Two Week Wait

Fifteen minutes at an early morning doctor's appointment was all it took to change my world.

Early on Friday morning, we bundled up and walked in the dark to our internal ultrasound appointment, breath puffing out like smoke against the cold morning air. The ten days before the appointment were ones spent in relative panic, fueled by irrational Google searches about 29-year old women declared barren and free of eggs and whose uterine cavities had been consumed by endometriosis. Stupid internet. Stupid baby-hungry brain.

We walked into an empty clinic office and took a seat in the waiting area. Within three minutes, we had been called back and Dr. Peterson was waiting for us with a wide smile. He had me get settled into the ultrasound room, stepped out to let me get all arranged from the waist down in a sheet, and then we did the ultrasound.

To my shock, he said, "your uterus looks great, no endometriosis, and while we're in here, since it's day 11 of your cycle, we can go ahead and check your egg follicles." He shifted the ultrasound wand and a round black spot showed up on the screen. An 18 millimeter egg follicle on the right side. Dr. Peterson noted the size and said, "that looks great. Almost ready to release. Let's check the other side, but it's rare to have them on both ovaries. Well, except for you, apparently." I had another mature, dominant follicle on the left side, at 21 mm. He noted all of the sizes, and told me that we would do an Intrauterine Insemination on Sunday morning. He prescribed an HCG trigger shot  for me to give myself on Friday night to stimulate the release of the eggs on Sunday morning, and twelve days of progesterone to be taken after the IUI to prepare the lining of my uterus for implantation.

The next 36 hours were a blur. I gave myself the trigger shot in my lower abdomen on Friday. I felt a little nauseated, and since then have felt this weird seasick feeling in my lower body-my uterine area down through my legs. Saturday night and Sunday I had some twinging around both of my ovaries, which I assume were the follicles rupturing. Sunday morning I had a major temperature drop, which can be indicative of ovulation if followed by a sustained rise over the next few days, and so far the pattern is holding steady. We began a fast on Saturday night (along with many dear friends and family members) and prayed especially for this procedure to work if it was God's will. I slept well, and felt peaceful.

On Sunday morning, I woke up at 6:15, showered, got ready, and tried to quell the anxiety in the pit of my stomach. My HSG in August was so traumatic that the thought of a date with another speculum and catheter scared the daylights out of me. All day, I felt the comfort of Heavenly Father with me as we went through every moment of the procedure.

I spent most of the day amazed not only by how simple this procedure was, but also by how many couples IUI has blessed. After the andrology and IVF lab had all of the necessary materials for the procedure, BJ and I went to relax for an hour while they centrifuged and prepared the "sample" for the insemination. They basically spin all of the really good quality stuff to the top, eliminate the toxins and other materials that can inhibit conception, and then pump it up on a sugar substance like Red Bull to give it some extra pep in it's step. Pretty cool. Pretty amazing.

When we returned to the fertility center, we waited for about ten minutes with a few other couples. We all had the same look on our faces: hopeful anticipation, radiant joy, and an underlying quiver of fear and doubt. When you plunk down between $400 and $500 to do what nature intended for you to do on your own, it messes with your head. This was our first time, and I felt like there was a roller coaster in my stomach. Some of those couples may have been on their second, third, or fourth try. There was a strange sense of silent solidarity in that room. For a moment, I thought my heart would burst from the outpouring of love I felt for those other couples. When the nurse came to bring us back to the room, I had tears in my eyes.

The insemination was very fast. From speculum in to speculum out, it was a matter of about three minutes. I explained my HSG-related trauma to the procedure nurse, and she was very gentle and had no problems reaching my cervix or threading the catheter through. She had us check the labels on the insemination vial about 20 times (wouldn't that be a nightmare if it were the wrong vial!), and then connected it to the catheter, and boom, we were done. She wished us luck, and then I got to lay there for fifteen minutes with my legs up to give the little guys their best chance of saying hello to my egg. All I experienced from the actual procedure was some very mild cramping.

In two weeks, I can do a home pregnancy test, and if it is positive, I will do a blood test. If it is negative, then we move on to another cycle with some fertility drugs, and we do it all again.

I am nervous, hopeful and excited all at once. I am also crazy emotional and hopped up on hormones that make my cry at the drop of a hat. In the middle of the grocery store. About not being able to find the right kind of oranges that are on sale. Sigh.

We don't know what is going to happen, but we will soldier through whatever the result is. If our test is positive, we will tell family and close friends, and wait a few weeks until the ultrasound to establish a heartbeat before telling everyone else. If it is negative, we will need some time to process, regroup and reassess before talking about it. The whole purpose of this blog is to share and connect with others experiencing the same struggles, and I want to be open and vulnerable about everything that I am experiencing. Sometimes it just takes a little time to be able to be open.

Fifteen minutes changed the course of our lives. In two weeks, we will have a similar experience as we find out whether or not we were successful. Just a few moments in the grand expanse of time.

So we wait out those two weeks, and we pray, and we hope and we dream, for ourselves and for everyone else who is trying to have their own little angel.

Bread and Stones

For me, the past three months have been all about learning the difference between bread and stones, and realizing that sometimes what I think are stones actually turn out to be bread. Blessings and trials-one and the same. Oh, what a complicated path we all walk. 

Six weeks ago, I walked away from a full-time teaching position at a great school after my first day of training and orientation. I had spent nearly six months anticipating what this new position would bring to my life, feeling unsure and unsettled about the opportunity the entire time. Sometimes, you do what you feel is necessary to take care of your family, like accepting a job that you have very mixed feelings about. And sometimes Heavenly Father smacks you over the head with a two-by-four less than a week before students arrive and tells you to get the heck out of dodge. So I cried the whole way home from my first day of training, had a very long talk with my amazing and supportive husband, prayed and asked for guidance, and drove the hour commute the next morning at 6 AM to inform the director of the school that I was resigning. I felt as if I were begging for bread and kept receiving nothing but stones to satiate my hunger.

Here's the thing-this job would have precluded me from doing everything I need to do to make sure we have a family. There is nothing on this earth more important to me than my current and future family. And at 29, I don't have the luxury of time or flexibility to play the waiting game any longer. I need to aggressively pursue my options to make a baby a reality-whether that is through fertility treatments or adoption. A two to three hour daily commute, severely restrictive leave policies, an insanely demanding schedule for uncompensated work time, and a seriously bad feeling in the pit of my stomach meant that my only choice was to walk away. Leaving this position turned out to be bread after all. 

But walking away blew up ALL of our life plans in a matter of seconds. No dual income. No chance to save for adoption or fertility treatments. No life that we had dreamed of and anticipated. 

God has a way of guiding you through the stormiest of times and bringing you back into a safe harbor. In the midst of all of this turmoil, I felt His hand guiding us toward a new and better route. Even though the trip has been scary, and the hard times are likely far from over, we know that we are in His hands, and that He will never, ever leave us. And He will teach us the difference between bread and stones.

Within a week of leaving my full-time position, I was set up to regularly substitute teach at a local elementary charter school. In the next few weeks, I will begin back-to-back long-term subbing positions at this school, working full-time until at least February. The school is amazing, is less than 10 minutes from home, and is exactly what I needed in my life at this moment. My sweet husband was given the opportunity to work from home and was also was promoted and given a substantial raise. We have seen the Lord's hand in our life, handing us bread, the essence of life, making up for what we lost, and leading us to something better and more fulfilling. Things still are not easy, but they are definitely looking up. 

Which brings us to the most important goal of all-operation baby. Now that I am working close to home, I have the time and ability to attend my needed fertility appointments. In August, after my HSG procedure, I was referred to a Reproductive Endocrinologist at the Utah Center for Reproductive Medicine, part of the University of Utah medical services. My potentially arcuate uterus needs further study, and my wacky periods and ovulation need more evaluation. 

BJ and I left bright and early this morning for our appointment with Dr. Peterson. I was nervous and excited and really anxious. After spending fifteen minutes trying to find the office and arriving late, my blood pressure was through the roof and wouldn't even register on the machine. The nurse was very patient with us as I calmed down and returned to some semblance of normalcy. A million questions about our medical histories later, the doctor joined us and our short, sweet and productive meeting commenced.

Basically, Dr. Peterson laid out a short term plan to get us pregnant as quickly and naturally as possible. Today, I had a blood test to check my AMH levels to tell us how many viable eggs I have left. Next Friday, I have an internal ultrasound scheduled to evaluate ammenorrhea, or painful periods, to make sure I don't have endometriosis...which is also a convenient way to have an insurance-covered diagnostic ultrasound done to check my arcuate uterus and the development of my egg follicles this month (since we scheduled the ultrasound on cycle day 11). As long as things check out okay with my uterus and I don't have endometriosis (which is very unlikely), and I have a developing egg follicle, I will get a shot to stimulate ovulation. Several days later, they will mix my hubby's little swimmers with the equivalent of Red Bull to get them good and energized, and we will do an intra-uterine insemination procedure. This could potentially all happen by the 21st or 22nd of October, so it is moving very quickly. We will do one natural cycle of this approach, and if it does not work (or I do end up presenting with endometriosis), we will move to a maximum of three medicated cycles of Clomid, Red Bull for the little guys, and IUI procedures with follicle ultrasound monitoring. Right now, it feels like bread is raining down from heaven.

Phew-that is a lot of words. But it is a PLAN. A REAL PLAN. We are so grateful for it, and for a team of doctors that want us to get pregnant quickly and naturally. It may or may not be successful. But we are going to give it everything we have and work through these next four months (hopefully only one!) with faith and vigor. 

These last three months have been pretty hellish for us. Disappointment piles up and begins to choke you out of your own life. Walking away from that job was the first time I have felt sunshine in my life in a long time. Having new opportunities and blessings presented to us increased the light in my life. Today, our amazing doctor blew the rest of the clouds away and let the sunshine stream into our lives with his amazing gifts and talents. We are cautiously optimistic, but so hopeful at the end of the day, because we know the Master is in control, and can see so far past what we can ever imagine.

One of my favorite songs offers a window into how I feel on the days that I am both discouraged and uplifted. I never knew it was possible to have both of these feelings at once. But infertility opens windows and doors into emotions I never knew existed. My struggle is my own. Others may try for years for a baby and never arrive at that result. I may be one of those women. But the words in this song help me to hold on when I feel the need to despair (so what if walking through Deseret Book and hearing it playing makes me burst into tears in front of other customers). And as the last notes fade away, I feel nothing but hope that we will somehow, someday, be parents. In the song, "Better Promises," Hillary Weeks sings, 

"You gave me bread, 

but I thought it was a stone, 

and before You could tell me yes, 

You had to tell me no. 

If you had given me what I wanted, 

I would not have seen, 

that You had better promises for me."

I know that He has better promises for me. Promises greater than I can ever imagine. Perhaps BJ and I needed more preparation to become parents. Maybe we needed BJ's promotion and raise. Possibly, I needed to have an Abraham and Isaac moment with my faith and was tested with confusing job opportunities. We may be people that Dr. Peterson needs to bless with his incredible gifts and talents. We most definitely need to learn patience. And maybe there is a baby out there who may come to us through adoption. We don't know. But I know that He will calm us so we can ride out the storm, and if we reach out our hands, we can walk to Him on the rough waters of life. 

So internal ultrasound and (more likely than not) IUI, here we come. 

Step one on the journey of the rest of our lives.

Step one in realizing that what we believe to be stones may be bread after all.