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.                                                                                                                                                                                                                                                                  

36

 Today I turn 36.  After Chelsey's death, I promised myself I would celebrate birthdays every year from here on out, so I'm doing it.  R brought my breakfast and coffee in bed, I read to B all morning and came to work late, and tonight we are celebrating with friends.  I'm trying not to let myself dwell on the fact that even if I didn't have POF/POI as a diagnosis, I am now firmly in the "advanced maternal age camp."

Things have slowly been improving in terms of emotions and hormones.  I appear to be having another normal cycle (are you sick of hearing about my cycles yet?) and I'm feeling good.  I found a nurse practitioner who specializes in menopause in Denver (Cece Huffnagle) who is fantastic and has been incredibly helpful.  We talked through making sure I'm comfortable (e.g., stopping hot flashes, helping with dryness, regulating the emotional swings) without preventing the possibility of pregnancy.  She prescribed a cream for me to use that is super low dose and has helped and also is having me take progesterone every day from ovulation until cycle.  If, miraculously, I fertilized an egg, I likely wouldn't be producing enough progesterone to support the pregnancy so this would help.  There isn't any harm in taking it, so I'm doing it.  And I'm still continuing with all of the herbs and supplements.

"Kiss. Pumpkins."

We are slowly planning our trip!  We leave for Kauai on January 2nd.  It's amazing how much more tolerable coming to work is each day now that I have an end date.  I'm also taking my time in the mornings, reading longer with B, hanging out for a bit with her and our nanny (who I love), and having coffee with R.  Anyway, that is the not-so-exciting update from here.  I'm so glad it is fall.  B will be a flamingo for Halloween (she is obsessed) and loves kissing pumpkins (on anyone's porch or in anyone's garden).  She has so many words and she constantly amazes me with the new phrases she says.  She's obsessed with reading (particularly Toot & Puddle, Olivia, and "Higher Higher").  I couldn't love this girl more!