Week 36: False alarms, part 1

First, my sincere apologies for the long-delayed update. I can chalk it up to, primarily, two things — 1. Life has gotten a bit hectic and 2. While there have been things I may have wanted to share in the last few months, I think I’ve experienced a bit of the survivors guilt phenomenon. Coming from such a tumultuous place of infertility and failure, a part of me had/has a hard time accepting success and that I’ve had a rather uneventful pregnancy. It can all feel very complicated. Have you been in my shoes and experienced this, too?

I’m now 37 weeks in and officially full-term. I doubt I will ever completely wrap my head around that, given how I got here. But last week was especially crazy in both a hectic and mindf*ck sort of way.

Monday was the first false alarm. It’s first worth noting that I have an anterior placenta, and given that placement, I felt Little Wookiee move much later than expected (as in true movements, not just the “that could be something but…”). I was far into my second trimester before movement became regular and noticeable to me. In the last month or so, though, LW has been particularly active at night, usually around 8pm. At my last OB appointment we’d talked about kick counts and how I didn’t do them, really, because given the placenta placement there were only a handful of times per day that I could feel LW and I didn’t want to freak myself out. Well. Famous last words.

Monday night I settled into bed to read or watch TV for a bit before going to sleep, about 8:15, as is our usual. No doubt that might seem crazy early to most people but I rely on as much routine at home as possible, particularly since third trimester sleep has been spotty at best. Anyway, I expected to be feeling LW punch my bladder within a few minutes. Nope.

By 9:00 or so I’m poking around my belly trying to get a reaction. Nothing. I grab a lollipop. Sugar usually does it. Not this time. Around 10 my husband says, “stay calm, she’s just sleeping. You should try it, too.” Not interested. But he was, so I said sure, you go ahead, and I’ll try. By 10:45 or so I had sort of fallen asleep.

12:30am: My dog wakes me up to take him out. As I’m walking down and then back up our three flights of stairs I’m simultaneously willing LW to wake up and reassuring myself that everything is totally fine and I should just go back to sleep as quickly as possible.

3:00am: I’m wide awake and trying to determine the last time I felt movement. Was it just after dinner? No, that can’t be right… that’s like eight hours? I poke some more. I wait. And wait. I Google, but very carefully. Because there are really terrifying things on the internet at 3am when looking for solutions for “decreased fetal movement 36 weeks.” Bad. Things.

4:00am: The dark thoughts roll in. Dark. All logic is out the window. I want to call the doctor but the idea of confirming the dark thoughts is not something I’m able to fully grasp. I keep poking and waiting and worrying that my healthy Little Wookiee isn’t so anymore.

4:30am: I walk into the nursery, with a death grip on my phone, and make the call to the doctor’s answering service. I explain. I’m told I’ll receive a call back within 30 minutes. I hang up and pace.

4:35am: The on-call midwife calls. I explain. She tells me I did the right thing by calling. Suggests I drink a very large glass of ice water and wait a few minutes. If I still don’t feel 10 kicks in the next 30 minutes it’s time to go into the OBED for a non-stress test. I drink so much water. I wait.

4:45am: I got back upstairs, wake my husband and tell him we need to go to the hospital because I did all the things and nothing. I go back downstairs for more water. Drink. Back upstairs to get dressed.

4:50am: I feel something. And then another something. I tell my husband LW is on the move. There are tears behind my eyes but I can’t cry. Within another few minutes LW gets sassy and gives two very powerful kicks. I count 25 kicks in that 30 minutes since I spoke to the midwife. I’m breathing normally again.

5:00am: I call the midwife again to confirm I don’t need to go into the OBED. Thank her profusely for her patience.

Ice water is my best friend.

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When your anxiety is as high as your estrogen

My husband called it “estroxiety.”

It is transfer week, which means it is crawllllling by at a snail’s pace. Aside from the side effects of my BFF Estrace — of which I have many — my mental health feels a bit like a teeter-totter. One moment: OMG I AM SO EXCITED THIS IS GOING TO FINALLY WORK ALL CAPS EVERYWHERE! The next:

giphy1

Actual footage of me?

Don’t get me wrong, not going into an embryo transfer blindly for once is a welcome change. I know my doctor (well, actually, not my Peyton Manning doctor because he will be on vacation) will place little PGS-normal 5BB in my now-optimized for receptivity uterus. Because my ERA test revealed that my lining is 12-hours pre-receptive, we’ve moved my PIO shots to the mornings, giving me an extra dose before the actual transfer. The same biopsy revealed no recurrence of endometritis either. So, basically, my uterus is as ready to grow a baby as it probably ever has been. I’m set up for success. Even my clinic’s internal stats on a a PGS-normal resulting in pregnancy and a live birth are killer.

And yet, the pressure is getting to me. My stomach is doing flip-flops. I’m not falling asleep easily and sleeping fitfully. My brain keeps telling me that normal embryos fail all the time. I’ve had anxiety before transfers in the past, but this is so heightened. I’m so hyper-aware that it could be successful and that’s just not my normal. I’ve had nothing but failure to point to; I’ve settled in and stayed awhile. As miserable as infertility makes me, it is my normal. I’m not resigned to it, but it is always there. It’s been the focus of my life for more than five years and it has become my every day. Popping Estrace pills morning, noon and night; the sore injection sites from the PIO; lying back and putting my feet in the stirrups for internal ultrasounds every few days. This is my life. It sucks so much, but there’s something that has become so comfortable, too.

Like many Type-A people, if I’m not good at something almost immediately I tend not to like it very much. I despise mediocrity in myself. When I was eight years old I played the saxophone for a little under a year. I was pretty terrible, and I quit because I knew I wouldn’t ever be first (or even second) chair in the elementary school band. Instead I did something I was much better at (cheerleading [current me still doesn’t fully comprehend how I was a cheerleader my entire childhood]), and spent the next 10 years engrossed in that. Captaining teams, winning an award or two and being pretty good at something like the Type-A in me wanted.

Somehow, I’ve never quit this. I’ve pushed through even though I am clearly terrible at creating babies. Infertility has taught me an awful lot about failure. And, in turn, resilience. It has absolutely shaped who I am as a 36-year-old woman.

With success as close as it has probably ever been, it is out of my hands now (and soon to be in my uterus). I have, officially, all the feels.

Also, f#*k you, Estrace.

Infertility grief

Letter to the new (infertile) kid on the block

Dear newbie,

Whether you know me personally or not, I was you. I was at the beginning of this supremely shitty journey once.

A brief aside: I kinda hate the word journey. It’s both overused and trite, particularly in the context of infertility. It implies a destination ahead. And many days, you’ll have one. A baby in your sights. Some days, though, that destination may need to be relief from the physical and emotional pain you’re likely to experience. I’m truly sorry that you’ll feel this hurt.

When I was where you are on this road (that word somehow feels a bit more natural to me), I had few resources to talk me through what was to come. That was lonely, and it sucked. I hope that you’re able to take an exit ramp long before where I am now, but no matter where you depart, know that you’re never alone. Infertility is probably going be the most alienating thing you ever experience. It has been even more so than the chronic depression I’ve struggled with, although I’ve found they go hand in hand for me.

If you’re reading this, then you’ve likely found that within a few Google searches you can find others online like you. I urge you to use the web wisely, though. Seek out forums, communities and blogs that can be a source of strength for you. Just read, or share your own experience. Step away when the web becomes alarmist. Reading others experiences can be helpful, but do your best not to let these stories trigger your own fears. You’ll have created plenty in your own brain. Don’t fuel them. Remember that every woman is different and none of us have all the answers. That thought alone will probably land somewhere between comforting and frightening, and that’s okay.

When you’re ready, share your thoughts and feelings with someone. That person can be your partner, but it doesn’t have to be. Not every partner will be able to relate to the myriad of thoughts and feelings you’re having. That’s okay, too. They may grieve losses and manage anxieties differently than you do. It can make you crazy, but give them space to process infertility in their own way. It’s their struggle, too. Instead, or in addition to, seek out a therapist, a family member, a friend — whom ever you can feel comfortable and safe with. Resolve offers many peer-led support groups across many cities. When you find one, I urge you to give it a try. Talking aloud does help you feel less lonely. The strength of the women I’ve met in my local group can prop up the world. I’m grateful I can share in that.

This road may get scary. I’m sorry for that, too. I hope that those periods of fear are brief for you. If you do feel yourself wearing a little too thin, though, put yourself first. Advocate for yourself with your doctor. Ask the questions. Sometimes a little more information or a less jargony explanation can help ease your fears. Remember that the end goal of a baby isn’t the only thing that matters. You do, too. You’re here now, and this road is hard.

Sometimes you will feel afraid and empty, but you’re not a failure. What your body can or cannot do doesn’t determine your worth. I’ve spent far too many sleepless nights and dazed commutes focusing on how my body has failed me. Those thoughts only multiplied my frustration and left me drained of hope. Never once were they productive. Remember to be kind to yourself.

I don’t yet have a happy ending to my story to share with you. You’ll hear a lot of stories about how your friend’s cousin’s stepsister-in-law got pregnant after she stopped trying and relaxed. Each one will probably make you want to scream and curse. That’s okay. I hate hearing them, too. The majority of people who offer these stories have no idea what you’re navigating right now. They just want to offer their support. If someone who loves you asks if they can do anything for you, tell them what you need. Or at least ask for homemade brownies during your next two week wait. Those never hurt.

You can do this. So can I.

Your fellow infertile sister,

Ashley

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Photo by David Whittaker via Pexels

What if there’s nothing left

2018. Will this be the year that we finally… no, don’t bother finishing that sentence. We all know how it goes, right?

We started with our fertility clinic in January of 2015 after trying for two years. 2018 will be the end of this road, no matter where it leads.

We’re putting together the financials for one more stim cycle, to hopefully begin shortly after the new year. I’ll pump myself full of hormones until my belly feels ready to pop, and then we’ll wait. Hold our collective breath to see if we have any normal embryos.

Last time I stimmed, my doctor retrieved 23 eggs. Those resulted in only six blastocysts. One of which remains frozen and waiting. I remember being excited to hear that we had six. I thought, well I’m certainly not going to have six kids, so we’re fiiiine. Naive. I was tested but still untested.

This time I will be nearly two years older. To my credit (since I take so little of it), my AMH is still good for 36. I have little doubt that stimming this time will be easy. Easy in the sense that my body will respond appropriately. But not easy at all.

Listen, I’m terrified that we won’t get any normal embryos after PGS testing. That’s what I just have to say. The five previously were not good, but we didn’t know that then. 3AB and her Frozen siblings, Anna, Elsa, Olaf and, then, Anakin. None of them found their home.

I liked the whimsy of having named my embryos. It brought me some levity to the science of it all. But I’m not sure I can name them this time. Really, I just want at least one to have the option of naming.

Just give me one and I’ll shut the hell up.