Spring in Japan

We've now been in Japan for 3 weeks and just settled into a home in Kyoto for two weeks. I listened to a podcast while running this week of an interview of a woman who traveled with her family of 5 around the world for 9 months.  She talked about how they had "slow and low" periods where they stayed put for an extended period of time.  2 weeks isn't that long, but it sounds like an eternity right now and I'm thrilled that we can explore Kyoto at our own pace.  We rented a bike with a kid's seat (and have another that came with our airbnb), we have a kitchen and I cooked dinner tonight, and I'm looking forward to having some "normal" days.  Today we found an awesome playground just a 5 minute walk from our house, too.

I'm still feeling all mixed up about pregnancies, babies, siblings, etc.  I have 2 rounds of Clomid with me and I decided to take one round this month because -- why not?  If I don't take it, I'm just toting it around the world for no reason.  I feel fine but it doesn't seem to be working as well this time around (based only on the fact that last time I had a lot of EWCM and I'm not having that as much this time around).  I'm taking COQ10, but not DHEA.  I just don't like how it makes me feel and I worry that I've taken too much of it these past few years.  Honestly, I feel pretty hopeless on the pregnancy front right now and maybe that's okay?  Perhaps I'm coming to grips with reality and acceptance is around the corner?  We'll see.

An aspect of our trip that has been very difficult for me is the utter lack of alone time.  I'm outgoing and enjoy spending time with friends, socializing, etc., but there is part of me that is extremely introverted. I love and need to be alone for some period of time each day and I am just not getting that.  With B not napping and spending every day with R, it's been challenging and I know it i isn't helping how I feel about pregnancy, myself, my body, etc.  I'm getting far afield from wanting another child here, but I have realized that not getting some time to myself is making me a worse wife and mother, making me less patient, and shortening my fuse when it comes to B, well, acting like a toddler!  I've started running every day, which I do alone, so hopefully that helps, and I'm hoping for some solo exploration time in the coming days.  

All of that said, I struggle lately with knowing why I'm feeling a certain way or what is impacting the strength of those emotions.  Is it hormonal imbalance?  Is it lack of alone time?  Is it the inconsistency and lack of routine that comes from travel?  Is it just how I'm feeling?  I don't know.

To end this on a happy note, the days are filled more often with happiness and joy than anything else, so I don't want to sound ungrateful or unhappy - I'm not.  I'm just parsing through what I am feeling, which I don't get to do these days with a girlfriend over coffee or wine, or with a therapist, which is probably what I should be doing...

Also, I wrote before about Sheryl Sandberg's heartbreaking missive after her husband's death.  She just published a book about grief and loss and finding strength in such circumstances called Option B.  I've just downloaded it, but in case you missed the news...

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An Update from the Southern Hemisphere

Wow, I've been terrible about blogging.  I have been writing on my other blog, but I've been preoccupied with traveling and having fun.

Mercifully, the day after my doctor's appointment, my body started to miscarry on its own (I started bleeding).  It was as if my body had known for weeks but my mind was clinging to the pregnancy. Once I let go of it in my head, my body followed.  I took Cytotec anyway and it was a pretty easy process albeit uncomfortable as many of you unfortunately know.

5 weeks later, I have just had my first cycle since the miscarriage.  I haven't had any menopausal symptoms this time around for which I am eternally grateful and I haven't fallen into a depression like I did last spring.   Part of it is certainly that I have learned to manage my expectations a bit but more so I think it is just that I refuse to let this ruin our trip.  We had an incredible time in Hawaii, fell in love with Sydney, and are having the best time exploring New Zealand.  My health is good all things considered and I love spending time with R & B.  Am I incredibly sad and disappointed?  Of course.  But I won't let it swallow me whole this time around.

So, that's the update from here.  My OB did write me another prescription for Clomid before I left Hawaii and I filled it, but I don't plan on taking it right away.  I'm going to see what happens the next few cycles and try not to focus too much on trying to get pregnant.   I feel more resigned than ever to not having another baby.

I did read a fascinating NY Times article today about stillbirth and three tests that can help determine the cause in many cases: placental examination, fetal autopsy, and genetic testing.  We had all three of these done on Q and the placental examination did tell us what happened to her although we still don't know why.  In any event, an interesting read for those of us who have experienced stillbirth (at least I find myself wanting to read and know everything about it).

You all are still very much in my thoughts, I'm just not at a computer very often (which is the whole point of this trip).

Thanksgiving & Clomid Cycle

Happy Thanksgiving, friends!  We are back from a week-long trip to Boston that was mostly really enjoyable.  We saw a ton of friends and family and even did some city exploration, including one day where I had the day to myself in Boston with nothing to do and it was glorious.  You all know I love B more than anything in the world but man was six hours alone in a city so incredibly rejuvenating and fun.  I went shopping, had a quiet lunch, sipped coffee, walked, and just thought about... who knows what?!  I'm feeling like a bullet-point list is the way to go today to share more about my Clomid cycle and about life in general:

Fertility Update

• I'm halfway into my first cycle on Clomid.  The Clomid didn't affect me at all. I was particularly worried because my father-in-law knows how to push my buttons and I didn't want to be emotionally a wreck around him but I actually felt quite good.  I'm very thankful for that knowing what some friends have experienced while taking Clomid.
• Since we were traveling, I couldn't be monitored at all so I have no idea if it did any good and we couldn't draw day 3 labs.  Next cycle we will if that happens before we leave for our trip.
• Dr. A did draw my AMH the last time I was in and it was 0.23.  I know this is still a terrible number, but mine has always been undetectable (which I am told means below 0.1) so I'm taking that as a positive sign, even if the improvement is infinitesimal.  We'll check FSH and do a follicle count with the next cycle.
• I have no expectation that I'll get pregnant this cycle, but I'm feeling good, I had EWCM, and according to the OPKs, I ovulated.  

General Update

• If I hadn't miscarried this spring, I'd be due now.  I'm having a harder time with this than I expected.
• Every one of our friends in Boston seems to have just had a 2nd or 3rd baby, is pregnant with a 2nd or 3rd, or already has 3 children. When did 3 become the new 2?  
• We had dinner with friends who we don't keep in touch with regularly who have a daughter 4 months younger than B.  They had trouble getting pregnant with #1 but she surprised us and is 6 months pregnant with #2.  I always thought of them as our friends who might, like us, just have one, and who understood what a struggle having a family could be.  I know two babies don't erase that struggle, but seeing her pregnant belly made me have a minor meltdown.  
• I may finally be accepting that pregnancy will never be an easy topic for me and will always trigger jealousy and other unpleasant emotions and I probably just need to figure out how to manage and accept those feelings.  I thought I might feel differently after having B, but it isn't entirely true.

To end on a happy note, I LOVE the holiday season and B is SO excited about Christmas, the tree, snow, candy canes, stars, etc.  Even though we are running around like crazy trying to get everything ready to leave for a year, it is going to be a great holiday season.

A Visit to the Reproductive Endocrinologist

Yesterday I visited with a RE for the first time since I was pregnant with Baby B.  I had an appointment with her in August, but then she switched practices so this was the first I could see her, which is a bummer since I now will only have one (maybe two) cycles before we leave for our trip.   I knew when we planned our trip that I was giving up pursuing aggressive fertility treatments and I just need to be at peace with that.

Back to the appointment.  Dr. A agreed that aggressive IVF is really not going to work for me since IVF is a numbers game and I'm not likely to get many eggs and the ones I get are likely to be poor quality.  I'm not really interested in IVF from a mental or physical perspective anyway.  What she was willing to try and thought was worth a shot (and is not that expensive, which is a nice bonus), is doing one cycle on Clomid and then one cycle on Clomid + injectibles depending on how I feel and respond the firs time around.  We leave for Thanksgiving on Friday for a week, so Clomid is my only option this cycle since I'll be in Boston and can't be monitored.  So, today is cycle day 1 and on Thursday I'll start taking Clomid.

I've heard terrible things about how it can make you feel, but my RE said the side effects are akin to menopausal symptoms.   For those of you who have taken Clomid, how did it make you feel?  Hopefully I'll be able to keep me s*it together while we are back east with family and friends.  

If I manage to have a normal-ish cycle after this one, I'll have one more chance before we leave to do a Clomid + injectibles cycle that is monitored and maybe do an IUI.

The odds of success are seriously low (less than 5%). I have to laugh at that because, seriously, that is  basically zero.  Not quite, but basically,  But here we go.  I know I won't regret trying but I will regret not trying (and am already regretting not making this appointment happen sooner).  

By the way, I love Dr. A (she just joined so new practice name and website are forthcoming - male Dr. A who works there is fantastic, too).  She sat down and talked with me for 45 minutes.  She came out to the lobby to meet me herself, which has *never* happened before.  She answered all of my questions.  She was thoughtful, compassionate, clear in her explanations, and realistic.  I cannot recommend her enough if you are in Colorado and I, literally, have been to every fertility clinic in the greater Denver area.      

For those of you (if there are any) who are reading this and still hoping, praying, yearning, and trying for your first baby, may I just say that I so vividly recall those feelings of desperation and returning to the RE brought them all flooding back.  I even commented to Dr. A how differently it felt being there with a living, breathing child at home but that the overwhelming sadness and hopelessness is a feeling I can always dredge up again.  My heart aches for another child, but there is no doubt that having B at home makes this process more bearable.  I really hope I'm not writing anything offensive or hurtful -- what I want to convey is that my heart just goes out to those still yearning for #1 because it is different.  There were two couples in the waiting room yesterday who had children with them and while I was able to smile and joke with them a bit, I noticed another couple sitting nearby and I thought the woman was going to burst into tears at any second.  I vividly recall being in RE waiting rooms and thinking HOW IS IT POSSIBLE THEY ALLOW PEOPLE TO BRING CHILDREN HERE?   It just seemed so cruel.