2

IUI/IVF Appointment

We had out IUI/IVF Appointment. It was just supposed to be an IVF appointment but we high-jacked it into a mixture of the two.

It started like a normal appointment where the nurse took us back to take my blood pressure, temperature, weight, and ask why we were there. I said that, ” we are here for our IVF Consultation” and the mood slightly changed with the nurse. She took Josh and I into a room and told us the doctor would be with us shortly. We didn’t have to wait long at all before the Doctor came in and took us to her office to chat, in her words. We sat down and the doctor made us a little picture to describe the process of IVF: Medications to increase eggs production and assist in ovulation, blood test and ultrasounds, egg retrieval, combining eggs and sperm to make embryo, waiting to see which ones take, insemination of embryos, waiting to see what takes, and baby!

The Doctor then explained the difference between IUI and IVF because Josh mixes them up sometimes when we talk. From there a lot of our discussion was about Josh’s count. She was saying that all Doctor’s agree that they want no lower then 1 million sperm count after the wash to do IUI or IVF. But there is that gray area that not all doctors agree on. She said that she knows that Josh’s count is low. “I think that we should try IUI first. If after the wash Josh has 2 million or more I feel very good about IUI, if its 1-2 Million I would still want to try IUI, if it is lower then 1 million then I would suggest IVF for the next cycle if IUI did not work. If that first round did not work as long as the 2nd round was 1 million or more I would want to try IUI again. We would only do IUI 2-3 times and if those did not work then I would suggest IVF going forward.” The doctor had high hopes for IUI with us. You could tell that she did not want to jump right into IVF without at least trying a IUI cycle.

We then started to vaguely talk about cost. She stated that there was a woman we should contact if we decide to go to IVF because this woman could give us options to help pay for it if we needed. As I have stated before: IUI is a “flat rate” (as the doctors describe it) of $420.00 for the Insemination and Sperm Wash. This does not include any medications, ultrasounds, blood work, or doctor appointments which we believe will average the IUI to about $550.00. The IVF package is $9,800.00 which includes the egg retrieval with ultrasound, sperm prep, fertilization(with ICSI, if needed), transfer, recovery room, preservation of remaining eggs or embryos, anesthesia, and cycle management. From there you have to pay for the medication which starts at $3,000.00 and go up from there.   You also have to add in the cost of the blood work, ultrasounds, or doctor appointments which we believe will average the IVF to about $15,000.00. She said that the finance lady has options for us and she understands the hesitation. That was refreshing to hear. The doctor also suggested ICSI because it would put the sperm right into the egg instead of allowing them to come together themselves. This is suggested to men suffering from infertility and as stated above, is included with IVF package. The doctor went over the risk with us as well as testing that we can get done to test for certain diseases that would be passed on to the embryo that we could remove. So crazy! From there we touched on my weight. She showed me statistics(which I don’t remember) about how likely it is for us to get pregnant. We had pretty good odds for our ages and diagnosis. BUT those odds drop with my weight being what it is. The doctor stated that the odds aren’t bad but the weight doesn’t help them either. This is something that Josh and I have discussed since the appointment.

The Appointment was an hour. The doctor answered all the questions we had and cleared up the process of both IUI and IVF for Josh. At the end of the appointment she gave us a folder full of IVF information and she put a paper about IUI in the folder for us to look over. I felt great after the appointment. Josh said that he felt the same and that it was nice to get all the information that we did.

We did win a trip to Hawaii and it was amazing. This picture was taken out first morning in Oahu. We woke up at 4AM(accidentally) and watched the sunrise over Diamond head. It was beautiful.

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We took this time to relax and not talk about any baby stuff. Unfortunately, when we got home I got very sick. We have been home a little over a week and I am just starting to feel better. I did start my period and I am on CD 5 which mean I am too late for this cycle to do IUI. I am actually OK with that. This cycle has been miserable, long, and painful. I was thinking that we might wait a month or two so I can get some gym time in. Since I have been sick that has not happened. Josh and I haven’t talked about when we are going to start the IUI process but as of right now I am thinking July. I know that I wont be able to work out this week because I still don’t feel well which means I will be giving myself 2 full months to change my/our diets and exercise more. Josh and I will go over this information again very soon to verify that we are on the same page. I may read this over again to add things that I may have forgot about the appointment but right now this is all I can remember. Thats what I get for waiting so long to type this blog. I will be back soon with our decision on when we will start IUI. I will make sure when that blog of the IUI appointment is very detailed and shortly after the actual procedure….unlike this one. My bad =].

 

3

Is February Over Yet?

This month has been very rough. It’s a short month but it didn’t hold back at all. Work has been pretty stressful, my husband has been traveling a lot, the weather has been insane, and I started my period today. Ehh! Needless to say I am glad its almost done. I have also been very nervous and stressed waiting for Josh to do his test along with waiting for the results.  We finally got them back

Blood Test- Testosterone: 488 ng/dl (Low, Improved), Luteinizing: 10 mU/mL (Improved), FSH: 10.6 mU/mL(High)

Sperm Test- Semen PH: 7.2 (Low, Same), Concentration(After Removing “Bad Sperm): 2.4 (Million, Low, Decreased), Total Count: 8.78 (Million, Low, Decreased), Total Motile Sperm(What Doctors can use): 4.74 (Low, Decreased), Motility: 54% (Good, Same), Sperm Morphology: 6% (Low), AmOrphology Sperm: 79% (High, Improved by decreasing)

Josh’s Doctor also said to continue taking these vitamins for another 4-6 weeks, retest, and then discuss options such as IUI, Freezing Sperm, and IVF.

So, Thats where we are at. I had Josh’s urologist send this information to my RE. I got the call from her today. She asked if the Urologist made any suggestions and I told her the above. She said, ” first of all this is a normal change in sperm. Sometimes numbers can fluctuate that much…but…this is still low.” I became a little tense when she said that. I asked the minimum that we would need to be able to do IUI. I have heard numerous different numbers but the lowest was 8 Million, is that true? She said that they do prefer that people walk in, before the wash, with 15 million. BUT all they really need is 1 Million after the wash. WOW! That is not what I expected to hear. Then she said what I expected to hear, “You should both start talking and thinking about IVF.” THERE IT IS. I knew it was coming but it still hit me like a ton of bricks. I told the doctor that I know that IVF is expensive and IUI is only about $700 after all is said and done. But is it smart for us to even try IUI and waste that $700 that we could put toward IVF? I know it isn’t much but its still $700 toward the $15,000.00 that we need to do IVF. She responded the best way. “I won’t have you do IUI if I don’t think it has a chance of working.” I felt like she had our back when she said that. She said that she believes that there is 1 Million available out of Josh’s count. I then said,” Not to be a pessimist but if that doesn’t work what do we need to walk in to do the IVF?” She told me that she requires the couple to come in and meet with her to go over everything IVF. The appointment will take about 45 minutes to go over everything and that we could talk about IUI as well. We can get all the information about both procedures. Perfect and intimidating. This is a lot of information to take in but not as much as we will get at this appointment coming up. Something I don’t think I have mentioned is that: we won a trip to Hawaii!!!  We will be gone in April right after we get Josh tested and hopefully after we get his results. That way we can really think things over and do which ever we decide in May because I will be in Hawaii if my cycle doesn’t completely screw up. Those were the orders from the Doctor as well. She said to take this time to get ready for our trip, get Josh Tested again, hopefully get the results before we leave and enjoy the trip. She also said that we could do the IVF appointment ahead of time. To have all the information for when we come back. Josh has to look at his schedule for us to schedule the appointment to reify he will be in town. We will do that as soon as possible.

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I feel better about the situation. Obviously, I am nervous to do IUI because of Josh’s count. But if the doctor says it might work…thats HUGE! On the same hand IVF is so expensive. It isn’t even a guarantee. There is so much to think about and I’m excited to get this appointment set up. I am so sick of waiting.

 

1

The Results Are In…Again

I know I keep taking breaks from the blog but I realized that I need it for my sanity. If I engross myself into this baby stuff when there is nothing that we can do I will get crazy. I told myself that I would not update the blog until it was closer to a time when something significant can happen. Finally, it is that time.

The results from Josh’s Blood and Sperm Analysis came back a while ago:

Blood Test- Testosterone: 356 ng/dl (Low), Luteinizing: 6.6 mU/mL (Good), FSH: 7.6 mU/mL(Good)

Sperm Test- DNA: 12.1% (Good), Reactive O2 Species: 2,242.9 RLU/sec (High), Semen PH: 7.2 (Low), Motility: 55% (Improved, Good), Sperm Morphology: 5% (Low), AmOrphology Sperm: 84% (High), Concentration(After Removing “Bad Sperm): 4.6 (Million, Low), Total Count: 16.56 (Million, Low), Total Motile Sperm: 9.11 (Million, Low)

We were told that the low sperm count and the high oxidative stress can be fixed by the Vitamin C and E that he is currently taking in the vitamin regimen that he has been on since November. It is not guaranteed that it will be fixed by those vitamins but we will see with the next test. He also has abnormal morphology. This is not uncommon for men and it also is not an easy fix. We were told that if his numbers do not improve and if this continues to be the problem that IVF with ICSI is our best bet to get pregnant. “Intracytoplasmic sperm injection (ICSI). ICSI only requires one sperm, which is injected directly into the egg. The fertilised egg (embryo) is then transferred to your uterus (womb).”(http://www.babycentre.co.uk/a4097/fertility-treatment-intracytoplasmic-sperm-injection-icsi#ixzz3zFSBNU74) Josh was also told to continue taking the vitamin regimen, some others meds, then we will retest in a 3 months.

Guess what kids….Its been three months. I know, I can’t believe it either how time as flied by. As of February 11th Josh can go get re-tested. He calls in the day before to set up the appointment then we go from there. Josh travels a lot now for work and we are not sure if he will be in town that day so he had not set up the appointment yet. If he can’t go the 11th then we just try each thursday after that(18th, 25th, etc.) He believes that he will be traveling that week so it might have to wait until the 18th. I am hoping not but he doesn’t have much control of when he travels so we will see what happens. Best Case Scenario, Josh gets his test done in a week. This makes me very excited because even though I have been trying to avoid the baby talking, it hasn’t been going very well.

I introduced my friend to my doctor and she started Clomid and testing and everything right away. But before I knew it she was doing IUI and I was in a daze. She took her OPK at work and when she came back from the bathroom with a BFP, she was ecstatic. She instantly left to call the doctor to set up the appointment for their IUI. I literally ran to the bathroom and burst into tears. I was so mad at her and jealous and devastated and heartbroken. She has been trying for a long time and deserves this. But I have too. I have been dealing with doctors and so has my husband. Going through this pain of nothing for months on end just for my friend to get to do this so quickly. After literally vocalizing all of this to another friend I realized, ” I just need to feel bad for myself first so I can then be happy for her.” I needed to be frustrated and deal with my emotions. I used to be a very instant person. If I felt something everyone knew and I didn’t care about the repercussions or how it would effect others. If I was mad at you, you knew it, no matter how childish the situation. I never took the time to think about the situation before erupting with emotions. I am much better at expressing my emotions in a healthy way. Obviously we all have our moments but, no matter what the emotion is, I figure it out and go on with my day. I didn’t want her to think that she couldn’t talk to me about it or that i wasn’t happy for her because I was. I felt awful when my best friend thought she couldn’t tell me she was pregnant because of our situation. I wanted to make sure I never let one of my friends think that ever again. After I grieved that day I was able to be happy for her and wanted to know every detail about it. Unfortunately, it did not take and either did the 2 other times. She is taking a break now because you can tell it has taken an emotional toll on her. I don’t blame her and she needs this break. Physically and Emotionally. I hope that she gets her family soon because she has been through a lot, especially these last few months. It seems to be a pretty exhausting process where time is not your friend and you have run to the doctors at the drop of a hat on numerous occasions. I can’t say that I am looking forward to not having control over this situation. But I am so overwhelmed with the glimmer of hope over these next few weeks with Josh’s tests. This might be our time. Instead of all the waiting we might be able to finally start the process of getting pour baby.

0

My Cycle Insight

I believe that I am about to start my period. Which is fine because I know that I am not pregnant. But I am only on CD22. My back is really starting to hurt which is my sign that it’s about to go down. My regular cycles were around 26 days but they have been very sporadic lately. I use an app to keep track of my periods and when I took OPKs I tracked those as well. Here are the results of how many days my last few cycles have been:

18, 26, 28, 25, 24, 26

I don’t get it. As I stated before, they are also much more painful. I always put that the pain is on the right side, fatigue, cramping, back pain, diarrhea, and bloating. The pain is awful and hard to handle but would be much easier to deal with if my cycles where a little more consistent. Once we get all of Josh’s test results back I am going to talk to my doctor about all my issues.

We are also trying to plan a vacation. For once, we are taking time to ourselves to have a vacation. Not worrying about “IF” I am going to be pregnant or anything like that. Just planning and going with the flow. I am hoping that we find out Josh’s results this week. So we can talk with the doctors for our next steps.

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.

2

Trying this Patience Thing

The plan has changed again but don’t worry, it is still full of waiting.

Last month Josh was taking his thyroid medicine but he said that he was not feeling any different from it. He said he was still tired, extremely tired and his appetite had not changed much either. I was bugging him a lot about getting tested early to see if this dosage of meds was making a difference. Josh was reluctant. He kept telling me that the doctor wanted him to wait the full 90 days so that is what he is going to do. I tried to be supportive but in my mind we were wasting time when Josh knew it wasn’t making a difference at all. I finally told Josh that I am not trying to nag him or pressure him to go against the doctors wishes. BUT at the same time, the sooner he gets his dosage correct, the sooner we can do the IUI. I said, “what is the harm in calling to ask….the worst that will happen is they tell you to wait the full 90 days.” He understood where I was coming from and made the call. The doctor agreed to a blood test to see where he was at to then determine if he should up the dosage. GREAT…we are moving this along. Josh does the blood test and he says that they didn’t give him a number but that they were upping the dosage again. The beginning of August he started taking the new dosage.

A friend of mine started Clomid last month and just did her second round. Another friend of mine unfortunately just had her second failed IVF cycle and is in the process of figuring out what they will do next. On top of all the babies showing up on my news feed as well as pregnancy chatter, not a lot of pregnancy announcements (for now). There is so much going on with everyone else but we are just sitting here, waiting. I have been avoiding coming on her because I didn’t want to see other people making progress and me…waiting. Selfish, I know. Honestly, I didn’t even want to type today but I needed to get this off my chest. I talked to Josh tonight. He informed me that with this dosage he has to do the full 90 day cycle. I believe that he told me that before but I think that I was being stubborn and selfish trying to get the dosage upped anytime he wasn’t feeling different from the meds. With that, if everything fell in our best interest, in November we could do IUI…MAYBE October but doubtful. I was enraged hearing this. I was asking him what his thoughts were on the situation. We talked about doing another analysis but that is only going to be covered so many times through the VA. Josh informed me that the VA is not like a Hospital, its more like Health Assistance. They aren’t going to do these analysis over and over again(like an infertility clinic would) for infertility unless it is for some sort of preventative care. Which means no more Semen Analysis until we are sure that we will do the IUI because the meds are making a real difference with Josh’s thyroid. Josh said that he has been doing research(I love him) about improving Motility and Sperm Count. He was talking about how there are different foods he can eat, vitamins, and about 10-15 other things that we can do to improve his boys. It was nice for him to show the initiative. I told him that it is so unnerving because neither of us can do a lot to get this going again. I feel like the last year of testing was a waste because we are going back to using Pre-Seed, using OPK’s, planning sex, using the app to track ovulation more and when my period should start, and all the other weird things we did to try to get us pregnant. Doing all of these things with the uncertainty of if it is even worth it. What if we are doing all of that just to find out that Josh’s count barely improved and he needs to up his thyroid medicine again. Which means we wasted all that time, money, and energy just to do it all over again for another 90 days, another three months. I’m not saying sex with my husband is a waste of time but when it is planned sex, it is difficult to keep that fun, that is the energy that I am talking about being wasted. With that being said Josh was excited for this. He was happy that for the next few month it will be all us and no doctors help. He isn’t enthusiastic about us potentially needing doctors to have a baby so anytime we don’t have to use doctor’s he is happy. I wanted to cry. I am over waiting. We started see all the doctors to have a baby and now we are waiting with no doctors until the end of October. I think that I am overly upset about this because we will be passing the three-year mark in September. Three years of TTC with no baby. I am going to allow myself to be sad for a bit. I need to just process this and move past it.

The updated plan is that Josh will hopefully get a CPAP Machine soon, yes, he has that going for him as well. I am hoping that makes a difference on top of the meds. I don’t know if it will but anything to improve his overall health I am down with. I am thinking that in October he can schedule a Semen Analysis depending on how he is feeling. If he still doesn’t feel any better with this med cycle then we will not schedule one. We will schedule his blood test to see if the thyroid medicine needs to be tweaked again. Next paycheck Josh will buy whatever he thinks can improve his motility and count. Next Ovulation(end of August, beginning of September) we will go back to tracking and planning to see what happens. Trying to be optimistic but its tiresome when you feel like you are taking two steps forward only to find out you are actually taking three steps back.

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3

The Results Are In

This entry is about 2 weeks overdue. I was never able to find the words to type this. I finally decided to do it tonight but due to me waiting so long to type it I don’t remember everything that was said between Josh and myself during our discussions. I apologize but I will do my best.

We got the results of Josh’s Semen Analysis. First, Josh got the results from the guys at the VA. Josh got the call while he was at work. They told him the number, 6.8 Million, and Josh’s response was, ” What does that mean?”  Josh was told by the Nurse on the phone that his number is low and the motility was low as well. The guy said that the paper says that “the average is 40 million and your number is 6.8 which means that it is low.” I was in the car driving home when Josh told me. He didn’t give me any hint as to how he was feeling. Josh had to get off the phone because he was at work which meant I had my hour car ride home to think this over. I was in shock. This wasn’t the plan. It’s supposed to be me. I am supposed to have to suffer through the doctors appointments and test, not him. I got home and went right to the computer to look up what might happen next.

I go to the Mayo Clinic Site because I noticed it is the most user-friendly. First thing I see are potential causes: Infections, Veins that are swelled, Antibodies that attack Sperm, Tumors, Unbalanced Hormones, certain medications, Chromosome defects, etc. Josh was on some narcotics after his car accident when he was in the Navy. He was on these for about 5 years because he has 7 herniated discs in his back, this could be one reason. We recently found out about Josh’s thyroid issues, this could be a reason. Who knows….all of this is running through my brain. Then I go to the treatment: Ultrasounds (Scrotal and/or Transrectal), Hormone or Genetic Testing, Testicular Biopsy, etc. OH MY GOODNESS! He didn’t sign up for this. Is he going to still want to do this? I stopped looking because I didn’t want Josh seeing me doing this research and I needed a break.

Josh came home and I was trying to talk to him about the information we received. He was making jokes. It was very frustrating because I wanted to know how he felt. I didn’t want to force the feelings out but I wanted to know how he was taking all this. I would think about this all the time, waiting for results and expecting the worst, wondering what Josh would think if we couldn’t have children because of me. Now, I am not saying we can’t have kids but now it is on him, not me, and I don’t know what is going on in his head. I went into the bedroom to lay down. I couldn’t figure out how I was feeling. Very random but I was just full of emotions and no understanding of them. Josh came in the bedroom and asked what was wrong? I told him that I was frustrated he wouldn’t tell me how he was feeling and I was worried what was going on with him. He said that he was fine. That he was happy that we finally had a direction of what we needed to do next. I respond with “….that’s it?” he was always confused with this(every time I asked, which was multiple time) because he is Spock, a robot, an emotionless bag of bones. It was driving me crazy that all he was saying was that he was happy that we were on track and then he asked how I was feeling. That’s when it hit the fan. I DON’T KNOW. I’m agitated, elated, heartbroken, relieved, I don’t know. Yes, we have a path. Instead of receiving bad news we would just get news: Clomid didn’t work, HSG was negative, blood work was fine. This was bad news that wasn’t mine. It was Josh’s bad news. I was mad that we didn’t get him tested sooner. I was irritated that we put it off so many times because we thought it was him, that it could never be him. I had a small sense of ease that I could get a break from all the appointments and test. I was devastated that this turned into Josh’s doctor appointments and test. That he was going to have to be poked and prodded. I was prepared to do that and that he wouldn’t have to, he shouldn’t have to. I am devastated with that. He said that everything is ok. That he was doing research too and he was ok with all of it. Josh said that he wants a baby and he will do what he has to so we can have our baby. What a relief. We talked for a bit about it and I felt a lot better. Once the tension subsided I was able to joke with him, “You are a ROBOT, that’s why the sperm is low, you aren’t supposed to have any…AHHH!!!” It lightened the moment and ended that conversation on a positive note. A few days later we continued this conversation and also talked about Adoption. It is nice that he is open to that and I am too. It is our last resort because we want to exhaust out options to have a biological child but just knowing we are on the same page is great to hear.

The next step was to fax the results to my Doctor. After phone tag for a few days I was finally able to talk to her. My Doctor said that Josh’s number was almost 7 Million and she wants to see at least 15 Million. Also, that his Motility was at 27% and she wants to see at least 40%. With these results she wants to re-test him to verify these results are correct. I then informed her about his thyroid and she let out an “Ooohhhhh!” that was such a relief to me. This was not a weary oh. It was a hearty, enlighten oh. She seemed very optimistic with hearing about this new development she wasn’t aware of. The Doctor asked when Josh was going to be tested again and I told her it was August. The Doctor said to contact her in August with his result and we will figure out our next step in August or September.

Wait…..wait……waiting. I know it is a little unrealistic but after the first appointment with the Doctor I was thinking I would be starting with the IUI process in August. Not waiting for results and then starting a plan. I know it is still a possibility but if his numbers don’t improve I don’t know what the next step is and that is nerve-wrecking. I really hope that his numbers improve and we move forward with IUI soon. IUI was our next step but it is also the next step for us with Josh’s diagnosis. IUI is the best bet when dealing with male infertility.

September will mark 3 years of our TTC adventure. I am trying to stay positive because IUI is still a possibility to be done that month. Two years sounded reasonable to me but THREE sounds like a long time. I have been feeling very indifferent now. Some days I feel down on myself with little to no motivation to do anything. Other days I am my normal happy go lucky self. I don’t know if the lack of knowing is causing this or if it is stress from work, life, or whatever else. With that being said I have been listening to a lot of Christian music. I consider myself a religious person but not an organized religion kind of person(if that makes sense). I don’t go to church or read the Bible often. I used to do both of those regularly(church camps, youth nights, every sunday, the whole nine yards) but as an adult there are many things that I don’t agree with or don’t understand; for that reason I struggle with finding a church to go to because I want to believe in everything they teach. Not just bits an pieces. Regardless, I believe in God and I have Faith. I have faith in our situation and that things will work out for us. Whatever that means, we will find out soon enough, but I have faith none the less. I have not been doubting my Faith but I have been needing a reminder of it. I found a song that I feel we can all relate to with the constant battle of doubt. Doubting if we should keep going when TTC.

I know that the song is about God but for me that is not the only thing it is about. It is about our baby and the idea of our baby. Sometimes when struggling with TTC all you can do is hold on to the idea of the family you will get in the end. But there are times when you think that it might not happen. “When its hard to believe in you”. Then there is a reminder, “If only i could fight just a little longer I know it’s gonna make me stronger. I just keep holding on to what I believe. oh, I believe in you” This song has been my little reminder when The Waiting gets to me. When I forget about that Dream that I had. I have been listening to it everyday, multiple times a day. Don’t forget why we do this people. There is hope! Keep the Faith. Even if you aren’t religious have Faith that you will get the family you desire and dream for.

I will be back in August with an update from Josh’s Thyroid appointment and if any of you have advice on this side of Infertility we would appreciate it. This is a new battle that we weren’t expecting but Josh and I are ready for anything.

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!