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.