Friday, July 7, 2017

The Last Shot

Guess who didn't blog again after my laparoscopic surgery? Really killin' it at this whole blogging thing.

Anyhoo, had my surgery on April 13 which resulted in finding out that both tubes are almost entirely blocked (boo,) but no endometriosis (yay!)

Not much could be done for my poor tubes, so my RE suggested doing 3 IUIs with increased stimulation in hopes that having two or three eggs release would increase our chances of one getting through the blockage. IUI #1 was done at the beginning of May with 10 mg of Femara (instead of my normal 5 mg,) which resulted in one mature egg. End result was not pregnant, but I went to Disney Land for the first time ever and rode all of the roller coasters, so I wasn't too upset.

I took off the next cycle because we were traveling again, which brings us to this cycle. The plan was 10 mg Femara days 3 - 7, 75 unites Gonol - F days 7 - 9, ultrasound to check follicles on day 10. At the ultrasound, I had one lead follicle that was at 14.5, another at 12, and a couple at 11 and 10. The RE decided to trigger me that morning with an IUI the next day. Unfortunately my husband's count was only 3 million which is lower than my RE is typically willing to do an IUI with, but since we were there, she went ahead and did it. I started progesterone suppositories the next morning and will be on them until I get a positive pregnancy test, or my period comes.

It's been a week since the IUI and I have no idea which way this cycle will go. I have periods of hope where I think about estimated due dates and how we're going to announce to our families, but those are quickly overshadowed by thoughts of doubt. If it hasn't worked for the past two years, why would it work now?

Even though my RE is willing to do one more IUI, this will be our last cycle of treatment. I know in my heart of hearts that IVF would be the way to get us pregnant (or at least closer to,) but we can't financially afford it, and since we only want one more child, I don't want to have to deal with deciding what we'd do with leftover embryos.

I have a lot of emotions around deciding to stop trying for another baby. I'm simultaneously relieved and heartbroken. Since getting pregnant with our son was relatively "easy," (he was a Clomid and TI baby,) I full expected baby #2 would happen quickly. Learning that my body is even more broken than I originally thought has made it hard for me to trust and believe in its abilities. The ups and downs of cycling have impacted my ability to parent the child that I do have, and I'm ready for my emotions to be more steady. I also have a lot of guilt about the money we've spent. We could have used the money to start a college fund, or take a really awesome vacation. But, what's done is done, and I'm ready to move on, in whatever way that looks like.

Wednesday, April 12, 2017

Laparoscopic Surgery

I had a sit down conversation with my RE two weeks ago to talk about our next steps. She suggested having laparoscopic surgery to check things out because she suspects something other than my PCOS is causing us not to succeed. She said she expects to find one of three things to be the culprit:

1. Endometriosis 
2. Blocked tubes 
3. Things didn't heal correctly after my c-section in 2014 

I'm not really sure what the best outcome of the three is. Endo can be removed which will hopefully improve our chances over the next year. My RE said that surgery to un-block tubes isn't very successful, so if that's the problem, I'm assuming our journey is over. If my body didn't heal correctly after my c-section, I'm not sure what the course of action is to remedy that, besides maybe stitching things back to their normal places. 

If the problem is something that can be treated with something other than IVF, my RE suggested hyper stimulation to increase the number of eggs I get with each cycle. I've only been getting one good egg each cycle, so she's wanting to see 2 or 3 to increase our chances. Obviously this increases our chances of multiples, but I'm not very worried about it (famous last words, eh?)

I just learned that I have to check in at 6:30 tomorrow (Thursday) morning, so if you happen to be awake at the time and want to send some good juju my way, I'd appreciate it. 


Thursday, March 9, 2017

0 for 9 (Yet Another Update)

I just got a comment on my last post, which made me realize that I never wrote an update about what has been going on with us.

Spoiler alert, I'm not pregnant.

Last I posted, I was on medications to get rid of a cyst that was found after my first IUI. Since then we did two more IUIs, neither of which were successful. I swear I saw a very faint positive test after our last IUI in January, but tests never got darker and I ended up getting my period a few days afterwards.

We decided to take February off because ovulation would have fallen right in the middle of my work's biggest fundraiser, and I couldn't take time off. My RE and I spoke over email a few times and her suggestions going forward were either a laparoscopy followed by IUIs with injectibles, or IVF. We're not doing IVF for numerous reasons, so I have an appointment at the end of March to speak with my RE about the laparoscopy.

I've been fighting with a lot of emotions about continuing treatment. We originally said we'd do 9 rounds (3 Clomid, 3 Femara and 3 IUIs,) and be done after that, but my heart isn't ready to be done yet. I'm also wanting to try and get to the bottom of why things aren't working out as easy as last time (my son is a Clomid with timed intercourse baby.) My RE wants to use the lap to check to see if my tubes are blocked, and to see if I have endometriosis, and I'm really curious if one of those reasons is why I'm not pregnant yet.

On the other hand, I have a lot of guilt about trying for a second baby. All of the time and money we've spent so far could have gone to something else that would benefit the child we already have. We're also in a really good place with our son. He's sleeping well, he's to the age where we can go out and do things with him, and he's really fun right now. I'm afraid that bringing in another baby is going to completely throw off the awesome groove we have. But then I feel guilty about not giving him a sibling, all that talk about having a life long friend and someone to support him when we pass gets to me.

Some days I am dead set on never having another kid, other days I cry over pregnancy announcements and ache for that newborn smell. It's a constant back and forth in my head, so I'm taking things one day at a time.

Does anyone have any helpful suggestions for the laparoscopy? My RE is 3 hours away, so I'm most nervous about driving back home after the surgery. Would it be best to get a hotel room that night? Any suggestions are much appreciated!