little details that are putting me in a tail spin because I’m now on a steady schedule of contractions but there’s not rhyme or reason to the severity. Some are small and quick, some are long and painful, some are short and painful. 3 to 5 minute breaks in between. This can’t be right. It’s not been an hour yet has it?
N gets in touch with doula L who will meet us at the hospital but we should call ahead and see if we can talk to our doctor.
At this point I realize I have no phone numbers for the doctor or the hospital. I’m in full blown panic mode right now because these contractions hurt and I am not ready for this to be  happening so fast.
My husband is shaving and is then going to jump in the shower because the last time we spoke I was the picture of calm. But he hasn’t seen me since I got out of the clothing debacle and that one big contraction.
While he’s in the shower my mom is now on hip duty since I need someone to put pressure on these hips when I’m contracting. I’ve also for some reason instructed my dad to cut my toenails because that’s clearly what’s important right now.
So, I’m laying on the bed googling a number for the hospital while breathing, my dad is cutting my toenails and my mom is running around like a chicken with it’s head cut off because I’m barking orders at her about what to put in that damned bag.
I get through to the hospital but I don’t know what to ask for. I ask for maternity and then the mother of all contractions starts and I’m up off the bed screaming for my mom who has a million stuff in her arms. I throw the phone at my dad and stand up leaning on the bed yelling for mom to push on my hips. My foot still in my dad’s hands who is still calmly clipping. He calmly picks up the phone and takes over with N telling him what to ask for. Apparently Dr L isn’t on call but we should go in.
The contraction passes and my mother is flipping out.
Mom: Let’s just go, I don’t understand why we haven’t left yet
Me: Mummy just calm down
Mom: *Not in English* Don’t tell me to calm down!!
Dad: Okay okay *still clipping nails* Your nails are done. I think N should finish shaving, not shower and let’s just go.
All three of us: N! Don’t shower, Let’s just go!

5:45pm (I believe): I don’t know how but we’re all in the car even that damned bag! I’ve stopped timing contractions but last I checked they were 2 – 3 minutes apart and ranging anywhere from 20 seconds to 1minute 10 seconds.

6pm: N drops us at the entrance. I have another C (I can’t type contraction anymore. I will refer to them as C’s from now one as there are lots of them) as I get out of the car. The 3 of us walk in while N parks the car. I’ve been to this hospital. I think I know where the maternity ward is but we stop at reception anyway to ask.
The oldest man in the whole entire world is sitting at the front desk with and another old lady who’s on the phone.
“Where’s maternity?”
He leans forward scrunching his face, ever so slowly.
“Maternity??!!” I shout
“Rezendes?” He asks
My mother and I look at each other incredulously and swear in Afrikaans. The lady gets off the phone and points us in the right direction. When we get to the elevator N is right there. Then N’s mom is there too.
We find the ward and drop the parents off at the waiting room and we make our way in.

Maternity Triage

There’s obviously no one at reception because why would there be. Eventually a nurse strolls in and says they’ve been waiting for us.

6:15pm: We are checked into triage in the maternity ward. Intake Nurse N is asking me a million questions that I have no time for. She warns me that she has a lot of questions and she understands but they’re necessary. In the meantime she has me strip down and put on the Johnny. Then I remember the damned bag. Everything I need for my perfect labour is in the bag!! The bag is in the fucking car! The pretty pusher johnny I bought so I wouldn’t have to wear the hospital one. The fairy lights. My affirmation cards. My Birth Plan!! The bluetooth speaker for calming  music! Oh my god another C! Fuck it. Put the hospital Johnny on. Fuck everything.

I’m on the bed now and Nurse N need to test the amniotic fluid to make sure that’s what it is. Oh you mean the stuff that’s pouring out of me right now as I’m contracting that’s definitely not pee? Sure go ahead. I feel a little bad for her because we all know it’s amniotic fluid but there’s also that hospital policy. I ask when we’ll get results through gritted teeth.

20 minutes.

I look up at N in desperation and start doing C math. That’s at least 4 more C’s. She walks away and that’s the first time I show weakness. I tell N I don’t think I can do this, it hurts too much. Where is Doula L? I don’t know if I can do this. N looks me in the eyes and says that I absolutely can and I will. He obviously doesn’t love me and wants to see me die. I’m alone here and I’m going to die alone.

Doula L is at the hospital but they won’t allow her into triage. Are you fucking kidding me? Only one person allowed in. It’s okay, we’ll talk to her in a bit because the on-call Dr is here.

Dr H… A tall woman. A bored smile. She introduces herself and proceeds to do a scan. “Oh I see a little butt down here, someone is breech… Okay we’ll have to do a c-section. Let me check  your cervix”. I’m protesting a little bit. Let’s just do the damned surgery, just don’t check my cervix!

Cervical checks are awful. This one in particular was horrendous. It feels like she was in there for hours and up to her elbow I’m sure. I’m kicking and moaning. When she pulls out I have another huge C and as I roll over I see her pull and exasperated face to Nurse N. I don’t think she got a good reading on that. She leaves without a word.

Things are ramping up now. 2 more nurses come in with forms that need signing and more and more questions that need answering. N and I are trying to wrap our heads around this new outcome. Should we protest? Why can’t we wait? But I’m in so much pain. N looks scared. He did not want this for us. It being major surgery and all. We decide that he should go get Doula L for a talk and maybe swap out. I’ll be okay I think. They’re putting an IV in.

Once I’m alone Nurse N asks the personal questions about whether I feel safe with my husband. Am I being abused etc etc. While she’s asking another C comes and I beg her to rub my back. She obliges. When it’s done I ask her if the c-section is absolutely necessary. Can we wait til her turns? Can we try an ecv now? She says now because I likely don’t have enough amniotic fluid to turn him and best to get him out sooner rather than later. I’m sad now because I’m having a moment of clarity between C’s. My first in a while. I’m able to get my wits about me.

In all that craziness I’ve assessed the C’s. It feels like small, small, big, really big… small, small, big, really big. And if my calculations are correct I have two small ones coming. That means I can do this!! As Doula L walks in she throws her coat and bag on the chair because she sees my face contorting. She comes over to me really quickly. She bends her whole body over mine holding my right hand and rubbing my lower back and whispering in my ear “You’re doing so awesome! You’re doing a great job!” over and over. Where has she been all my life? It’s like she was sent from the angels. That C was bearable again. Okay we have  small, then big then really big coming. I have time to fill her and in answer questions and sign forms. Oh the forms.

The anesthetist comes in to explain what he’s going to do. While he’s going through his spiel I realise my calculations were way off or my body is changing the rules. It’s big.. It’s really big and it’s fast. I roll over to my side and I can’t see straight through the pain. I’m remembering to try to keep my eyes open and not scrunch them. Breathing isn’t helping so I’m now loud moaning. Doula L is still whispering in my ear but she sounds far off. I only feel pain. Why is it lasting so long? It feels like hours. I want to climb the walls to run away from the pain but I can’t move. Finally it’s reached the peak and it slowly (I mean slowly) calms down. “What the hell?!”. I hear the form filling out nurse say “Wow that was long”. Doula L tells me that breech babies make irregular contractions. I’m very frightened now. I definitely can’t do another one of those. Thankfully, the next 2 C’s  as small and small again but with 30 seconds spaces in between.

Doula L asks me how I’m feeling. I’m feeling sad and relieved. I feel a bit like I failed. She reminds me that I’m in labour right now. I did it. I got to experience labour. I’m in good  hands here and c-section is not the end of the world. We’ll see our son soon. I feel a little better. She says she’ll stick around until after he’s born but she’s going to swap out with N again. She grabs her coat and bag and looks back at me and it’s time for another big C. She drops everything and runs over to me and for some reason both of us are laughing a little through this one. Just a little because it still hurts.

Okay she’s off. While I’m waiting for N to come back. Dr H sticks her head through the curtain “Hey do you want some painkillers?”…. “Hell yes!” I say, forgetting that point #1 on my birth plan was Please don’t offer pain killers, I will request them.

This was really a mistake. I’m given Stadol through the IV. N comes in and I am incapacitated. The Stadol makes me completely woozy and speaking is very difficult. My head seems to be lolling about. But it doesn’t take the pain of the C’s away. It’s worse now because I can’t tell N what I need. I need him to whisper in my ear that I’m doing  great job. All I can get through the next few C’s is “Say something nice to me”. He chuckles and tells me I’m beautiful and kisses me. It works.

It’s just N me and Nurse N. N asks her about the c-section and how it’s going to go. The hospital is supposed to offer gentle c-section so N asks if that’s what we’re getting. She assures us that it is. They’ll do delayed cord clamping and I’ll get skin-to-skin and we’ll get him very soon after he’s out, etc. etc. N won’t be allowed in immediately though. He’ll stay behind and get changed into the full zip-up outfit and they’ll come get him once they start cutting.

Operating Room

OR Nurse B and another Nurse come to get me for surgery. I’m still not really able to speak and I don’t remember saying goodbye to N. Nurse B and her friend are bubbly and lovely and telling me things that I don’t remember. I’m so woozy. But nurse B has a very pretty rose pin on her shirt. I’m so focused on this pin. It’s all I can see and think of right now.

We’re in the OR now and I’m asked to sit up. They’re talking about the epidural or spinal block or whatever. I have to curl over a lot and push my lower back out as much as possible. I still can’t really believe I have to have a c-section but there’s no turning back now. People are saying things but it’s just me and my thoughts. How is this happening? I’m starting to freak out and here comes another C. A big one. I can’t curl my back!! Nurse B has me rest my head on her shoulder. I see the pin again. I strongly believe the pin is keeping me alive because it’s the only thing I can see and focus on. Why is the epidural taking so long? I can hear them saying things to me about curling my back but I’m moaning loudly over their instructions and focusing on the beautiful pink petals on the rose. I’m now on C number 2 moaning again and there is still no epidural in. What’s the hold up?!

C number 3 has started and I hear them say they’re all set. Really? I didn’t feel a thing. I thought he was just digging his thumbs into my back. They lay me down and I think maybe the stadol is wearing off because I’m feeling a bit better. Nurse B is telling me how well I did through those C’s. But now I’m panicking because I’m about to have major abdominal surgery and where is my husband?

Stay calm, stay calm. They’re talking to me about what I should be feeling. The anesthesiologist says something about no more C’s. I realise he’s right and my legs feeling tingly. Someone says they’re going to put the catheter in now and I can feel them doing so I’m really panicking now. I frantically tell him I can feel things. I can still feel!!

He assures me that I’ll still have a bit of sensation but no pain. I don’t like it. Where is N?! I don’t want this. Stay calm. Stay calm.

They put the draping on my chest and start pulling it up so I can’t see. I really don’t like that. I’m the IVF patient who watches them draw blood. I’d like to see what you’re doing to my body please. But do I really want to see them cut me open and not feel it? Better leave this to the professionals.

Dr H walks in. Where the fuck have you been all night. She’s different now. No fake smile. All business. “Okay, I’m going to poke you and you tell me if you feel it”. Yes, Yes, Yes, Yes. “Okay we are good to go… Agree?” then everyone in the rooms says “Agree!”. But no! no! I said yes to all your pokes!

I look at the only person who’s talking to me. Larry the anesthesiologist. “But I said yes to all the pokes”… “Not all of them” He smiles. I’m not reassured. I want my husband.

The room goes very quiet now and it’s just me and Larry but I can’t see him without craning my neck. I smell something. They’re cutting! or cauterizing! Finally N walks in stage right and sits down and grabs my hand. He looks calm. That calms me down. “What’s that smell?” he asks.

I chuckle. I’m okay now. We’re okay. It’s still deathly quiet. No one is talking. Waiting to feel that tugging but it’s not coming. I look at the clock over N’s shoulder. 8pm. Then I feel the tugging. It’s weird. Then someone says “Look up mama”. I look up and  up pops a little head with a hand on the forehead then it’s gone.

“Oh he just peed again”… Everyone laughs.

So that’s it, huh? I just had a baby. Boy, is he screaming. Poor guy. I wonder what they’re doing with him. Aren’t I supposed to get him for skin to skin? What’s taking so long? I look over N’s shoulder again. 8:05 I think. What’s taking so long? N is also starting to worry. He leans over to ask where the baby is. Everything is fine they’re just cleaning him up. But aren’t they not supposed to do that really? This doesn’t feel very gentle c-section to me. It feels cold and harsh. N asks if they did delayed cord clamping. Dr H snaps back “No.”

N’s face changes to irritation. But as he’s about to protest Nurse B’s friend brings over our little bundle and places him on my chest. He’s warm and squirmy and difficult to get a good hold on. He’s laying across my chest and crying. I can kind of see his face. So this is the baby I just gave birth to. He’s cute and little but I can’t hold him. He keeps slipping up to my face. I tell N to take him and do skin-to-skin. The nurse says no at first because N would have to take his t shirt off. He unzips the suit they gave him to reveal no t-shirt “Way ahead of you”. She laughs and moves Lucky to his father.

His father. My husband. A father. To my son. Our son. I look over at the two of them and he is beaming. A beam I’ve never seen before. It’s beautiful. I could look at them forever.

Okay I want him back now. I think I can handle it. N puts him back on my chest and we let him try to rooting around and crawl to maybe find my breast. He finds his way but never latches but it’s okay.

I’m not sure how much time has passed but they tell us that N and Lucky have to go to recovery so they can finish up with me. I’m still feeling like this isn’t real.

I hear counting. They’re counting the swabs or whatever. Just like on Grey’s Anatomy. I look up at the bright lights and I catch a glimpse of my incision in the reflection. Cool!! I can’t tell what they’re doing but the fun part is over. Everyone is talking about vacations to Cancun. The drape comes down and Nurse B is including me in the conversation but I’m just smiling. Did I really just have a baby?

Eventually they’re ready to wheel me into recovery. I’m enjoying the ride I keep hearing babies cry as we pass rooms. Then I hear my baby’s cry! Why are we going passed it? “Stop! stop! I know that voice!”

Both nurses laugh at me. They were just turning me around. I see N leaning over the baby in the warmer bed thingies as I’m wheeled in. He’s still beaming. Baby is still crying and I am still trying to understand how this is real life.

N comes over to be with me while the nurse swaddles up our little bundle. They adjust my pillows a bit and we try to get him to latch. It’s not very easy but we got him eventually. But he’s lazy and probably tired from you know.. being born.

While I’m watching this little person familiarize himself with his surroundings I notice that the nurse has my leg in her hands and I can’t feel her holding it. It’s freaky as hell so turn my attention back to the little person.

Once we’re all settled our family and doula L are allowed in to come say hi. I only vaguely remember this because I’ve been given some morphine before they come in. I know that my mother is crying big mom tears and my dad just has the biggest smile on his face. I don’t remember much about the conversation. They don’t stick around for very long but doula L stays for a bit to drop a few words of wisdom. Again,  I wish I could remember all that she says but it’s similar to her words in triage. I do remember that she is holding my hand and squeezing it lightly and reassuringly. I’m sad when she leaves. I know I’ll likely not see her again and she was pivotal in this story. I’m sad.

10pm: We’re a family of three now. N and I are in my hospital bed in room C210, holding this little body watching him sleep. I’m trying to take everything in. Wondering if I should be feeling a certain way. Shouldn’t I have cried by now? Shouldn’t my heart have grown three sizes? Aren’t I supposed to be experiencing a love I’ve never known?

None of that is happening but I can’t take my eyes off him. He’s so fuzzy. He has so much hair. I knew he would have lots of pitch black hair. The way his little top lip sticks out looks exactly like his ultrasounds. His eyes look like my nephew’s. His perfect little nose is… perfect. Is this really my child?

***

I don’t know how long we stared at him while he slept. I don’t know how the night ended actually but I remember we just stared and stared silently at this person we made.

So the birth didn’t go as planned at all and everything is not how they said it would be. I thought I wouldn’t be able to get over the fact that it didn’t go as planned, but 2 weeks in and I’m feeling much better about it. My incision is healing nicely and my baby is breastfeeding with the best of them. And while I didn’t feel that instant love that you read about when I saw him the first time but, again, 2 weeks in and I find that I worry about him constantly and I can’t stop looking at him and kissing his little fingers. It makes putting him down to sleep very difficult. I would be happy if he could sleep on me or N forever thank you very much. Maybe that’s the love they’re talking about?

My favourite part of all of this is watching my husband as a father. He does a lot of things better than I do. He’s so patient with Lucky. He can’t seem to get enough of him. It really is the best thing in the world. I hardly recognise this man but I love it and I love him more and more because of it.

Okay, it’s 2 minutes to midnight here. My parents are sleeping on the blow up mattress at our feet. N is playing Zelda on the Nintendo Switch and I’m typing this while little Lucky is sleeping on my lap.

Life is fucking fantastic at the end of 2017.

 

Just A Quicky

IVF ROUND 5

DAY 8
(Friday Nov 11)

Meds: 300iu Gonal-f , 150iu Menopur, 1 x Cetrotide 

Notes: estrogen=1336; LH=10; progesterone=xx; Left Ovary=12, 11, 11, 11, 11, 9; Right Ovary=13.5, 11.6

Just a quick update. Everything is the same as yesterday. My next monitoring appointment is tomorrow.

Emotional: No complaints. I’m a bit worried about tomorrow’s scan. But only a bit. 

Physical: Symptoms come and go. Even the bloat isn’t very significant anymore. 

Food: Didn’t eat much today. Smoothie (berries, coconut milk, 2 eggs) for breakfast, giant burrito bowl for dinner. 

Enter Jabba

IVF ROUND 5

DAY 7 – Monitoring Day
(Thursday Nov 10)

Meds: 300iu Gonal-f , 150iu Menopur, 1 x Cetrotide 

Notes: estrogen=1336; LH=10; progesterone=xx; Left Ovary=12, 11, 11, 11, 11, 9; Right Ovary=13.5, 11.6

Hitting the wall now. I was hoping for some more growth at the scan this morning but no such luck. No new follicles and the ones I have are just a smidge bigger than last time.

We still have time, of course, but this is what it feels like when you hit the wall. I started feeling the bloat after my last post last night. I felt fine throughout the day but as soon as I got home the bloat started again and I’ve been having terribly sharp pains on both sides. All good signs I’m sure.

I’m very thankful for the long weekend. I need to not do anything for a few days.

Emotional: Doing okay, despite the side effects.

Physical: jabba-the-hutt-portrait-tall

Food: 2 Boiled eggs for breakfast. Fail pork leftovers for lunch. Chili and fried queso fresco for dinner.

Tired

IVF ROUND 5

DAY 6
(Wednesday Nov 9)

Meds: 300iu Gonal-f , 150iu Menopur 

Notes: estrogen=651.6; LH=2.7; progesterone=0.3; Left Ovary=10.5, 10.3, 10.3, 10, 9.2; Right Ovary=10.4, 10.1

Day 6 is like kinda halfway-ish with stims. I’m starting to feel less miserable which is good and my ovaries are aching which is even better. I don’t have anything else to report. Next monitoring appointment tomorrow.

Emotional: Yesterday and today was emotional and stressful and for once it wasn’t IVF related. I’m just hoping the stressing didn’t have adverse effects on my eggs.

Physical: Nausea has dissipated somewhat and I’m myself again and TMI so much discharge.

Food: 2 Boiled eggs for breakfast. Keto chicken patties and spinach for lunch. Failed pork loin and beans. Total fail meal.

Chatty Day

IVF ROUND 5

DAY 5 – Monitoring Day
(Tuesday Nov 8)

Meds: 300iu Gonal-f , 150iu Menopur 

Notes: estrogen=651.6; LH=2.7; progesterone=0.3; Left Ovary=10.5, 10.3, 10.3, 10, 9.2; Right Ovary=Champion! 10.4, 10.1

She did it! My right ovary finally has something measurable at our first appointment. I’m so happy. And they’re comparable to the Left.  Well done you! If you find yourself having a drink tonight, please toast to my fighter ovary. So proud.

Just a quick story. My clinic has two doors to get into the building. In between the two doors is just a holding area I guess. Anyway, the first door always seems to be open but the second door to get inside opens at 6:27am and there’s always a group of women huddling in the holding area waiting for the second door to open. Sometimes the group is chatty. Sometimes the group is quiet and buried in phones. Sometimes it’s just me. The area is very small so you can feel everyone’s energy and I think sometimes we’re all just hoping someone will be chatty so that we don’t have to be in our own heads. That’s my thought anyway.

Today was a chatty day, thankfully. It’s been a while. Two young ladies. One doing her first IVF after 2 failed IUI’s. She was there for hopefully her last check to see if she could trigger. The other was I think in the middle of her cycle. I didn’t get which cycle it was but I think she’s a lifer like me. I walked into the 2 of them discussing something and I found myself joining with the vet and telling stories and giving advice. What struck me was how jovial she was. She’d mentioned that the doctors didn’t give her much hope but she was here giving it her all. Everything that came out of her mouth was with a smile. She was really funny too. I admired her. I like when people speak candidly about infertility. It makes it seem less taboo-ish, I think.

Anyway, there’s no real point to that story. I just wanted to remember her and the fact that she brightened my day.

Emotional: Still feeling good. Clinging to the happy.

Physical: Every present nausea and dizziness. Please make it stop. Let’s add tiredness. Probably because I’ve been up since 4.

Food: 2 Boiled eggs for breakfast. Turkey sandwich minus the bread for lunch. Keto chicken patties and stir fried veggies for dinner.

Family Day & Funny Dreams

IVF ROUND 5

DAY 3
(Sunday Nov 6)

Meds: 300iu Gonal-f , 150iu Menopur 

Notes: estrogen=26.49; LH=4. 68; progesterone=0.226; lining=4.9mm; antral follicles=13 

I had a very strange dream last night that I was at my clinic just waking up from my retrieval. Nate was sitting on the bed next to me and what looked like most of my clinic’s staff were seated in the room around me. My new RE, my old RE and my nurse were all there as well. Then a bird flew in through the window and gave a note to my nurse (wth!) and she opened it and said “Oh it’s from the PGD lab”.

The note said that they would be closed for Thanksgiving so I wouldn’t get my results until after that weekend but they can let me know the 2 of the 3 embryos are brother and sister.

Everyone cheered and hugged but my RE said that we shouldn’t get too excited because  we don’t have the results yet but so far so good.

And then I woke up.

Now I don’t think dreams mean anything. I used to but I haven’t been able to find a correlation between dreams and reality in my life yet so I think it’s just a manifestation of what’s on my mind at the time. I just thought I’d write it down and I especially thought the bird was a nice touch. Thanks brain :).

We spent the day with N’s family today. His gran had a heart attack this week and we went to see her with his mom and his 2 aunts. She’s doing well, his gran. She looked good today,  just tired. They’re just trying to get her medication doses in order before she can go home.

We spent most of the afternoon at the hospital chatting and joking around and then we all went to IHOP for a late brunch. I did have half a pancake at IHOP because I think it’s illegal to not have a pancake at IHOP… It is illegal… Trust me. 🙂

On the stim side of things. While I was driving today I felt a sharp pain on my right side. I really really hope that’s my lazy right ovary getting her ass in gear for once.

 

Emotional: The tingly right ovary is making me excited!

Physical: Every present nausea and dizziness. Please make it stop.

Food: Boiled egg for breakfast. 2 Scrambled eggs, 2 sausages and half a pancake for late lunch. Too full for dinner.

 

Well That’s New

IVF ROUND 5

DAY 2
(Saturday Nov 5)

Meds: 300iu Gonal-f , 150iu Menopur 

Notes: estrogen=26.49; LH=4. 68; progesterone=0.226; lining=4.9mm; antral follicles=13 

 

Today was fun I stayed in bed until 10ish then we rushed around to get ready to go to run some errands and as soon as I took my first bite of breakfast the world started spinning and I got really hot and my heart started racing and I thought I was going to puke. Took my a few minutes to pull myself towards myself.

I managed to get myself together and we got all our stuff done but I was a mess for the rest of the day.  I tried cleaning the kitchen but I kept getting the hot flashes and dizzy spells so I just threw in the towel (literally) and went to lie down and whatsapped with everyone back home in a dimly lit room.

I only really felt better when it was time to get dinner ready and mix up the next round of meds. I’m back under the covers now doing some online shopping, still feeling a tab woozy.

I don’t know if this is due to the medication or my period or what. I remember being dizzy towards the end of the cycle but not this early on. Oh well, I’m just staying hydrated and taking it easy.

Emotional: Feeling good. “Ain’t nothin gonna to break my stride. Nobody’s gonna slow me down, oh-no. I got to keep on movin”

Physical: Dizzyyyyy

Food: Breakfast was 90 second bread with cheese and sugar-free jam. An orange for lunch. Then stuffed chicken breast with bacon jam green beans for dinner and a block of dark chocolate for dessert.

Music to match my mood

IVF Cycle 5 Begins

I wish I was better at remembering these anniversaries. I was just revisiting my previous cycles and realised that last Wednesday marked 2 years since my first stim injection. It really feels like a longer lol.

I was re-reading specifically my most successful cycle. The one we’re copying now and it turns out it was round about this time as well. I enjoyed reading it. I think I was in a good space as far as excitement and positivity are concerned.

Comparing that cycle to now, the excitement and positivity are lessened somewhat with the memory of four failures versus one. Not to say that I’m not excited and positive. I am. I’m just not as naive as before but I’m trying to not let it get me down.

Anyway, I just finished my last birth control pill last night and when I held it in my hand last night it hit me that there’s a chance that it could be my last bcp ever. I don’t think I’ve ever thought of it that way before and that really excited me.

I had my baseline appointment this morning, just waiting on results and instructions but I should be starting stims on Friday. So there will be a full period coming soon. Yay.

This is going to be another boring daily chronicling of a cycle and for that I apologise, ahead of time. I just enjoyed re-reading and I appreciated the details. Thanks 2015 me!

Anyway, I don’t have anything to report today. I didn’t get an antral follicle count at the ultrasound because I didn’t want it to depress me. Other than that, I’ve contacted the genetics lab and we’re all set to go and my meds get delivered today. I’m also confident that the results call today will be good so I guess I’ll just leave you all to it until Friday.

Here’s to an uneventful but speedy week!

IVF Round Five

Here we go again! It was touch and go for a few days but here we go again.

I had planned to start this cycle with this month’s period but by Monday I’d started spotting and hadn’t received insurance approval yet. I called the clinic only to find out they hadn’t even sent the request to the insurance! I was shocked.

The nurse told me she’d find out where my request was in the queue and she’d call me the next do to let me know if we can start but it didn’t look good.

The following day the nurse called to say that they wouldn’t be able to send in my request in time and I’d have to do the cycle next month. Sigh. I was very sad but I made peace with it. Decided that more time to prepare can only be beneficial so I was okay with starting next month.

Then Wednesday she called again and turned my world upside down. They’d actually sent off the request the previous day and I had the go-ahead to start birth control. Well I had to do the mandatory preggo test the following morning but for all intents and purposes, we were a go.

So Wednesday was a pretty fantastic day to begin with and then N called to let me know that our new RE contacted him with results from his latest sperm sample that was to be frozen. You’ll remember that we were going to send these results to the urologist to let us know if it was a good sample or not. Well it turns out that the sample was excellent. The count had doubled and the motility was great. Of course since my husband took the call we didn’t get any numbers but I can just get the numbers when I call them again.

We’re still waiting on approval so obviously the thief of joy that this journey is, isn’t letting me celebrate just yet. I’m just taking my pills as instructed. If everything goes according to plan I’ll start stims around the first week of November. We’re doing 300iu Gonal-f and 150iu Menopur. The same protocol from round 2 which yielded or record 3 embryos to test.

So we’ll take it one day at a time and I’ll try to keep a level head but I like the sound of this cycle so far… so far.

 

A Long Overdue Update

HI!

It’s been a minute. My absence was purely due to either being insanely busy at work again or spending all my free time on the couch and I don’t think a running commentary of either was blog worthy.

But finally, movement on our side again which is great. IVF really is like sitting in traffic. You’re either completely at a standstill or you’re speeding through a cycle. There’s no happy medium. But I digress.

We had two appointments these past two weeks. One with the third urologist. Touted the best urologist this is side of the Miss’ipi (always wanted to use that line, not sure if I’m using it correctly). And the second with a new reproductive endocrinologist to get a second opinion.

When last I left off, I said that our previous RE had pretty much run out of ideas and was unwilling, at that stage, to move forward with another cycle until we got more answers and a possible second opinion. Our last cycle was a horrendous failure so we all agreed this was for the best.

Urologist:

This day was a mess. For some reason everyone in Boston was on the road and no one could get anywhere. N left the house at 5am to be at their clinic to do an SA at 7 and he was about 15 minutes late due to traffic. Our follow up would be 10:30 to discuss results. Thankfully, after the SA the nurse told him a lot of people hadn’t shown up and they’ll push our appointment to 9. So I rushed out of work at 8 (a mere 30min drive to Boston from my office) and only got to the clinic around 10!! And the doctor STILL only saw us at 10:30. geez!

Anyway, he seemed nice enough but I can’t say that I liked him very much. I won’t deny that he knows his shit though. I went into appointment with high hopes. I spoke to someone a few days prior whose husband had azoospermia and they did a TESE and got 6 vials! I was excited. I thought we’d won the world cup. Of course this wasn’t the case. The doctor was long winded in his explanations and he lost me a few times so some of this information might not be 100% accurate but this is what I got from that appointment.

  1. All the vitamins and supplements we’re taking aren’t doing anything, we’re wasting our time
  2. The Anastrozole N is taking for his count isn’t going to work. It affects a hormone that won’t increase count if that hormone is at the level it’s supposed to be (if that makes sense).
  3. TESE is not a viable option for us because there is sperm in the ejaculate. TESE is reserved for men with azoospermia or a blockage, so no sperm in the ejaculate.
  4. The sperm you have to work with is what it is. Good luck. Try a donor maybe because I see here your eggs are crap too.
  5. GTFO with your shitty sperm and eggs.

Okay so he wasn’t that harsh but it was hard to hear all my hopes get shot down one by one in an hour long conversation. The good news is that at our last retrieval they couldn’t really find anything to work with in N’s fresh sample, that’s why they used the backup sample and that day at the appointment his count was up to what it usually is. We suspect that it was the fact that he has strep throat about a month before we started the cycle but the doctor didn’t think so. I guess sperm just fluctuates and that retrieval day was a bad day. Another good thing is that N has to do another back up sample at our clinic so Dr O said he wants to get the notes of that sample and see if it’s worth using or if he should do another one. That way we’ll know that the backup sample is good if it’s ever needed again.

So that appointment sucked. It sucked a lot. I almost gave up. I didn’t speak to N much when we left and I feel bad about that but I didn’t know how to react at the time. I told all my friends and family that it’s not looking good for us. We’re not at the point where we want to consider donors yet and to have 2 doctors suggest donors was so hard. I cried a whole lot. I also felt like I was being a spoiled brat. I admire women who have gone the donor route. I think it takes courage and selflessness and I also felt like they deserved to be mom’s more because they wanted it more than anything. And here I am crying over the fact that I may never see what my husband and my children will look like. If they’ll have his light brown eyes or my curly hair. If they’ll have his laugh. If they’ll be loyal friends. Will I have to start them early in group activities to help with the shyness both of us struggle with. It was the first time I was really faced with the possibility of this dream not coming true and it scared and angered me. Having that dream slip through my fingers.

I cried most of that day during work and when I got home. I spoke to my husband and he said he didn’t think Dr O would have all the answers. He basically said that a urologist wasn’t the end all and be all. We’ve made embryos before, we can do it again. We just have to keep trying and we’re not out yet let’s see what the new RE says.

Over the next few days I was torn between putting all my hope in this new RE and thinking of what life will be like as a childless couple. When the appointment rolled around I was a mess with nerves. When we sat down he said that he wanted to go over our history and discuss some options and just the way he said it my heart sink. I thought this is it. I’ll never get to meet our biological children.

Reproductive Endocrinologist Second Opinion:

The appointment was at our regular clinic just with a new doctor. I kept seeing pictures of our previous RE and had to laugh at my misplaced guilt. I couldn’t look the pictures in the eye.

Dr P… I couldn’t get a read on him. He barely cracked a smile during the entire consult and I prefer that people at least smile when I deliver my funniest one liners. But nothing. He was soft spoken and spoke kindly and explained everything perfectly. So while he was very serious, he was everything you would need in a doctor. I often say that I don’t need a doctor to have good bedside manner as long as he got the job done I was a little bummed that her never smiled. I know this is crazy but I kept thinking that he was judging us for jumping ship with our old RE. Of course this isn’t the case based on what he was saying. Let me get right into it. There’s a lot of information and I forgot to write everything down.

  1. He is on board with vitamins and supplements and even wants us to increase Ubiquinol as it could help with embryo quality. This is huge to me and N. I know these things maybe probably don’t affect quality/quantity but I really don’t like when doctors dismiss them completely. It just bothers me.
  2. The fact that we’ve had 2 normal embryos in 4 cycles is pretty awesome considering our diagnosis. And we’ve made embryos before, we could likely do it again (note hubby’s words above)
  3. The fact that 2 normal PGD tested embryos (that have a 70% chance of attaching) had no implantation is a little baffling to him and it could be one of 3 things. 1. The labs effed up. 2. Something wasn’t picked up in the genetic screening. 3. something is up with my uterus.
  4. points 1 and 2 are unlikely since it happened twice. At least one of those embryos should have attached. So he’s interested in my uterus. I’ve had 2 HSG’s and 1 endo biopsy and everything is normal. So his next likely suspect is Progesterone. Dr G used vaginal progesterone which he thinks isn’t sufficient so he wants to try the PIO shots (Yay!). He also wants to know if maybe the amount of days I’m taking the progesterone is enough. Typically, you’re given about 15 days of progesterone and sometimes for some women that’s either too much or too little. To find out the answer to this question we’re going to do and ERA test (double yay!)
  5. You can find out about an ERA test here. But just a quick rundown. After our next retrieval cycle we’ll do a mock FET cycle with meds and then instead of a transfer we’ll do an endometrial biopsy (yuck!) and send the sample off to the lab in Spain. If it comes back “normal” then perhaps that means the PIO shots are working. If it comes back pre-receptive then we’ll add a day of Progesterone when we do the next transfer. Now from what I’ve read it sounds like you have to keep doing this test until you get a “normal” result. Dr P said we would only do it once and go from there. It makes sense and I really don’t want to keep paying for a test if we don’t have to because it’s not covered by insurance and will run us around $800-$1000. But yes we are on board and ready to go!
  6. I can’t remember if I have this right but I think he said that if the test comes back pre-receptive then we’ll add another day of PIO but if it comes back normal and we have 2 embryos to transfer, he will consider transferring 2. They typically do not transfer more than one PGD normal embryo but he thinks this could be an option.
  7. He doesn’t want me to do a lap to rule out endo. All these doctors seem to think that I am endo free. I was going to fight him on it but he said that there aren’t enough studies out there that say that removing endo will get you better quality eggs. I guess it depends who you ask but I won’t push the issue. He also said that since I’ve had 2 surgeries in that area (appendectomy and ovarian cystectomy), the doctors would have said something if they’d seen something. Granted there’s a chanced they didn’t see anything if they weren’t looking, but my cystectomy was a full laparotomy so I was completely opened up, it’s unlikely that surgeon missed any endo. I could of course go and search for those surgery reports to find out but I’m not sure it’s worth it and the surgeon who did my cystectomy has since passed away and those records are in South Africa somewhere. That would be a mission. So we’ll put a pin in this one for now.
  8. I did ask (and I’m so proud of me for asking everything) if whether he thought that foregoing PGD testing was a good idea. My reasoning being that we have so few embryos and I read one lonely article that said that some embryos self-correct and it made sense to just transfer what you have and pray for the best. He said that since we have a balanced translocation that most affected embryos would end in miscarriage and he wouldn’t want me to go through a miscarriage and also some miscarriages are more dangerous than others. So fine, that makes sense. I just thought I’d ask.
  9. If we get insurance consent in the next two weeks (fingers crossed) we can start our next cycle. We’re going to go back on the antagonist protocol with 300 Gonal-f and 150 Menopur. He said I respond well with this mix. And I think on this cycle we got 11 eggs and all of them fertilized. I’ll have to check my notes.
  10. His nurse is great I love her already but I’m so very sad to be leaving my nurse. Like really extremely sad. I never realized how important these people become.
  11. I have to come to terms with the fact that we are not ever going to have more than 3 embryos to test. He sounds like that’s the nature of the game with our diagnosis. It’s not great but it is what it is. I have been distraught because we start with double digits in egg counts and then have 3 or less measly embryos. I think if I just focus on a goal of 3 and make sure that I stay healthy to try and get the best 3 that there ever were, then we’ll be okay. Actually 3 to test isn’t a goal to focus on. I need to focus on 1 healthy normal embryo. I’m going to work hard for 1 healthy normal baby. That I can do.

Final thoughts:

A really good IVF friend recommended Dr P. She actually pushed me so hard despite my best efforts to resist change. I will forever be grateful to her for pushing. We both liked him a lot and I’m back to dreaming about who our children will look and be like. I’m beyond excited to start again. I just did the math and if everything goes swimmingly we will only be transferring around April (yikes!) which feels like forever away but at least things will be happening and balls will be rolling. I’m also scared. Knowing that our embryo yield isn’t going to be fantastic scares me. We only have 3 rounds left on insurance so we’re getting to do or die time. That thought is scary. But for now, excitement is winning.

This post was really long but I had a lot to cover. Thanks for reading if you made it this far. I hope to not go into radio silence again until we actually do start again. Maybe I’ll do something exciting this weekend.

Until we meet again,

XX