So far this week has been a lot of ups and downs, I am feeling rather emotionally unstable. My patience has been pushed to its limit with infertility lately, and it’s making me pretty cranky in other aspects of life. Let me rewind the week for you.
Sunday we had dinner at my in-law’s house, my brother and sister-in-law came to town, with my two nieces as well. It was nice to see everyone, but again any time spent with my nieces is bitter-sweet. They are a timeline of my failure, and a reminder of what I don’t have and it breaks my heart that I view them this way. Monday, we had Thanksgiving dinner with my family, and it was a fun, full house. My cousin and his wife were there with their twin boys, and of course they were a big focus. When grace was said before dinner we were thankful for the miracle and gift of those two boys, and hope for more (directed more so at my cousin than anyone else, as it was her Uncle on the other side of the family that said it). I hate the feelings towards my family that infertility has created. It is so unfair that I cannot enjoy them purely, without pain.
Tuesday morning I had my baseline monitoring appointment for my frozen embryo transfer (FET). Normally they don’t do any monitoring until you’ve been on estrogen for about 2 weeks, just before they are about to switch you over to progesterone to prep for the transfer. But because my protocol was slightly modified due to the fact that I would have been away for the transfer they wanted me to come in just to make sure everything was looking good. Frankly I don’t know why they wouldn’t do this for everyone; if there is a problem, do they really want to get all the way to 5 days before transfer before finding out?
So, it had been about 2 and 1/2 months since I’d been to the clinic and I’ll admit the break was nice. Not that I wasn’t still under the burden of IF, but the lack of constant appointments serving as a reminder was nice. It’s like I had been on a long hike with a very heavy backpack. After the egg retrieval it was as though I put the backpack down. I still had a long way to go, but some of the weight had been lifted. Yesterday, I turned a corner and there was the backpack, waiting for me all along. I have a Pavlovian response to my clinic. On the day of any appointment, no matter what it’s for, I wake up feeling nauseated. My gut is upset, and I generally experience some pretty intense GI distress. Tuesday was no different, proving time has not yet healed that wound.
My clinic changed their ultrasound protocol a bit, so now they are accepting the first patient at 7:15am instead of 7:45am which is good because it gives a little more time between my ultrasound and getting to work, so long as I am one of the first people in. Plus, it seems not as many people come quite that early so the waiting room was much less busy than usual. So by the time they started calling people back there were only 3 of us in the waiting area and they took us all back at once, assigned to cubicles to change, and then put in the ultrasound rooms to await our wanding.
The doctor that is now doing the morning ultrasounds has just recently retired from full-time RE duties. I had only ever met him once before, for my very first IUI in November of last year (holy shit that was nearly a year ago now). I didn’t particularly like him, but he was friendly enough. He checked my uterus, measured the lining and then checked my ovaries. I didn’t catch the lining measurement but when he checked the right ovary there was a little white bubble. I’m on down reg right now, so there should have been nothing over there. He mentions that there appears to be either a follicle or a cyst on my right ovary and asked me if I know “what the plan is”, as in why was i there? Umm, you’re the doctor, you tell me. I told him that the nurse said since my protocol was modified and I am on suprefact longer than normal they wanted to do a baseline check to make sure I didn’t have any cysts (which I do, awesome) and that everything looked ok. He tells me I can get dressed and he will go speak to a nurse.
I headed back across the hall back to my little cubicle to put my pants back on and wait for further instruction. The nurse called my name, and took me around the corner to a consult room. I find this strange as they generally give verbal instructions, or a printed sheet at the nurses station and are rushing off to the next patient. As I was sitting in the consult room my stomach was starting to feel nervous and nauseous again. I sat there for a few minutes and then I could hear the nurses around the corner. I couldn’t catch all of what they were saying, but the one nurse was telling the other to come talk to me, trying to figure out why my protocol was different, and something about me starting prometrium. It was a very strange situation, being down the hall while they talked about me.
I sat a few minutes more after the nurses discussion about me, before someone came in to talk to me. It was a nurse I hadn’t dealt with yet. She sits down with my chart, and uterine ultrasound photos. She asked me if the doctor mentioned that my lining was still quite thick, and I told her no. I guess that would explain their discussion of me possibly needing to start prometrium. She explained that it was not where they needed it to be, and wondered if I had a normal period. I told her yes, it wasn’t light, or really any different from normal except that it was late. She asked if I was still flowing, which I sort of was but barely, mostly just spotting tapering off to nothing.
Apparently the doctor had also noticed some fluid in my uterus as well, which could have still been residual blood but was also not ideal conditions for my FET. Not to mention the fact that I had a cyst on my ovary. The nurse said it was a cyst and not a follicle because I am on down reg meds and should not be producing follicles, but I suppose this was just her assumption, not a known fact. She did say it was small (12mm, I caught that number) and not a major cause for concern. Apparently my estrogen level was slightly elevated as well, which could be due to the cyst (or follicle?).
So nothing was very clear at this point, she asked about my cycle delay, and confirmed when my CD1 was. I explained to her that I was going to be out-of-town at the end of the month, and that I was told to start my suprefact later to delay my transfer. She misunderstood, and thought I was out-of-town when I was supposed to start my meds, and had to delay them because I was out of town. She explained to me I should always just fill all of my meds prescriptions so I have them ready. I told her I was following instructions from the nurse and Dr. M so that I could transfer later. She wasn’t following and at this point it didn’t matter because my uterus wasn’t where it needed to be anyways, so moving on I just left it alone. She told me I should continue with suprefact and delay starting my estrogen for now. I am to redo my bloodwork on Sunday, and I have another monitoring appointment on Monday.
I was sort of in a state of disbelief with everything that she was telling me and I kept asking her questions about what was going to happen, and she didn’t really seem to have many answers for me. I was trying to determine if this cycle was a bust entirely, or still salvageable. She didn’t mention anything about prometrium, and I asked her since I wasn’t really having much of a flow anymore if my lining was going to get any thinner. She just replied with, “we’ll see next week”. She asked if I was planning on going out-of-town in November, as if that was the case we may as well just scrap the cycle now. I told her no, it was just this one trip that was causing all of the issues. Apparently Dr. M is away at the moment, and he is going away again in November but if my lining cooperates then he should be here to do my transfer. He’s not the only one who does them but I would definitely prefer it be him. I think this was part of the reason for the nurses lack of information or direction for me (and the reason she didn’t want to have to deal with me) because Dr. M was not there to provide guidance, as he is the main IVF doctor.
Normally when I leave after having an ultrasound I don’t have to walk past the hall of babies, but because I went to the consult room after the ultrasound I had to route back out into the waiting room past that dreaded wall. I really felt like punching it, or ripping a handful of photos down as I hit yet another roadblock in this journey. I called J on my way to work to tell him the unexpected, and disappointing news and I could tell he was caught off guard. Instead of feeling sad, I am mostly just frustrated, and tired.
I had a fairly distracting day at work, and left early as Tuesday was the day we got the keys to our new condo. It was an exciting time, after all the scrambling for paperwork, with lawyers, and the bank we finally got access to our latest huge decision. It has been so hard for me to wrap my brain around it, because all along it just felt like this pipe dream, like it wasn’t actually going to happen and someone was going to pull the rug out. But here they were, keys in hand we let ourselves into our new place. It’s not entirely foreign to us, as it is in the same building we already live in. Our new unit is a mirror of our current place, but it also has a loft that adds extra square footage and is on the top floor of our building so it has gorgeous 16 ft ceilings. We wandered around freely, and introduced our dogs to our new home. We still have a long way to go, we’ve already ripped up the carpets, we have painters coming in for a quote tomorrow and hope to have them start on Monday. New flooring coming in next week, and this weekend we have to go pick light fixtures. There is a ton of cosmetic stuff to do, but we did it to our current place and we are excited for the challenge, and to see the transformation in the end. And on the plus side we think we found some tenants to rent our old place, though they can’t move in until Dec. 1 so we have to carry two mortgages for a month, which is, to quote Jimmy Fallon, “Ew”.
As we were packing up our current place, standing in our spare bedroom, J mentioned that it was sort of sad that we never did get to change that room into a nursery. After more than two years, instead of finally having a baby, we are moving and that room with forever be just a spare room. Now we have a room upstairs and the hopes have been pinned on it instead.
Yesterday when I got into work I was greeted with an “oh-shit” email, wherein I had buggered up a file, and the client hadn’t notice it before confirming it, so now we were both to blame. Not to mention my client was my brother-in-law, putting us both in an awkward position because either way it was going to cost one, or both of us some money. After having a freak out about that, my 11am alarm went off for my next suprefact dose. It was at that time, I pulled out my purse only to find that I forgot to put my suprefact in it. My pharmacy is luckily about 15 minutes from my work, so I excused myself for an early lunch to dash out to the pharmacy. I had to pay for part of it as one of my coverage only allows me to fill the prescription every 5 days, and seeing as I was just in a few days earlier picking up my estrogen and antibiotics as well as more suprefact, no full coverage for me. Luckily, it was only $12, so I would gladly pay that instead of missing two doses. So having spent my 30 minute lunch break at the pharmacy I only had time to grab a smoothie for lunch and head back. I nearly broke into tears at my desk because it was all just too much.
I composed myself to get through the rest of the day. I told myself this morning, today was a new day. But it was a new day with the same problems as yesterday. My cycle is still delayed, I’m still not pregnant, and I can’t believe it’s taking so fucking long. I was snappy and impatient at work today, which compounded with how busy I was today, was not a great combination. Luckily, this evening I had a great night out with my girlfriends, and we toasted the bride-to-be, whose wedding I will be attending in Las Vegas next weekend. Cannot wait for that.
For now I am holding out for Monday, hoping my lining is magically thinner, my cyst is gone (or at least not growing) and that we can get this show on the road. I cannot imagine the devastation that will ensue if this cycle is, either cancelled or fails. And at this point, that is seeming like the most likely outcome. I’ve said it before, and I’ll say it again, I don’t know how much more strength I have left. I feel so close, yet so far.