Reflecting on 2014, Family-building, and Possibilities

With the new year on the horizon, I've been in a little bit of a panic. I am no stranger to anxiety and panic attacks, and while this hasn't risen anywhere near to the level of panic attack (with work over the years, those appear to have mostly been dealt with), the anxiety is nevertheless present. I just cannot believe 2014 is over! Where did it go? I've been feeling like I must not have done anything with it because it barely seems to have existed! 2013 was by far one of the worst years of my life - I lost a baby and my dad, among others. I remember being at the end of 2013 and thanking God for both the blessings 2013 had brought (my sweet, silly kitty, for one), and that it was OVER. But this new year's eve, I feel so desperate for MORE of 2014! 

Then someone reminded me of some of the great pictures I'd posted through the year, and I decided to go back through them and make a collage for myself of a handful of amazing moments and memories from the year. I am SO glad I did!

Of course this year wasn't perfect. I lost a grandfather. And amazing experiences don't just fall into your lap (98% of the time). You have to work for them, persist, and be ready for the unexpected. That's exactly what I did. At the beginning of the year, I had several goals: Become a life coach by taking and finishing the UC Davis program (done), incorporate my business (done), become a public speaker (not yet), finish a first draft of my first novel (not yet), put our house on the market so we can by our dream home (done), pick an adoption agency (done), finish our adoption agency application (not yet), plan and take a 3-4 week trip overseas (done), visit my husband's side of the family (done), work on a few close friendships (ongoing), and lose 15 more pounds or 1 more clothing size (LOL).

You can see that some goals were met while others weren't. To be fair, though, it was a bit ambitious. Probably unrealistic. But OMG, what an amazing year it led to! I made incredible friends in my coaching class, and got to see things out in the world that so overwhelmed me, I was overcome with tears of joy while in their presence. No wonder I want MORE of 2014!

On the one hand, my list, as a set of goals, was unrealistic and overwhelming. People ask me why I haven't made more progress on the adoption paperwork - why I seem to be putting it off. Some of it might be that I'm procrastinating from a fear of failure, but honestly, it's because when it comes to building my family, well, I have more control over the outcome of other things. Admittedly, we need a better support community for us to move forward through the adoption process, so that's something I'll be looking for in 2015.

But if, instead of viewing my overwhelming, unrealistic list as one of goals, we view it as a list of possibilities, then WOWZERS! Anything can happen!

People are different, and while some do well with goals, some of us, including myself, thrive under a looser construct. We need space for creativity and bounce back faster from the unexpected when we aren't constricted by what we see as boundaries and rules that our Gremlins tell us we should be following and make us feel bad if we don't.

My resolution for 2015 is this: Instead of goals, I will have possibilities. Because that's really what they are anyway.

Are you more motivated by goals or possibilities? How did you do with them last year? How do you think this applies to building your family or coping with infertility?

Wave of Light 2014

I am the mother of 4 children who will never have a birthday.

Every year on this day, people like me who have experienced pregnancy or infant loss, and others who support us, light candles in acknowledgement of our losses and to help spread awareness. I learned of this and began my participation after my first two miscarriages, in 2010. That was the year I discovered an amazing community of bloggers and tweeps who shared my struggles. I hope if you have this in common with us and haven't reached out, that you will. We are here for you. 

Here is my Wave of Light for 2014. This year is a little different - we have an overly curious kitten, so no open flame this year.  Nevertheless, here's to my babies in heaven, Athanasios, Barbara, Cecilia, and Diomedes. My prayers are always with you, and I hope you're surrounded by the love of your grandpas, too.

Seven

There are so many things I could write about right now, and I plan on addressing them, one by one, in the near future. Some of you know what we went through earlier this year. Some of you don't. It suffices to say, I have come out the other side feeling changed, awakened. For the first time in my life, I feel as clay must feel, soft and pliable, ready to be shaped by a master potter into something miraculous.

Master Potter Spins His Wheel, from Nagarjun

I have experienced much loss in my life. The death of loved ones, born or unborn, and other, less critical losses that still manage to carry a certain amount of trauma. But never have I had so many losses occur in such a short amount of time. I read somewhere that the average person experiences a serious loss once every three or so years. From the end of last year, into the beginning of this one, in about seven weeks, we had seven tragic and scary events: Two deaths of loved ones, a miscarriage, an attempted burglary, an out-of-town hospitalization, a loved one’s cancer diagnosis, and a complicated situation of being trapped while pregnant. 

Many people recognize some of these as losses. But others are not as obvious. So, as I tell you about them, I intend to include some analysis of my own grief. I'm sure this process will leave me feeling vulnerable. I can only hope to continue to receive the same compassion you have shown me in the past.

Pregnancy & Infant Loss Awareness

This is Pregnancy and Infant Loss Awareness Month, and today was Pregnancy and Infant Loss Awareness Day. To commemorate our lost babies, many in the community participate in the Wave of Light, lighting candles at 7 PM in our own time zones. Here is mine:

 

I am the mother of three lost babies, Athanasios, Barbara, and Cecilia. So I light three candles, one for each. They are on our household altar, an Orthodox Christian tradition. Here's another picture so you can see the Icons a little better:



We have an Icon for the patron saint of each of our babies. the largest one, in the center, is Saint Barbara. The smaller one to the left is Saint Athanasios, and the tiny one to the right is Saint Cecilia. There is also a glass Icon of Jesus, and part of our Icon of King David in this photo (David is the Wacky Wicketeer's patron saint.) We have others on our household altar and in our home, but these are the ones the help us grieve our babies. Each saint has a name/feast day, and it's on these days that we memorialize that lost child and all that happened or didn't happen centering on their part in our lives. In this way, we can remember them and pray for them once a year, without obssessing over the exact dates of events.

My first two losses, Athanasios and Barbara, were "missed miscarriages". This means that fetal death was diagnosed while they were still in the womb. I then waited for my body to push them out. Athanasios took a week. Barbara took two and a half weeks. When people ask what date I had the miscarriage, or I have to fill it out on a form, this always befuddles me. What date do I pick? The date when I had that eight-week ultrasound done and the heartbeat that had been there two weeks before was gone? Or the date I went into my mini-labor? Or the date I passed the fetal tissue? Having one day each year to grieve these events, and the term milestones and due date that were never reached, and the day of my BFP, helps me cope. It helps to keep my life focused on living.

I want to note here that in our theology, humans do not become Angels. Angels are another type of being entirely. So, though I may occasionally use the term to describe my babies in Heaven, I use it loosely, not under the belief that they are actually Angels. The more accurate term to me is "Lost Babies". I prefer to be called a "Baby loss mother" or "Mommy of a lost baby" than "Mommy of an angel". But, for my loss to be acknowledged at all is both an honor and a rarity, so I really don't mind the use of the term angel in doing so.

Thanks for reading this post. And to those that go so far as to acknowledge my losses, a big thank you for your compassion and respect. One in four women of childbearing age experience pregnancy or infant loss, yet it is still a taboo subject. This means many parents are left to grieve alone. I hope you'll help me change that.

PCOS

Photo of Pearls from Wikimedia Commons

September was PCOS awareness month, and suddenly it's over and I realize I didn't do an official post for it on this blog!  I did address my PCOS in my last post, so if you want to know more about it, you can read it here. I also addressed it further in a guest post for the Resolve New England blog. I'm rather proud of that post, and would love for you to go read it at http://www.resolvenewengland.org/2012/09/pcos-from-not-me-to-thats-me/.

Something that a lot of people don't think about is that PCOS, or Polycystic Ovarian Syndrome, covers a huge range of experiences and symptoms. It's even in the name. The term "syndrome" references the fact that it is a spectrum disorder. In some women, PCOS causes ultra-long or non-existent menstrual cycles, but not all. For some it's a cause of infertility, but not for all.  For some, it causes miscarriages, but again, not all. Some women, but not all, have related weight difficulties, and some struggle with facial hair and/or acne. But it's a little different for almost everyone.

The most important piece of information to take from this though, is that PCOS is very common. It's considered the most common cause of infertility, and it is estimated that between 5 and 10 percent of women of reproductive age are affected by it. You can learn more about it here.

Wave of Light: Pregnancy & Infant Loss Awareness Day

Saturday, October 15 was/is Pregnancy and Infant Loss Awareness Day. To honor those babies gone too soon, many of us participated in a "wave of light" by lighting candles at 7 pm in our time zone.

To mourn and honor the three babies we've lost, the Wacky Wicketeer and I named each one after a Saint, in the Greek Orthodox tradition of naming babies. Also in the Orthodox Christian tradition, we have icons of Saints in our home, mostly in an area set up specifically for prayer. The patron Saints of our angel babies are Athanasios, Barbara, and Cecilia. So far we have icons for Athanasios and Barbara, but have yet to find one for Cecilia. On their Name Days, we light a candle and say a prayer for their souls and ours. So we thought it appropriate that on this community-wide day of remembrance, we light three candles and say prayers for all affected by pregnancy or infant loss. (If you look closely at the photo, you'll see the icons of Saints Athanasios and Barbara on the left.)

Our wave of light.

So how do I feel about these losses? I still struggle on occasion to understand why. I struggle with dreams of who my babies may have become. But then I remind myself that the why doesn't matter, and that my babies are with God. This allows me to see His light in every baby--to see just how precious each one is. I can see Him shining through in their little faces, and feel connected to all my babies, past, present, and future.

Five Snowflakes

The thing about IVF is that it's relatively unpredictable. Most people who haven't been through it don't realize the combination of steps and gambles, twists and turns, along the way. We just had one of these happen to us. Fortunately, it may be a blessing in disguise.

First of all, I've mentioned before that I was overstimmed during my first IVF, which was likely the cause of my low egg maturity rate, and that my stim dosages were decreased this time, in an attempt to avoid overstimulation. Well, it seems to have worked! IVF #1: 21 sizeable follicles, 19 eggs retrieved, 8 mature, 5 embryos after fertilization with ICSI. IVF #2: 9 sizeable follicles, 11 eggs retrieved, 7 mature, 5 embryos after fertilization with ICSI. So you can see that the success rate at each step has been higher.

Today was the third day after egg retrieval (which by the way, was curiously more painful this time). We learned from the Embryologist that all 5 embryos are still growing, although one is slacking. A healthy embryo should be 6 or more cells by this point. Today we had a 9-cell, two 8-cells, a 7-cell, and a 5-cell. If my memory is correct, with IVF #1, we had an 8 cell, three 6-cells and a 5-cell. So the theme of higher success rates at each step of IVF #2 is continuing!

This IVF cycle has been more complicated because we want to do preimplantation genetic screening (PGS) at the day 5 stage, instead of day 3 like last time. In IVF #1, we had a single-cell biopsy done of our embryos at day 3, to test them for a severe chromosomal abnormality, and hopefully prevent another miscarriage. The results came back on day 5, and we had one competent embryo. Two tested as incompetent, and two were inconclusive. Unfortunately, the two that were inconclusive had already ceased growing on their own, or we would have given them a try.

A day 5 biopsy collects more than one cell for testing, and it takes longer to get the results. But it's also more accurate. However, it does require freezing. So our first plan for IVF #2 was to do a freeze-all cycle. But then, considering that we could easily end up with only 1 or 2 embryos to test at day 5, and that the 5-day growth process culls some of the genetically incompetent embryos anyway, we decided to have a back-up plan of preparing for an embryo transfer. In the case that we ended up with only 1 or 2 embryos at day 5, doing PGS seemed pretty pointless. But the result has been that I have had to prepare for both circumstances - a freeze-all, and a day 5 transfer. Having to explain this over and over again to confused nurses was no picnic.

Today, when the Embryologist called with our day 3 results, I was so relieved when she said we still have all five. If we had already been down to 1 or 2 poor-grade embryos, we would have gone in for a transfer today, and I am still in pain from my egg retrieval on Thursday, so I really don't feel ready to get pregnant. I was already getting worried about the very realistic possibility I would need to do a transfer on Tuesday, wondering if I would still be in pain. But, she also had some surprising news.

The Embryologist told me that they always grow a batch of mouse embryos to test the culture medium and lab environment, and that all her mouse embryos had just died. She needed to pull all embryos out of culture. In other words, they all had to be either transferred or frozen. So we froze all five of our embryos. The more accurate term would be "cryogenically preserved", but "froze" is easier to type.

Of course, the idea of something being seriously wrong in my embabies' first nursery concerns me, but I couldn't be happier with the Embryologist's response time, and her focus on saving them. The amazing part is this feels like a blessing. My body does not feel ready to become pregnant right now. This will give me a few weeks to feel completely healthy again.

So when will we get PUPO (pregnant until proven otherwise-describing my state after an embryo is transferred)? Probably anywhere from late September to late October. Vague enough for you? I'll write more about what that part will entail in a later post. For now, we have five snowflake babies resting peacefully. Please pray for them and for us!

As always, please feel free to ask any questions. This often seems like science-fiction to me, but at this point I've probably become so familiar with it, I brush over some points that need explained. No question is too simple.

Friday Freakout: Bad Clinic Behavior

I don’t understand why IVF clinics aren’t more sensitive to what their patients are going through. I don’t understand why they aren’t more careful to ensure they don’t stress us out more than we already are, and why they don’t make the effort to provide us with more information and greater transparency, so that we can have some sense of trust and control in a situation where we are vulnerable and powerless.

Photo by takomabibelot

The Wacky Wicketeer and I have been patients at three clinics in Northern California. Here are some of the stressful mistakes we have encountered:
·        Failed to diagnose me properly
·        Failed to inform us of miscarriage risks to IUI due to our diagnosis
·        Miscalculated dates on IUI protocol calendar
·        Made us wait over an hour in the waiting room, making our appointment over an hour late (multiple occasions, and multiple clinics)
·        Miscalculated prescription quantity
·        Mishandled post-miscarriage fetal tissue
·        Improperly tested post-miscarriage fetal tissue
·        Lied about limitations of genetic testing of post-miscarriage fetal tissue
·        Failed to return phone calls (multiple occasions, and multiple clinics)
·        Failed to respond to emails (multiple occasions, and multiple clinics)
·        Talked to me like I was an idiot for asking about the safety of progesterone suppositories during pregnancy, after I had already miscarried once while on them
·        Delayed submitting my prescriptions to the specialty mail-order pharmacy until the last minute (I only received them 18 hours before I had to use them because I spent two days on the phone yelling and pleading with people)
·        Failed to timely submit an insurance claim
·        Minimized & failed to warn me about potential recovery time after egg retrieval
·        Delayed my cycle start date by a week for a non-medical reason after we had already rescheduled work, work travel, and numerous other activities
·        Tried to delay my cycle start date by a week for a non-medical reason a SECOND TIME, after we had already re-rescheduled everything around the first change
·        Delayed giving me dates for an injection class until a week before, such that I couldn’t go because I already had bought plane tickets, conference passes, and made reservations for an out-of-town conference
·        Failed to give me a pre-emptive pain med prescription for the most painful experience of my life
·        Failed to provide thorough information on costs and insurance coverage for IVF
·        Failed to provide an information packet of any sort on how that clinic does IVF
·        Lack of transparency as to staffing changes that may be occurring during a cycle

I have received apologies--from a newly-hired nurse for rescheduling, and from a doctor for my painful experience. I still see that nurse and doctor. Nothing else on this list has been corrected or apologized for. For a service that we gamble tens of thousands of dollars on, and that requires us to substantially rearrange our lives for a painful, mere attempt, at having children, the very beneficiaries of our struggle, the fertility clinics, should be more conscientious of how their mistakes and behavior affect us.

The larger, immediate problem when these sorts of mistakes occur is that it strikes at the heart of an in-progress IVF cycle (or other treatment). It makes us doubt the very people that are supposed to be important members of our team. For me, the single thing that most influences my anxiety level during an IVF cycle is my faith and trust in my fertility team. That includes my clinic staff, nurses, embryologists, doctors, phlebotomists, pharmacists and geneticists, as well as my husband. While other people can be supportive and helpful during an IVF cycle, if they aren’t, I can block them out while in-cycle. I can’t block out this group. I need them, and I need them to be reliable and trustworthy.

I know we’re not the only ones, so what clinic mistakes and issues have added to your infertility stress?

How we got to IVF & Current Status

Last year, after going through two miscarriages at about 8 weeks, I had a bazillion tests done to see what could be wrong. We found nothing. No uterine factors, no immunology issues, no clotting factors, no infection. The Wacky Wicketeer and I were both karyotyped after the first miscarriage, which showed that we, ourselves, had no major chromosome defect that might be contributing to the loss. My general practitioner did find that I had a severe vitamin D deficiency. However, my Reproductive Endocrinologists (REs) would not attribute my losses to this factor. (Despite the fact that there are recent studies coming out showing a possible relationship between uterine lining and vitamin D.) Go here for more information on causes of Recurrent Pregnancy Loss (RPL): http://www.asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/recurrent_preg_loss.pdf)

We were very disappointed in the attention and lack of customer service we were receiving at our first clinic. So, we went to a new one last fall.

Our new RE, Dr. "Analytical", diagnosed me with a mild form of Polycystic Ovarian Syndrome (PCOS). You can learn more about PCOS here: http://haveababy.com/infertility-education/causes-of-infertility/pcos.html. PCOS is a syndrome, thus it occurs on a spectrum. At my end of the spectrum, I still ovulate regularly, but my eggs are immature and/or poor quality.

Dr. Analytical has a theory that, between poor-quality eggs caused by PCOS, and abnormal sperm, as exemplified by the Wacky Wicketeer's abnormal sperm morphology, we end up with a non-viable embryo on the rare occasions that sperm actually fertilizes egg. This then results in a pregnancy loss.

Dr. Analytical has explained to us that our best chance at having a biological child is through In Vitro Fertilization (IVF) with Intra-cytoplasmic Sperm Injection (ICSI) and genetic screening. In this way, we are the most likely to become pregnant with a viable embryo.

So, here we are. We decided to do IVF with ICSI and genetic screening, and are now in the midst of treatment. It is a trying process, and we are attempting to approach it with grace, with respect for our marriage, and with love for the embryos conceived in the process. I'll explain more of the details in another post, but for now, know that we have five, maybe six, embryos in their first home at the clinic, each fighting to grow. Please send them, and us, your prayers, hope, love, luck, and well-wishes. Thanks in advance, and lots of babydust to those looking for it!

Oh, Dear, It's Been Awhile!

Somehow, two and a half months have passed without a post! I think I am struggling against a mental block, wanting to finish my description of everything I've been through in the last couple of years, but at the same time, not wanting to think about it too much.

Right now, I can say that I was depressed last year. Pretty much the whole year, with only a couple days where things seemed bright and the fog briefly parted. I think those closest to me could see the evidence of it: My lack of productivity, my more frequently messy house, my need for escapism.

The new year has brought with it a new attitude for me. I think it provided a mechanism by which I could divide the sadness and horrors of the last year from the bright future I hope for. I knew I had successfuly moved out of my depression when, on January 11, I suddenly realized that I had passed the anniversary of my physical loss of my first baby five days prior, and had completely missed it. These anniversaries are normally days of deep reflection and sadness for me. But here, I had passed right by it!

For me, that was a sign. I will never forget what it was like to be joyfully pregnant with those two babies, as brief as my time of joy was. The Wacky Wicketeer and I will memorialize them in our own way every year on their Greek Saints' name days. But, I am no longer in mourning. I am optimistic, and happy. I have Hope again.

Bittersweet Memories



Image: Darren Robertson / FreeDigitalPhotos.net


A little over a year ago, I became pregnant for the first time. That was after over two years of trying, and our second attempt at IUI (intra-uterine insemination). That pregnancy was one of the happiest times in my life. Life was full of promise, and in naivete I found bliss.

It's funny how our senses absorb simple, virtually unrelated information - sounds, smells, tastes - and imbue them with emotion to be perpetually associated together. When I was pregnant that first time, I was using this anise-flavored toothpaste. I'm not particularly fond of anise. In fact, I much prefer peppermint. But it was supposed to be better for me, so there I was with my anise toothpaste. After I lost the baby, I switched back to peppermint.

For some reason, the other night I found myself using anise toothpaste again. As soon as I tasted it, I felt an overwhelming sense of happiness. It warmed me and filled me. I quickly realized why - the taste was transporting me back to that naive and joyous time - and the tears flowed.

It is another, bittersweet reminder that, as this holiday season approaches that I thought would be my first with a baby in my arms, instead of my Athanasios or Barbara, I have anise toothpaste.

Check it out: Info from "The Disappearing Male"

Most of you know that so far, our fertility diagnosis is one of male factor infertility. Specifically, the Wacky Wicketeer has abnormal sperm morphology, or too low a number of properly-shaped sperm, and sometimes borderline sperm motility. This male factor infertility issue is becoming more and more common, and for us, is likely one of the factors involved in our two pregnancy losses.

When the Wacky Wicketeer and I discovered our infertile status, it was estimated that one in ten couples of child-bearing age in the U.S. was infertile. That number has already gone up to one in eight. Moreover, reproductive and other problems in boys are on an alarming increase.

A little less than two years ago, and replayed earlier this year, CBC, a respected Canadian television network, did a documentary as part of its Doc Zone series, called "The Disappearing Male". Unfortunately, the website only allows those in Canada to view it online, here: http://www.cbc.ca/video/#/Shows/Doc_Zone/ID=1233750780

But even if you can't watch the video, you can find some of the alarming facts on their fact sheet on male infertility, such as: "The average sperm count of a North American college student today is less than half of what it was 50 years ago." They also include some great explanations as to just how and why this appears to be happening, in their document, "Backgrounder: Endocrine 101".

While the current state of information in this arena is fluctuating and largely theoretical, the statistics are staggering, and the anecdotes are heartbreaking. The Wacky Wicketeer and I have taken the approach that, if there is something we can do about it in our lives, then we might as well do it. Some examples of the steps we have taken include: Getting rid of all our kitchen plastics other than numbers 1, 2, 4 and 5; Not using any plastics in the microwave; Getting a new couch; Dusting and vaccuming more frequently; Decreasing products we use with phthalates and parabens, opting for goods that use other, known and recognizable ingredients.

I hope you'll take a minute to look at the CBC info, and consider what you can do to make a difference for the children and future children in your life.

A Due Date: Our Story of Blessing and Loss, part 1

Today is the day my first baby, Athanasios, was due. If I had the healthy, normal pregnancy that we expected, I would have been giving birth to my first child this week.
This is a difficult day, and week, for me. Nevertheless, I’m glad it has finally come to pass. It feels cathartic, like now it’s time to turn a new page in our story. So, I’ve decided to take this opportunity to go back and share the details of our infertility and miscarriage journey thus far.

Since the last time I posted specifically about our TTC attempts and our IUI protocol, etc., was almost a year ago, I thought I would briefly review the protocol that I started to describe there, and then get on telling you about the rest of the journey. If you need reminders about what certain procedures, medications, etc. are, head back to the August 20, 2009 post. And if you need to get caught up on the whole history of our TTC journey, read the July 30, 2009 post.

Last August we started a medicated IUI cycle that included me taking Clomid on CDs 3-7. Side effects that I had from it included hot flashes, bloating, headaches, and blind spots (like stars you see when you get a concussion or a migraine). I have heard from other gals that mood swings are also very common, and the doctor warned me that the Clomid could thin out the uterine lining and decrease cervical mucus (which is an important fluid present around ovulation (“O”) that helps the sperm swim through the cervix and into the uterus).

Because of the last couple of side effects from Clomid, the next drug was Estrogen, or Estradiol, which I took on CDs 8-12. The bloating continued, but the other side effects subsided. Starting on CD 11, I had to use an ovulation predictor kit (“OPK”) first thing in the morning, and as soon as we had a positive result, call the clinic and go in for an intra-vaginal ultrasound (“IVUS”) to see how big my mature follicles were and how thick my uterine lining was, and from that, predict how close I was to O. We also had to abstain starting on CD 9 until the insemination, so that my dear husband (AKA “the Wacky Wicketeer”) could build up a good store of soldiers before making his deposit! They start you on CD 9 in case you have to get the IUI on CD 12, so that you have three days of storage, but I didn’t O until CD 14 (as usual), so it was a long time, I tell ya! And mind you, those days are your most fertile, so for the previous two years, that had been prime baby-dancing time! What a switch…

On CD 13, I had a positive OPK, and we went in for my IVUS. I had two good, mature follicles and a nice uterine lining, so then I was injected with a form of HCG, AKA, the pregnancy hormone. This injection is commonly called a trigger shot, because it is supposed to trigger O. It also means that for a period of time, you could get a false positive on a home pregnancy test (“HPT”), because you had the very hormone it tests for injected into your system. The Doc then told us that the Wacky Wicketeer would need to be back early in the morning and make his deposit, and two hours later would be my second round with the IVUS, to make sure everything still looked good and see if I had O’d yet or not, and then an IUI.

Late that night was one of the most painful I’d had up to that point. My ovaries felt like they were going to explode! Sure enough, when I returned the next morning, I had already O’d. So, we had just the one shot at IUI.

After the Wacky Wicketeer made his deposit, they took the soldiers, “washed” them, to get rid of dead and useless ones, and then gave them a special vitamin solution to swim around in on their voyage.

Now, my turn. The tiny room we were in already contained me, the Wacky Wicketeer, the RE (doctor), and the nurse. As I’m laying there with my feet in the stirrups, all pride gone, into this sardine can walks two more people - a lab tech, with an assistant in tow. The lab tech is carrying what we’ve all been waiting for – the troops have arrived! In her hand is what looks to me like a two-foot long straw. It was labeled, and she very formally read our names from the label, and we said, yep, that’s us! The RE then took the straw from her, and the lab tech and her assistant left. Whew. A little more breathing room. That’s when the RE, having already used the speculum on me like a regular gynecological pelvic exam, inserts a catheter connected to the straw through the vaginal canal, past the cervix, up into the uterus, and aims as close to the fallopian tubes as he can get, so those little soldiers have a shorter swim. It wasn’t real painful, just a little weird, and I had a little cramping start when it passed my cervix, sort of like mild menstrual cramps. It took a couple of minutes (seemed like an eternity to me!), and when the RE was done, he set an egg timer for 10 minutes, and said I could get up, dressed, and go when the timer went off. Oh, and that we should boink like bunnies that night to add to our chances!

Not that night, but the following night, I started taking a prescribed compound vaginal suppository nightly. It was a compound that was primarily intended to deliver progesterone, to support a possible early pregnancy, and make sure I didn’t start menstruating earlier than I should. The suppositories are messy, so you take it right before you go to bed. I was instructed to take it until either my period came, or I had a blood test that showed I was negative for pregnancy, at least sixteen days post-IUI.

Normally, good ol’ “Aunt Flo” (or “AF”, as the TTC community so quaintly refers to a woman’s period) arrives on CD 26 or 27 for me, not 29 like for the “average” woman. This would have been only twelve days post-IUI for me, but the progesterone prevented my period from starting normally, so I took a HPT. OK, I took several HPTs. They were all that dreaded BFN (big fat negative)! But, just in case, hope beyond hopes, I had to continue waiting another four days, then went in for the blood “beta” test. (I have no idea why they call it a beta test.) Of course, it was negative.

So, our first IUI was a failure. It was also very stressful. Not having gone through the process before, and, at the time, not understanding everything I was supposed to do, or why I was supposed to do it, but being the sole person responsible for making sure that everything happened at just the right time – whew! Add the hormones to that mix, and you can imagine. And everything else in life doesn’t just go on hold because you’re going through this, either.

The toughest point for me was getting the negative home tests, because I knew at that point, that it hadn’t worked. After the blood test confirming that we were NOT pregnant, I stopped the progesterone, and AF showed up three days later. My first instinct was to give up. But my determined Wacky Wicketeer would have none of it. Ultimately, it was an easy decision to take a month off before we would try IUI again.

Come back soon for my next post, which will pick up with our second IUI cycle – when we were blessed with our first pregnancy, and lost our first Angel baby, Athanasios.

Wordless Wednesday: So Many Thoughts

Photo by Mary at Flickr's Creative Commons.

A Baby Dream

Over the course of this TTC, infertility, and miscarriage roller coaster, I have had many dreams regarding being pregnant, miscarriages, etc. But last night I had the most vivid dream actually about my baby. I have tried to decide whether it was about one of the two babies I have lost, or about a baby I will have or hope to have in the future, and I've decided that it doesn't matter.

It was a little girl. We had just arrived home from the hospital, and although I knew she was supposed to be strapped into her car seat in the back, in the way that dreams work, I was suddenly holding her in the front seat. I held her in my arms and kissed her on her fuzzy head and her cool, pink cheeks, and she smelled so good it made me cry. When I kissed her cheeks, I could feel her tiny eyelashes on my nose.

Then I realized that I had yet to feed her, and started freaking out a little because I knew she should have been fed much earlier! On top of it, I had never had the nurse instruct me on how to breastfeed! But I was so worried about the fact that she hadn't fed yet, I decided I had to do it right there in the front seat of the car, parked in my garage. And I did. And it worked perfectly. No instruction needed. And she was so beautiful, with her little suckling noises, and her soft little head. I cried again.

I started to wake up, and for the first time in years, I didn't want to. I wanted to stay in that dream more than anything. But I couldn't. I woke up.

Wordless Wednesday: A series of delicate beauties

Coping with stress, infertility, and miscarriage - Finding peace in a poem

Someone on twitter earlier today happened to quote from my all-time favorite poem, and it inspired me to post about said poem.

It's "Desiderata", by Max Ehrmann. Desiderata is latin for "things desired". Ultimately, this poem is about finding peace for your own spirit. In the up and down world of infertility, I think much of what it says is right on point. You can read the entire poem by clicking here, and I highly suggest that you do. Hopefully, it will help you find some peace, too.

For my purposes here, I'm going to discuss what some lines from Desiderata mean to me.

"Go placidly amid the noise and haste,...
As far as possible without surrender
be on good terms with all persons."

So often we allow ourselves to be wound up so tight as the day wears on, or the week, or the month, that we become louder, more aggressive, harder on ourselves and others, impatient, rude, and give oursleves headaches, backaches, ulcers and high blood pressure. If we can just stop and breath deeply, slow down a little, and give ourselves a little room to breathe, we will be happier and kinder people, making our own lives and the world around us a more peaceful place, and even inspiring others.

"Speak your truth quietly and clearly;
and listen to others,
even the dull and the ignorant;
they too have their story."

My experience in law, politics, speech and debate, has taught me that the louder you speak, eventually the less people listen. But the quieter you are, the more likely you are to gain a captive audience. Moreover, we all have stories. We all have lives with good times and bad times. If you judge someone without learning their story, you are not only doing them a disservice, but you're missing out on gaining insight into the human experience. No matter how boring or stupid someone might seem, their story likely has something you can learn from it, and they deserve your compassion as much as you deserve theirs.

"...If you compare yourself with others,
you may become vain and bitter;
for always there will be greater and lesser persons than yourself."

This really is a key to happiness that I have struggled with over the years. But those rare moments when I get it are so incredibly freeing. You have to define your own success, not base it on others, if you ever want to be truly happy.

"Enjoy your achievements as well as your plans."

This is really about appreciating our past and living in the present, not always the future. Especially with infertility, it is so easy to get wrapped up in our plans, our protocols, our hopes and dreams, and especially our worries for what the future might not bring. But in doing this we can miss out on the joys we already have in our lives or could experience along the way. It's the same as what happens to a workaholic who wakes up one Saturday morning and starts getting ready to go to the office, then suddenly realizes that 20 years have passed, children are suddenly grown, the man who was once the love of her life has left, her parents have died, and the only friends she has are those at the office, and she thinks of all that she has missed out on. All because she had tunnel vision with only one future goal in sight. The presbyopic pursuit of a single goal can cause us to miss out on what joy our lives already have to offer. Don't let this happen to you.

It's also about allowing ourselves to fully experience the highs as well as the lows. My miscarriage, the loss of my baby, was an incredible low. But for a short while, I was pregnant! There was a life, a light, inside of me, and oh, what a joy that was! If I hadn't allowed myself to fully experience that joy, I couldn't have made it through the grief. And so that is how I intend to live every moment possible, including future pregnancies. I will allow myself to experience the joy of being a mom, without fear or apprehension. It's the only thing that makes grief bearable. If you are destined to grieve, you can do it when the time comes. Don't rob yourself of the joy you can experience now.

"...the world is full of trickery.
But let this not blind you to what virtue there is;
many persons strive for high ideals;
and everywhere life is full of heroism..."

I like to think of this as: Expect the best and you'll receive the best. Expect the best from people and they will, more often than not, deliver. The VAST majority of people want to be good, want to do good, want to be happy, and want others to be happy. It's why we all cringe when we're watching someone forget their lines in a speech or a play. It's a built-in compassion. This is the foundation for heroism. Give people a chance to be heroes. And then give them a second chance - because none of us is perfect.

"...Nurture strength of spirit to shield you in sudden misfortune.
But do not distress yourself with dark imaginings.
Many fears are born of fatigue and loneliness.

Beyond a wholesome discipline,
be gentle with yourself.
You are a child of the universe,
no less than the trees and the stars;
you have a right to be here."

Sometimes all we need to make things better and brighter is sleep, water, a shower, or the company of friends. When we find ourselves in a place that we can't seem to pick ourselves up from, we should be easy on ourselves and simply get back to these basics. They really can work wonders.

I'll end with these last lines, which, I think, speak for themselves:
"And whether or not it is clear to you,
no doubt the universe is unfolding as it should.
Therefore be at peace with God,
whatever you conceive Him to be,
and whatever your labors and aspirations,
in the noisy confusion of life keep peace with your soul.

With all its sham, drudgery, and broken dreams,
it is still a beautiful world.
Be cheerful.
Strive to be happy."