I am struggling at a crossroads. Right around this time seven years ago, we started actively trying to get pregnant. Seven years. Sometimes when I think of how much time that actually is, I get a sick feeling in my stomach. Even more upsetting, we have never used any form of birth control. Derek and I have been together for 13 years and have never had a successful pregnancy. It's really staggering, actually, and the hope that I still hold on to month to month seems wasted when I think of our entire journey.
Getting my period, even after a month of trying, is easier. I remember a time when I could not think of never having a child without breaking in to tears and changing the subject. The deep yearning to be a mother is still there, but it's easier to bear. Time does heal, it does get better, but it will never be gone.
I (we) waver back on forth on what our path forward is on a weekly, even daily basis. Some days I feel like I will never give up, we will keep going until we have a biological child or we can not try any longer. Some days I think we should stop after the FET and pursue adoption. Some days I just want to give up, have our embryos donated or destroyed, and try to move on. I have fears that my time is coming too soon - my cycles are changing and are not as regular as they used to be. This scares me, but could also be a relief, maybe. Some days I think about overpopulation, and how the world is changing, and wonder why I would bring a child in to this? Then I realize I'm perhaps overthinking, being irrational and dramatic. Perhaps there's a bit of rationalization there.
I suppose this is a bit of a vent in the face of another roadblock. I went in for a PAP about a month ago. Two weeks later, I get a letter from Alberta Cervical Cancer Screening Program. My results are abnormal, though not severely so. Abnormal enough that I have to go for a colposcopy. Abnormal enough that we can't do our FET until this is all sorted out. The referral is sent and I should have my appointment date in the next couple of weeks, with a high probability that the appointment will be in June or July, maybe August. The results will go one of two ways - either they advise me to 'keep an eye on it' and continue PAP's every six months, but we can go ahead with the FET. Or they will send me for a LEEP or cone biopsy (I had a LEEP about four years ago - same situation). If I need a LEEP or cone biopsy, I need an all clear before moving forward. So, we'd be looking at about a year or so of more waiting.
There is no use getting upset at this point. I suppose I'm getting used to this, even philosophical. I have to remind myself that this isn't the Universe telling us something (there really isn't such a thing), that maybe the best things come to those who wait. But it's that ongoing struggle, the one I think about every day, every night as I'm falling asleep, every moment I'm alone. It's that struggle that makes me want to stop; it's the hope that keeps me going.
Struggles with Infertility
Being a parent is not something that everyone has as a goal in life. But once you decide that you want to be a parent, and you are unable to, your life can either unravel, or you can try to find meaning in your struggles. This blog is me trying to find meaning.
Saturday, April 12, 2014
Monday, March 24, 2014
Guest Post: What it means when you offer to be a surrogate
First of all, no major updates for us. We were offered a cycle (you call in with AF each month, and if they have room for you to cycle, they call you) but had to turn in down because the predicted transfer date is smack dab in the middle of a work trip to the U.S. So boo, but I'm ok with it.
Fairly often, especially after a blog post, I receive emails and private messages from friends and distant acquaintances offering to be a surrogate for us. Fortunately, I am now at a place emotionally where I can see that these offers are coming from a good place and overlook the infertility faux pas these women are making. Three or four years ago, if I had received these offers (which I did on occasion), I would have cut the conversation short, said no without elaboration, stewed about it, and probably would have had a few good cries over it. Why? Two simple reasons in my case: 1) We had never, at that point, brought up that surrogacy was an option for us (it most definitely wasn't for us at that time) so it was a huge assumption on the part of the offerer, and 2) For me, it was the end of the line, the last option for a biological child, and a huge reminder of how I am a failure as a woman, which was further reinforced by those willing to 'do my job'. Through this struggle and with the passage of time (which really does heal the soul), I can deal with these offers more graciously. I can understand that they are coming from the heart, and I can offer advice to those who are interested in surrogacy though it's not in the cards for us right now. But please remember this when you offer surrogacy to the next woman you meet who is struggling with IF - she might not be ready for that offer yet.
Lucky for me, I have some wonderful women in my online community to support me, one of them being a surrogate herself. She graciously offered to address some of the key questions that come up during discussions about surrogacy, and outline the process she went through to be a surrogate (all specific to Canada, but would mostly apply to the U.S. as well). A huge thank you goes out to AG for her offer to educate, her quick response to my questions, and the level-headedness and levity of her answers.
Fairly often, especially after a blog post, I receive emails and private messages from friends and distant acquaintances offering to be a surrogate for us. Fortunately, I am now at a place emotionally where I can see that these offers are coming from a good place and overlook the infertility faux pas these women are making. Three or four years ago, if I had received these offers (which I did on occasion), I would have cut the conversation short, said no without elaboration, stewed about it, and probably would have had a few good cries over it. Why? Two simple reasons in my case: 1) We had never, at that point, brought up that surrogacy was an option for us (it most definitely wasn't for us at that time) so it was a huge assumption on the part of the offerer, and 2) For me, it was the end of the line, the last option for a biological child, and a huge reminder of how I am a failure as a woman, which was further reinforced by those willing to 'do my job'. Through this struggle and with the passage of time (which really does heal the soul), I can deal with these offers more graciously. I can understand that they are coming from the heart, and I can offer advice to those who are interested in surrogacy though it's not in the cards for us right now. But please remember this when you offer surrogacy to the next woman you meet who is struggling with IF - she might not be ready for that offer yet.
Lucky for me, I have some wonderful women in my online community to support me, one of them being a surrogate herself. She graciously offered to address some of the key questions that come up during discussions about surrogacy, and outline the process she went through to be a surrogate (all specific to Canada, but would mostly apply to the U.S. as well). A huge thank you goes out to AG for her offer to educate, her quick response to my questions, and the level-headedness and levity of her answers.
Can you briefly describe the details of your surrogacy situation
I am the surrogate for one of my best friends since grade 9 and his husband. Obviously, being of a two-penis household presents with some difficulties when it comes to reproduction. At first they had discussed adoption, but then had decided that surrogacy was a better option for their family. They had mentioned trying to find a surrogate in Canada and some of the problems that it presented, and I made the offer. About a year and a half passed, and they had contacted me again to ensure that this was something I was seriously entertaining, and that my husband was also on board (essentially, they gave me an "out" so that if I wasn't sure I could revoke my offer, no hard feelings because they are understanding that this is a large commitment). My husband and I seriously discussed the impact it would have on our family (we have two young children), and decided that the positives outweighed the negatives. In fact, he deferred to the logic of Jay and Silent Bob and said "A woman's body is her own fucking business". You see why I love that man?
In your experience, what were the primary steps and how long is the process from the offer to be a surrogate to actual embryo transfer?
I received the "are you SURE sure?" email in spring of 2013, and from then things ran fairly quickly. The first step was for my family doctor to send a referral to the clinic that the fertility clinic IPs (Intended Parents) had chosen, as in Canada specialists require a physician's referral. We had decided that fall was ideal in regards to really beginning the process in earnest, as summer was busy for all of us, and I knew that monitoring could mean significant travel on a frequent basis to the clinic that was approximately 6 hours by car (or two flights) away.
Then I had to do several medical tests to ensure that physically and hormonally I would be an ideal candidate to be a surrogate- as pregnancy in and of itself is a risky endeavor, and there are some factors which can increase the risk to both the carrier and the child.
In September of 2013 we met with the clinic in our province, which is affiliated with the clinic in the United States that we were using for the transfer. They conducted more tests, and also did some testing on the intended genetic father. We met afterwards to discuss the results, and it was determined that we were ready to proceed.
After that the rush was to complete the legal legwork (the clinic, myself, and the IPs all had separate lawyers), finalize the details of our surrogacy contract, and also complete the mandatory physical and psychological screenings (for both me AND my partner). Our monitored cycle began in November 2013, and the transfer was in December 2013.
What is the legal process for surrogacy in your jurisdiction?
Legally speaking, in Canada the laws have not yet caught up with the technology, and unlike the United States, legally you can only reimburse your surrogate for expenses occurred as a result of the pregnancy- you cannot compensate them for the act of surrogacy. Also, there is the potential for a surrogate to attempt to parent the child afterwards, as it is assumed that the birth mother is the parent, regardless of genetics.
Our surrogacy agreement is almost 40 pages long, and covers every possible situation or outcome that one may encounter, including what type of testing both parties agree to, presence at the labour and delivery, and under what conditions both parties would be agreeable to the termination of the pregnancy. My husband and I had to agree to not have intercourse during the FET cycle, and also to sign an affidavit after the birth of the child to this effect. Our agreement went back and forth a few times over some details, and items that I never gave much thought to when I was pregnant with my own two children became things that necessitated more thought, as it wasn't just myself and my husband making the decision, there were two additional people who had their own concerns and preferences. Thankfully, we are all pretty reasonable people and came to agreement very quickly- however, if any parties have strong feelings in regards to termination, invasive testing, or even nutritional preferences there could easily be several problems that can arise.
What kind of medical and psychological tests did you have to undergo?
My husband and I both needed to get STD tested, despite being in a monogamous relationship for over 8 years. We also needed to get an assessment from a registered mental health worker (psychologist, psychiatrist, social worker, etc.) to ensure that we knew what surrogacy entailed, and that there were no red flags that could cause any issues down the line in regards to our mental health. She also wanted to ensure that our expectations were in line with surrogacy, and that we didn't have the expectation that we were going to be an additional set of parents.
In additional to passing the psychological testing, my husband and I had to give the clinic a fairly detailed medical history, including any mental health issues we may have had. Some of this information was shared with the IPs, which is fair considering they needed to make an informed decision as to whether they still wanted to undertake this process with us.
I had to do a complete physical and hormonal profile, along with a Sonohysterogram to ensure that my uterus did not present any abnormalities. On the month of the transfer, I had to travel to the clinic that was chosen once a week for the entire month, to do ultrasound and blood tests to ensure that no problems would present itself for the transfer. Each trip necessitated four flights (two there and two back), and took up almost an entire day. I was able to schedule these for Saturdays, however if this is not possible for your clinic you would need to take a day off work/find childcare. You may be lucky and be able to work with a clinic that is local to you; however depending on where you live this may not be possible.
Prior to the transfer and for several weeks afterwards, I had daily injections of progesterone, and twice-a-week injections of estrogen, to ensure that hormonally my body was prepared to sustain a pregnancy. The side effects of this medication included rapid weight gain (about 15lbs directly in the stomach area...put on pre-pregnancy), and, as my husband states, a case of the mega bitches. I offered to call him a waaaaahmbulance, but he declined.
Did/do you have any fears about the surrogacy process, and if so, what were they?
My main fears revolved around the fact that if the pregnancy was not successful, that I would feel some guilt, even though logically I am aware that in the overwhelming majority of cases there is nothing you can do to prevent miscarriage. Also, though the IPs are friends of ours, there is always the potential for butthurt, as pregnancy can be a psychologically difficult process for all involved. I am really thankful that we have really great IPs, who always put my needs first and are fairly flexible. However, it must also be very difficult for them, as they do not live in my city, and thus have even more limited control.
We did have a major scare at 6 weeks that involved significant bleeding and a trip to the Emergency Department- this drove home the notion that there are more complicated emotions involved when you are carrying someone else's child, as you have to then process your own feelings and be concerned for the feelings of the baby's parents, who are essentially helpless in this situation. As a result I was on some physical restrictions for the following few weeks, which included no housework, no exercising, and no lifting (as the ultrasound noted a fairly large SCH)- all as a precaution. This not only affected me, but of course our family. We were lucky that we had a contingency as part of our surrogacy agreement that covered housekeeping services and snow removal in situations such as this- but it still put a lot of strain on my husband as when I got home from work I usually spent the evening resting and he had to do the bulk of the parenting, as we have two young very mobile children.
I also find that my husband is (understandably) less involved with this pregnancy, as I know he doesn't want to build an emotional attachment when it isn't his child. It doesn't present a problem to me, as I have great support from our IPs and I have to respect his boundaries- however, if you more of a touchy-feely person who NEEDS more support at that level, it can be problematic.
How is it going so far? :-)
Everything is going very well- I am currently almost at the halfway point in pregnancy with a little boy, and the IPs are ecstatic and very grateful for our help in adding to their family. I have no regrets, however I must admit that if it was for anyone else we likely wouldn't have offered to be a surrogate and make the sacrifices that it entails.
It is also an exceedingly expensive process, that isn't necessarily accessible to many people. While we pay nothing out of pocket, all expenses occurred as a result (medical costs, legal fees, travel, maternity clothes- even a portion of our grocery bill) are covered by the IPs, which makes it a more expensive option that either adoption or ART on its own. Please, if you know someone who is struggling with infertility, do not offer to be a surrogate unless they have mentioned that they want to pursue this as an option. I know it likely comes out of a good place, and that you are looking to help, however it may not be an accessible option for them, or emotionally it may not be a good fit.
Wednesday, February 12, 2014
Pre-FET Appointment
Yesterday afternoon I snuck out of work to meet with Dr. Foong and go over the plans for our upcoming FET. She had a resident with her, which seems really common (I've had residents at two other appointments as well), and I always sort of feel bad for them. One of the last residents was male, and you could tell he was awkwardly trying to display compassion and sympathy, but was sort of uncomfortable with the whole thing. The resident yesterday was female and she didn't utter a word, just stared at me, which I could see out of the corner of my eye. AWK-ward!
So here's the DL: it'll be a totally typical FET protocol. I call in with AF and at some point in that cycle start on Suprefact nasal spray to suppress everything. I should have a bleed, and then I start taking estrogen to build my lining. After a few blood tests and ultrasounds to confirm everything looks as it should, I start the progesterone to further build up my lining. If all is good and there is a nice cushy home for the embryos, they do the transfer about five or six days after starting the progesterone.
We have two day six blasts. The fact that these two made it to blast is a good sign, however because we know I probably have egg quality issues, they may still have issues with thaw and implantation. Dr. Foong gave us an 80% to 90% thaw success rate, which is pretty good. She's recommending we transfer both (I would push for it if she didn't suggest it) and gave us a 30% chance of success.
Derek and I have discussed the option of doing Rob's Cocktail/CCRM Immune Protocol with this FET. We're still going to do a bit of research, but he's mostly on board if the risks are low. This would be something we do on our own, as the RFC does not address immune system issues with any of their programs. As well, I'm committing to at least six weeks of gluten free eating to calm everything down (which is easy because Derek is Celiac, so no gluten in the house).
It'll still be a couple of months before we're at the point of transfer, but it's coming! Hopefully by early summer we have a different future to look forward to.
So here's the DL: it'll be a totally typical FET protocol. I call in with AF and at some point in that cycle start on Suprefact nasal spray to suppress everything. I should have a bleed, and then I start taking estrogen to build my lining. After a few blood tests and ultrasounds to confirm everything looks as it should, I start the progesterone to further build up my lining. If all is good and there is a nice cushy home for the embryos, they do the transfer about five or six days after starting the progesterone.
We have two day six blasts. The fact that these two made it to blast is a good sign, however because we know I probably have egg quality issues, they may still have issues with thaw and implantation. Dr. Foong gave us an 80% to 90% thaw success rate, which is pretty good. She's recommending we transfer both (I would push for it if she didn't suggest it) and gave us a 30% chance of success.
Derek and I have discussed the option of doing Rob's Cocktail/CCRM Immune Protocol with this FET. We're still going to do a bit of research, but he's mostly on board if the risks are low. This would be something we do on our own, as the RFC does not address immune system issues with any of their programs. As well, I'm committing to at least six weeks of gluten free eating to calm everything down (which is easy because Derek is Celiac, so no gluten in the house).
It'll still be a couple of months before we're at the point of transfer, but it's coming! Hopefully by early summer we have a different future to look forward to.
Friday, January 17, 2014
Vacations, vacations, and an FET
Derek and I had an amazing Christmas and New Year in Hawai'i with my parents, and one of my sisters and BIL. I spent a relaxing three weeks there, while Derek was able to leave a week ahead of me for a full month in paradise. We brought our road bikes along so were able to spend some time riding, and I somehow continued training for my half marathon while trying to acclimate to the heat (only 30-ish Celsius, but coming from a winter wonderland makes the transition somewhat interesting and sweaty). Surprisingly (or maybe not), the excitement of running in a warm location cut almost five minutes from my 10K. Now to hold on to those gains while running on ice and snow!
I'm back to the grind, as is Derek, but only for a short while. We head to Playa Del Carmen on January 31 for a wedding (I'm in the bridal party) just before I return to run my half marathon on February 8 (brrrr - that's why they call it the Hypothermic Half!). I'm seriously considering running a full this summer, but I'm sort of scared of the commitment. Being in Kona, the Ironman Championship hub, had made both of us seriously consider training for a destination Ironman. We've both done local Olympic Triathlons, but how awesome would it be to do an Ironman in a warm destination? Warm water swim anyone?!
Of the fertility front, there are some developments. We both agreed that once I was done school (check), and after our vacations early this year (check and almost check), we would pursue our FET. We have two frozen embabies at the fertility clinic that have been shivering away for about two years . Well, I got AF about four days ago and made the call to re-open my file. I have an appointment with the RE on February 11 to review my file and figure out a game plan. This means that we *could* be looking at a February/March FET.
The Calgary Regional Fertility Clinic does not pursue treatment of immune system issues as part of their fertility treatment plans, so we're on our own (just to refresh, I'm not diagnosed with anything, just a suspicion based on my medical history). In preparation for the FET, and because Derek just recently found out he's Celiac (!!), we're both eating gluten free. I've also eliminated soy from my diet, and will be getting back on Omega 3 and Vitamin D3 this week. I'll update once we have the appointment early next month and come up with a schedule.
Fingers crossed this works - we're going to give it our all - because if not, we have some big decisions to make about our future.
I'm back to the grind, as is Derek, but only for a short while. We head to Playa Del Carmen on January 31 for a wedding (I'm in the bridal party) just before I return to run my half marathon on February 8 (brrrr - that's why they call it the Hypothermic Half!). I'm seriously considering running a full this summer, but I'm sort of scared of the commitment. Being in Kona, the Ironman Championship hub, had made both of us seriously consider training for a destination Ironman. We've both done local Olympic Triathlons, but how awesome would it be to do an Ironman in a warm destination? Warm water swim anyone?!
Of the fertility front, there are some developments. We both agreed that once I was done school (check), and after our vacations early this year (check and almost check), we would pursue our FET. We have two frozen embabies at the fertility clinic that have been shivering away for about two years . Well, I got AF about four days ago and made the call to re-open my file. I have an appointment with the RE on February 11 to review my file and figure out a game plan. This means that we *could* be looking at a February/March FET.
The Calgary Regional Fertility Clinic does not pursue treatment of immune system issues as part of their fertility treatment plans, so we're on our own (just to refresh, I'm not diagnosed with anything, just a suspicion based on my medical history). In preparation for the FET, and because Derek just recently found out he's Celiac (!!), we're both eating gluten free. I've also eliminated soy from my diet, and will be getting back on Omega 3 and Vitamin D3 this week. I'll update once we have the appointment early next month and come up with a schedule.
Fingers crossed this works - we're going to give it our all - because if not, we have some big decisions to make about our future.
Tuesday, November 19, 2013
It's time to say ohm
My final grades are in and my thesis is complete and approved. I am done grad school. It's hard to believe the end has arrived and my evenings and weekends are mine again! What have I done since I handed in my last assignment? Anything I felt like! Such a surreal feeling.
Right now I'm focusing on me and us. Work continues to be hectic and I had a really fantastic annual performance review last week that both excites and terrifies me. I've registered for a February half marathon - training starts in a couple of weeks - and have plans for a full marathon in the summer (I am so far beyond not planning these things 'just in case' I get pregnant, ya know?) I'm on my road bike twice a week training with Speed Theory all winter and we've started Bikram yoga again. It's so nice to have time to do on these activities again.
Winter is here (I'm watching the snow fall outside the living room window as I type) and I'm looking forward to Christmas in Hawaii. Derek and I agreed to take a few months of downtime after I finished school to let my body destress before we pursue our FET. Our previously agreed upon timeline is a March/April transfer, after we spend a week in Mexico for a friend's wedding (I'm a bridesmaid) in early February. However, the stress of school, work, IF, and life in general, has taken it's toll. Derek and I are back in therapy after some tough times while I was away for my residency in October. So far, so good, and we're talking about the future (a good thing), but our FET timeline might be in a bit of limbo. We need to make sure we're both in the right place before we pursue anything.
Right now it's just time to relax. Hey, maybe I'll be an urban legend with all this relaxing I'm doing! Pfft!
Right now I'm focusing on me and us. Work continues to be hectic and I had a really fantastic annual performance review last week that both excites and terrifies me. I've registered for a February half marathon - training starts in a couple of weeks - and have plans for a full marathon in the summer (I am so far beyond not planning these things 'just in case' I get pregnant, ya know?) I'm on my road bike twice a week training with Speed Theory all winter and we've started Bikram yoga again. It's so nice to have time to do on these activities again.
Winter is here (I'm watching the snow fall outside the living room window as I type) and I'm looking forward to Christmas in Hawaii. Derek and I agreed to take a few months of downtime after I finished school to let my body destress before we pursue our FET. Our previously agreed upon timeline is a March/April transfer, after we spend a week in Mexico for a friend's wedding (I'm a bridesmaid) in early February. However, the stress of school, work, IF, and life in general, has taken it's toll. Derek and I are back in therapy after some tough times while I was away for my residency in October. So far, so good, and we're talking about the future (a good thing), but our FET timeline might be in a bit of limbo. We need to make sure we're both in the right place before we pursue anything.
Right now it's just time to relax. Hey, maybe I'll be an urban legend with all this relaxing I'm doing! Pfft!
Tuesday, August 13, 2013
Long Awaited Update
It's been a few months since I've posted and I've had a few requests, so I suppose it's time for an update.
The summer is speeding by while I work on finalizing and submitting my thesis. I spent most of the first half on 2013 doing field research and data collection, and the last couple of months writing and re-writing. My draft is currently being reviewed and I'm on track for meeting my submission deadline of September 18. My third and final residency begins the last week of September and, fingers crossed, I will be done my Masters on November 1.
On top of this, work has been crazy. I have been run off my feet working 10+ hour days most of the week, but thankfully our hiring efforts are paying off and I see the light at the end of the tunnel. I was advised the other week that I'll be getting a promotion and corresponding raise early next year, so my hard work is paying off nicely. Add to that a knee injury for Derek in March and his being off work for surgeries and rehabilitation, as well as my efforts to actually do a few road races this summer (cycling), and I've hardly had time to think about TTC.
So where does that leave us? Originally we planned to do our FET last November. We postponed that to this November based on my wanting to focus on my research without distractions. That date is getting pushed out again - I need a de-stress month, then we're going to Hawaii for Christmas, a destination wedding in early February, and suddenly we're looking at March. By that time life will have calmed down and I can focus on the FET. However, if it doesn't work...?
Well, we're at a decision point, and we've been talking about our options. We've had a semi-plan to travel to Victoria and buy in to the three cycle package. VFC is willing to work and provide treatment for patients with potential immune system issues, like me, and I've had a Skype consultation with Dr. Hudson already. But my upcoming promotion as well as discussions at work and home about my prospects for overseas work is playing a part in a potential change in plans.
I can now see my life as being complete and fulfilling without children. We're both seriously considering living child free. I don't think I'm 100% there, I still have days where I feel that there is no way I can't continue to give it my all, but then there are days where I'm at peace with not having kids, and Derek feels the same. It's just so sad and unfortunate that this 'choice' isn't really a choice at this point, at it's most basic. We've been forced, through years of disappointment and grief, to make a decision. The final decision hasn't been made yet, but it's definitely under review.
The summer is speeding by while I work on finalizing and submitting my thesis. I spent most of the first half on 2013 doing field research and data collection, and the last couple of months writing and re-writing. My draft is currently being reviewed and I'm on track for meeting my submission deadline of September 18. My third and final residency begins the last week of September and, fingers crossed, I will be done my Masters on November 1.
On top of this, work has been crazy. I have been run off my feet working 10+ hour days most of the week, but thankfully our hiring efforts are paying off and I see the light at the end of the tunnel. I was advised the other week that I'll be getting a promotion and corresponding raise early next year, so my hard work is paying off nicely. Add to that a knee injury for Derek in March and his being off work for surgeries and rehabilitation, as well as my efforts to actually do a few road races this summer (cycling), and I've hardly had time to think about TTC.
So where does that leave us? Originally we planned to do our FET last November. We postponed that to this November based on my wanting to focus on my research without distractions. That date is getting pushed out again - I need a de-stress month, then we're going to Hawaii for Christmas, a destination wedding in early February, and suddenly we're looking at March. By that time life will have calmed down and I can focus on the FET. However, if it doesn't work...?
Well, we're at a decision point, and we've been talking about our options. We've had a semi-plan to travel to Victoria and buy in to the three cycle package. VFC is willing to work and provide treatment for patients with potential immune system issues, like me, and I've had a Skype consultation with Dr. Hudson already. But my upcoming promotion as well as discussions at work and home about my prospects for overseas work is playing a part in a potential change in plans.
I can now see my life as being complete and fulfilling without children. We're both seriously considering living child free. I don't think I'm 100% there, I still have days where I feel that there is no way I can't continue to give it my all, but then there are days where I'm at peace with not having kids, and Derek feels the same. It's just so sad and unfortunate that this 'choice' isn't really a choice at this point, at it's most basic. We've been forced, through years of disappointment and grief, to make a decision. The final decision hasn't been made yet, but it's definitely under review.
Wednesday, April 17, 2013
Laparoscopies and hysteroscopies and HSG's and D&C's, oh my!
On Monday at 5:30 a.m. I arrived at the Foothills hospital for exploratory slash diagnostic surgery on my reproductive bits. We started with the time consuming admissions process as soon as we arrived and I was shuttled to the waiting room outside the operating suite by 7:15. The anaesthesiologist (boo yeah, spelled that right the first time!) came for a chat about my history of being knocked the eff out (medically, not physically) and I mentioned to him that I have difficult veins. And when I say they're difficult, I mean they are jerks. They look like they're right there, but they're tricking you. They tricked this guy into poking my six times before he finally got in to a vein. Yet again, I've got that junkie look going on.
By that time I'd been walked in to the operating room and had both arms splayed out and strapped down. Dr. Foong has done the briefing and now I've been injected with something nice and relaxing and wow, look at how the ceiling tiles are moving and this is sooo...zzzzzz...
I woke up in the recovery room around 10:15 with some pretty decent pain. I remember telling the nurse that it felt like a 6 or 7 out of ten and she kept pumping me full of morphine until it was all a lovely fog. By the time I was moved to my own room, I felt much, much better, but they gave me an oxycontin anyhow. Great service and great nurses. However, when Derek picked me up at noon-ish, I was nauseous to the point of not being able to really move. From the drugs or general, I'm not sure, but that was the worst I've ever felt after a procedure, ugh. I spent the rest of the day on the couch with a bucket and went to bed early.
Because work is hellishly busy I was back to the grind the next day (yesterday). Luckily, I mostly sit at a desk, but the gas pain in my shoulders and under my diaphragm were more than uncomfortable and I was glad for the T3's. Today, the second day after the surgery, I feel better but still sore, and when I went for my follow up, Dr. Foong told me I'm a trooper because most patients are still at home on percocet's at this point.
The diagnosis? Everything is clean as a whistle. No endometriosis, no adhesions, ovaries look healthy, my remaining tube - old righty - is clear, good healing where they removed my left tube. The only somewhat significant finding, which we already sort of knew, is that my uterus is severely tilted forward. So much so that when she was doing the hysteroscopy, she said she was almost laying on the floor so she could angle the camera in to my uterus properly. This shouldn't affect fertility, it can just cause issues with passing catheters through the cervix during procedures, which we've already had lots of experience with.
Since we're not really doing anything medically until November-ish, we're doing the 'not trying, not preventing' thing until then. She agreed to write me a prescription for DHEA - it's a prescription in Canada and the clinic has to have it specially made because it's not available here - and also has me on CoQ10. There is some evidence that both of these promote healthy development of eggs in certain types of people (FYI, don't take this without talking to your RE if you have PCOS), and it's sort of a can't hurt, might help thing for now. I have three month's worth, so we'll see what happens.
Otherwise, all squared away for the rest of the year. We're coming due for another 'natural' pregnancy, which seems to happen once a year, so we're on the immediate attention list at the fertility clinic, as I'm at high risk for ectopics. We're still holding out hope for a successful natural pregnancy, as many IFers do deep in their hearts, but at least we can still look forward to the FET this fall.
By that time I'd been walked in to the operating room and had both arms splayed out and strapped down. Dr. Foong has done the briefing and now I've been injected with something nice and relaxing and wow, look at how the ceiling tiles are moving and this is sooo...zzzzzz...
I woke up in the recovery room around 10:15 with some pretty decent pain. I remember telling the nurse that it felt like a 6 or 7 out of ten and she kept pumping me full of morphine until it was all a lovely fog. By the time I was moved to my own room, I felt much, much better, but they gave me an oxycontin anyhow. Great service and great nurses. However, when Derek picked me up at noon-ish, I was nauseous to the point of not being able to really move. From the drugs or general, I'm not sure, but that was the worst I've ever felt after a procedure, ugh. I spent the rest of the day on the couch with a bucket and went to bed early.
Because work is hellishly busy I was back to the grind the next day (yesterday). Luckily, I mostly sit at a desk, but the gas pain in my shoulders and under my diaphragm were more than uncomfortable and I was glad for the T3's. Today, the second day after the surgery, I feel better but still sore, and when I went for my follow up, Dr. Foong told me I'm a trooper because most patients are still at home on percocet's at this point.
The diagnosis? Everything is clean as a whistle. No endometriosis, no adhesions, ovaries look healthy, my remaining tube - old righty - is clear, good healing where they removed my left tube. The only somewhat significant finding, which we already sort of knew, is that my uterus is severely tilted forward. So much so that when she was doing the hysteroscopy, she said she was almost laying on the floor so she could angle the camera in to my uterus properly. This shouldn't affect fertility, it can just cause issues with passing catheters through the cervix during procedures, which we've already had lots of experience with.
Since we're not really doing anything medically until November-ish, we're doing the 'not trying, not preventing' thing until then. She agreed to write me a prescription for DHEA - it's a prescription in Canada and the clinic has to have it specially made because it's not available here - and also has me on CoQ10. There is some evidence that both of these promote healthy development of eggs in certain types of people (FYI, don't take this without talking to your RE if you have PCOS), and it's sort of a can't hurt, might help thing for now. I have three month's worth, so we'll see what happens.
Otherwise, all squared away for the rest of the year. We're coming due for another 'natural' pregnancy, which seems to happen once a year, so we're on the immediate attention list at the fertility clinic, as I'm at high risk for ectopics. We're still holding out hope for a successful natural pregnancy, as many IFers do deep in their hearts, but at least we can still look forward to the FET this fall.
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