Worry Wart.

This week I have been consumed with worry.
We made a big decision to be part of the PIP Study. (Pipelle Study)
Its a study conducted for unexplained infertility – they have already done one for IVF and this is the next step (so I understand)

When i first heard about the PIP study, we had only just had our first appointment at the Fertility clinic. I didn’t really start thinking about it seriously until our IUI failed. When i spoke to my husband about it, he told me it was my decision because I would be the one to go through the procedure.

If you don’t know about the study, the basic gist is, there are two groups, one group is the control group which have a procedure where their uterine lining is “scratched” the other group is the placebo group where they go through the motions of the procedure but they don’t actually get their lining scratched.

From my understand, the idea of the study is to see if scratching the lining will help with cell regeneration and help with an embryo implanting during the implantation process.

The way i think of it is this: when you cut yourself, a bunch of new blood forms and helps your wound heal. The blood rushing to the scratch in the lining to help heal the wound and may provide a great place for an embryo to implant and therefore start a pregnancy.

The reason I have been worrying is because you aren’t allowed to take on any other kind of fertility treatment for the 3 months you are under a the study. Now we had already sort of made the decision not to have any treatment until after our honeymoon in September but I still struggled with this concept.

The other half of my worry comes from the fact that I could be put in the placebo group. I mean come on, you have to battle Auckland traffic to undergo a “procedure” that you pin your hopes on to help your dream come true and then you find out you didn’t even get the scratch done! See my dilemma? Apparently you can get the scratch done at the end if you were in placebo group but what the hell. That’s not selling it for me.

I also battled with how much my heart and my mind could take. I haven battled depression before so starting fertility treatments was a big, emotional mine field for me. It helps that my husband and I decided to get married first, I’m not sure why but for some reason, seeing that ring on my finger makes me feel safe, in a way I didn’t feel before the wedding. (please note, I have no judgement for those of you who start this journey before marriage!) 

In the end, after talking it over with my girlfriends and talking to Sarah, the lady who runs the study, I decided – what the hell. What have I got to lose?

So I am booked in for this Thursday and I am shitting bricks about being part of this study. And still worrying.

I worry it won’t work. And my husband will have to pick me up off the toilet floor, in a puddle of tears, trying to console me when he is just as devastated that another month has gone by.

I worry it will work, and that we will be so joyously happy but then something will go wrong.

I worry it won’t work, and all my insecurities will flood through me and I will lose myself in a black hole of sadness like I have so many, many times before.

I worry it will work, and we will bring a child into this world and then I will screw something up. That I will be a terrible mother, or I will end up with Post Partum and my husband will be left to try and take care of a newborn and a wife who can’t seem to get out of her head.

None of this worrying is healthy for me but I have to acknowledge it. I have to deal with all these feelings because if I don’t – it will consume me. I have a great support network of friends and family. That is priceless.

I have learned that it’s OK to worry. It’s completely normal to have doubts, especially when the one thing you want the most in the world, has been naturally denied from you.

What I haven learnt is not OK, is to let it take over your thoughts and control you.

I will be part of this study. Its for a good cause. This could help thousands of women become pregnant. It could even help me. So I am going to think positive, if I am in the placebo group then that’s OK. I can get the scratch done at the end of the 3 months. If it doesn’t work, that’s OK – I will get to go to Disney Land during my holiday and ride all the roller coasters I want.

Just Relax.

months. I swear to god, the next person that tells me a story about how their sister-in-laws, best friends, brothers girlfriend who had been trying for years and then as soon as they “just relaxed” got pregnant… seriously!

Don’t get me wrong, I am happy when I hear success stories but this month, I am OVER IT! I am so sick of hearing “just relax” or “go on holiday, that’s how we got pregnant”. Yes, we have unexplained infertility which means, technically, there is nothing wrong but that’s does not mean that “just relaxing” is going to help us.

Every time someone asks us “When are you guys going to have kids?” a little crack appears in my facade. I know people mean well but they have no idea how much this question hurts me. Hurts us. If there is one thing I have learnt throughout this ordeal is that I will NEVER ask a newly married couple, in fact ANY couple, when they are planning to have children. Someone else’s baby plans are none of my damn business.

Every time someone tells us “You will know what it’s like when you have children of your own” a little piece of my mask falls away. I realise children are a big responsibility, I realise they are hard work. That doesn’t mean that it makes me want one any less. I have had more time than you to think about the responsibilities of having a child. I have read every book I could find, I know what to expect. I don’t have some unrealistic view of what it will be like. I don’t think my child will be perfect, but when they arrive – they will be mine. And I will love them with all my heart.

Every time someone tells us “at least you can sleep in on Sundays!” a little piece of my heart chips off. I don’t want to sleep in, I actually WANT to be woken by the soft cries of a baby or the pitter-patter of a small child feet as they run into our room every morning.

Every time a pregnant woman complains about her pregnancy, a little piece of me crumbles. You have no idea how much I want your weight gain, your swollen feet, your sore back. It would beat the monthly tears and heartache every time AF shows up. I would gladly toss my cookies each morning if it meant I would have a baby to hold at the end of those 9 months.

Every time someone says “It could be worse you know” I want to punch them in the face. Like our struggle with fertility is somehow a ‘lesser evil’. I know its wrong to have that reaction but who are you to put our pain below something else? Who decided you were the shot caller when it comes to the grief scale? Who put you in charge of the pain-o-meter?

And one time, someone told me “maybe you aren’t meant to be parents”. I actually broke down in tears at this comment. Fuck you. That’s all I have to say to that. Fuck. You.

I have said it before, and I will say it again.

Infertility is a Bitch.

Unexplained Infertility is more of a Bitch.

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The First IUI.

Last month we decided to try our luck with an IUI. That was… Interesting..

You might have read what an IUI is in my post “Fertility Abbreviations” but just in case you haven’t – IUI stands for Intra Uterine Insemination and its basically turkey basting.

Your partner gives a sperm sample, the clinic ‘washes’ it to get the best swimmers and then deposits it into the females uterus via a syringe like contraption.

Once we had made the decision to give the IUI a try, I rung the clinic and they told me I had to ring back on day 1 of my cycle. I don’t think I have ever wished Aunt Flow to arrive harder than I did in that next week! I was actually happy to see it show up!

So I cheerfully rung Fertility Plus and told them it was day one, the nurse on the end of the phone seemed like she couldn’t give less of a shit to be honest! She was basically a grumpy bitch that needed to either change careers or retire. Bloody hell was I discouraged after that phone call! I asked a couple of questions and each one was met with a sign and then the answer. I had my fingers crossed that she wasn’t going to be the one that inseminated me later on!

CD2 rolled around, which just happened to be DH’s birthday – Happy Birthday babe! You don’t get to have sex and then get to hear me complain about the fertility drugs making me feel weird! Poor guy; I made sure to make it up to him later on…

I’m not sure if this is the same for everyone but I had to take a drug called Clomiphene (known as Clomid) to help my body ovulate. I had to take it from day 2 to 6 of my cycle and oh boy! was that stuff horrible. It (apparently) didn’t matter when you took it so I took it as soon as I woke up, with breakfast. Worst. Decision. Ever. I had to suffer the rest of the day feeling nauseous and had some EPIC cramps happening in my lower region. After suffering through the second day I decided to switch it to taking at night so I could sleep through the pains and symptoms. This worked a treat – if you ever have to take Clomid then I definitely recommend taking it at night with dinner!

Fast forward to CD9 and I got to have my first blood test – yay for me :(
I’m a total pussy when it comes to blood tests so I was NOT looking forward to it. There are only a select few places in Auckland you can go to for these blood tests and the closest one is about 20mins from me. You have to have the blood test before 9am and because I start work at 8am I had to leave home at 7am to get to the clinic, be seen and be back in time for work. Mission Achieved! That first blood test wasn’t so bad.. at least I had a nice old lady as my phlebotomist.

After that first blood test I had to head into the fertility clinic to have a scan. They did a vaginal scan to see how my follicles were developing. I had a big juicy one on the right hand size which measured 15mm and this is apparently good news. They explained that they would ring me each afternoon to let me know if they saw the LH surge in my bloods which would mean that I was about to ovulate and as soon as they see that surge, they would book me in the next day for the insemination.

The second blood test went much the same as the first but the third one was a right pain in the arse. Of course there are only two clinics open on a Saturday and the nearest one is in Mount Eden – again , I had to have to done before 9am so on my Saturday morning I was up with the sun and out the door to make sure I got there in time. I arrived before it opened because I am an idiot and didn’t read the opening times – they opened at 8am *insert face palm emoji here* I only had to wait about 5mins because there was only about 5 ladies there that early so that was a relief – I was home before my husband had even woken up (luck for some)

Sundays blood test was a bit harder than Saturdays – the only clinic in Auckland that was open was in Mount Wellington. Its fair distance from where we live to out there. I made my husband come with me this time – by this stage I was well and truly over being used as a pin cushion! So we got up at 7.30 and made our way to the clinic and holy crap was I glad we were relatively early – there was a cue of about 30 ladies already there. It was raining and so we were all huddled under the small amount of veranda that was there. One lady got her knickers in a twist about it and proceeded to tell everyone “we have formed a line out this way so best you get in it” now I’m no shrinking violet but I didn’t want to cause a scene because it was early in the morning on a freaking Sunday and I saw she was holding a yellow blood form so this was probably not her first blood test. For those of you that are not part of the in-crowd, a yellow form is a fertility form. In fact almost everyone there was holding a yellow blood form.

We were let inside not long after that and sure enough, it didn’t matter who put their form in the basket first, the names were called seemingly random. I could see the bold lady who mentioned the line getting more and more annoyed about how many people were going ahead of her, since she was the 5th lady in line outside. It made my husband and I have a giggle that’s for sure.

We didn’t have to wait long and soon enough my name was called. The blood draw went without a hitch which was typical since the hubby was with me!

CD13 was also ANZAC day, now I haven’t missed an ANZAC day since I can remember but I know I wasn’t going to make it to a dawn parade due to having to get my bloods done but I was holding out hope to make it to a 10am service. I was seriously sick of going to get my blood taken but I was feeling confident since the last couple had gone well so I decided I didn’t need no man to hold my hand and took off to the clinic along.

That was a HUGUE mistake!

Again, there was a mass of people outside the clinic waiting for it to open but I did notice the bold lady from the day before wasn’t there. I couldn’t help but think she was a ‘lucky bitch’ cause that must have meant the fertility clinic saw what they needed in her Sunday blood. Weird thought, I know!

My name finally got called at 8.45am- it was cutting it close! You know how I said I was full of confidence earlier in the morning when I left home? Yeah that disappeared after the guy sat me in the scary blood drawing chair, tourniquet my arm and just stabbed me with a needle. After a couple of expletives left my mouth he stopped. I asked him, politely to at least feel for a vein before he stabbed me and I also requested he use a butterfly needle. He did, but by this stage I was visibly upset (read: crying) and he was starting to get nervous. After his 4th attempt I told him he needed to go and get someone else. By this stage it was 8.55am. Another guy came into the room and when he saw how upset I was (I was crying like a little girl at this stage) he decided that the best way to get my blood was to take it the same way they take it from small children (great for the ego right!?) so he warmed my finger up by placing it on a glove full of hot water and then pricked it with something that resembled a torcher device but I was told it was the same device that diabetics use to prick their fingers. He then proceeded to drip feed my blood into a vial.

I felt like a fool. I was still really upset and the dick head that had used me as a pin cushion was still in the room, pacing. I told him he needed to leave before he made my mood worse – which I actually doubt was even possible! I left the clinic bang on 9am with my sunglasses on so none of the busybodies in the waiting room could see I was crying.

As soon as I got to the car I started to ball like a little baby, I rung my husband and he said he couldn’t understand anything I was saying because I was crying so hard. After a few words of encouragement he assured me he loves me and he would see me when I got home. After hanging up I started crying again so I called the one person who I knew would be able to decipher my sobs – my mummy.

Yeah yeah, I know, a grown ass woman calling her mummy. As predicted she was able t understand what I was assaying and her words of encouragement helped calm me down, sorry babe – I know you meant well but I just needed someone to indulge me for a bit. My mum reminded me why I was doing this – so I could have a tiny human of my own, and that I needed to keep my eye on the prize.

As I drove home I thought about how wonderful it would be to have a child of our own (hopefully soon) and that all these blood tests were going to be worth it in the end. That afternoon I got a phone call from a cheerful nurse who told me they saw a ‘nice surge in LH’ and that my husband needed to come in to give his sample at 8am the next morning and then I needed to come in at 10am for the insemination. I was so excited to not have to go through any more blood tests that week!

We decided that we would both go in at 8am then go grab some breakfast before returning to the clinic for the procedure. It’s a really weird feeling, sitting in a waiting room after your husbands name has been called. All the nurses know what he’s doing, you know what he’s doing, yet no one bats an eyelid. I just chilled out reading some magazine waiting for my husband to jizz in a jar- strange alright!

At 9.45 we were back at the clinic like the eager beavers we are, waiting for our nurse to come and get us for the procedure. We ended up getting a lovely nurse named Bernadette (if your with Fertility Plus, see if you can request her, she’s amazing). She explained how the procedure would go and answered all our questions.

If you have never experienced an IUI before, it feels a bit like a smear to be honest. It doesn’t hurt, just a bit uncomfortable. You get naked from the waist down and get on a bed with your legs on these weird holder things. The nurse lifts you up in the air so she can quite literally stare at your vagina and insert the syringe contraption. Its over in about 5min. As Bernadette was bringing the bed down and letting me settle she was telling us how it was encouraged that we go home a have sex. She told us that we should do it each day for the next couple of days to “add to the deposit”! My husband was looking mighty happy about her advice but once she left the room I told him he was going to be shit out of luck that day. I had just had a nurse all up in my business, the last thing I wanted was for him to try it on. Males, honestly!

Now we had the dreaded 2WW ahead of us. I was due to have a blood test on the 3rd of May to make sure my body had done what it was meant to and ovulated. I then had to have another test on the 10th May. This was going to be the all important pregnancy test.

We left the clinic full of high hopes and the next two weeks actually went by quite quick.

During my two weeks I analysed every symptom that popped up. I had seriously sensitive nipples – did that mean I was pregnant. Apparently not, its just a side effect from the Clomid. I started feeling nauseas around 5 days after the procedure – did that mean I was pregnant? I also go some super tick cervical mucus (yeah I know TMI. but seriously – I’m talking about fertility here, there is not such thing as TMI in this world!) A quick Google search told me I could be pregnant as this was a common sign.

I started to feel sort of hopeful until about 3 days before the blood test that would tell us if we were going to have a baby or not. All the symptoms disappeared. I didn’t feel sick anymore, my nipples didn’t hurt and I was as dry as the Sahara down there. Then Aunt Flow showed up the day before the blood test. I was guttered. Bernadette had told me that I needed to get a blood test no matter what, just to be sure. So the next morning off I went to lab tests for my blood test. We had been working nightshift so I left hubby to sleep in since he didn’t get home until about 1am.

That afternoon I got the official phone call telling me it was negative. I think I had already accepted that it was going to be so I didn’t cry. I did get angry when the nurse asked if I wanted to book in for another IUI. No I fucking well did not want to re-book! We had just gotten a negative test, did they not give a shit that we might need some time to process it all. I know they must deal with hundreds of these phone calls a week but for crying out loud, some of us are struggling here!

That night, I managed to convince hubby that we should have Burger Fuel for dinner so I could eat my feelings. I really am lucky to have someone that loves me and is there for me.

Although this IUI was a fail, we learnt a lot and I honestly think we are stronger as a couple coming out of this.

Because of my disastrous veins and the debacle of the blood draw on ANZAC day, we decided to take a bit of a break and reassess the situation the following month.

Fertility Abbreviations

Throughout my blog you will come across more abbreviations that you ever have in your life!

Here is what they all mean.

2WW: Two week wait (before testing, not always 2 weeks)

AF: Aunt Flo, your period.

BD: Baby Dance. Have intercourse for conception purposes or by extension any form of insemination.

BFN: Big Fat Negative (pregnancy test)

BFP: Big Fat Positive (pregnancy test)

CD: Cycle Day

CM: Cervical mucous, also known as cervical fluid. It is fluid produced by your cervix as you approach ovulation due to increased estrogen.

CP: Cervical Position

DH, DD, DS: Dear Husband, Dear Daughter, Dear Son

DPO: Days Past Ovulation

EDD: Estimated Due Date

FSH: Follicle Stimulating Hormone

GnRH: Gonadotropin-releasing hormone

HPT: Home pregnancy test. Measures levels of the hormone hcG which are produced in pregnancy.

HcG: Human Chorionic Gonadotropin. Hormone detected by pregnancy tests.

IUI: Intra-uterine insemination

IVF: In-vitro fertilization

LH: Luteinizing Hormone

LOL: If you don’t know what this is, then you must have been living under a rock for the past 10+ years!

LP: Luteal Phase

M/C: Miscarriage

O: Ovulation

OPK: Ovulation Prediction Kit. OPKs measure luteinizing hormone, the last hormone to peak before ovulation.

TTC: Trying to conceive.

3dp5dt: Read this as: 3 days post 5 day transfer (refers to IVF) and means its day 3 after the embabies were transferred into the uterus.

AMH: Anti-Mullerian Hormone  is a protein hormone produced by granulosa cells (cells lining the egg sacs or follicles) within the ovary. AMH can be measured in the blood at any time in the menstrual cycle as it is stable throughout the cycle. It is a marker for ovarian (egg) reserve.

The Natural Route.

6 months into our TTC journey I decided I wanted to do more than just have sex every other day so I looked into fertility naturopath’s.  I had seen Brad Crouch when I was a teenager because I suffered from really heavy, painful periods (yes I have been tested for both Endo & PCOS)

After reading his website and hearing from a cousin of mine about her success in seeing him I thought it was worth a shot. My husband on the other hand was sceptical (to put it mildly). After much coaxing of my husband, I booked us in for our first appointment.

Straight away, my husband was put off. Brad is by no means a small dude, and I don’t mean that to sound rude – just honest. My husband prides himself in being active. We both have to stay fit for our jobs but he has it easier as he has never struggled with weight issues.

Anyway! In the first appointment, Brad looked over my notes from when I was a teenager and asked me a few questions about my periods and their frequency. He looked at a copy of my husbands semen analysis and then looked into our eyes.
He told us he though my husband had a problem with his gut. Its apparently a common thing and a lot of fertility problems in general have to do with your stomach and how it works. He told me that he wanted to try a few herbs to “sort out” my periods. They were pretty regular, but still sort of painful, nothing excruciating but I definitely relied on Panadol during those days.
He gave me a bunch of supplements with some instructions on how to take them and when and told us about the GAPS diet, basically we had to try and go without sugar and processed crap. Like I said, we have to stay fit for our jobs and we ate (mainly) healthy anyway.
We walked away after 45mins and with $380 less in our bank accounts. I was feeling optimistic; my husband however, thought it was all a load of utter bullshit. Like I said earlier, he’s a sceptic.
Fast forward 8 months, after we had seen the clinic and after our wedding – still no baby. Month after month of getting my hopes up when my period was a day or more late was starting to wear us both down.
We decided to give up on Brad. Despite me following his advise – get more exercise, eat more greens, take your supplements. We still weren’t pregnant.
My periods became less painful but that wasn’t a good enough side effect to justify the amount of money a month we were spending on seeing him.
If anyone wants to know more about Brad Crouch,
http://www.naturopathauckland.co.nz/ visit his website. By all means – he has helped hundreds of ladies fall pregnant and for all we know he might have helped us if we kept going but we decided to try the scientific route.

The Beginning.

Infertility is a bitch.
Unexplained Infertility is even more of a bitch.
You go through dozens of blood tests and analysis and then the so called fertility “experts” put you in the box marked UNEXPLAINED. Go Figure.
Most people go through the first part of their life (read: teens) trying to avoid a possible pregnancy – I know I sure did! If I had a dollar for every time I stressed out that I hadn’t taken my contraception properly I would literally be a millionaire!
Fast forward a few years and here I am, married and trying my hardest to “get a baby in me” as my loving husband refers to it.
After 6 months of trying, our GP  ordered a blood test for me to see if I was actually ovulating (I was) and a semen analysis for my husband (it came back normal). We also took matters into our own hands by seeing a naturopath, this particular guy, Brad Crouch, was world renowned for fertility. He is a iridologist and looks into your iris’ and the prescribes you herbs and supplements according to what he sees or what you might be lacking. (Check out my blog post “The Natural Route” for more on Brad and how we went)
After another 6 months the GP referred us to a fertility clinic, Fertility Plus. We were told we would have to wait up to 6 months for an appointment but only 2 months later we got a letter with a date. They got me to do a whole new lot of bloods and another semen analysis for my husband. Again, everything came back normal except for my AMH levels. Mine are very low which means that for my age, I don’t have many eggs left in me.
Side Note: If you are currently single or not quite ready to have a child I would strongly recommend you get this blood test done. It will help you come up with a plan for your future child bearing plans.
After dealing with the realisation that I have a low egg reserve my husband and I started to talk about our options. We don’t qualify for public funding as there is no reason for our infertility, we haven’t been trying for 5 years and we aren’t over 30 (yet). I think this pissed me off more than anything else that we were about our results. The fact that the government wont help us because we are young and in their eyes, basically, aren’t trying enough.
After a bucket load of tears, my husband and I sat down to have a “serious” discussion. I needed to voice my fears; I was absolutely terrified my husband was going to leave me (we weren’t married at this point). He is a smart man and he told me all the things I needed to hear – we were going to get through this just like everything else we dealt with, together. I felt like a complete failure as a woman, even though there was, technically, nothing wrong with me!
After we had processed everything we were about 4 months out from our wedding so we decided to carry on seeing Brad and would re-evaluate our situation after the wedding.