The Most Unfortunate Place for an Infertile

Today's a big day. Today I took my first birth control pill. I can't believe the irony of how exciting that is. What's more, you should ask me where I got my birth control.

Planned Parenthood.

Oh yes.

I ordered BCP, Prednisone, Folic Acid, and Synthroid from my clinic in Czech. They shipped it over a month ago and, as of yesterday, it hadn't arrived. It's lost somewhere in post office land. This has plagued me with anxiety over the last few weeks. I've stalked our mail man on several occasions. I've gone to our post office several times to see if they have it. Nothing.

Extreme measures had to be taken. Where is an easy place to get birth control? Yep. So I went. Needless to say, it wasn't enjoyable.

I arrived at 12:15 and filled out my paperwork. 30 minutes later I asked to use their restroom so they let me back and handed me a cup. "What's this for?" I asked. "A pregnancy test." "Oh, well I don't need it, I just got my period today." "It's procedure, we have to test you."

I'd be lying if I said that didn't sting a little. What stung worse was when they gave me the results. "You're not pregnant, don't worry."

Oh, wow. Okay. For the first time in 35 cycles of trying, someone else said that to me aloud. Yes, I'm well aware that I'm not pregnant, that's why I'm here at your trashy little establishment!

The nurse came in and we went over my information. I told her why I needed the BCP and she understood. After she left the room I overheard her talking with the doctor and another girl. "So she's here for BCP for her IVF cycle."  "What's IVF?" (um, can you imagine asking this  now?)  "It's in vitro-fertilization (moron!)"  "Well why does she need BC for IVF?"   "To regulate her cycle."

I wanted to burst out of the room and tell that idiot asking all the questions to google once in a while!! I knew what IVF years ago, before I was married, before thinking of babies, before understanding infertility. Ugh, the ignorance!

But I didn't do that. I just sat in the room.. waiting.. humiliated.

I got my prescription and left as fast as I could. Cried in the car, naturally. We managed to convince an RE in the area to write me prescriptions for the rest of the medication I needed. I wish I had just asked him for the BC and saved myself another awful experience.


But here I am, my first day of BCP. I have my medication schedule for the next few weeks. I hope the end of this month goes by fast. I've been occupying myself with buying a few things for the trip. I need a new purse - the straps are falling apart, this is a great excuse. I'm also looking for leggings and some jeans shirts to wear once I start doing injections and become a human pincushion. I can't imagine feeling comfortable in jeans once that starts.

I'm trying to stay positive - I've started saying "when" we get pregnant instead of "if." I have no idea what effect this has, if any, but it can't hurt. I just wished I fully believed it. Maybe it'll be different once we're there. Once I'm pumped full of hormones and they start taking pictures of my ovaries. Maybe then I'll feel hopeful, positive, even confident.

So I wait. Just a little longer.

Moving Along

It's been awhile, hasn't it? I've been meaning to write but couldn't quite drag myself to the keyboard. Sure, I've been on the computer, checked the stats of my blog, looked in on some other bloggers I follow, but I haven't taken the time to write down my thoughts.

Why? Well, we all know it fairly well by now: Anxiety. Infertility is riddled with it. Sometimes it's during the TWW. Sometimes it's preparing for a medicated cycle. Sometimes it's just waiting around contemplating what to do next.

I am very anxious. We're down to about two months until our first IVF cycle. Honestly, I'm scared. Scared of what might happen before the cycle... Will we make it there in time? Will I take the right amount of drugs? Will I ovulate early? Will I be sick from the medication? And then of course, what if it doesn't work? How will I handle it? I'm usually a pretty good judge of my reactions. I've known myself for a while. ;) But I honestly do not know how I will cope with a failed cycle. Sure, plenty of warriors have gone before me and completed IVF after IVF, but I don't know if I'm strong enough.

How do you know? Am I cut out for this? I mean, I guess I am cuz I've committed to it this far. We haven't sent them the check yet, but we're all in it. I won't change my mind. I want this. I want to try. I just want it to work.

So, I'm scared. I'm worried. I want to feel hopeful but it's too complicated to feel purely one emotion. I can't be *too* hopeful or *too* scared. I must manage my expectations.

I'm sure it doesn't help that I've been slowly coming off of Zoloft. I've been on 50 mg for almost a year now and I've forgotten why I needed it. It's been really hard. Dr. Vrana (the doctor at Reprogenesis) wants me to stop Zoloft for the cycle anyway so I figured I'd go off of it now before starting BCP and adding that to the mix. But it's been rough. I need some kind of help. I feel like I'm dangling from a cliff.

Okay, so that's my world right now. Here are the logistics:

We've changed our IVF date from October to mid September. We're planning to be there around September 18th. My coordinator at Reprogenesis told me they can modify the timing of the IVF by using birth control pills and I trust them. They've done this a few times.

We've changed apartments too and are staying in this one:   It's similar to the one in my last post, but bigger and looks more like a regular apartment, except super freakin fancy. :)  We'll be there for approximately 16 days and DH will be with me the entire time.

Originally I was gonna fly there alone and then meet up with him a week later, but I realized that this is too emotional to do alone. And I can't imagine having to give myself bum injections. Oh, and I won't have to lift a finger the whole time (which the clinic requires after ET anyway), so that's a plus. And I'm a super newb when it comes to traveling abroad, so it'll help to have someone with me the whole time in case I have a nervous breakdown in the airport.

And that's the plan. I should get my period sometime this weekend which will then be followed up by getting blood drawn for all my hormones (LH, FSH, TSH, Estradiol, and Prolactin). Never thought I'd be excited about a blood draw..

I think I'm gonna start writing more technical posts, too. I really want this blog to benefit someone who is considering doing IVF abroad. I've found a few blogs about it and it really helped to read a personal point of view. So at some point I'll write a list of all the things Reprogenesis has required me to do and questions I've asked. Just not today.

Today I needed to force myself to write. And I did. There it is.

Let the fun begin.

We had our consultation today with Reprogenesis in Brno, Czech Republic. It was awesome. They called us over Skype and we voice chatted while parked in front of the nearest AT&T store. We have HORRIBLE cell reception and internet at our apartment, so calling from home was not an option. Fortunately, the AT&T store didn't open till 10 and we had our call at 8 so we camped out there for an hour.

The doctor was really helpful and his English was very good. He answered all of my questions and went through the IVF process in detail. Needless to say, I'm excited. I wish it was October already. And the obsessive organizer in me wants to start taking birth control pills next month so I can know exactly when we'll have to be there.

Part of the process leading up to IVF is being on birth control pills which is done to regulate your cycle. Plus, I think it makes your ovaries "quiet" so that when they inject you with crazy hormones your ovaries will be like, "holy crap, I wanna make 1 million eggs!!!"  Or at least, that's my interpretation of it.

The doc recommended that we do PICSI to give the sperms a little extra *oomph* which will only improve our chances. Clearly these aren't real medical terms, but I'll spare you the gory details. We're planning to do the embryoscope too which will increase our chances an additional 5 - 10% (from a 50% chance of success), and in the world of infertility, that's a lot! Right now we have about 1 - 2% chance to conceive on our own, so I feel pretty good about these odds. The clinic has a success rate of 60% for women up to 40 doing IVF with their own eggs (as opposed to donor eggs). They don't break it down for women under 35, which I think if they did that it'd be an even better percentage. Your chances to conceive start to steadily decline after 35.

So it's been a good day. It's gonna be hard to not have any structure over the next few months. I finished up school yesterday and got a big ol' A. I'm kind of a rockstar at takin' 1 class at a time. Don't be jelly.  ;)

I guess that's it for now. I'm not feeling particularly sassy or funny, so this is more of a general update. Oh and here's a picture of the apartment that I booked (tentative dates, of course) while I'll be staying in Brno. Super cute, right??


It's a 5 minute ride to the clinic and in the middle of everything. There's a grocery store right down the street so I can stock up and eat real food while I'm there. There's a kitchenette and a burner too. Below is the view and the tiny terrace. Yes, I will be drinking coffee out there in the morning. So. Excited.

Eating Our Feelings

We went to the beach. The water was freezing so there was no swimming, but Dixie was all about the water. It was adorable. The weather was actually pretty good. It did rain but it was after our beach going so we were in the hotel room anyway. It was a nice time. A pleasant distraction.

You see, this past Friday was our big appointment with the new RE. He was fantastic. He spent over an hour with us, went over every piece of information we provided him and really shot it straight. So yeah, we were pleased with him. It's just... well, the news wasn't so great.

If you've been following our story, you know we've done 3 IUIs. DH's numbers were good for one and not so fabulous for the other two. In the words of our new RE, his results were "dismal." Ouch. DH seemed unphased but that one stung. Our last doc didn't seem concerned with his numbers; in fact, they pinned the issue mostly with me. "Ovulatory dysfunction" he called it.

Well new RE disagreed. After reviewing all of my blood tests, ultrasound results and response to medications, he thinks that I'm just about perfect. Sure, my cycles could be a bit longer, but they're well within the normal range.

So that left poor DH. We had suspected that there might be a sperm issue, but no one had pinpointed it before. This time we finally got a clear answer. The new RE didn't think that it would be impossible for us to get pregnant doing another IUI, but the chances were slim. I think he said 5% to 10% at best. And putting me on injectables (which is what our next plan was going to be at Wake Forest) would be a waste of time because I'm responding well enough to Femara.

Then he took out the big guns: IVF. He didn't want to scare us or pressure us into doing something we weren't ready for, but he assured us that the sperm issues we were having would no longer be a problem with IVF.

We weren't prepared to hear that. We walked in there thinking that he'd give us a different protocol for our next IUIs or run some more blood tests for me or maybe a laparoscopy. But nope. All of that would be a waste of time...Technically we're still unexplained but most likely MFI.

So here we are. Candidates for IVF. Wow.. who'd have thought it.

We talked about IVF for a good part of our trip there and back. I wanted to know when IVF could happen and DH was just processing all this new information. I knew hearing that it could be MFI would hit him pretty hard. He's used to being the guy who can fix everything. And he does. Somehow, some way he fixes everything. But he can't fix this. We're helpless on our own and that breaks his heart, my heart. It kills me to know that he takes responsibility for us not being pregnant. I know in my heart that it's the combination of the two of us, but he doesn't buy it. But honestly, regardless of whose biological issue it is, we're not pregnant and God intended it to be this way.

So this was a heavy weekend. Coupled with that stupid greeting card holiday, it was a lot to take in. But we're starting to look at overseas IVF because IVF here at home won't be an option for years.

Where do you go from here? How do you just wake up one day and realize that your body has betrayed you and still be fine? I'm willing to do pretty much anything to start a family.

And after all that, we decided to have nachos for dinner last night. I'm pretty sure that was the first time DH has ever eaten his feelings (I'm a veteran, naturally) and he certainly deserved to. I love that man. I'm so proud to call him my husband. Proud of how hard he works on a daily basis.  Proud that he takes such good care of me, of his family. And one day I hope to make him a father because I know he'll be amazing. I want him to feel confident in everything he does, so my new mission in life is to make sure he feels 100% supported, loved, taken care of and well fed. Seriously, you can't neglect the food part.

And any extra prayers you happen to have lying around you can throw our way.

Puppies and Pity

We're getting our puppy today!!  So to be clear, we already have one dog. She's a beautiful 3 year old lab mix named Dixie who's only 32 lbs and still looks like a puppy. Everyone's always surprised when I tell them how old she is. My husband got her when she was the littlest puppy and I met her when she was two. She's the sweetest girl, absolutely loves to snuggle and is incredibly well behaved. The only problem is her shyness around other dogs. Whenever we take her to the dog park, it takes her awhile to even let other dogs come near her. At the vet the other day, the doc told me that getting a new puppy might help bring her out of her shell. I hope that's the case.

Dixie and her weird flipped back ear lol

Our new puppy, Brighton, is a little yellow/white lab mix. He's got a tiny pink nose and green eyes. Adorbs. I already love him and we only spent two hours together. I'm supposed to pick him up today around noon, but the way my life goes, I'll believe it when I see it.

This is a common thing I've noticed...  Infertiles getting dogs in lieu of children. I'm very aware that Brighton is not a baby and I won't treat him as such, but it's the first thing in my life that I'll have from the (almost) beginning. I am so aching with love to give that I can't wait for something to shower in it. I know a puppy is not a replacement for a baby, but I've been waiting two years for a child with not even a glimmer of hope. A puppy, we can buy. Or in this case, rescue.

I feel that the hole in my heart for my unborn baby is a deep, dark cavern, filled with cracks and chilling water. It's been shaken so many times that it becomes deeper and deeper through each heartbreak. This puppy will fill the tiniest fraction of the cavern. Maybe it will become a guard rail at the opening to caution any viewers that might fall into the endless abyss. All I know is that I'll have something to hold. Something that I can call mine.

When we went looking for puppy stuff the other day, I felt an excitement that I had long since buried. Tiny accessories for a tiny body. Sure, it was leashes and collars and dog bowls, but it was new and little and I could buy them without the objects mocking me with their uselessness in my life right now.

See I don't ever go into the baby section of stores. I try to avoid them like the plague. Anything with a tiny child's face on it is like kryptonite to me. They have no use in my life at the moment and sometimes I feel like they won't ever will. So I stay away, far, far away. Because far away is the safest place for me. If I don't see that babies and families and pregnant women exist, I can forget, for a time, that they do.

And that is what's been on my mind as of late. I'm sure those who know our situation might think to themselves, "Good for them, at least they'll have a puppy." I know it's true. Sometimes I can sense their pity. They can't relate to the pain and for most, empathy is difficult and out of reach, so they pity me and my sad state. It's fine. I don't need it, but it's better than apathy. But that's a whole other post. ;)

So, yeah. Puppy. Today. Pictures to come.

Sarah's Laughter

I'm not sure if you've heard of this wonderful ministry, but it's called "Sarah's Laughter" and you can subscribe to their daily newsletters. It's Christian support through infertility and it has brought me out of some very dark times. You can find the website here: http://www.sarahs-laughter.com/ 

Today, I needed to be reminded that I'm being watched. No, not in a creepy peeping neighbor kind of way, but in a 'is my testimony for Christ what it should be' kind of way. I'm not gonna lie.. I have been the worst friend these past few months. We made a little group of friends at a church a year ago and I have done my best to distance myself from them. The reasons are complicated, but I have blamed infertility on much of it. I feel guilty about it all the time, but I can't bring myself to reach out to them or anyone. That's partially why I started this blog.

Infertility is so isolating and the heartbreak devastates so much of your life that I gave myself the go-ahead to become a recluse. I certainly wasn't trying to, but it happened. And when I have bad days and want to scowl at every mother with a baby that I see, sometimes I let myself do that too. Now I'm sure if those women were to spend a moment in my head and feel how my heart was breaking, they'd cut me some slack, but they don't know what I'm going through. And the more that I allow myself to let those feelings fester, the easier it is to become bitter. I don't want to be bitter. I pray daily for joy. I pray for joy just as much as I do for a child. Some days I need it more than others.

Today is one of those days. We had another failed IUI. Another failed IUI. Blech. I hate saying that. I guess we're starting a 3rd IUI. I received my meds today...  I'm not wholeheartedly in this cycle tho. I miss coffee and wine and feeling normal. If these cycles do anything to me, it takes away my feeling or normalcy. I feel like a lab rat and I'm living a live of restriction. I can't stand that.. And then when the cycle fails, I inevitably think "what did I do wrong? should I have eaten different things? should I not drink tea either? did I cause myself to miscarry early?"

I talked to my husband about these very things last night. He assured me that there's nothing I could have done differently and then he actually thanked me for putting myself through all the things I have. That was lovely to hear. :) I have an incredible husband. If I have anything to be thankful for through this trial, it's that infertility has brought us so close together. I can't quite put into words how grateful I am, but I'm astounded every day at how much we love each other. When other marriages are struggling under the heavy weight of infertility, ours has only been strengthened. 

Which  brings me back to my being watched. I have read many women's stories of their difficult journey and how torn apart their marriages were after enduring years of infertility. And all I can think when I see that is "if they only knew my Saviour, if they only knew what peace He could give them. If they only knew that they could ask Him for joy and He would give it to them." Then I'm reminded that I should always be a light in the darkness of this heartache. That no matter how hurt I'm feeling, God will never leave me and He has promised to give me strength. For this, I am the most grateful. Psalm 30:5b "Weeping may endure for a night, but joy comes in the morning." Thank you, Lord, for this promise. 

Thursday, thursday, thursday..

Oh what a week..  This has been a really difficult week for me. I'm in the 2WW after our second IUI (9dpiui). DH has been working at the factory in Greensboro which means he has our one vehicle and I am stuck at home. This means I have plenty of hours to obsess and google and wonder whether or not this cycle will be a positive one. My gut feeling is that it won't be. I have already started researching IVF clinics.

I have found several clinics in the area and even some that are doing clinical trials. One offers $3000 off the full price of IVF which is pretty good.  I don't know why I'm already thinking about IVF.. From what we've discussed, we'll try as many IUI's as the doctor will let us. DH's sperm count was great last time and I respond well enough to a low dosage of femara. We should be able to do several IUI's before moving on.  I just don't know how to deal with this anymore

At least last year I had my school to distract me. Now it's March and I'm finding myself just twiddling my thumbs, waiting to find out what's going to happen. I started planning our vow renewal to take place later this year, but since we started fertility treatments, it's been the last thing on my mind. I just want to be a mother so badly. I've been picturing myself being pregnant for the first time in a long time. It doesn't seem so far fetched anymore.

Well I've been praying and sleeping and trying to be healthy. I think I will try acupuncture next cycle along with another IUI. I hope this will be our last treatment, but I'm realistic. Just trying to get through this week..