I've been afraid to post. I'm afraid to talk about what is happening in ttc because things have been going so smoothly that it seems all too simple right now. I guess, after 5 1/2 years of fertility angst, I feel I might jinx any smooth sailing we have. If I manage to get pregnant I'm guessing I will feel this even more. But I'm trying to embrace the positive so here is what is up in our queer ttc-land.
I healed up from my polyp removal procedure very well. I had my post-op check up four weeks after the surgery and the doc cleared me to start trying again. With in a week I was hunting for a new known donor. Last week we met with a finalist on our potential donors and by the end of the meeting we were setting up the first insemination date..which happened to be less than a week later. That was this past Monday. Wednesday was the second insem. Timing was perfect and I ovulated Thursday.
Now for a bit about Mr Donor. He prefers to be pretty quiet about all this but I can say that we are only his second donor experience. The first couple he worked with was last month and they got pregnant on the first try after a long time trying with frozen. He is kind of Conservative which is a little strange but he seems to be a bit Libertarain leaning so the whole "live and let live" thing makes him okay with us being queer, poly, tattooed and pierced weirdos. His only rule is he wants to know the relationship is solid and stable. Well, Monkey and I have been together for 12+ years so we passed that requirement. :) He met Author and, after some questions about how we structure our family, he said he thought it was unique. That was it.
Every donor brings a unique and often hilarious situations. Mr Donor prefers to keep exchanges during working hours and in public places. This is so it doesn't take time away from his family. As a result, we are doing the sperm pass-off at a local mall food court. Yes, really. As long as there is less than an hour between creation and insemination, and is in a dark jar with a lid and kept warm, it is still viable. Author has decided that if I get pregnant the belly name will be "mall rat".
So I'm back in it! Next cycle I'll be doing a Clomid challenge test with lots of blood work and insems with Mr. Donor. I'm on the last leg of my ttc journey. I either get pregnant or I accept a new future without children. Now I just have to wait to find out which one it is.
Friday, April 27, 2012
Wednesday, April 11, 2012
Mark a Win
The last two years have been all about becoming more healthy. I started with properly treating my depression and anxiety (check!), moved on to addressing my eating disorder and obesity (check and ongoing check!) and lately it has been all about dealing with chronic pain.
Yes, I have chronic pain. I consistantly averaged a 6-7 on the pain scale daily. (Anything over a 4 on the pain scale will trigger most doctors to hand you prescription strength pain killers.) This started when I got a pretty severe repetitive stress injury in my back and right arm at 25 years old. It took six months to go back to regular full time work and a year to get to a stable point. Even then I was marked off as having permanently lost 8% of my physical ability forever. I was told that I would have flare ups of back pain for the rest of my life and a higher chance of tendon issues and arthritis. I assumed this meant I should just push through the pain because it would never really go away. I came from a family of addicts (various) so I wasn't about to pop narcotics on a regular basis and risk addiction. So I ignored it...for the last 11 years. And, surprise, the pain got worse. I injured myself repeatedly and had horrible flare ups that left me crying on the couch unable to move my arms. It made my depression and anxiety worse. It make me binge more for comfort. It made exercise 10x harder and so I continued to gain weight....which made my pain worse. You see how this feedback loop goes?
Well, silly me, I didn't realize the damage I was continually doing. Not just to my body but to my brain! I knew about neural pathways and how they become more likely to follow well used connections, like a rut in the road, but I never made the connection to pain messages. I have spent the last 11 years making deep ruts in my pain pathways. Now some of my pain has nothing to do with actual physical injury! The damn buggers are just zapping my brain with pain messages any old time they feel like it! (Side note: It is a theory that this is a possible cause of fibromyalgia. My primary NP suspects I would meet the diagnostic criteria for fibromyalgia but I don't think I'll bother with that.)
Two years ago this would have seemed like a situation impossible to change. I would feel helpless and hopeless. Thankfully, I'm new-found stability gave me the platform to address this. About 6 months into this new pain improvement project and I feel fantastic! I've tracked my pain, discovered what helps and what hurts. I've re-organized my chores, my kitchen set up and learned to ask for help from Monkey and Author when I have flare ups. As a result, I'm spending most of my time at a 1-2 on the pain scale and managing to get more done that I did before! I have accepted that careful use of some mild narcotic pain meds are a good thing and that, if I don't ignore my pain, I'm less likely to need them. I've added a regular, non-narcotic med that is managing my nerve-related pain amazingly.
So I'm marking another win in the "Bear 2.0" project!
Yes, I have chronic pain. I consistantly averaged a 6-7 on the pain scale daily. (Anything over a 4 on the pain scale will trigger most doctors to hand you prescription strength pain killers.) This started when I got a pretty severe repetitive stress injury in my back and right arm at 25 years old. It took six months to go back to regular full time work and a year to get to a stable point. Even then I was marked off as having permanently lost 8% of my physical ability forever. I was told that I would have flare ups of back pain for the rest of my life and a higher chance of tendon issues and arthritis. I assumed this meant I should just push through the pain because it would never really go away. I came from a family of addicts (various) so I wasn't about to pop narcotics on a regular basis and risk addiction. So I ignored it...for the last 11 years. And, surprise, the pain got worse. I injured myself repeatedly and had horrible flare ups that left me crying on the couch unable to move my arms. It made my depression and anxiety worse. It make me binge more for comfort. It made exercise 10x harder and so I continued to gain weight....which made my pain worse. You see how this feedback loop goes?
Well, silly me, I didn't realize the damage I was continually doing. Not just to my body but to my brain! I knew about neural pathways and how they become more likely to follow well used connections, like a rut in the road, but I never made the connection to pain messages. I have spent the last 11 years making deep ruts in my pain pathways. Now some of my pain has nothing to do with actual physical injury! The damn buggers are just zapping my brain with pain messages any old time they feel like it! (Side note: It is a theory that this is a possible cause of fibromyalgia. My primary NP suspects I would meet the diagnostic criteria for fibromyalgia but I don't think I'll bother with that.)
Two years ago this would have seemed like a situation impossible to change. I would feel helpless and hopeless. Thankfully, I'm new-found stability gave me the platform to address this. About 6 months into this new pain improvement project and I feel fantastic! I've tracked my pain, discovered what helps and what hurts. I've re-organized my chores, my kitchen set up and learned to ask for help from Monkey and Author when I have flare ups. As a result, I'm spending most of my time at a 1-2 on the pain scale and managing to get more done that I did before! I have accepted that careful use of some mild narcotic pain meds are a good thing and that, if I don't ignore my pain, I'm less likely to need them. I've added a regular, non-narcotic med that is managing my nerve-related pain amazingly.
So I'm marking another win in the "Bear 2.0" project!
Labels:
author,
Bear 2.0,
CBT,
chronic pain,
depression,
eating disorder,
health,
mental health,
monkey,
optimism,
weight loss
Tuesday, February 21, 2012
Polyps-be-gone
I am in love with my nurse anesthetist. My whole surgical team was fab but he really made my experience a million times more comforting. He came in to ask me the same questions as everyone else for the millionth time. (Since I know exactly why they do that so I don't get annoyed like some patients do.) When I told him I'd rather do deep sedation than general anesthesia he asked me if there was a particular reason. When I told him about my horrible experience with general when I was 12 years old he seemed horrified. He immediately left the computer terminal he was working on and came to kneel by my bed. He told me that he could tell from my description what drug was used and they administered it way too soon. He told me he doesn't use that drug at all. He carefully described what he does now, how it will feel and that he will be able to tell if I'm in any discomfort. I felt completely reassured. I trusted him and the rest of the team to take very good care of me.
I don't remember the surgery at all, though there was a chance I might remember something. I dreamed about the BBC Sherlock series reboot while I was sedated. I don't remember what exactly I dreamed but I remember being quite entertained. I woke up kind of fuzzy headed and took awhile to really get back to reality. I was sore and a little crampy but not a lot. My cramps got worse later on in the day but I had plenty of pain med options and got it under control. All in all it was a very positive experience.
It turns out there were actually 3 polyps in there. The one we could see on the ultrasound was just the easiest to see. The second polyp was almost as big as the one we knew of but shaped and positioned in a way that would make it difficult to see any other way but with hysteroscopy. The third one was a tiny one just starting to form. He didn't even need to snip that one as it disintegrated when he started to try to remove it. After he was sure they were all removed he did a D&C to clear out the lining. He said that this should really make a difference in the changes in bleeding I've been noticing. He also said he really hopes "things work out" for me. (We couldn't actually say that the main reason for this was fertility since it wouldn't have been covered by my insurance but everyone knew that was my main reason.)
Knowing that there were 3 polyps crowding in my uterus, two of which were big enough to cause breaks in my lining, I feel pretty confident that this could be the cause of my infertility the last few years. That doesn't leave a lot of room for anything to implant comfortably. Dr. M said I could start trying again after I have one normal period.
I'm not sure what comes next. I'm not sure if we will try a medicated cycle first. All I know is that I'm more hopeful now than I've been in a very long time.
I don't remember the surgery at all, though there was a chance I might remember something. I dreamed about the BBC Sherlock series reboot while I was sedated. I don't remember what exactly I dreamed but I remember being quite entertained. I woke up kind of fuzzy headed and took awhile to really get back to reality. I was sore and a little crampy but not a lot. My cramps got worse later on in the day but I had plenty of pain med options and got it under control. All in all it was a very positive experience.
It turns out there were actually 3 polyps in there. The one we could see on the ultrasound was just the easiest to see. The second polyp was almost as big as the one we knew of but shaped and positioned in a way that would make it difficult to see any other way but with hysteroscopy. The third one was a tiny one just starting to form. He didn't even need to snip that one as it disintegrated when he started to try to remove it. After he was sure they were all removed he did a D&C to clear out the lining. He said that this should really make a difference in the changes in bleeding I've been noticing. He also said he really hopes "things work out" for me. (We couldn't actually say that the main reason for this was fertility since it wouldn't have been covered by my insurance but everyone knew that was my main reason.)
Knowing that there were 3 polyps crowding in my uterus, two of which were big enough to cause breaks in my lining, I feel pretty confident that this could be the cause of my infertility the last few years. That doesn't leave a lot of room for anything to implant comfortably. Dr. M said I could start trying again after I have one normal period.
I'm not sure what comes next. I'm not sure if we will try a medicated cycle first. All I know is that I'm more hopeful now than I've been in a very long time.
Saturday, February 18, 2012
Fears and hopes
My surgery to remove the polyp in my uterus is Monday. I've had my pre-op exam and instructions have been given. It didn't seem very real until my pre-op yesterday. Now it seems to hang in front of me full of hope and fear.
Fear because I'm not accustom to medical procedures, even minor ones like this one. I'm a pretty hail and hardy person. The last time I had any kind of surgery it was to remove my tonsillitis when I was 12. Monkey has been doing his best put me at ease. He was a very sickly child and his life has been filled with surgeries and procedures of varying seriousness. (The fact that he is so healthy now is a testament to how hard people worked to get him that way when he was a child.) Compared to the things he has been through this is nothing but I'm still a little nervous. The pre-op helped to calm me. I like to know everything, all the little details, and the surgeon was happy to talk me through it all. Between Dr. M, Monkey, and Author the fear has been dimmed down to a dull anxiety which seems perfectly manageable all things considered.
I think the thing I fear the most, really, is the hope this brings. After five years of trying, and failing, to get pregnant and never knowing why that might be I finally have a possible explanation. With that explanation comes a rather easy possible fix of the problem. This may be what has been getting in the way of a pregnancy. After this I'll be heading back into ttc-land with a fresh start. A truly fresh start with a cleaned out lining, a lower weight than a few years ago and a much better handle on my mental health. I'm afraid to hope too much. This may not be the reason I'm not getting pregnant. I may start ttc after this procedure and spend the next year on the same disappointing roller coaster that I've ridden for the last five years.
But, maybe...just maybe I will finally get that elusive prize. I have to hope, no matter how much I fear that hope. What else can I do? I'm just not quite ready to give up on this dream just yet.
Fear because I'm not accustom to medical procedures, even minor ones like this one. I'm a pretty hail and hardy person. The last time I had any kind of surgery it was to remove my tonsillitis when I was 12. Monkey has been doing his best put me at ease. He was a very sickly child and his life has been filled with surgeries and procedures of varying seriousness. (The fact that he is so healthy now is a testament to how hard people worked to get him that way when he was a child.) Compared to the things he has been through this is nothing but I'm still a little nervous. The pre-op helped to calm me. I like to know everything, all the little details, and the surgeon was happy to talk me through it all. Between Dr. M, Monkey, and Author the fear has been dimmed down to a dull anxiety which seems perfectly manageable all things considered.
I think the thing I fear the most, really, is the hope this brings. After five years of trying, and failing, to get pregnant and never knowing why that might be I finally have a possible explanation. With that explanation comes a rather easy possible fix of the problem. This may be what has been getting in the way of a pregnancy. After this I'll be heading back into ttc-land with a fresh start. A truly fresh start with a cleaned out lining, a lower weight than a few years ago and a much better handle on my mental health. I'm afraid to hope too much. This may not be the reason I'm not getting pregnant. I may start ttc after this procedure and spend the next year on the same disappointing roller coaster that I've ridden for the last five years.
But, maybe...just maybe I will finally get that elusive prize. I have to hope, no matter how much I fear that hope. What else can I do? I'm just not quite ready to give up on this dream just yet.
Labels:
hope,
infertility,
polyp,
surgery,
ttc,
unexplained infertility
Sunday, January 29, 2012
The new hope?
After waiting for 2 weeks we finally got the results of my pelvic ultrasound. I knew after a week of no info that something might be up and when my NP called me at 7pm on a Friday I was sure it was more than just an "all clear" talk.
It seems I have a significant polyp in my uterus. Well, large when you consider the normal size of a uterus. It is about the size of an eraser on the end of a pencil. The delay in getting the results was my NP wanting a surgery consult before talking with me so that she could tell me all the options. I think she was also figuring out a way to code it so that it is covered under regular gyn rather than infertility so it will cost us a lot less to get it removed. I love my gyn NP. :)
It has been over 4 years since the last time they looked inside my pelvic area but it could have possibly been growing and irritating things for the last 2 years considering the size. Removing it may not magically result in a pregnancy but there are studies showing that it can be a significant factor in infertility. No matter the lack of certainty on effecting fertility we are having it removed. I'm waiting to hear from the surgeon's office to get the ball rolling.
Is this an explanation? Is this possibly a chance to hope again? Monkey and I have decided that there is enough evidence that it could be that our planned "2 last tries" are not enough. If I'm going to have pevic surgery for this then I want at least 6 more tries. Monkey is hoping I'll be willing to go for another year of tries. We'll see. We will still do those 2 clo.mid/trigger/IUI tries in there somewhere but we aren't sure what we are going to do about the rest. Find another known donor? We have an offer that came out of the blue that Author and Monkey are exploring. Or are we going to do some home IUIs with frozen so we don't have to coordinate another person's schedule? Neither of us can think about it too much until after the surgery.
I'm feeling...ambivalent about all this. Hmm, yes, simultaneous and contradictory feelings. Ambivalent is definitely the correct word. I know that this isn't a guaranteed solution. I could do the surgery, try for another year and still not get pregnant. I'm feeling a little overwhelmed and angered by the thought of another 6-12 2 week waits. I just got to a place of acceptance that chances are I wouldn't have a child! But, the chances are in our favor that this polyp has been preventing me from getting pregnant and removing it could be what we need to finally become pregnant. An exciting and hopeful thought. I'm trying to hold on to the hopeful side of this new development. Maybe this will be the magic treatment that finally gives me a baby.
It seems I have a significant polyp in my uterus. Well, large when you consider the normal size of a uterus. It is about the size of an eraser on the end of a pencil. The delay in getting the results was my NP wanting a surgery consult before talking with me so that she could tell me all the options. I think she was also figuring out a way to code it so that it is covered under regular gyn rather than infertility so it will cost us a lot less to get it removed. I love my gyn NP. :)
It has been over 4 years since the last time they looked inside my pelvic area but it could have possibly been growing and irritating things for the last 2 years considering the size. Removing it may not magically result in a pregnancy but there are studies showing that it can be a significant factor in infertility. No matter the lack of certainty on effecting fertility we are having it removed. I'm waiting to hear from the surgeon's office to get the ball rolling.
Is this an explanation? Is this possibly a chance to hope again? Monkey and I have decided that there is enough evidence that it could be that our planned "2 last tries" are not enough. If I'm going to have pevic surgery for this then I want at least 6 more tries. Monkey is hoping I'll be willing to go for another year of tries. We'll see. We will still do those 2 clo.mid/trigger/IUI tries in there somewhere but we aren't sure what we are going to do about the rest. Find another known donor? We have an offer that came out of the blue that Author and Monkey are exploring. Or are we going to do some home IUIs with frozen so we don't have to coordinate another person's schedule? Neither of us can think about it too much until after the surgery.
I'm feeling...ambivalent about all this. Hmm, yes, simultaneous and contradictory feelings. Ambivalent is definitely the correct word. I know that this isn't a guaranteed solution. I could do the surgery, try for another year and still not get pregnant. I'm feeling a little overwhelmed and angered by the thought of another 6-12 2 week waits. I just got to a place of acceptance that chances are I wouldn't have a child! But, the chances are in our favor that this polyp has been preventing me from getting pregnant and removing it could be what we need to finally become pregnant. An exciting and hopeful thought. I'm trying to hold on to the hopeful side of this new development. Maybe this will be the magic treatment that finally gives me a baby.
Wednesday, January 4, 2012
How did it get to be 2012?!?!
Everything is moving so fast! How did we get ankle deep in to January already?!
I'm making good things happen in my life. I've been doing lots of new crafty things, started a (phone) photography project, plugging away at hooping, knitting outside my comfort zone, clearing out clutter and planning some redecorating. All of this is helping with the seasonal crap that has been bogging me down a bit.
December contained:
*A sick dog who is now all better after $1,000 of vet bills. That was after the savings I get for having a Pet Insurance Plan.
*An XBox 360 with Kinect as a holiday gift for the household. I'm not a big gamer but this thing is a lot of fun. Also, having my Hulu and Netflix set up through the XBox is super cool.
*A Nook E-Reader. I love it. So far I've been loading it up with knitting patterns and taking advantage of my local library's e-book lending. After a book resell trip to Powell's for credit I'll be loading it up with some books from their e-book offerings. (Nook is from Barnes & Noble but, unlike Kindle, they make it easy to put other format types on your e-reader.)
*A very crazy month of eating whatever I wanted...a bit too much. I'm back on the WW wagon to continue my healthy habit building.
*An Instagram photo challenge where I took a photo every day of December to match each day's theme. I'll be doing a post with a link to those pictures. I loved doing the daily themes but I've moved to weekly themes for 2012 to give me a bit more breathing room. If you are on Instagram and want to follow me I use the name "yeledov" so look me up!
*A lot of physical therapy for a moderate tear in my right rotator cuff. I'm improving slowly and have at few more months of this. It has put a serious cramp in my hooping practice but I work with what I have.
Coming up in January:
*Baseline ultrasound to double check that my reproductive bits are structurally normal. I've had one before but it was 4 years ago.
*Clomid Challenge Test without insemination. Now that I'm in the "elderly" age bracket for infertility my NP wants to check my response to Clomid again. I have another cycle of side effects and blood tests to look forward to. This will tell us if it is still worth the money and stress of doing the last two infertility cycles or if we should just throw in the towel now. Strangely, I'm not too worried about this. I think, whatever my problem is, it isn't my ability to ovulate.
*A landmark birthday for Monkey. He is crossing the 35 year line. I'm not sure why but this seems like a big deal.
*Lots and Lots of new crafting/art/knitting things.
I'm going to try to blog more. I'm still trying to decide if I need to make a creative arts blog as well or if I should keep it all mixed up here. Hmmm.
I'm making good things happen in my life. I've been doing lots of new crafty things, started a (phone) photography project, plugging away at hooping, knitting outside my comfort zone, clearing out clutter and planning some redecorating. All of this is helping with the seasonal crap that has been bogging me down a bit.
December contained:
*A sick dog who is now all better after $1,000 of vet bills. That was after the savings I get for having a Pet Insurance Plan.
*An XBox 360 with Kinect as a holiday gift for the household. I'm not a big gamer but this thing is a lot of fun. Also, having my Hulu and Netflix set up through the XBox is super cool.
*A Nook E-Reader. I love it. So far I've been loading it up with knitting patterns and taking advantage of my local library's e-book lending. After a book resell trip to Powell's for credit I'll be loading it up with some books from their e-book offerings. (Nook is from Barnes & Noble but, unlike Kindle, they make it easy to put other format types on your e-reader.)
*A very crazy month of eating whatever I wanted...a bit too much. I'm back on the WW wagon to continue my healthy habit building.
*An Instagram photo challenge where I took a photo every day of December to match each day's theme. I'll be doing a post with a link to those pictures. I loved doing the daily themes but I've moved to weekly themes for 2012 to give me a bit more breathing room. If you are on Instagram and want to follow me I use the name "yeledov" so look me up!
*A lot of physical therapy for a moderate tear in my right rotator cuff. I'm improving slowly and have at few more months of this. It has put a serious cramp in my hooping practice but I work with what I have.
Coming up in January:
*Baseline ultrasound to double check that my reproductive bits are structurally normal. I've had one before but it was 4 years ago.
*Clomid Challenge Test without insemination. Now that I'm in the "elderly" age bracket for infertility my NP wants to check my response to Clomid again. I have another cycle of side effects and blood tests to look forward to. This will tell us if it is still worth the money and stress of doing the last two infertility cycles or if we should just throw in the towel now. Strangely, I'm not too worried about this. I think, whatever my problem is, it isn't my ability to ovulate.
*A landmark birthday for Monkey. He is crossing the 35 year line. I'm not sure why but this seems like a big deal.
*Lots and Lots of new crafting/art/knitting things.
I'm going to try to blog more. I'm still trying to decide if I need to make a creative arts blog as well or if I should keep it all mixed up here. Hmmm.
Labels:
art,
craft,
infertility,
monkey,
New Year,
photo challenge,
unexplained infertility,
ww
Friday, December 16, 2011
This old hen
At 37 years old I am solidly in the "elderly" category for a woman trying to get pregnant. I started this journey at 32 years old. A year later we did the basic infertility work up and found nothing wrong. "Keep trying" I was told "sometimes the mystery resolves itself". Now I'm back in infertility treatment and the basic work up has some different weight to it. Now there is an "age factor" to my infertility. Though the work up is exactly the same the focus is different enough. Looking at my FSH at 33 years old is to make sure something isn't "wrong" with me. Looking at my FSH at 37 years old is to see how far the natural aging of my reproductive system has gotten and if it is enough to have me give up then and there.
So I'm going in for a pelvic ultrasound to make sure there are still no masses in my uterus and my ovaries look normal. Then I'm doing a Clom.id challenge test, without insemination, and blood work to see if my body can still get poked and prodded into making some decent eggs or if my laying days are over and it is time for the soup pot.
It feels strange. I've had these tests before, nothing surprising. This time, however, the results will decide if those last two IF cycles are worth a try or if I'm already out of the baby-making game. Stranger still, I'm not sure which result I'm hoping for anymore.
So I'm going in for a pelvic ultrasound to make sure there are still no masses in my uterus and my ovaries look normal. Then I'm doing a Clom.id challenge test, without insemination, and blood work to see if my body can still get poked and prodded into making some decent eggs or if my laying days are over and it is time for the soup pot.
It feels strange. I've had these tests before, nothing surprising. This time, however, the results will decide if those last two IF cycles are worth a try or if I'm already out of the baby-making game. Stranger still, I'm not sure which result I'm hoping for anymore.
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