A whole bunch of happenings. (updated)

17w4d

First things first, my cousin is pregnant! I've never shared about her, but today it seems appropriate. Back in July when I had the ectopic, my aunt and uncle were out visiting from Chicago, so we shared the story with them (mainly because I couldn't drink alcohol due to the methotrexate). Apparently, they went back home and told my cousin, because a few days later I got a call from her (she is also in Chi-town). She was sympathizing with our infertility..and then she revealed that she and her hubby had been try for about a year. I was surprised (of course, because everyone I know seems to get pregnant very easily), and a bit relieved to know that I wasn't alone in my struggle.

Anyhoo, we've kept in touch throughout the 8 months since then, and I knew that she was scheduled for an HSG in January. I emailed her to check in and see what results the testing brought back, but I didn't hear back from her...which is pretty unusual. On Wednesday last week I got a call from her that she is 12 weeks and overjoyed! They ended up getting pregnant on their own immediately after the HSG! So our babies will be 5 weeks apart!

And since I mentioned the ectopic....

Yesterday was the due date for the ill-fated baby who couldn't find its way to my uterus. I was a little bit sad, but truly I think that my pregnancy took the edge off. Of course, if I was still fighting the good fight right now, the date would have been MUCH HARDER to swallow. I'm glad for the ability to be distracted and happy about my subsequent pregnancy success. I'm glad Elfie knew how to stop and ask for directions (maybe this indicates a female??!)!

M and I went to a fancy charity gala on Saturday night. It was great to get dressed up! I bought a new dress, and thankfully it is NOT a maternity dress, so I can wear it after little Elfie arrives. Here's a pic of my little belly starting to grow:

Finally. (Warning: this is LOOONG).

Okay...so, you all know that I had an ectopic pregnancy with IUI#1 back in July. It was a nightmarish experience - one that I'm not going to relive in detail right now - and I have a few things I'd like to get off my chest.

First, because we were not immediately certain that it was ectopic (the numbers started low, then doubled, then tapered off), we told out families and few very close friends that we were pregnant. Of course, this ended up being a huge mistake because we then had to un-tell everyone. It was a pretty darn awful experience.

So...we decided to A) not tell anyone about our future treatments (we were so tired of the questions and advice we kept getting), and B) NOT TELL ANYONE FOR A LONG TIME once we did finally get pregnant. I was on a forced break from treatment in September and October - although we did try naturally - and then started treatment again in November. We did Femara (got two nice-looking follicles!) with hCG trigger and IUI only to have a BFN 2 days after Thanksgiving. I was very sad...I knew our chances of conceiving in 2009 were quickly fading.

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So this brings us to today. This month, M and I did our 3rd and final IUI because we are dead broke (we have ZERO IF insurance or coverage, and the surgery set us back even further). I convinced him to do this last one and then we could take a break with a TBD date of re-entry into the world of IF payments, meds, and HELL.

I started Acupuncture this month and it was awesome. LOVED IT> and will continue if I happen to inherit a small fortune. We did our IUI on December 10...with a natural lh surge! I was pretty bummed because although M's numbers and motility were awesome, I only had ONE follicle. Are you kidding me? My beta was scheduled for today at 13 dpo.

Of course, I had zero symptoms and was already preparing myself for a crappy Christmas. Until last Sunday (10 dpo). I was working on a scrapbook for my mom as a gift for Christmas, and I started feeling some interesting sensations in my nether regions. On a whim, I went to CVS and bought a FRER (because I'm so rich, right?). It was 12:00pm when I took it, so it wasn't FMU....and saw a very faint line. I started hyperventilating. I was in complete shock.

I waited for M to come home and verify that wasn't seeing things. We decided I would call the RE on Monday to see what we should do. Of course, I'm thinking that it's in my tube and I just want to catch it in time, so let's get these betas over with. My NP (whom I love) told me that they don't normally do betas at 11 dpo, but that she would do it for me because she knew I would be a neurotic mess of I had to wait until Wednesday (gotta love her). So I went in on Monday at 11 am. The number as 27. NP told me that the doc was very pleased with such a great number at such an early stage.

So..of course I continued to POAS just to put my mind at ease until today. The line was getting gradually darker, so I knew it was going up. When I got today's results I was floored. We had calculated that it should be AT LEAST (with a 60% rise) in the 40s....but mine was 82!!!!! I convinced her to let me come in next Tuesday for another beta.

NP and doc say that I am pregnant. I want to say that I am pregnant. M says he'll believe it when he sees a baby. I still can't help but smile and enjoy it while it lasts, even if that is just a little while.

Merry Christmas!

A Big Fat Zero!!!!!

I never in a million years imagined I'd be sitting here rejoicing at an hCG level of ZERO! But I am, because it means that I no longer have any pregnancy tissue in my tube!!

The frustrating part is that we were told to not try on our own (yeah right, are they actually expecting us to use protection?), and to call when I get my third period. Three AFs is a looong time to wait...but what choice do I have? I guess I'll enjoy those baby-free luxuries for a few more months. It'll be nice to not temp, worry, or POAS. And no more betas!!!

I took my first prenatal a few seconds after I hung up the phone...just a little bit excited, right?!

A slow decrease

As I sat in the lab chair last Friday (the 21st) I asked the NP to say a prayer for a big fat ZERO! She looked at me like I was a little bit off my rocker, probably because she knew that it wouldn't got from 95 to zero in one week! Lo and behold, she was correct. My hCG that day was 40. Definitely a good amount, but not there yet. No prenatals and limited salad for me continues.....

We were concluding our vacation this past Friday, so I rescheduled my appointment for tomorrow (Monday). I guess I'm a bit more realistic this time that it probably won't be zero, but hopeful nonetheless. What makes me curious about my whacked out body right now is that I clearly ovulated last Wednesday (fertile cm, pain and all!), but didn't think this was possible due to hCG still present in my body. I'll be sure to ask about this tomorrow as I sit in the hCG chair for the THIRTEENTH time.

No wonder I have to wait until November. This is taking FOREVER.

More Good News.

I had my two-week follow up exam with my RE today. They drew blood for my TENTH beta to see if my level is still decreasing. While we waited for the results, M and I got a chance to have a really informative Q&A session with the doc. We asked a lot of questions about ectopic pregnancies, our risks for the future, and some of the causes for them. He was super sweet and answered all of our questions with ease and clarity. I totally dig him, and feel good about the level of care we are receiving. We knew we'd be in good hands when we started with him because of the excellent reputation of this particular clinic, but also because he's been on Oprah!!!!

After all the "biology and anatomy" talk, we asked him the biggest and foremost question on our minds: When, exactly, will we be able to try again? He told us that because the methotrexate completely strips the body of folic acid, we have to get my body back in shape in order to produce a baby! The risks of neural tube defects are way too great when you don't have enough folic acid. Since we are still waiting for my level to get to zero, I can't take my prenatals or eat green leafy veggies, so I won't be able to start the 3-month count until it gets to zero. I'm thinking November-ish.

By November, my good friend A will be on the cusp of giving birth, my other friend M will have a 2.5 month old, and I'll be 30.

The nurse called with my results around 3:30. The beta has decreased again to 95. This makes me so happy! The best part, though, is that the doc said I can have a glass of wine tonight....but he warned me not to drink the whole bottle. I think I can handle that!

4 days!

I am on the tail end of my Methotrexate! This coming Saturday marks two weeks, and I'm planning on doing it up big. I haven't had any leafy, green veggies or wine, and I'm starting to go a little crazy. Not. Kidding. Especially since yesterday was our 2 year anniversary and we had sushi to celebrate. Sushi without wine or sake is just not the same. It's extremely hard to not eat salad, I am a lover of all things green!

The good news is (and yes, there is always a silver lining) that I received a call from the RE's office on Saturday afternoon after my beta. They reported that my 415 went down to 287 in a 3 days. Yay! That means I (probably) wont have to go in for another shot, as this one seems to be working to resolve my ectopic.

I'm having mixed emotions about not being able to try for the next few cycles. On one hand, I am sad and anxious (and impatient!), and REALLY want to get pregnant in 2009. Every month that passes decreases the chances for that happening....Of course, as my mother points out, we DID get pregnant in 2009, but I was kind of hoping more for the kind of pregnancy that actually yields A BABY. On the other hand, I'm grateful for a little break from planning and obsessing. So far, it has been nice to be focusing my attention on other things in my life. Not thinking about it has made me a little bit more healthy in the head, and my body will be happy to be drug and hormone free for a few months!

On Sunday, M and I took fur baby Charlie for a hike to a lake nearby. Here's a pic of me and my baby:

Diagnosis: Ectopic.

So.

I had my D&C on Friday, and all went well considering the anesthesia and pain meds made me unaware of most of it! Thankfully M's family helped us a lot with meals, etc. They were real life savers.

I got the call Friday afternoon that pathology had not found any pregnancy tissue in my uterus.

I went in Saturday morning for my methotrexate injections. They were not bad - barely hurt at all - and I haven't (so far) had any adverse side effects or reactions. I will continue to be monitored this week to make sure that the hCG levels decrease. Oh goody. More needles. My arms are already so bruised from being poked every 48 hours!

The worst part of the hCG is that I can't have any alcohol or leafy greens (because they contain folic acid). FOR TWO WEEKS. We went to IN-N-OUT last night for dinner and I had to ask for no lettuce on my hamburger!! WTF?! And seriously, I can give up wine if I'm pregnant, but not if I'm NOT pregnant! This is the time I need it the most!

The Roller Coaster is slowing down....and I'm ready to get off!

I haven't posted here in over a week. It has been a crazy week of ups and downs, but our roller coaster is slowing, and I'm so ready to get off. I hope I can adequately explain what has been happening.

So...the last I told you is that our 2nd beta increased - but not appropriately - which meant I couldn't start a new cycle, and I was at risk for ectopic pregnancy. Well, well, well. I went in for a 3rd beta ( Wednesday - 48 hours later), and the number had increased to 53 (a more than adequate growth). The NP called me and said that she suspected I was pregnant. She went on to explain that such an increase indicated a blood supply, but that we should continue to monitor hCG levels to see what was my little bean was going to show us next!

So Friday rolls around, and the 4th beta is 118. This is another awesome increase, so I'm thinking that she might actually be correct. We start letting ourselves believe that we are going to be parents and proceed to tell a few close friends and family members. Excitement ensues.

I went in for beta #5 on Tuesday (two days ago), and the number had grown to 297, but this was not quite enough of a 4-day percentage growth as we would have liked to see. I was let down, but still had hope that it could just be a slow-growing bean.

I had hope.

Until today. Beta #6 was 386. Definitely not enough to indicate viable pregnancy. More so, likely evidence of ectopic. The doctor called this afternoon to discuss our options.

First, we have decided to do a D&C (tomorrow morning) to check the uterus for any pregnancy tissue. If that comes back positive, we wait for hCG levels to drop, sit out a cycle, and start again with IUI #2.

If the D&C comes back negative for pregnancy tissue, I am given a shot of Methotrexate to kill the bean growing in my fallopian tube (or elsewhere, I guess). Methotrexate is a chemotherapy drug, but has proven itself useful in aborting ectopic pregnancies. My mom (who is a nurse) says it's called a "therapeutic abortion." I then have to wait 2 more cycles before trying again. Uggh.

I've been doing a lot of thinking (and crying) and analyzing (and crying) about our journey and the experience of IFers in general. What's surprising to me in this ordeal is that the joy I had in thinking I was pregnant was a strange kind. It was accompanied by a feeling of guilt and apprehension. I couldn't help but feel like I didn't deserve it...like I hadn't experienced enough pain in my TTC journey. It was weird to me that I would get pregnant, and I really didn't believe it to be possible. Is this what IF does to us? Does it mar our experience so much that when we actually become pregnant (viable or not), we are so cautious and guarded about letting ourselves feel joy?

So..when they say "roller coaster of emotions," this experience doesn't even begin to compare with the ups and downs of a normal roller coaster. This has been a scary coaster - the kind that once you get on, you immediately regret it and desperately want it to stop. I'm grateful for an answer - some sort of diagnosis - either way because I was in limbo for a long time. and I just want to get back to my naive and blissful TTC with hope and faith that it will happen for us.

Someday.

The hits keep coming.

I went to the RE today for u/s and b/w in order to get started on the next cycle (this time with Femara and IUI). They told me that I couldn't begin the Femara until they ran another beta to make sure our bean was gone. I happily left, thinking I would run by the pharmacy and have the drugs ready for when I got the call.

Then it came. Today's beta was 20.

Our bean in still in there somewhere.

This new number is obviously still too low. Appropriate increase would be 60% every 48 hours. Plus the fact that AF IS IN TOWN, means we are still not pregnant. The Doc isn't sure if the number is on its way up or down, so they are going to monitor me to see what happens. They are putting me on "ectopic precautions."

Ectopic? Seriously? Is this now what we have to deal with? Isn't it enough that we can't get pregnant? Isn't it enough that we've suffered this long?

To further piss me off, this cycle is out. I now have to wait another month before starting the drugs and doing the IUI. Apparently, my uterus needs to be in tip-top shape before we attempt to put another bean in there. I totally get and respect this, BUT IT STILL SUCKS.

I was so excited to be starting again. I woke up in such a good mood this morning. Now what am I supposed to do? I am so sad, and all I can think about is where the heck it is, and whether it's going to cause more serious problems for our fertility in the future. If it's in my tube, will I have to have the tube removed?

In other happy news, two of my friends from college made pregnancy announcements on FB in the last two weeks. In addition, my really fertile neighbor told us the other night that they are going to start trying for number 2. Great. This is just what I needed.

When is it going to be my turn?