5

Josh’s Urology Appointment

It has been so long….

Nothing has been going on. We were told by my doctor that due to Josh’s numbers being low that we were to wait and see what happen with his thyroid medicine to see if that made a difference in his numbers. The only problem with that is that his doctor requires him to be on each dose for 3 months before checking his thyroid numbers to see if they have improved at all. Josh has been able to get the doctor to move the dosage sooner because he noticed no difference and his thyroid numbers weren’t moving very much so the doctor has made some exceptions. This also mean there has been no baby appointments since July…..which was kind of nice to be honest. I only stressed a few times about it but it was nice to not be worrying everyday, expecting my period, not being depressed when it came. It was a little relief to get a break again. Obviously it was frustrating to have everything on hold again but I accepted it.

During this little break I found out a friend of Josh’s was pregnant with twins from IVF and she works at the same company as me. I decided to pry a little to get some information. She had told me that they were trying for 2 1/2 years and once they went to a doctor they found out her husbands count was low, 3 Million. They did six rounds of clomid, three rounds of femara, one laprascopic surgery, four failed IUI’s, and one round of IVF. I don’t remember what the laprascopic was for, I believe her tubes where clogged, but I can’t remember. She told me that her husband was put on vitamins from his doctor to improve his count. Just vitamins you can buy at a local grocery store. This concoction improved his count from 3 Million to 80 Million in just three months. HOLY COW. I bought those the next week. It cost 35 dollars. Two of the bottles lasted a month and the other 2 have about a month left. I also asked her about the cost of the IVF. I already knew how much IUI would cost and even though we are going though different facilities I was just curious since we work for the same company and use the same insurance. She said that it was the 9,800 down before the procedure could be done. From there the meds cost anywhere from 2,800 to 5,000 dollars. She stated that her cost 2,800(If I have to I hope it’s the same). Then there is the doctors appointments, blood work and ultra sound that are covered under insurance but you have to pay the difference for. It’s just nice to have a price point in mind if it ever gets to that. I also didn’t know that you could claim that on your taxes which I though was awesome. I obviously don’t know the details but its nice to know that going through all this that we can at least get something back for it, financially. I hope it doesn’t get to that point and that we can do this ourselves or with IUI.

Josh had his appointment this past Monday with a urologist. It was just like any other first appointment where not much happened. They did an exam on him, ask us numerous questions, and Josh gave a sample for a semen analysis since the last one was from May. Josh has been taking those vitamins for the last month so I am hoping it made some what of a difference. His doctor said they will do the semen analysis, they will do a DNA test to verify his supply is good, and they want to do blood work. Josh still needs to do the scan and the blood work but we are just waiting on results right now. The DNA test takes about 3 weeks to get the results. Hopefully, everything is good and we can do IUI the end of November. My cycle decided to go haywire this month and come 9 days early. It is kind of good though because that moved my ovulation to occur after we get his results. Though that was very annoying it is kind of a blessing in disguise.

My periods have been awful lately. They are so painful. The day before I am in pain and the day of I am dying. I noticed that I have pains on the right side every month. It never alternated which I found odd. The pain in my lower back is constant, it is a really intense pressure and sometimes shooting pain that happens every month. It doesn’t matter what I take or drink or do that never goes away. The second day it isn’t too bad. I really don’t want them to test for Endo until after at least one round of IUI(if it gets to that) but I think that it might be necessary. Prepare for TMI: I have pain during sex and its worse after, awful (lower back and lower abdomen) pain during and before periods,(painful) diarrhea during and before periods, and Bloating during and after periods. More recently inconsistent periods and bleeding in-between periods. The pain I have during my periods knocks me out. The lower back and lower abdomen pain makes me not want to get out of bed at all. But I have to. I can’t call off work every month. I don’t know what to do. I am going to try to just grin and bear it until after we get Josh’s test results back. Until then. We wait.

3

My Second First Doctors Appointment

Today was the day of my Doctor Appointment with the new Doctor. The office looked like every other Doctor’s Office but the sign by the door said Fertility Center. I already felt a little at ease because I was hoping it would only be women in the office in a similar position as us. It wasn’t like when I went to the previous Doctor where there was pregnant woman in there and baby pictures on the wall. There was none of that here which helped me while filling out all the new patient paper work. I wasn’t done with the paper work before I was called to the back by the nurse. She took my weight and brought me into the room. The nurse asked why I was there….we want to have a baby. Then I go into the details of Our Story. She then takes my blood pressure, which was good, then has me finish my paperwork and wait for the doctor.

The doctor came in rather quickly and we were only in the Patient room for a moment before she took me into her office. The Doctor was so adorable. She is probably in her 40’s but looks like she is in her 30’s. She is about 5’6, skinny minny, with chin length curly blackish brown hair that had some grey hairs through it as well. Those grey’s where the only thing that made her look any older. She had very smooth aged porcelain skin, beautiful long eyelashes and very little make up. Not that she needed any. The Doctor has a very natural beauty and a very big smile. I could tell that she was a serious doctor but one that could handle my humor that REALLY turns on when I am nervous. We discussed my problems with the previous doctor: Lack of communication, not on the same page, etc. The Doctor then grabbed a piece of paper and said, ” This is how you make a baby” She drew a stick figured woman but put a big circle to show the lady parts as well as an arrow from the head pointing at the lady parts. The Doctor said that “we need to figure out where the disconnect is in this process. First, the brain tells the body to ovulate, I don’t that there is a problem there because you have had Positive OPK. Then you produce the eggs, the eggs drop, the sperm attaches then that attaches to the wall. These are the parts where we don’t know why you haven’t got pregnant yet.” She said that she wants to do an ultra sound to see whats going on. I said OK and she asked if I was up for that today? I was surprised and then a little confused. I asked very naively, “through the belly ultrasound?” She smiled then shook her head back and forth. “I wasn’t prepared for that…I didn’t prepare for that.” She said that is fine and not to worry at all. She said that doing this will give her a better idea of what I have going on and what path she thinks we should take. I expressed my hesitation but agreed even though I was nervous. I was just expecting a chat, not an ultrasound.

She tells me to empty my bladder then go into the room and (as we have all heard numerous time) undress from the waste down. I get to it. Then nervously wait for her return. She comes into the room and starts a conversation to try to distract me from the lubricant she is applying to the wand she is about to use for the ultrasound. I was very very nervous at that point. I had never had an ultrasound like THAT before. I knew that with this journey, I needed to get used to it! After the initial…..you know….it wasn’t as bad as I thought. Then The Doctor said, ” Your Uterus looks GREAT!” I took that as a compliment but still curiously said Thank you! While she was checking my ovaries there was a little pressure but it wasn’t too bad. The HSG Appt. was much worse. She didn’t say much while looking at my ovaries and then turned the screen for me to look at. She said, ” The uterus looks great, here’s your left ovary full off all those little eggs which is great. It looks exactly like it should(to me it looked like and open Pomegranate). And we go to the right, see how it is all black?” I respond hesitantly, “Yes?” “Well, that is a good thing. That means that you should be ovulating within the next week, right?” and in fact I was supposed to. I was so relieved. I knew the OPK said Yes before but now I have seen it for myself. I was then told to get dressed and go back into her office so we could finish talking.

The Doctor had the ultrasounds printed out. I kind of wanted to take them. I know that there wasn’t a baby but I have always wanted an ultrasound photo with a baby. I didn’t ask, don’t worry. After that we finished out discussion on what the game plan was going to be. The Doctor asked if my previous doctor talked about my glucose level at all. I told her that the previous doctor did say that it was high and pre diabetic but that was it. She said that it was definitely too high. That if it gets any higher than a 6.0 she doesn’t like trying to get people pregnant because of the complications that can happen. That made me heart stop. I don’t know that my levels are at now and then she said she wanted to test my blood again to see where I was at. We will do the blood work today to test my glucose and my thyroid today. Crap! I ate a doughnut and drank Gatorade that morning. I KNOW I KNOW! Worst combination ever and such a horrible idea before a Doctor’s Appointment. Josh and I rarely buy doughnuts and of course I choose to have mine before the appointment. I was so mad at myself. We continued on:

1. Try for this cycle to get  pregnant. After she saw were my ovulation was at for this month she really wants us to try again. I am fine with that, what’s one more month.

2.Josh has to get tested after this ovulation. She said that after this week he has to schedule an appointment. The Doctor also said that the VA should cover it and if they don’t do it there they should cover for Josh to have it done somewhere else. That was a relief.

3. No Surgery for Endo. The Doctor said that it truly looks like I have it but she is not 100% because the only way to check is through the surgery and because I am not having awful symptoms like some do she doesn’t want to do the surgery if she doesn’t have to, which I agree with. Plus, I don’t have the time off to do the surgery so, that works for me.

4. IF this month doesn’t work and Josh’s test come back normal then she thinks the next best step is Clomid with IUI next month. HOLY CRAP! I don’t know what I was expecting, It is the next best step. She said the same thing. The Doctor said that because we have been trying for so long that she thinks this combination is our best chance. She said that since we tried Clomid by itself and it didn’t work she didn’t want to risk just IUI. She obviously mentioned the much higher the odds are of twins which Josh and I are fine with. The next big question:Cost. It is a flat right(like UPS or something) of $482.00 for the wash of his sperm and the Insemination. That obviously doesn’t include the cost of the medications and the doctors appointments for ultrasounds or whatever else they might need from me. I was thinking it will cost around $700 after the bills finally come around.

I felt amazing after the Appointment. I am obviously a little hesitant about the blood results but other than that, cloud 9! We could potentially be pregnant NEXT MONTH! She said to contact her next month if I start my period or if we get pregnant on our own. From there ,if we are not pregnant: we will get the Clomid Prescription(100 mg), take that day 5-9, then people normally ovulate on CD12 (I ovulate late but I don’t think that will stay the same with Clomid) but once I get a positive on the OPK I call the Fertility Center to have the IUI don’t the next day, Josh goes in before me that morning to give his sample, it will be “washed” as in they will separate the good sperm from the bad sperm, and then they do the insemination and I sit on the table for 10 minutes(they are available 7 days a week for insemination).  They said that there is a chance of cramping pain after as well as spotting are common. Two weeks later we test to see if we have a baby. This is happening we are finally in the process of having a baby. I am beyond excited and Josh is too! We bought a bunch of healthier food to try to get this glucose stuff under control as well as continuing going to the gym. We are doing this, we are going to get our family. I just know that we are going to get our baby!

0

Good news…I think?

I went and got my blood work done last week. Which, the gentleman that took the samples was AMAZING! It didn’t hurt at all! I am a major baby when it comes to needles so I was relieved that it went as well as it did. I got the blood work done on Thursday and with Memorial Day weekend I wasn’t expecting to hear anything until late into the following week. They called me Tuesday with the results. I got the voicemail while I was at work and immediately called them back…..why is it that when you really need information from a doctors office and you call back they never answer and you have to wait for yet another phone call????? So, I finally win at phone tag and the results are in! Everything came back normal. The nurse said that they do 12 test with my blood and everything was normal. The nurse said sometimes your body just needs a reminder of what it is supposed to do. So, I guess its good news that everything is normal. It just frustrates me a little; not that I wanted something to be wrong but it would be an answer to why we haven’t had a baby yet. To stay positive, I WAS happy that there wasn’t anything wrong. Then the nurse then asked about my husband and how his sample was going? Well, his sample hasn’t been going at all becuase he needs to contact the VA about if they will allow him to do it there or if he is supposed to do it through the same facility that I am using. I told him that he has to call tomorrow…or else!

I also picked up my Clomid prescription today. I am so excited! I have been looking up a lot on Clomid as well. Good and bad idea. I saw one woman who did a little Clomid Journal of what happen while she was on it and I am going to try to do that as well. Hopefully I remember to write down everything…I’m forgetful! But I see a lot of headaches, migraines, hot flashes, mood swings, etc. so we will see what happens to me! I should be starting the Clomid in a little over a week so we will see what happens. I am hoping to post day by day journal of Clomid! We will see what happens!