Biding time until trimester #2

My next u/s is tomorrow. I will be 8 weeks and 6 days. So far, all has been well. I have felt conspicuously exhausted and nauseous which is heavenly for an infertile. I am savoring every tiring, sick moment.

I have begun to think back on "the last time"- not the smartest move from someone who suffers panic attacks. It was at 9 weeks 2 days that I developed the blood clot in my uterus. I know I will feel much better when that day comes and goes with no activity- but for now I am in the mode of trying not to get nervous. Even if I did get one, many women get blood clots that do not lead to preterm rupture of membranes. And- I am on lovenox for that very reason- to prevent blood clots. For now, I need to just surrender and be in the moment- good practice for being a mom. However, patience is not my strong point.

In other news, I am traveling for business later in the week and will have to give myself my own PIO shots. For those not familiar with what that is (be thankful), it is a big mother needle that goes right into the muscle of your outer butt region. First was going to make my husband and dog go with me on the trip. Then I figured, I'm a smart cookie, there is nothing I can't achieve.

I watched about 4 utube videos and then I retreated the to the master bath to figure things out. It turns out, I did a pretty good job of it. It actually hurt less than when hubby does it. Still, I'm going to have him do it on a regular basis until my trip and then when I return. I know this might sound silly, but that time is a bonding time- when he and come together and I feel like it's us two, as a team, making this happen.

Most of the time I feel likes it's me, alone,contorting myself into every possible position, even throwing myself against a steel wall to get a live baby for the two of us. It feels very one-sided. Not that hubby doesn't want a baby- he absolutely does. It's just, he gets to hang out mostly and then occasionally show up and jack off in a cup. Not really an equal partnership of responsibility on the fertility front. Ah- but he means well. I am so lucky that he has stuck around through this madness- my madness- he is definitely a keeper!

Falling to pieces and then remembering I can have it all

The first part of the day sucked. I went for a second opinion from a perinatologist so that I'll be all set when I get prego. What I didn't realize is that I had been to that office before- for my first trimester screening with Sally Ann. I handled that realization pretty well, even with a waiting room full of pregnant women.

They took me in immediately and asked when my due date was. I handled it well. Then the nurse kept making things worse- "oh I am so sorry I said anything, blah, blah, blah." "Do you usually have high blood pressure?"

Ok- I lost it. By the time the doctor got there, I was a bumbling fool. He was patient and understanding. We went over the autopsy results, the placenta pathology report and my prothrombin factor II mutation in a lot of detail- more so that ever before. We have a plan in place that I feel good about. I will continue on the Lovenox, and we'll add progesterone shots at week 16. This is said to help extend the term of babies in mothers who had previous premature losses.

He said there was never anything I could have done to save Sally Ann. By the time the clot occurred in week 9, taking Lovenox at that point would not have saved the pregnancy. The water breaking was still just a fluke, and is very rare. It was probably due to the bleeding. The bleeding was likely due to the clot. But the clot- may or may not be as a result of the thrombin factor 2 mutation. Just a lot of unknowns and I need to just accept that.

He doesn't suggest I try to have twins, only because he hates for me to add any additional stress to the situation. After all that has happened, I really want twins. Not sure what to do with this information. I guess I don't have to make any decisions today. What are YOUR thoughts? I mean I will be on Lovenox this time and that is supposed to address my issue. So what further issue is there if that is being addressed?

When I got home, I immediately went to my blog reader where EVERYTHING changed. Today is a day of great news. From positive betas, to healthy linings and good follicle counts, to twins on the u/s, to several healthy births, today is a day to celebrate. I feel so happy for all my bloggy chick friends. And I know that my time is coming. It may be hard for me today but I know that it can happen to me too. I can have my heart's desire. My dream can come true now. I need to keep believing that this is my time.

In anticipation of Father's Day

Well apparently Hallmark doesn't make cards for bereaved fathers who have lost their babies. I tried two stores near my home with a score of 0-2. I guess if I had some forethought, I could have found something online. Oh well.

I think I'll actually be more sad tomorrow than hubby. He really didn't get to bond with Sally Ann. My theory is that women bond with their children while pregnant, once they begin to feel the baby move. Men, I believe, bond after birth, when they can hold and feel their precious baby in their arms. Nonetheless, the road that we've been on will certainly bring up some feelings tomorrow. I just hope I am in a place where I can be there for him like he has been there for me over these past 4 years.

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On another note, I got a disturbing message yesterday afternoon from the Hell nurse at my fertility clinic. The committee has reviewed my file and they think I should see a hematologist before the procedure. Fine. But- they recommend my ceasing the BCP until the consult, which will put my transfer back a month. No way. You can blow me, miss nurse.

I am not doing anything until Monday when I can discuss this more rationally. I was on BCP for years with no issue. I have no intention of pushing this back a month so that I can have the consult. I'd rather start blood thinners now if I need to but don't tell me, after I have been sitting around for the past few months with my finger up my butt waiting that I need to postpone another month. No no no no- no can do. Sorry, Ma'am- but we're doing it my way this time.

Wow- I feel so much better now...

New Year's Resolution-Renewed Hope

The Definition of Hope
"A confident desire: a feeling that something desirable is likely to happen; likelihood of success: to want or expect something: to have a wish for something to happen or be true, especially something that seems possible or likely." (Encarta)

It is tough to stay in that place of hope. I have been down it so many times before. I am currently waiting on the two week period between IUI and discovery- today is day 10 post insemination. I wonder- when will it be my time? Is this my time? I have almost become numb from the process.

I started spotting yesterday- I can't tell the difference between implantation bleeding that I experienced last April and the onset of my menses. All will be known soon enough. I think I may take a pregnancy test tomorrow.

I guess what's different now is that I feeling a bit run down. It's been almost 4 years since I began this journey. Someone recently said to me that it is easier to think about DE when your back is up against the wall. I know what she means. If I had agreed to DE three years ago when it first came up, I would have a two year old by now. My mother would have met my baby before she died. Ahh, would of, could of, should of. Silly me. No need to go down that road again.

This "doom and gloom" I am sharing is not what it seems. My new year's resolution is to get back on the hope bandwagon- to believe that I can have what I want, even if the picture isn't exactly what I had planned. What I truly know now is that this year I will become pregnant, no matter what it takes. I am not quite ready to move on to DE yet, but I am damn close.

Let's not forget 2008. It was the best of times, it was the worst of times. I had my dreams answered with the surprise pregnancy. Wow I was so happy. G*d how happy my baby daughter made me. Then the loss of Sally Ann was definitely the worst thing that has ever happened in my life. In an instant, my hopes and dreams were gone. G*d that really sucked ass.

The only thing I can hold on to is what she taught me in her short life within me- things like unconditional love, my willingness to protect my child at all costs, the utter love between myself and my husband. I would be remiss if I didn't mention that she also taught me that I can get pregnant when I had pretty much given up on that possibility. And her death uncovered a rare clotting disorder that I have. That knowledge could have actually helped to save my life.

The legacy of my Sally Ann will live on in my heart forever and my best tribute to her is to be the best mom I can be. That is how I will honor her memory.

Today is my due date

As I sit here watching the snow flurries drop, I feel like I am in someone else's life. Today is December 20th, 2008, the date that I was supposed to lay eyes on my first baby, entering my world, my baby girl's first day on planet earth.

While I know that chances are slim that babies actually are born on their due date, never in a million years did I think my baby would be born 4 months too soon. 2nd trimester premature rupture of membranes (water break) is extremely rare. They tell you you're clear after the first trimester- statistics regarding loss of any kind past the first 12 weeks is down around the 1-2% mark. I mean what are the odds that I have trouble conceiving AND a second trimester loss? My thoughts on this are now much more black and white- chance of loss is 50%- you either give birth or you end up with a dead baby.

Finding out that I am prone to blood clots and that may have been the cause of the amniotic rupture only sickens me more. Should of, would of, could of. How come no one suggested me seeing a specialist? How come the gene mutation was not tested for at the onset of the uterus blood clot and then easily treated? How in the world did I think going to Puerto Rico was a good idea after being on bed rest for 2 months? How come the doctor allowed me to go? How come I never learned Spanish? Should of, would of, could of. I can drive myself mad if I go down this road.

How did I get to this place? I will be back at the doctor's in Boston tomorrow morning for an ultrasound and blood work. today is cycle day 8. This IUI could be be the start of another life. Or can it be that my first pregnancy, my special Sally Ann, would be my only biological child? I just can't believe it- that my life would go down like that.

I have a strong desire inside to be a mother. I have always had that deep, passionate will to raise a child in this world. Now I need to re-examine what that looks like. What is motherhood? What was the need I had really? Was it to raise a little human and pass the legacy of love, compassion, strength and integrity into the world? Was it to know that my genes and DNA live on past when my body turns to dust? This story line is so much heavier that I expected. What happened to what they told us in school? If you don't use protection it is an accident that you don't get pregnant. I can't believe that bullshit. Come to find out it is actually, in the best of circumstances, a difficult task.

Oh well. I called myself resilient back in August when I started this blog. I don't feel so much today. I am actually more on the weepy side. The anticipation of today, however, was much worse. Today gives me some sort of twisted closure.

Does one ever get over the loss of a child? Of course not, but there is a closing of the circle, as there will be for each milestone that will come between now and July 26th, 2009. Christmas, Passover, Mother's Day, Father's day. The anniversary of my water breaking. Sally Ann's birth and death.

Grant me the serenity to accept this thing I cannot change.

Those were the days

I remember back to how scared I was when I first found out I was pregnant- I wasn't sure how to feel since I had never been pregnant. I had complained right before the IUI that it had been 37 cycles of trying. There was a deep heaviness when I referred to the process that way- 37 attempts.

The truth was that it wasn't really 37 cycles. Yes- it had been 3 years, but a lot happened in that time frame. My mother was sick with cancer and I would often fly to be with her- out of range of my husband's "Superman" sperm as the doctor called it. I don't know how many months that occurred- I didn't really keep track of that. Moreover, in the early months, I didn't know what I was doing. The old adage- if you don't use birth control, it's an accident if you DON'T get pregnant- was in my mind so I didn't plan or time marital relations. I just came home from the bar, straddled my husband and said "let's make a baby." Oh, the good old days!

I also took on a new job that required some travel. I wasn't travelling too too much, but the first time I used the ovulation predictor kit, I had flown to Orlando FL for a conference. I knew I would be ovulating while I was there so my husband took off time to fly down there a few days after me to be sure we "matched" it up right. Low and behold, I ovulated two days before he got there.

If I look at the story I have told myself, I may have slanted my "truth" in a way that made me feel worse, not better. It didn't really matter by this past April- I had gotten pregnant. I mean, my issue was getting pregnant, not staying pregnant.

It took me just about 9 weeks to really get into it and not be completely frantic. When I first saw the ultrasound at week 5, I was terrified. There was a little heartbeat in what looked like a blob. How would that fragile thing live?????

At 9 weeks, the picture looked like a baby. All the doctors and nurses were congratulating me- they said the baby looked great. Very strong. They were extremely pleased. In fact, they said their work was done and they released me to my new OB.

I had found my OB about a week before. Still, I felt sort of lost in that I didn't know how to be just a pregnant woman. My story had gone from "when will I ever get pregnant" to "I met my husband, fell in love, got married and created our family" in a matter of minutes. I look back now wondering if there was a part of myself that thought "you fake! You know it can't be that easy."

I spent a non eventful weekend going back and forth on the matter until Monday, I decided this was my fate. I began telling close friends and reveling in the newness and joy of the experience. I shared my new story with my husband, my therapist, my family. It was a dream come true.

Until about 4:30 am in the morning of that very day. I went to the bathroom and blood gushed out of me. Falling into the toilet was large clots of tissue. I remember looking into it and saying- there's the baby. I was in total shock. I can't even describe the terror. I immediately called the reproductive endocrinologist. When the on-call MD called me back, she said I should call my OB. Now I am faced with calling a stranger's office to try to explain what had happened.

The on call doctor called me right back and asked me to remain calm. She told me to come to her office at 8:00 am- 30 minutes before they opened. It would be easier than going to the ER. Just remain calm.

I called my friend from 1st grade- she had 3 kids, Maybe she could calm me. "Oh I know someone who had the same thing, It was a blood clot. Don't worry just yet" she said. OK. I won't worry. Blahhh- did I lose my baby?

That was the longest 3 hours of my life.

I arrived at the unfamiliar office and they took me straight away to the ultrasound room. They got me situated and took a look. Low and behold, there was my sweet, beautiful baby, just moving and shaking, heartbeat absolutely perfect. I felt truly blessed, so happy, so grateful. Everything might really be OK.