Three

Last night I dreamed that I was pregnant with triplets. I gave birth and as each one came out, I found out that it was dead. I kept thinking "surely the next one will be okay" and at the end I was sobbing with grief and anger and disbelief.

Three means a lot of things. My family as it is right now is three. This is my third FET at Big Shiny Fertility Factory. My insurance allows three attempts per live birth. I have had three miscarriages. When I was little, I always thought I'd have three children. I wanted to have my children three years apart. Small Boy has three donor siblings currently in utereo.

It's just a number. My fave bit from Foucault's Pendulum -- actually the only bit I remember much -- is when the protagonist's girlfriend, mother of his child, gives him the big ol' eye-roll for his numerological conspiracy theories.

We move on to the magic numbers your authors are so fond of. You are one and not two, your cock is one and my cunt is one, and we have one nose and one heart; so you see how many important things come in ones. But we have two eyes, two ears, two nostrils, my breasts, your balls, legs, arms, buttocks. Three is the most magical of all, because our body doesn’t know that number; we don’t have three of anything, and it should be a very mysterious number that we attribute to God, wherever we live. But if you think about it, I have one cunt and you have one cock, shut up and don’t joke and if we put these two together, a new thing is made, and we become three. So you don’t have to be a university professor or use a computer to discover that all cultures on earth have ternary structures, trinities.

She moves through all the numbers, the point being: all and none of them are sacred.

I'm on the NuvaRing now, getting ready for FET#5. It's all happening quickly, so quickly that all the bills from FET#4 haven't rolled in (and been disputed by the insurance company) yet. High, high marks for the NuvaRing so far. Only side effects are mild nausea and sore breasts, and vague irritability. Birth control pills give me severe nausea, migraines, and constant blinding rage towards the universe. It's better this way.

This round officially over

Official negative beta. It's not like I didn't know it was coming.

I was -- amused? -- to realized why I was so sure I was pregnant. It's because, prior this, I have had six transfers. For those six transfers, only one of them was an outright negative. One was a chemical, and the other four were positives.

Furthermore, my frank negative cycle was in 2008. So I basically have no idea what the side effects of progesterone are like in the absence of pregnancy. I mean everyone told me that "progesterone makes you feel like you're pregnant", but I rather poo-pooed that -- I mean by now I surely can tell the difference, right? Those heavy cramps and heartburn, that's totally a pregnant thing.

Yeahno. Everyone's right. It's just progesterone. Good thing to remember for the future, I guess.

8dp5dt: nope.

Game's pretty much over. For some insane reason, Big Shiny Fertility Factory likes to do their betas two goddamn weeks after a 5-day transfer. This makes zero sense, except in the respect that it save them the effort of even dealing with women with short-lived chemical pregnancies. By 19dpo, either you're showing up good and dark on a plain ol' urine test, or you're negative and have been for some time. Which means that you've spent at least a solid week getting painful, expensive, and unnecessary rump-injections. Worse, many women (not me) may have spent an entire extra week consuming neither alcohol, caffeine, nor sushi.

I delicately pointed this out to my nurse, who agreed to let me come in on Friday (15dpo). Much better. At least I can spend the weekend letting my glutes recover.

I'm okay. I'm starting to try to wrap my head around the possibility that this may not be the story of my difficult journey towards the family I have always envisioned. It may be the story of my journey towards letting go of that vision.

I have an embarrassingly large collection of beautiful high-end baby carriers. I guess when the time comes I'll sell them and buy myself something really, really pretty.

5dp5dt: the evidence for and against

Data that support my being pregnant this cycle:

1. I did a super good job of distracting myself. In fact, we decided to up and get married with two weeks' notice, which definitely took my mind off Things.  The planning was a bit crazy, but the wedding was lovely. And three days after the wedding, we transferred two blastocysts to my uterus.
    
2. My lining rocked, which is to say that it was over 8mm, which for an Asherman's patient is awesome.
    
3. It would be hilarious if I got pregnant the same week I got married, so people could count back and make jokes about shotgun weddings.
    
4. I have been chock full of symptoms. Heavy draggy cramps, sore breasts, I got 'em. I have been quietly Sure for days.
    
5. My acupuncturist said I had really good energy. 

Data that support my not being pregnant this cycle:

1. It's 5dp5dt, or 10dpo, and my test strips are stark, stark white. I have been pregnant four times, not counting the lame-o chemical. I have never not had at least a faint line by now. Good betas, bad betas, I always had something by now.

There are 5 reasons why I am pregnant this cycle, and only 1 reason why I am not. The mathematically-inclined observer will note that 5>1.

Sadly, though, I think that single piece of evidence against rather outweighs  the five votes for.

Pills and newborns and ramblings

The first step to an IVF cycle is the taking of birth control pills, and believe me, the irony of this is lost on no one.

I hate this bit. They make me depressed, they make me nauseated, and I have the sneaking suspicion that they're not actually necessary. But I'm also apparently not interested in fighting it, so the little yellow pills I do pop.

I just got back from a solo cross-country visit with my best friend and her family, which consists of a husband, two preschoolers, a two month old baby, and an adolescent dog the size of a Shetland pony.

I had a great time. I was a bit nervous that my Crazy would boil over and get all over the newborn's sweet fuzzy head -- this is the baby that BFF was pregnant with while I was (briefly) pregnant with the Sea Monkeys, and I had so fondly imagined us being the mothers of newborns together.

But it was better than fine.  There was a certain leaning-on-the-bruise aspect, but it was far outweighed by the sensory delight of handling a tiny baby again. I got to wear him a good deal, and I love wearing babies. I smelled his head and stroked his wee crumpled hands and gave him bottles and it was not even bittersweet, just sweet with a side of wistful.

The only really painful moment was an unexpected one -- I was wearing him on my back and BFF and I were picking up the two older kids from nursery school. One of the other moms was chatting and airily said to BFF, upon being told that I was visiting "Oh, my best friend doesn't have kids either, it's great because they can help out, huh?"  It was a perfectly innocent thing to say, but I was just overwhelmed with ouch and couldn't say a thing back. I just froze. What felt like a year and was probably a few seconds later, BFF firmly corrected  her and said "no, she has a little boy at home with her partner".  And the world started again and everything was fine.

I mean, it wasn't a crazy assumption. How many mothers can just take off across the country to visit a friend? (Mothers of one who have a tolerant partner, that's who.) And how was she supposed to know, looking at me, that I am a mother? She couldn't see my c-section scar. I wasn't wearing a pin that said I gestated a child, ask me how!

I don't know why that spiked my grief, or why even remembering it now is so painful. Maybe because just for a minute it dangles me over the cliff of how close I came to not being a mother at all. It's becoming clear that my body doesn't love producing babies. Maybe our little guy was a complete fluke, a one-in-a-million. Maybe someone is going to show up and tell me that it was all a mistake and I don't get to keep him after all.  Nope. I don't care. I'm not giving him back.

This morning I was telling my boss about my trip and seeing the new baby. "It didn't give you ideas, did it?" she joked.

"Hahaha!" said I. "Ha! Ha."





It was a lovely trip. We ate stunningly good food, got massaged, got manicured and pedicure'd, and engaged in plenty of the activity I've missed most: chatting aimlessly with my best friend within hugging range. I'm awfully glad I went.

In Which We Receive Good News, but are Subjected to a Minor Annoyance

First and foremost: the HSG that I was so nervous about went really well. When I say "really well" I mean "did not hurt like a mofo" and also "had a good result."  I do think these two are related; I've had 3 HSGs in my life. Two of them were mildly uncomfortable, and deemed normal. One was excruciating and most definitely abnormal. It makes sense; stretching scar tissue is a lot more hurty than stretching a healthy uterus.

Anyway, the doctor said it was the best post-Asherman's HSG he'd seen, which made me feel a bit better about being so OCD about seeing a specialist, avoiding D&C, etc. Here's hoping it's a good sign!

The minor annoyance, on which I will of course expend a lot more text:

I went to have my teeth cleaned yesterday. I walked in and got my least-favorite hygienist, the one who seems to blame me for having a small mouth. As soon as she saw me she said "oh, are you pregnant?"

Me: ...no

Inappropriate Hygienist: Oh!

Me (coldly): I just carry all my fat on my abdomen.

IH: Oh, so do I, blah blah blah so hard to lose blah blah blah crunches blah blah.

Me:  You know, that's really not a good question to ask.

IH: I thought it was going to be a happy thing!

Me: I've had two miscarriages recently. I'd rather not hear that.

IH: Ohh... sorry. how are you doing? With all that.

Me (arctic): Fine.

IH: Do you have any kids?

Me: I have one, he's four.

IH: Well then, you're blessed.

Me: Yes.

IH: But you still want more?

Me (desperately): Can we please just not have this conversation?

IH: Oh.

IH leaves the room to get some supplies, comes back a few minutes later and asks about summer vacation plans. I spend the rest of the visit trying to pretend that she doesn't exist, which is pretty difficult considering that she's poking me with a sharp piece of metal.

The thing is, I do carry weight around my tummy. I have a Pooh-bear belly, and always have even at my thinnest. I mean, right now I'm less than 10 lbs over the NIH-sanctioned "healthy" weight, and I still have a gut. I ain't ashamed but I also don't find it particularly aesthetically pleasing, so I usually wear loose tops. This of course leads directly to pregnancy assumptions, because any woman wearing a loose top is probably pregnant, or at least would be pleased to discuss her reproductive status with complete strangers.

It's just one of life's little jokes that polycystic ovaries lead to both central obesity and difficulty achieving and maintaining pregnancy.

As the kids say on the internet, smh.

Here we go.

HSG is scheduled for tomorrow at 1:45 pm; I have to be there at 1 to rock the backless hospital gown.

I'm nervous as hell. Not only was the last one quite amazingly painful, but it was when I got the news about the Asherman's. It sucked. I'm not really looking forward to being in that room again. In fact, my last few visits to this particular hospital campus have not been the funnest experiences ever. Well. It already is what it is in there, it's just me knowing, right? And I always have to know.

In a few more months it'll be a cool two years since we started TTC #2. I won't say it's been a miserable two years, far from it! Over this time Small Boy has transformed from a toddling baby to a sturdy preschooler, full of ideas and plans and words and strategies. He's got enormous grey eyes and delts sculpted from playground tumbling and long, long legs on a rather short torso (sorry, kid, that one's all me). Sometimes it hurts how much I love him.

Other good stuff has happened. We got another four years of Obama, and my state got marriage equality, which means a tremendous amount to me.

It hasn't been the easiest two years, either. It's certainly had its moments. The ultrasound moment when the doctor said "I don't see a heartbeat. I'm sorry," feels like it's preserved in amber, but I hope that someday it will quietly dissolve.  The actual aftermath was not as terrible as that moment. In retrospect, it is something I'm kind of proud of. I worked, I researched, I stuck to my guns about the misoprostol. I was given a humane amount of pain relief and it was over quickly. I'm even glad I got to hold those two rather revolting little sea monkeys (although the positive nature of that experience was perhaps influenced by the aforementioned "humane amount of pain relief"). They were grody, but they were mine. I don't know if they were people. I know to some they would've been. But it's possible that they just weren't equipped to be people, they simply didn't have what they needed, there was no world in which they would've been people because they were just missing some vital ingredients.

I mean, it's also possible that they were perfect and my stupid Asherman-y uterus killed them, but whatevs. I can't know. I could've known, maybe, if I'd gone ahead and had the D&C so I could've had an analysis of the fetal tissue. But what would it have changed? I'd have been risking a future actual child in order to know more about what happened to these. So I guess I don't always have to know.

So here we are. In a lot of ways I'm in the best place I've been for two years. Calmer, happier, healthier. Ready to roll the dice two more times, and then, if I must, to put them down and walk away.

Gulp. Tomorrow I start rattlin' the bones.