Tests, More Tests, and Avoiding Becoming the Next Octo-Mom

I realized something last Monday at my fertility consultation. Those charts, diagrams and explanations of bodily functions displayed on the wall of the OBGYN's office don't make you feel awkward until you spend 45 minutes in that room with your husband waiting to talk to the doctor. I think that by the end of the experience, BJ was more informed about the internal structure of the baby-making woman parts than he could have ever wanted to be. He was a total trooper though, especially because cute Dr. Laine spent 90% of the time really only talking to me while he sat in the chair next to the paper-covered exam and rubbed my knee while we talked strategy for Operation Baby. Oh, and the appointment was the day before our two-year anniversary...what a great way to celebrate!

This was my first time actually meeting my OB (I have worked with her Nurse Practitioner and Medical Assistant) . She is incredibly nice, down to earth, and best of all, pretty realistic and conservative in her approach to maximizing my fertility. Going on Clomid scares the crud out of me. My mom is a fraternal twin, and my risk of having twins is pretty high as it is without blitzing my follicles with Clomid. Dr. Laine said something to the effect of, "when you want a baby so badly, twins sound wonderful. The reality of a twin pregnancy and the first years of parenting twins is a really different story." I would prefer to achieve pregnancy as conservatively as possible, and it makes me feel a lot better to have a doctor that didn't just bust out the prescription pad for fertility drugs five minutes after meeting me. I feel good about sticking with Dr. Laine through these next few months as we figure out what is going on with me, and confident that she will refer me to any needed specialists when the time is appropriate.

So the long and short of our appointment was that my basal body temperature charting seems to be indicating irregular ovulation, and likely periods of anovulation. It looks like I am ovulating every other month, and irregularly at that, so there may be an issue with my Fallopian tubes. I had my progesterone tested two weeks in a row, and I am definitely not ovulating this month. We also broached that oh-so-lovely and tender conversation about weight again, but Dr. Laine was so gentle and kind. After sharing her own experiences with struggling with her weight, she said I was down 10 pounds from my last appointment, and over the next 8 weeks or so, would like to see that downward trend continue. No "you must reach this weight for me to help you" ultimatum, no criticism of the fact that two years of unemployment and emotional stress have helped me to pack on some very unwanted pounds. Just some simple suggestions to help me continue to be successful, and an absolute insistence on small, meaningful changes and not a ridiculous crash diet.

The next step, beyond continuing to chart each day and continue testing my progesterone through my next cycle, is to have a Hysterosalpingography at the start of my next cycle in August. Basically, they will insert a catheter into my uterus, flood the uterus with contrast dye, and x-ray me to see if the dye flows normally through my Fallopian tubes. If the dye does, then we know that there isn't a blockage. If it doesn't, then we need to resolve the blockage, or come up with another plan. The test isn't terribly pleasant, is danged expensive, and may end up being inconclusive, but it is the next logical step, so we will be scheduling that soon. The silver lining is that woman have an increased rate of conception the month after the test is performed, so here's hoping. After the test, we will reconvene in September to go over everything and reevaluate our approach. It is likely that I will go on Clomid in September, but will be tracked by an endocrinologist to study my egg follicle development to be sure I am not going to end up as the next Octo-Mom. Shudder.

Overall, it was a positive experience, but definitely emotional. It doesn't matter what happens with Operation Baby, I end up in tears. I feel like I have what I need in place to move forward now-a wonderful husband, an army of people that I know pray for us, a Heavenly Father who loves us and will bless us for our righteous desires, and a medical specialist that can use her gifts to help us have a baby. But it doesn't make things easier, and I am really at peace with admitting openly that I am not okay with the fact that my reproductive system is on the fritz. In a world full of covering up hurt and struggle for the sake of appearance, I am getting more and more comfortable with just being okay with not being okay. 

Over the past few months, I feel like I have also had a lot of time to reflect on the inevitable question that all couples dealing with infertility must face, "How far will we go to make this happen?" Everyone has their own answer to that question, and that answer is one that is only arrived at with a lot of serious consideration. I know that for BJ and me, we are only willing to go so far. I will do the testing. I will do some fixes for internal problems I may have. I will take Clomid or it's equivalent. I will pursue intrauterine insemination. That is it for me. I will not do fertility shots. I will not undergo major surgery. I do not want to do invitro. If we cannot get to pregnancy on our own within those parameters, we will take the money we would be spending on fertility treatments, and move forward with the adoption process. If we are not successful by June of next year, we will go ahead with a home study and begin looking into our options. For me, the $10,000 I would spend on invitro would be better spent working with LDS family services to bring a darling baby that desperately needs a home into a family full of love, desire and acceptance. 

In my heart, I think our journey may take us down the path of both pregnancy and adoption. I am not sure at all how this will work out, and I am not all fine and dandy with the way things are, but I am grateful to be on a path and walking toward positive and productive action. I can't do this all on my own, but I can do it one step at a time, one day at a time, and with a mustard seed of faith. 

Expectations and Extremity

In my heart, I always believed that my I would be pregnant at the same time as my best friend, Aly, and Meredith Grey. Yes, Meredith Grey from "Grey's Anatomy."

It sounds totally nutters, but I am completely serious. Best friend and I have this intense soul-mateish relationship, a lot like Cristina and Meredith on Grey's Anatomy. She is my person. When one of us is having a hard day, the other can kick our butt out of bed and get us motivated. Or we can just watch endless hours of Netflix on the couch and be completely satisfied by just being. It is a special bond that can never be replicated. So, naturally, in my mind, Aly, Meredith and I would all be having babies together.

Imagine my disappointment when stupid Meredith Grey got pregnant before I did. I wanted to hit the TV and tell her that she has too many unresolved emotional issues to be bringing a child into the world. For heaven's sake, the girl was almost blown up by a bomb in a body cavity, quasi-committed suicide and died and came back to life, and messed with a clinical drug trial that could have cured Alzheimer's. It is not fair that she gets an adopted baby, a biological baby, and Patrick Dempsey. Ugh. 

Then, back in March, on my birthday, best friend calls me to tell me she is pregnant, and expecting her little bundle of cafe con leche joy (the baby of lily-white best friend and caramel Mexican husband is sure to be beautiful) in November. I was genuinely, completely, and absolutely thrilled for her. In every possible way. She will be an incredible mother, and her husband will be a wonderful father. I had none of the Meredith Grey-induced rage when Aly told me she was pregnant. We talked for a good hour about how important it was for her to tell me, because it would have been far worse not to tell out of fear of hurting me. So naturally, when we hung up the phone, and I looked down at my 9 month old niece that I was babysitting, I burst into tears. It is incredible how something so joyful, beautiful and incredibly happy can reduce me to a blubbering, bawling mess of a woman. I am not jealous. I am not angry. But I am aching inside and beyond disappointed that I am not part of this great fantasy of a pregnancy triumvirate that I have dreamed about for so long. 

Best friend and I talked today about them finding out the gender of baby Jimenez next week. I am thrilled for them. And I spent the better part of tonight wiping away tears as I mourned what feels like an incredible loss to me. I don't know how it is possible to mourn the loss of something you never had. Perhaps I am mourning what feels like the loss of a dream. I may never know exactly what this feeling is, but I know that it is all tangled up with feelings of happiness and joy for the person I am closest to in this life besides my husband. There must be something absolutely exquisite and wonderful on the other side of this personal hell, because I cannot see any other reason behind having to experience this gut-wrenching back and forth of emotions. 

Several years ago, before I met my husband, I experienced what was absolutely the most horrendous break-up of my life. I felt like my soul had been ripped from my body and that I was wrecked beyond all repair. There are really no words that can adequately describe how horrible things were. I know that there was some serious divine intervention that lifted my burden of anguish and pain to help prepare me to meet my husband six weeks later. Some valuable counsel that I received at the time was this statement: "We come to know God in our extremity." I thought I understood what that meant at the time-in terms of love lost and earth-shattering disappointment, I suppose that I did. But extremity is a far deeper and more complex idea that I could have ever realized. 

Extremity is the maximum extent of joy, and in it's opposite, pain. It is the highest high and the deepest low. The brightest day and the darkest night. I believe we experience extremity relative to our current path in life. Three years ago, my extremity was having my heart broken by the person I believed I would spend forever with. Two years ago, it was the palpable elation of marrying the most kind, gentle and wonderful man in the world for time and all eternity. Today, it is feeling a consistent sense of loss and emptiness as I yearn for a child that will fit perfectly in our arms and be bound to our hearts for eternity. It is feeling the most exultant and pure joy for my best friend as she prepares to welcome a perfect, heaven-sent soul into her life. It is weeping over the room that sits empty in my house, waiting to welcome our baby home. 

I do not know God yet, but He is revealing himself to me slowly in my extremity. And maybe that is what this struggle is all about. But for right now, I still hate Meredith Grey. 

A Trial of Faith

Normally, I don't write about deeply personal experiences of faith. I share them with people in my life through conversation, but sometimes sharing them online to a potentially wide audience seems strange and almost disrespectful. But I know that I need to share this, for all of the other women and men who may read this who are struggling with fertility, or perhaps any other crisis of faith or timing in their lives. I took a break from blogging over the past six weeks or so. Sometimes, baring your soul and struggles can be really difficult and very tiring. So I went on a blog-cation and then, today, I felt like I needed to write again.

On the positive front of Operation Baby-cute husband's testing all came back normal, and our fertility consultation is scheduled for July 17, a day after our second anniversary. That day feels like a light on the horizon for me, and I am remaining nervously optimistic for that meeting. 

But to be totally honest, I am struggling hard right now. As I have been temperature charting for a long period of time, I have felt like maybe, just maybe, I had pinpointed the optimal time for baby creation. I was so optimistic this month, even after taking three pregnancy tests that all came back negative. I left for a four day camp-out with the young women from my church, hopeful that I would return home and another test would be positive. Then, BAM, the need to take that test disappeared. I stood in the bathroom, crushed (but cognizant enough to resist the urge to curl up on the floor of the scary state park campground bathroom), then retreated to my tent to cry for a while. After I used every tissue I had to soak up the tears, I prayed. 

I have been struggling with praying for help with my fertility. Part of me feels like it is silly to pray about it-my body is my body, and it is going to do what it is going to do. The part of me that knows better, knows that I must pray about this. Prayer will bring comfort, guidance, peace, and purpose. But sometimes I am afraid of the knowledge that can come from prayer, because I have learned from experience that sometimes, prayer gives us God's answer, and not the answer we want for ourselves. And God's answer is always the right answer, but it can be a hard answer and a painful answer. My prayer (and it is a constant prayer that lives in my heart), did not give me the answer that I wanted. I did not feel like, "you will get pregnant," or, "this is the date that you will have your baby." I did feel something else.

After I prayed, I sat and reflected for a long time. I recorded some thoughts in my journal, and others were etched upon my heart. I thought about Abraham and Sarah. If Heavenly Father can help Sarah conceive, he will help me conceive. I thought about Isaac and Rebekah, and that she was "barren," and Isaac pleaded for their children, and they were blessed with twins. I thought about Rachel, and God "opening" her womb. I thought about Elisabeth and Zachariah, and how in old age, they were blessed with John the Baptist, who prepared the way for the work of the Savior. All of these women were righteous, dedicated, and covenant-keeping women. All of them were blessed. For some of them, it took many years.

In my journal, I wrote, "Even if my faith in my ability to conceive is weak, my faith in Christ can be strong."  We are asked to have faith as small as a mustard seed, and Heavenly Father will create miracles out of that faith. I may not be able to create a baby out of sheer will. My husband and I may need to be patient. We may need to seek more medical assistance. We may need to explore adoption. There are any number of possibilities. But I received, as an answer to my prayer, an assurance that, if I can exercise my faith in Christ,  Heavenly Father will work a miracle in my life. 

In the Bible Dictionary that comes as a reference in my scriptures (as part of the LDS canon of scripture-it references the Old and New Testaments), it says "Faith carries an assurance of the fulfillment of things hoped for...when there is true faith, there are miracles, visions, dreams and healings." I cannot describe the comfort that has come from reading those words. Faith, no matter how small, can bring miracles. 

Sometimes I feel that my faith may not even be that of a mustard seed. As I prayed, I remembered the account of the apostles in Luke 17. As the Savior teaches them about repentance and forgiveness, the apostles ask, "Lord, increase our faith." The apostles asked for an increase in their faith. Christ gave them the parable of the unprofitable servant and taught them greater lessons than they could have ever hoped for. If the apostles can ask for an increase in their faith and be taught and guided, any of His children can ask for an increase in their faith. I am praying for an increase in faith. I am praying for guidance. I am praying for understanding. I am praying for peace. In the midst of confusion, of turmoil, of deep anxiety and pain, I will stretch forth my hand to walk on the water to Him, my Savior, and when I feel as if I am to sink or be lost, He will reach for me and help me the rest of the way, as he did with Peter. " And he said, Come. And when Peter was come down out of the ship, he walked on the water, to go to Jesus. But when he saw the wind boisterous, he was afraid, and he began to sink, he cried, saying, Lord, save me. And immediately Jesus stretched forth His hand, and caught him." If I reach, He will take me by the hand. Whatever happens will be His will, and I will walk His path in faith.

After I finished praying and reflecting, I flipped back to an earlier entry in my journal. This entry contained only a scripture that I had written down on August 26, 2012. It spoke peace to my soul as I read it. The scripture is from the Book of Alma, from the Book of Mormon. For those who read this who are not of my faith, I ask you to examine the meaning and teaching of this scripture for yourself-it teaches a powerful truth consistent with the truths of the Bible, and testifies powerfully of Christ.

"And thou didst bear all these things with patience because the Lord was with thee, and thou knowest that the Lord did deliver thee...I would that ye would remember, that as much as ye shall put your trust in God, even so much ye shall be delivered out of your trials, and your troubles, and your afflictions, and ye shall be lifted up at the last day." (Alma 38: 3-5). 

I do not know exactly what is going to happen. I do not know the direction that our journey along the path of infertility will take us. But I am blessed to know and be reassured that if I have faith of even the smallest amount, that Christ will help me to be patient, understanding, and comforted. He will guide me and hold my hand as the storms rage around me. He will not take my trials and opportunities for growth and progression from me, but He will help me to walk through them with an open heart. He will help me to be like Rebekah and Elisabeth and Rachel and Sarah. He will open the way for us to have a family. And when I feel like I can't go on any longer, he will increase my faith. 

I don't know that I am much further along the path of understanding and progress than I was on Friday night when my period started and I wanted to lay on the floor of a scary state park campground bathroom and cry my eyes out, but I do know that I have felt Christ's companionship and love in these past few days that I haven't felt for a long time. I know that He was there with me in my tent as I cried, and that He was there as I prayed. And I know that the Son of God and the King of Kings and the Worker of Miracles is my friend, my comfort, and my brother, and that I will never be alone. And I know that through Him, we will someday have a family.