Clinically, a couple is considered infertile if they go one year (without protection) and are not pregnant. Unfortunately for many for whom time is of the essence, there are a whole gamut of tests one must go through in order to reach the point at which one takes the plunge into the Assisted Reproductive Technology (ART) realm of In Vitro Fertilization (IVF).
Before beginning IVF, I went through a series of tests to make sure that everything else "checked out." Believe me when I tell you that none of these were comfortable or pain-free, and we'll leave it at that. Due to a change in our medical insurance coverage in July of 2013, Tony and I approached our doctor with our concerns regarding the insurance. It was decided that we'd move forward with IVF before the insurance changed.
I have to tell you all how grateful I am to have health insurance that covers infertility. I do not ever take that for granted. I have my issues with insurance companies -- and I'm sure at some point I will dedicate a blog to my feelings on why I believe infertility services should be made more affordable to the average pay-out-of-pocket couple.
In May of 2013, I started taking the IVF medications. At the beginning, this included two daily injections into the stomach. Shortly after, this amount increased to three. The medications that were being used to stimulate my ovaries also made me emotional, and quite nauseous. When I say emotional, that's probably an understatement. In Tony's words, life with me at that time "was like being on a roller coaster." The doctors thought that my nausea could be contributed to rising estrogen in my body. Whatever the cost, I was miserable. One of the hardest things I experienced during this time was the complete and total loss of my appetite. There were few things I could even think about eating without losing my appetite completely. This continued even after stopping the medications.
When we had our initial egg retrieval, we got five mature eggs. Unfortunately, only one of them fertilized. Good thing it only takes one! Tony and I were
so excited the day of our embryo transfer. Because we only had the one embryo, the doctor decided to go forward with a day-three transfer.
I was excited, but the other emotions swirling around inside of me took me by surprise. The first thing the doctor said to us as we got situated in the ultrasound room was "let's see that baby of yours!" The embryologist showed us our little eight-celled embie on a television monitor, magnified with a microscope. It looked like something out of a science textbook, cells arranged in the shape of a flower. And, I burst into tears.
From everything I could tell, the embryo transfer went smoothly. All we had to do at that point, was wait. The two-week wait seemed like it was never going to end. I had a little mishap at work that week when I returned. I was moving to get out of the way of some students in another classroom, and fell...hard. My immediate thought was that I'd done something to hurt "the baby," as we'd become prone to calling it. My colleague
+Megan Karabon (who was
very pregnant at the time) and I rushed to the school nurse's office in order to get reassurance that I hadn't done anything that would indeed result in harm. She gave me a tiny little ice pack and seemed utterly confused about the whole thing. So, I called the doctor's office. I was told that unless I'd fractured my pelvis, no harm could have been done. So, I tried to relax.
Fast forward almost two weeks to Tony's and my second wedding anniversary. The day had arrived -- it was time to go in for our first blood test to find out if we were pregnant. It was with great anxiousness that I sat in that chair and waited for the phlebotomist to take my blood. And then, of course, we had to go home and wait for the results. Talk about a nervous afternoon! The nurse finally called...and told me she didn't have any good news. We weren't pregnant. We were devastated. The strange thing was, I felt pregnant.
The following day, on a last whim, I took a home pregnancy test. Imagine my surprise when it came back POSITIVE! So, I did what any extremely hormonal woman would do, I burst into tears and took another. It also turned out positive.
I called the doctor in the morning, they had me come in for a repeat blood test. Two days after my first test, we were told we were pregnant. Tony couldn't contain his joy. In fact, he announced it to the Facebook world without even giving me warning. He wanted so badly to be excited about it and felt we'd been robbed by the fact that we tested two days early.
I was ordered to return for blood tests every 48 hours. We were watching my HCG numbers, which had started out on the low, but still normal, side. As the days and weeks progressed we were alarmed to see the number slowly rising, when it should have been going up by leaps and bounds. Within three weeks of finding out we were pregnant, we were told it was not a viable pregnancy. We, of course, tried to fight through the doctors' prognosis and "beat the odds." Who was to say they knew for certain there was no hope? Our little fighter might just make it, or so we initially told ourselves. It became evident soon after that there really was no hope. Nothing showed up on the ultrasounds and my HCG wasn't nearly as high as it should be. The doctors agreed to allow me time to miscarry naturally.
For weeks I waited for the end, having blood tests done every two days while we waited. Finally, when things hadn't progressed on their own, we agreed for me to get a shot of methotrexate in order to kill the remaining tissue so we could move forward. I will never forget the words the doctor said when he walked into my appointment that day. He said "There is no baby. There is zero percent chance that this pregnancy will end with a baby." As harsh as it sounds, I do believe that was the
only way I'd ever have been convinced to take that shot. I had to go to Froedtert Hospital to get the shot. The nurse there was very accommodating and made the process go as quickly as was possible.
It took about three months for my body to regulate after receiving the methotrexate. Even now, I'm not totally convinced that the methotrexate didn't have something to do with our most recent IVF failure. It is definitely something I will be speaking to my doctors about.
I fell into what I would call a minor depression as we went through this ordeal. Tony and I were struggling -- both of us were grieving in different ways. It took a LOT of communication between us to make sure we were working with, not against, each other. We did it, and are so much stronger as a couple because of it.
I usually find solace in reading. Amazon was my go-to in this as well. I ordered several books on coping with miscarriage. Ironically, I only needed one. And I didn't even finish it. Tony and I are member of the Church Of Jesus Christ of Latter Day Saints. I purchased a book written by someone of the same faith. Within the first five pages I found the answer I'd been searching for. If a woman hasn't felt the quickening of the baby in her womb, it is believed (in our faith) that that tiny soul will be given a chance to come back to us in the form of a new pregnancy. This was all I needed. I am not giving up hope. Tony and I will have our little miracle, all in God's time.