Okay, breaktime's over.

I'm ready to start again.

It's been a good extra month. I am hypertensive, and there is a rather short list of pregnancy-safe medications (which of course I've been on temporarily for, oh, two years now while TTC). I was on a high dose of labetalol, which worked okay but made me super tired all the time and also dizzy whenever I bent down.

At the start of last month I thought "fuck it, I have to start living my real life, baby or no baby." So as part of the reclaiming-my-life project, I marched down to my GP and told her I wasn't happy on labetalol.  I've found an alternative (nifedipine) that appears to be working, and omg how much do I love not dreading buying something from the bottom shelf at the supermarket. I hadn't realized what a drag constantly trying to not squat or bend down was. I feel freeeeeeee!

My energy has come back, too. I'm in a positive feedback loop right now where because I'm not so tired, I'm getting a lot more exercise, which in turn energizes me. I've also put some major effort into upgrading my diet. Her Indoors was away for a whole week and I was rather afraid I'd starve, and so bought some meal-replacement spirulina-peatmoss-whatever protein shake mix.  That got me started on a smoothie kick,and I discovered that having breakfast and lunch smoothies seems infinitely easier to me than preparing and packing breakfast and lunch. I got a one-serve portable blender and have been going wild. For breakfast this morning I had coconut milk, soy butter, kale, and strawberries.  Lunch was avocado, kefir, spinach, cilantro, lime.  Nommm! I don't really do the protein powder shakes any more, but it's comforting to have them as a backup in case I just can't be arsed to cook (in the past, when I couldn't be arsed I'd just eat whatever random crapola came strolling by my desk). I haven't eaten this well in years, and I am actually approaching a so-called-"normal" BMI for the first time in about a decade.

And yeah, did I mention more energy? I've been taking Small Boy to the playground every day, which is awful good for both of us. Small Boy is an awesome small boy, and does something side-splittingly funny at least four times a day.

I dunno, things have just been good.  The last miscarriage is far enough in the past that it all seems like a dream now. Come on, what was I thinking? Pregnancy seems mysterious, remote, something that happens to other people.  Remote feels much better than just-outside-my-reach.

So of course, now that I'm feeling calm and happy and healthy, what I need to do is fuck it all up. Get back on that crazytrain of tests, hormones, appointments, waiting uncertainty, peeing on strips of cardboard, squinting at lines.

I'm expecting my period to start in the next few days. Between days 5-15 I'll have an HSG. If that looks okay (please) I'll start another FET cycle.

Really, with that much fun? How could I stay away?

Doom and gloom

So, there's a colleague of mine who for paperwork reasons became aware that I was doing IVF. She was really sweet about it, warmly wishing me luck. A few months later, she turned up pregnant for the first time (how do I know it was her first time? Because she announced it immediately. Women who've had a miscarriage don't do that.). She's in her mid-40s.

It was not a great leap for me to conclude that she had had fertility treatments, quite possibly donor egg, and that it was a long road for her to get there. She was due in November.

The other night, lying awake I suddenly thought "What ever happened to Nice Colleague's baby?  I never heard anything about... oh, god." I checked her online registry and only a very few things had been purchased.

And I lay there for a while, thinking about the fact that I don't know her well enough to sally up and say "hey, dead baby or what?" and feeling awful that at the end of what was probably a long journey, things turned out badly. And hurting for her for what it must have been like socially, given that she told everyone and then some.

So the next day I went to my friend who knows her a bit better and said, "hey, what about Nice Colleague's baby?" My friend furrowed her brow and said "Ummm... Ella? No, that's not it. Katie."

And that was that. Katie is fine. She was just low-key about it, didn't announce the birth to the whole world I guess, maybe had another registry someplace else or had friends who liked to buy things off-registry. She's fine. They're both fine. She and her husband are new parents.

I was staggered with relief. And then I thought huh, maybe I should try not to jump directly from didn't see a birth announcement  to oh, dead baby.

*   *   *

In other news, having an HSG next month to see if my pathetic periods are because my adhesions have returned, or because of who knows what. Please no adhesions. I would really rather not have to do all that again.

32 days later

I sort of got my period again on Sunday. It's so very, very light. Red when I wipe, otherwise nada. This is pretty much what my last one was like, and I thought it was just because it was the first one post-misoprostol. I guess not. It's not nice to have your heart sink every time you pull down your pants. I hope I'm not too broken.

Last night I dreamed that I was in a rowboat. There were lots of dogs swimming around, but I ignored them. Then a puppy¹ came paddling right up to my boat. I hauled him out of the water. He shook himself off and wriggled around and I thought "shit shit shit, I really wasn't ready to get another dog, but clearly I'm keeping this one."² I then noticed that the dog was female, not male, and was surprised.

My subconscious isn't too subtle, huh?

I am sort of conflicted about moving forward. If I try again, either I'll get pregnant or I won't. If I don't, it will hurt. If I do, then either I'll stay pregnant or I won't. If I don't, it will hurt. If I stay pregnant, either the baby will be okay or he or she won't. Etc. It's... just going to take me a little while to screw up my courage to go again.  





¹A swift google tells me that the puppy was probably a St. Bernard, possibly a Landseer Newfoundland.

²The last of our three dogs died not too long ago, and we've vowed to remain dogless for a while.

Year of the Wood Horse

I possibly, sort of got my period last week. I had outpatient surgery the week before that and the preop bloodwork went off without a hitch, so I'll assume that my hCG is down to zero (they tend to get tetchy about operating on pregnant women). Which means I could start again, right now.

I'm not. For the first time since starting TTC, I am taking a voluntary break. Since I began (both the first and second time) I've always felt like there was a drill sergeant barking "GO GO GO" -- just imagine one wearing a hat that says "FSH" on it.

Well, that drill sergeant is in the freezer next to my embryos and several pints of Ben & Jerry's. My eggs aren't getting any older. My ovaries will never be called upon again. No matter what happens, I'm not going to do another fresh IVF cycle.  I am lucky to have a generous batch of embryos. When I run those out, I'm done.

Any other haste would be driven by a desire to control the age-gap between Small Boy and Smaller Sibling. I wanted three years, didn't get that. Won't get four years either. Does a few more months really matter? I think not. I think if the sole consideration is temporal spacing, a few months' rest is not significant.

And I really want a few months off. I want to live on my own schedule, not buffeted by hormones and nerves. I want to do house projects and snuggle my child and future-wife (fiancee?). I want to plan our wedding.

Interestingly, I have experienced the exact same phenomenon all three times I have miscarried: while my HCG levels were declining, I felt a burning urgency to get pregnant again ASAP, and despair over how long the time gap would be until I could try again. And all three times, after my HCG had faded completely, so did the suffocating need to get pregnant immediately. *shrug*

I will, kinnehorah inshallah god-willin' and the crick don't rise, start again at either the end of April or the end of May. Until then, I'm just going to enjoy living.

Either of these dates would put any possible delivery in the Chinese year of the Wood Horse. I think that sounds like a really nice year to have a baby. Wood Horses are warm, stable, strong. I like it.

words are weak

There are no words to express the sorrow our community feels at the loss of Caemon.

T and I struggled to conceive together; she got pregnant a few weeks after I did. Caemon was born while we were still reeling from the shock of having Small Boy in our lives. T is a lively and eloquent blogger, and it has been a pleasure watching Caemon grow into a creative and precocious little boy, and watching his moms dote on every detail of his development. They reminded me of us, and of Small Boy, so very much.

This past August, Caemon was diagnosed with a rare form of childhood leukemia, JMML.  A bitter struggle followed with chemo, a bone marrow transplant, and relapse. He died on Tuesday.

It makes no sense. None of it makes sense. It doesn't make sense that I got to wake up this morning with my boy snuggled against my side, and J and T did not. It's not right, it's not fair, it doesn't make any sense at all. I am angry for them, and for all of us, and for Caemon, who didn't get a chance to do so many things.

I've had this post open for days. If it's so impossible for me to write, how do J and T even breathe?

What is there to do? Almost nothing. Send them money, send them love, and go back to trying to figure out how to carry the knowledge that we are all so close to the precipice.

It gets better.

Things are better. I'd have to look at a calendar to figure out where I'd be right now; it's fading, gently, covered with snow. Maybe not coincidentally, my hCG is falling, too. Two weeks ago it was 21. I have a recheck on Monday and expect it to be zero.

There have been a lot of babies around me lately. The lady in line in front of me at the thrift store had two huge baskets full of stuff. Checking her out took a while, so we had time to chat.

"How old are your kids?" I asked.
"One month, three, four, and five." She laughed and rolled her eyes. "How old are yours?"
"Three and a half."

I don't know. People don't get to choose the thing that's hard for them. This lady was, judging from her clothing and heavily accented English, a recent African immigrant. I'm willing to bet that the journey and adjustment hasn't been easy, even if she has had the best of circumstances. I don't know where I'm going with this. People don't get to choose the thing that's hard for them. A friend of mine, the thing that's hard for her is breathing. How is that fair?  I don't know.

But never mind, on to happier subjects. Her Indoors and I had been waffling about getting married until we knew the likely outcome of the pregnancy. I definitely wanted to be hitched before the baby was born, for the legal protection it'd give our family. That meant probably a small courthouse-type thing. But now that that is no longer an issue, the calendar opened wide up, and we could schedule it far enough in the future to give us time to plan the wedding we really want. So: next December! I am insanely excited.  I've been madly pinterest-ing and browsing for silk velvet and roses and sari fragments. I want this, and I can have this. I'm burying myself in wedding prep and it's really comforting.

I'm going to cycle again once I'm able, and maybe I will get pregnant and stay pregnant, and maybe I will be enormous and pregnant at our wedding. But you know what? I can't plan around it any more. I have to go ahead and live. If I get pregnant, we'll adapt.

Not 12 weeks

Today I'm not 12 weeks. 12 weeks, the last week of the first trimester, the time when most people start sharing the news. I'd be scheduling my nuchal screen.

I'll stop this self-pitying countdown eventually, I'm sure. I'll just forget one day, and not remember until Thursday or Friday or something. I'm not trying to be mopey about it. It's just Wednesdays are hard not to count.

My body is apparently remembering by offering a fresh bright red bleed. I guess it's good? I mean, action is good, right? And maybe it'll help my beta come down, in case there's a wee clump of trophoblastic tissue somewhere generating hCG.  My pee sticks aren't notably lighter, which makes me grumpy. Last Friday my beta was 467; recheck in two weeks.

Here is my riddle: how is a BFN different than a chemical pregnancy different from a 6 week miscarriage different from an 8 week miscarriage?  After all, they all end up in the same place: unpregnant.

I am not sentimental about embryos. With eyes focused on the bottom line (i.e. chances of success) I have always pushed for the production and cryopreservation of as many embryos as possible. If we have any left over, I will cheerfully donate them to Science.  If I am not sentimental about embryos suspended in cryoprotectant, then why be sentimental about embryos in my uterus, or no longer in my uterus?

There is a difference, and that difference is the difference between missing a bus by seconds, minutes, hours, days, weeks. How hard my heart was pounding, how much I thought I'd make it, how ferociously I clench my fists and dig my nails in frustration.

A BFN is missing the bus by weeks, I think. A pre-heartbeat loss is missing it by days, and a post-heartbeat loss is missing it by hours. I can only pray with all my heathen heart that I never experience missing this particular bus by minutes or seconds.