Saturday, May 28, 2011

Late Start


This week stinks. I’ve never been more full of hope that we were pregnant than this week. This was of course dashed to bits when I took a pregnancy test the evening of the first day I should have started my period. I am rarely a later starter. The following day I was in the waiting room of the fertility clinic waiting for my appointment to sign the consent form for the first IUI session. And so it begins…

My appointment was scheduled for 4:15 pm, I arrived in the waiting room after checking in at 4:11. Surrounded by pregnant women and their uncommunicative husbands/boyfriends/partners, I flipped through the news on my cell phone, pretending to read articles about Libya and Russia trying to negotiate Ghaddafi’s departure, while I secretly was resenting those rotund women and their damn luck at conceiving. Sizing then up from the corner of my eye, judging their lives, their hair, their outfits. I wondered if the husbands/boyfriends/partners wanted babies or if they were dragged along, surprised or forced into having one. I prefer that. I don’t want to think of anyone but us being excited to have a baby.

Meantime, I had checked my email and finally received a response from the doctor regarding the pelvic ultrasound I had two weeks ago. I had to send two emails to receie a response, and even then it took her four days to respond the second email. The doctor reported that only two fingertip sized fibroids appeared on the ultrasound, and they were too small to impede conception. This is good news, except here we are again, learning that nothing is wrong with us, it’s just not happening. Mixed bag emotionally. She stated the next step it a hysterosalpingogram to find out if my tubes are blocked, or just start right in with the IUIs. Since I was already sitting in the waiting room waiting to sign a consent form for the IUI, a hysterosalpingogram was not going to be the next step.

I waited for 45 minutes as those pregnant women disappeared into the doctor’s office, then left the clinic. Patience is not something I excel at, but I didn’t want to be rude, these people have our fertility in their hands. Finally I stepped into the nurse’s station and explained that I had an appointment nearly an hour ago and was wondering if I’d be seen. The one nurse clearly didn’t listen to me, instructed me to go sit in the waiting room and wait to be called. Exasperated, one short breath away from turning into The Hulk,  I addressed the other nurse and said again, that my appointment was at 4:15, it was now 5:00. That nurse acknowledged me, asked who my appointment was with and then informed the fertility nurse I was still waiting to be seen. I heard that fertility nurse exclaim “Oh! I totally forgot about her! Oh no!” Yep. Of course she forgot about me. Fucking bitch. I’m just out here dying to get started on treatment so I CAN HAVE A BABY…no rush, nothing important going on out here.

She was nice and I forgave her immediately. I know she was busy and at least she didn’t make me come back later. The first time I sat in her office I broke down sobbing, this time I was calm and full of questions. We discussed the process for the IUI and when to start taking Clomid-which would make me ovulate double time, therefore improving the chances of conceiving during the IUI process. She told me I start taking the pills on the first day of my period. I asked what happens if I don’t actually have a period this month since I was already 1-3 days later than normal? She proceeded to explain to me what the first day of a period is, I listened, irritated, wanting to slap her to make her actually listen to my question. “Yes, Luanna, I know what the first day of a period is, but I’m late this month, and I’m asking you what do I do if all I have is spotting?” Again, she explained to me that the first day of a period is when there is red blood flow, not spotting. “Luanna, I know about periods. I’m asking you what do I do if I don’t have a period this month?” This went round and round three times before she finally listened and answered my question with “It will happen. You will have flow.” Sigh.

So here is the process for IUI:
I start taking two Clomid pills per day on the first day of my period, and do so for five days. On day 11 of my cycle I begin taking OPK. When I get the smiley face on the OPK indicating Lh surge, I call the fertility pager to set up a time that very day to have Husband’s semen inserted into my uterus. After the appointment is set, Husband has to produce semen into a cup which I will take with me to the appointment. I’m to carry it in a bag, close to my body (under a jacket zipped up) to keep the swimmers warm, but not too hot. The lab tech will then take the swimmers, “clean them,” spin them, do their magic to make them ready to attack my eggs, I will lay down and someone will use a long, thin tube inserted into my uterus to “inject” the swimmers. Now the swimmers will be closer to my eggs, bypassing what is apparently a highly toxic vaginal/cervical environment, and hopefully we will conceive.

The best part of the week was starting my period three days later than normal. Today is day 30 of my cycle, and I didn’t start my period until this afternoon. Sad on one hand not to be pregnant, happy to know that I can start taking Clomid and in 11-17 days we will go in for the IUI and hopefully be pregnant a few days after that. If not, I will be crushed. 

Another great part of this week is being with Husband's family which is wonderful, because Brat and Wife aren't here. But they may be coming over tomorrow. Just what I want the day after I start my fertility treatment, Clomid is a hormone afterall, sit there and listen to her complain about how tired she is, how she hates gaining weight (Easter was all about how glad she was she hadn't gained weight....can you hear the tick, tick, tick of my rage bomb?), and talk about baby names. My strategy is to not drink too much to prevent puking my absolutely hatred on the, but just enough to keep me from being miserable and crying. Poor Husband. 

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