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.

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.