IUI, Post-Ov Ultrasound and Progesterone Bloodwork

Sorry I haven't posted an update about the IUI.  I guess I have just been trying not to think about it much and trying to focus on other things so I don't drive myself crazy.  June 10th, I went in for the IUI with DH's specimen in a cup tucked inside my clothes so that I could keep it close to my body (that's what they suggested I do).  The IUI was about 10 minutes long.  The nurse brought in the tube with the sperm and said there were lots of sperm in the specimen I brought in.  Yeah!!  She showed me the tube.  It was cloudy looking.  She said that was good and means there are lots of sperm in there.  She brought out a long thin needle thing, which is what she used to inject the sperm in me.  The procedure was fine except for when she hit my uterus.  We were talking and I stopped in mid-sentence.  She asked if I felt discomfort.  I said yes.  She said that she must have hit my uterus and needed me to tell her if I felt any discomfort  because she can't tell how far she has injected it / if she is hitting the uterus.  After the procedure, I layed on the table for about 5 minutes before I left.  I felt some pressure in my vaginal area, but other than that felt OK. 

I was pretty tired.  DD and I took a 3+ hour nap.  It was great! 

I went in the next day (June 11th) for a post ovulation u/s.  The tech said my lining was now at an 11.  Good!  She could also tell that an egg was released because there was fluid.  She said we had done everything we can up to that point.  She said 2 weeks after I had the Ovidrel, I can take a test.  She did warm me about taking it too early though, to avoid getting another BFN.  I am to call when I receive a BFP or if AF visits. 

DH and I drank a bottle of one of our favorite wines (because hopefully soon I won't be drinking any for about 9-10 months) and he toasted "to our growing family."  That was such a sweet toast!  I loved it and I love him.

June 15th I went in for b/w to check my progesterone level.  The nurse called the next day with the results.  She said my level was a little low.  They like it to be at least 20 and mine was at 13 (which was no surprise since my ob/gyn diagnosed me with LPD).  They want me to take 100mg of Prometrium 3 times per day.  She said that I should call the office by the 25th, unless I receive a BFP before that (then I need to call right away).  If I get a BFN and no visit from AF, they are going to do b/w.  I plan on testing today actually (the 24th).

Since then it has just been a waiting game and I have been trying to focus on other things and not think too much about it.

Not the One

Last cycle was not the cycle for us.  I test on April 12th, 14th and 17th and received a BFN every time.  AF came and CD36 became CD1.  It is getting harder and harder for me to be around my group of friends.  Almost all of them have 2 children and actually 1 just told me that she is pregnant with her 3rd.  While I am so happy for her, I just can't help but be upset that it's not me.  I feel unwelcomed or like a don't fit in with them.  Maybe I feel like I don't deserve to be friends with them.  At first I tried to put it off on them, but have actually come to the awareness / realization that it is me.  I have not shared this struggle / battle with any of them.  They are aware that I have PCOS and LPD, but not that we are and have been TTC since the end of August / beginning of September 2009.  When asked if we will have more kids (which is not very often by them), I always tell them we aren't sure or not yet.  I just hate to feel vulnerable and be pitied or felt sorry for.  I just don't feel I can open that part up to them.  I have shared other struggles with them and didn't get the support I needed / wanted / hoped for from them, so I can't share this with them. 

I started my 2nd round of Clomid on April 23rd (which was CD5) and took it until the 27th (CD9).  I started Prometrium on May 2nd (CD14).  I have also been charting my temperatures since April 24th.  This has just added to the confusion.  My temp started around 97.05 then dropped to 96.5, then rose back up to the highest being 97.6.  I have not had any other signs of ovulation - mucus or cramps, so I am thinking I have not ovulated this cycle or at least not yet.  I am not really sure how to read the chart (for my temps), even though I have read up on it.  I am currently on CD20 and have given up hope for this cycle.

We attended a friends' baby shower.  It was actually for their 2nd child.  While I am so happy for them, I can't help be a little pissed.  This friend didn't even know if they wanted kids and now she gets blessed with 2!  I know it is harsh for me to say that or even feel that way.  She is a really good friend.  Probably close to the best or most supportive friend I have, but it is still hard to swallow.  I haven't even been able to bring myself to share this struggle of TTC with her, either.  It's almost like a Jekyl / Hyde thing. I am so happy for them, yet so jealous, angry, pissed, etc that it is not me.

My friends have scheduled a few playdates / get togethers that I have just skipped because I just can't be around them.  It is so difficult.  They don't understand what I am going through.  I know I haven't told them.  I haven't shared it with them and they are not mind readers, but still I just feel like I don't belong with them and can't be around them.  I have started withdrawing from a lot of public situations because it is so upsetting to see someone pregnant or with multiple children.  I have tried to be OK with it and put my trust in God, but somedays it seems that it is thrown in my face.  I have thought of talking to someone at our church about our secondary infertility and seeking counseling for it.  But I just don't know how to start the conversation.  The other night I just lied in bed next to DH crying.  He doesn't know what to say and doesn't understand fully.  He wants another child, but says if we can't have one of our own we will adopt.  I know that I would love any child that we adopted and have always wanted to adopt, but didn't think I would be "forced to it".  I guess I struggle with, why me?  What did I do to deserve to not be able to have any more biological children?  Don't get me wrong, I am so grateful to have DD.  She is such a joy.  She is what makes me go on.  She is the light of my life.  I enjoy her so much.

This struggle is obviously very personal and I have looked to the Bible for answers and have been praying to God for answers.  If His answer is no, I pray that He gives me the courage and strength to cope with that.  I do know that deep down His plan is what is best for me.  I do trust in that.

So I will humor myself and test in 9 days like my ob/gyn told me too.  The good news / light at the end of the tunnel for now is that I called the specialist and they were able to schedule us for May 24th.  I was happy and confident with this date because at that point we should know for sure whether this 2nd round of Clomid has worked.  I was hoping it wouldn't come to seeking the help of a specialist (not that I feel above it, just wanted it to come the easy way).  Of course, I was also hoping that it wouldn't come down to us having to start Clomid and we have for 2 rounds now.  I guess I just need to learn to deal with it better.

Sock It To Me: Winter 2010

I joined Sock It To Me, an awesome sock exchange that Kymberli at I'm A Smart One started.  The SITM: Winter 2010 Exchange is my first one ever.  Here is what Kymberli has to say about this cool exchange:

It's The Great Sock-It-to-Me Exchange. The warmth you feel from your bloggy support is a warm and fuzzy pair of snuggly socks. Take the support with you for a trip to the stirrups. Wear them when you're chasing around your battle-won little person. Put them on when you have something to celebrate or when you need a hug. Wear them as a physical reminder of all the people inside your computer who you know care for and are thinking of you.

Here's one of the "rules":
The week of Sock It to Me Week. Post a picture of your socks (worn or not worn) with a link back to the blogger who sent them to you. The topic of the SITM posts will change each time.* For SITM Winter 2010, reflect on ways which the community supported you in 2009 (or if you're new to blogging, ways in which you needed support in 2009) and also look ahead to how you'll give and continue to receive support in 2010. SITM is a week for warm and fuzzies. Like ummm...the socks.

I had the pleasure of sending a pair of socks to Kymberli and from that I have really gotten to know her.  I really appreciate the support she has shown me since joining this exchange. 

I received a pack of 3 socks from Renee.  I am not including a link to her blog because she is not a blogger.  I actually sent Kymberli an email to ask her who sent me the socks because Renee kept it a secret when she sent the package. 


The ones in the second picture are the pair I wore to my u/s this week.  It was really helpful to wear them because every time (even throughout the rest of the day) I looked at them I felt supported.

I am not new to the blogging world.  I actually have 4 blogs.  This blog is new.  I am newly (as of July 2009) diagnosed with PCOS and LPD (in August 2009).  I really felt I needed a place to share that part of my life.  Not many people know of my diagnoses or that we are TTC.  I know to some that may sound silly, but the important people know about it (my DH, my mom, some of my family and friends - know about the diagnoses).  I am not comfortable sharing this information with everyone because there are some really unsupportive people in our lives (and would use the information against us / me in anyway they could).  I have not shared with anyone, outside of you all that read this blog (and of course my DH) that we are TTC.  I just am not ready to share that struggle with anyone except you all.  It's just too painful.  Since my diagnoses, I have felt very unsupported (which is why I needed to start a blog just for that part of my life).  My DH, mom and friends don't understand it.  They know of it, but don't know how to support me with it.  I have tried explaining things to them, but they just don't get it.  My DH is coming around and has told me he is scared.  He is afraid of this and what it has done to me and to the possibility of future children. 

I really just need a soft place to fall.  A place to be accepted and not judged.  A place to be able to put it all out there and still be loved.  I really need people to genuinely care about me and what is going on in my life.  I wish I had family and friends that would offer help and support with my DD or with the house or with just lending an ear or with just crying with me over everything or just getting mad as hell with me about things. I don't want people feeling sorry for me, not one bit. 

I am so glad for the women that I have met since starting this blog and joining some online PCOS support groups. I appreciate their support and continue to need it.  I will continue to provide support and try my hardest to make it a priority everyday to check it on my girls.  I hope that all of our efforts of TTC will be fulfilled this year.

New Game Plan

Last week I attended an appointment with my ob/gyn.  The nurse talked to me about the fact that I have several factors against me in regards to conceiving again - PCOS, hypothyroid, LPD, but that the most promising factor was that my body did it once.  I have a beautiful 3 year old little girl.  The ob/gyn reviewed how things have been going with me.  I told her about my pains, especially on my right side.  She ordered an u/s to rule out blockage and scar tissue.  We talked about TTC and what our next move should be.  Thankfully she understood that we mean business and want to get things rolling with having a baby.  We don't want to play games or twiddle our thumbs.  She laid out all the options - try Clomid (she only does 3 rounds then sends you to a fertility specialist), seek a fertility specialist, keep trying with Metformin and Prometrium.  I asked her opinion because I truly respect it.  She said she thinks we should go ahead and start Clomid, get an appointment with a fertility specialist schedule for the next few months, and of course get the u/s.  She said the Clomid will be hard on me.  It will make me feel like I am going through menopause.  I told her that I already feel that way, as I have major mood swings and was having hot flashes.  I actually asked her if she was just teasing me and I was truly going through menopause.  She reassured me that I wasn't.  She said Clomid will bring on all these symptoms, plus there is an increase in multiples.  She said that she personally has never had anyone have multiples from it, but it is a risk.  We are worried about that risk because twins run on both sides of our family.  DH also asked if something could be wrong with his swimmers and so he is going to be tested.  I thought that was such a great thing for him to ask and kind of took the "heat" off of me.  I just thought that was very supportive.  The nurse was great at reassuring us and DH about the sperm analysis.  She told us her DH had to do that, too.  I really appreciate my ob/gyn and the nurse sharing their experiences with us because it helps me to know I am not alone / we are not alone in the struggle.  If I hadn't said this before, my ob/gyn also has PCOS.  So our game plan is to take Clomid CD6-9, then Prometrium CD14-28, on CD 29 I will take a pregnancy test if AF hasn't visited, if BFN then I will continue the Prometrium until AF visits (or I get a BFP).  We will do that for a few cycles, then if no BFP, we will meet with the specialist.  Oh yeah, and DH will get his swimmers checked and I will get an u/s.    

My History

On January 29th, I saw on Daily Strength, a question regarding Vitex.  The replies from the post stated that these women had great success with it.  I looked it up and thought I would give it a try.  I went to the store and bought Vitex and progesterone cream.  I started taking a cough decongestant on the 28th because I read that it can help with the cervical mucus. I also decided that I must have been delirious on the 28th when I thought I had a visit from AF.  Of course I am delirious, 59 days without a period?

When I think about my history and my diagnosis of PCOS, I always wonder if I didn't cause it.  I was on BCP for years that I only needed to have a visit from AF 4 times per year.  I wonder if that could have tricked my body into only having AF every few months. But then when I read symptoms and information on PCOS and LPD, I have had those for years. I switched from ob/gyn to ob/gyn trying to find out what was wrong with me until I met my current ob/gyn in 2003.  I always thought / knew something was wrong, but no doctor would listen to me.  I was diagnosed in 1996 with a hypothyroid.  Then depression some several years later.  I had a laproscopy and hysterscopy in 2002.  The ob/gyn punctured my uterus during these procedures.  She thought I had endometriosis, but said I didn't after these procedures.  I found my current ob/gyn in 2003 at a women's event.  She asked me to give her a chance and I did.  She didn't diagnose me with PCOS until last year, but she has always listened to me and taken my concerns seriously.  When I first started seeing her, she found a BCP that worked for me and seemed to "cure" my symptoms.  She is the doctor that recommended I go on BCP that I only need to have AF 4 times per year.  My visits from AF were horrible, so I agreed.   Things were fine.  DH and I decided we would start TTC in June 2006.  In March 2006, I stopped taking BCP and was pregnant in May 2006.  We had a healthy, beautiful little girl in 2007.  I did have GD during the pregnancy. 

Something Must Be In The Water

I can not believe all the people I know that just had a baby or that are pregnant. It is ridiculous. Here is the list (sorry to bore you):
1. S had a boy in April
2. CB had a boy in April
3. LS had a girl in April
4. EE had a girl in June
5. N had a girl in July
6. K had a boy in July
7. AB had a boy in October
8. A had a boy in November
9. K had a girl in November
10. EB had a girl in November
11. TG & MG had a boy in November
12. CE had a girl in December
13. J had a baby in December
14. BG & NG had a girl in December
15. D is due any day now
16. W is due this month
17. A is due in April
18. TL is due in March
19. TD is due in March
20. K is due in March with twins
21. SB is due with a girl soon
22. KB is due in a few months
23. LP & MP adopted a girl in April
24. GG & B are due in January
25. LN & TN are due in April
26. JP & AP are due in February
27. SS is due in April with twins
28. R & N are due soon
29. B is due in a few months
30. T & F are due in August
31. JB & EB are due in August

That is a hell of a lot of people and I am sure that I am forgetting about a few or will learn of more pregnant people in the next day or so. It seems like everyday I am hearing that someone is pregnant.

While I am super excited for everyone, I can't help but feel very jealous. With my recent diagnoses, I just worry that it will never be me, that I will never be pregnant again. It really bothered me when I would hear news of someone being pregnant when DH wasn't ready to start trying. I feel like we have been given a time limit on having kids. I am really worried about using fertility drugs or fertility treatments. First off, the cost and secondly, the possibility of multiple births just stresses me out. I have really been keeping my stress, worry, frustration and sadness about all of this to myself.

But will we be OK family wise? I want more children more than anything. I think DD would be an amazing big sister. I feel like she would be losing out on so much if we can't give her that opportunity. She deserves to be a big sister. She deserves to have brothers and sisters that look just like her or have similar features and that love and adore her (as she will them). I want to have more than 1 pregnancy and more than 1 biological child. I would like to have at least 4 children (not all at the same time). I want to have 3 more pregnancies and all end up in live births with healthy babies being the outcome.

You might wonder why I am afraid of miscarriage. With the LPD diagnosis, the biggest risk is that if I do / can get pregnant, that I will miscarry. I do not have enough progesterone in my body to be able to maintain a pregnancy. I am glad this was found out now and not after a miscarriage. I really hope that we don't have to know the pain that comes with miscarriage. I know EE, CB, and B know that pain. It must be so difficult and I do not want to have to go through that.

DH and I talked, well I cried, one evening after leaving a friend's house. I love being around my friends, but it is really tough when they are almost all pregnant or recently given birth. That is when we decided to start TTC. It was August 29th.

We are not TTC because of all of our friends, but because he is finally ready. Before it was him holding us back. He stresses about finances too much. I think of finances too, but know that things will get better. God will provide. I am trying to find more kids to babysit. He will graduate in 2011 and get a better job (if not before). We will be OK. If we have to, we can / will sell the house. We could stop the 401K and defer my school loans. The credit cards will be paid off at the end of 2010. We will be OK financially. The other thing holding us back from TTC was issues with his family that affected our marriage.

I did have mixed emotions about getting pregnant because of the way things are with DH's family. I talked about this with E. DH and I have a strong marriage - that has been proven. We can't let them dictate or decide when we will continue or add on to our family. Problems with them could very well always exist (as long as they are around and in our lives).

LPD Diagnosis

The ob/gyn's office called on July 18, 2009 with the results of my bloodwork. Apparently my body is not doing what it's supposed to. It is not making enough progesterone, so I have to take progesterone during days 14 - 28 of my cycle. So now I have been diagnosed with Luteal Phase Defect (LPD), too.