Pushing Through

A view of the waterfall in Bells Canyon

Two weeks ago, my husband and I went on a truly amazing hike. Well, it was amazing when we got to the top and were rewarded with the view of a hundred foot waterfall crashing into a mountain river, white spray misting through the air and sound thundering across the canyon. The whole way up to this waterfall, I was thinking, "why the crap did we do this?" I cursed in my mind (and OK, let's admit it, out loud) too many times to be proud of as I crawled up giant rocks, banging and scraping my knees and arms as I hoisted up and over the chunks of granite that peppered the forest floor. We climbed at a steep incline for the last mile and a half, and I felt my heart thudding in my chest in a steady rhythm as we kept ascending, stopping only briefly for to rest our aching knees and ankles. We hit several false summits, and I was almost in tears by the last one. 

When we finally reached the top of the trail and scrambled down to the waterfall, the sight was absolutely breathtaking. The way down was equally as difficult in terms of impact, but we reached the bottom with a sense of exuberance and accomplishment. I couldn't help but be struck by the symbolism of what we did. The hike was an exercise in pushing through the pain. Not pushing through by numbing out and shutting down, but by acutely feeling the pain and difficulty in every step, and still moving forward. I can't say I enjoyed the actual process of pushing through, but I do value what is on the other side of that-the knowledge and assurance that I can do really hard things and those things can make me mentally, emotionally and physically stronger. 

I think my life right now is defined by this idea of pushing through the pain. I shut down completely from January to June this year-work necessitated a level of focus, commitment, and composure that demanded I not turn into an emotional wreck that curled up on the classroom floor to join first-graders in their temper tantrums. When work ended, I slammed into a brick wall of all of the feelings that I hadn't been feeling. It was like being punched in the gut. But I am learning that walking through each day in emotional pain is preferable to walking through each day feeling nothing at all. I hate the way I feel sometimes. It is torture to be around children for me. I want to burst into tears at the sight of them. I can't handle being in the same room as a pregnant woman. I can't even watch the adorable videos the people I am closest to in my life post of their beautiful babies on Facebook because I know that they will send me into complete meltdowns. I am overcome so many days with absolute despair. It is really the most horrible, difficult thing I have ever experienced. But for the first time in months, I am actually experiencing it, and I am grateful for the companionship of my sweet, supportive husband and my Savior as He walks hand in hand beside me. Even when I am furious at Him for making me endure this hell. But I will take angry over indifferent, and I know He will too. 

We are only a tiny step closer to an end to project baby (whatever that end may be). After two months of very, very unpleasant hormone supplements to suppress a persistent cyst on my right ovary, I have the go-ahead to go off them. These pills made me feel like garbage-emotionally and physically. At the end of taking them, the cyst on my right ovary is resolved, but there is a small one on the left ovary now. Dr. Peterson has now seen enough of a pattern to classify them as alternating functional cysts (hormone producing) rather than endometriosis, which I guess is good news. I need three weeks to clear my system and return to a normal cycle, and then we start all of the fertility drugs again. We have waited 6 months for this, so we are anxious to try again. I am hopeful that the perfect storm will hit-I'll be pumped up on the drugs, husband will be in the last two months of his zinc/folic acid supplement trial, and I will be in a place where I am not only mentally but physically healthy, and the magic will happen. We get three chances at the magic. Then, the conversation will have to change.

Due to my low AMH levels (eggs in reserve), our doctor wants us to start talking about IVF if our current plan of action doesn't work. I have never wanted to pursue IVF, however, as our church has moved away from facilitating very affordable adoptions, a $15,000 IVF package has suddenly become the more affordable option. I don't know how I feel about it yet. I think that's a mountain that I will wait until the last possible minute to even consider climbing. 

The rest of the summer will provide plenty of chances for growth and fun and pushing through the pain. We have some great (hard!) hikes planned. I am working out like a crazy woman each day and it is definitely giving me an Elle Woods-esque rush of endorphines (because happy people just don't shoot their husbands). I am spending lots of time with my husband who I adore more and more each day. Isn't it amazing how you only fall deeper in love with someone as you struggle through the hard stuff together? We have a great vacation to Florida (yay for Disney and Harry Potter world!) planned for the end of July/beginning of August. I know I am going to keep hurting through all of this, and I don't think that will change. But I can see a way to appreciate the good things while I am hurting. 

I may be scraped up, bruised, prone to crying in the presence of small-children, and soon to be pumped full of more hormones, but I am still climbing, and anticipating whatever view awaits me at the top. 

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.