I just can't take it anymore

(Don't worry.  I'm fine.  You'll see where the post title comes in shortly.)

I've been having a rough week, feeling more discouraged than usual about our chances of conceiving.  It hasn't been sadness or depression, more like feeling out of sorts.  It probably didn't help that in the past couple weeks there have been two pregnancy announcements and a birth among my fertile acquaintances IRL.

Then one evening I glanced at the pile of mail DH had opened.  On top was a book.  This book:

It was sent out as a mass mailing.  I stared at the book and smiled.  God knew that I needed this book so much right now.  The timing seriously could not have been more perfect.  There was a letter included with the book, and this sentence stood out to me:

"But no matter how well we transform life's challenges into grace-filled moments, the fact remains that there is no escaping pain and suffering in this life."

I've been thinking about that a lot lately—that no matter how much we offer up our suffering, especially IF-related suffering, for others carrying the same cross or for an end to abortion or for any intention, and no matter how much we reflect on how much God loves us or the spiritual lessons we have learned from IF that can help us grow in holiness, the pain is still there.  So we all need encouragement from time to time, and this book definitely provided some for me.

Each page of the book has one sentence and a cute or funny photograph.  (Almost half of the pictures are babies, but I tried not to let that distract me from the words.)

Here are some excerpts:

"Sometimes I just don't understand life.  I've heard that God only gives you what you can handle.  But if that's true, He must have me confused with somebody else. . .because I JUST CAN'T TAKE IT ANYMORE!

. . .

I wonder...  Is God trying to test me?  Because if He is, it would be nice if He could make the tests a little bit easier.  

Is he trying to cure me of some problem I have?  Because if He is, I wish the medicine He's giving me wasn't so hard to swallow.

Is it that we're all connected somehow and God wants to use my pain to help others who are hurting?  Because right now I could sure use some TLC myself!

. . .

But then again, maybe God has something else is mind.  Maybe there's a bigger plan I can't see.

. . .

In fact, I seem to remember that God went through some pretty tough times too—maybe even worse than mine.  But somehow, some way, He was able to come through everything okay and transform even the most terrible suffering into the happiest ending.  If He can do THAT, then maybe He's got something special planned for me too.

. . .

So I guess the best thing for me to do is try not to despair...or be too grumpy...or get too worried about things I can't change. . .

. . .[and] try to find a couple of good friends** to confide in and maybe even lend a hand (because no one can bear the burden of life's troubles alone), and have a little faith that the One who made the universe and set the stars and planets in motion can help me figure a way to get through all my problems—no matter how overwhelming they may seem now.

If only I put my trust in Him..."

I know the language is simple, and I've heard all the sentiments before, but sometimes I think I need to be told the simple truths over and over again.  Maybe after enough repetitions it will actually sink in.  :)


**or many friends in the IF blogland :)

A year since surgery

The end of last cycle was stressful! AF was nearly two days "late," and I was *this close* (picture my fingers here) to P+17 and taking a (blood) pregnancy test. Normally AF shows up on schedule and starts while I'm sleeping or first thing in the morning when I get up, so there's no time to be anxious or hopeful. This time AF waited until bedtime on P+16. Not cool, AF. Not cool. Rather cruel, if you ask me. Surviving those last days before AF comes has got to shorten time in purgatory, right? hahaha Okay, perhaps not since I could have practiced the virtue of patience, and then maybe I wouldn't have felt like I was being tortured with the suspense and waiting. ;)

This is our first cycle with Clomid. I didn't notice any side effects except maybe some blurry vision for a day or two. It could have been completely unrelated though. Since Clomid has anti-estrogen properties, it can dry up cervical mucus which is important for TTC. The nurse told me to take 1200mg of Mucinex (guaifenesin only) twice a day from day 12 to P+2 to improve my mucus while on Clomid. I'm also taking sustained-release B6 for the same purpose. I had some really great mucus the day before I started the Mucinex—actually the best mucus I've seen in a year—so I thought maybe the Clomid wasn't going to affect my mucus at all. Unfortunately, the days following that were pretty pathetic mucus-wise. So...yeah, my mucus definitely took a beating this cycle.

Normally I get excited about new treatments. I was even reading in the big NaPro textbook and came to the conclusion that Clomid was a very reasonable choice for my case. But I don't feel as hopeful this cycle as I have during past cycles on a new med. I think a lot has to do with the fact that the TEBB is still front and center on my chart; I had seven days of it this cycle. I don't know how long it takes for the Cortef to work if it's going to affect the TEBB. Maybe it takes longer than three weeks to work? Here's hoping that is the case.

It also could be that I'm getting more discouraged in general about our chances of conceiving. It's been over a year now since my laparoscopy. I honestly never thought I'd still not be pregnant a year after surgery. Yet, here I am. I know with NaPro they look at your time TTC in terms of "effective cycles" (normal-looking cycles following surgery) but with all my TEBB I'm not sure I have technically had any effective cycles. I'm probably still in treatment adjustment phase. I suppose that means I should be more hopeful than I am, but it's hard because so much time has passed, and we're still trying to figure out how to fix my body. I've been offering up all the frustrations and disappointment for my prayer buddy.

The other slightly discouraging thing is that my P+7 estrogen from last cycle was low. It was 9, and it should be >12. And that was while taking HCG. Yikes. It has never been that low before. Come on, body-of-mine, I really don't need any new problems here! I guess that's something the Clomid could improve though.

I know there are limits as to how long you can take Clomid, so I hope I'm not wasting Clomid cycles while I still have TEBB. I suppose I have heard of people conceiving while having TEBB (feel free to share those kind of stories with me in the comments...haha), but I'm not sure it's the norm. Everything I learned during FCP training was that TEBB is abnormal and has to be eliminated.

Sometimes I think it would just be easier to exchange my uterus for another one than to fix what's wrong with the one I've got.  ;)

If only my uterus (and whole reproductive system) were as happy and cooperative as this one looks:

I bet this ovary works fine on it's own and doesn't need Clomid.

Source

(I'm not sure who buys plush organs—maybe anatomy teachers or doctors' offices—but they sure are cute.)

If there is a bright side to CD1...

(and that's a big "if")

...it is this:

chardonnay

and

peppermint vanilla mocha

(made with steamed vanilla almond milk and a candy cane)

End-of-the-cycle limbo

You know how when you get to the end of your cycle, especially the day your period is due because it came that day for the past five cycles like clockwork, and you just wish AF would hurry up and start already so you can get it over with?  But there's a tiny irrational voice in your head that says there could be a glimmer of hope because, well, just because. It's irrational so it doesn't need to provide a reason. "Just because" is perfectly legitimate.  But you suppress that voice because you have zero early pregnancy symptoms, and you just KNOW that AF is coming because it always came before, and no amount of hoping this late in the game is going to mean a baby is growing in your uterus.  And you think there's really nothing different or special about this cycle except for about two weeks' worth of the new drug Cortef but that couldn't possibly have an effect yet, and you note the eight days of TEBB this cycle would preclude any chance of pregnancy because normal charts don't have TEBB, let alone eight days of it. But then you look back on the past couple days and realize you maybe were more tired than usual, so the hopeful voice says, "See?  I'm not so irrational." But you explain the fatigue away because you didn't get a good night's sleep or two.  And every time you go to the bathroom—which is more often than usual because you make excuses that you need to go again even though it's only been an hour since last time—you tell yourself, "There will be red," but then stare in disbelief at the white toilet paper as if your mind is playing tricks on you, because how could it possibly still be white this late in the day?  And you try to go back to your normal daily activities, all the while wondering if this could be THE cycle, but with the constant thought, "I'mnotgonnathinkaboutit.  I'mnotgonnathinkaboutit."  And you sigh because even if AF doesn't come today, you're going to feel the exact same way tomorrow—only with stronger feelings:  more impatience with AF's delay and simultaneously more hope.  And because you took HCG this cycle, nothing can be known definitively for 2-3 more days, which might as well be an eternity.  So you are doomed to this mental state until such time as AF decides to show up so you can start crying your eyes out...or until the mythical day comes when you could take your first ever pregnancy test (blood test, of course, due to the HCG).

That's where I'm at.

St. Perpetua and St. Felicity, pray for us!

(I thought maybe by posting this it would make AF come, similar to the phenomenon that some IFers experience in that taking a HPT speeds up AF's arrival time.)

UPDATE:  AF is here.

Words of wisdom from the pope on IF

This past weekend Pope Benedict addressed the Pontifical Academy for Life, a group of a couple hundred scientists and other members.  The theme for their meeting was “The Diagnosis and Treatment of Infertility.”  Dr. Hilgers was among the attendees and gave a presentation on NaProTechnology.

What Pope Benedict said was really touching.  I definitely needed to hear his words.  I copied portions of his address below.  The whole text is here.

...The pursuit of a diagnosis and of a therapy represents the most scientifically correct approach to the question of infertility, but also that which is most respectful of the integral humanity of the subjects involved. In fact, the union of the man and woman in that community of life that is matrimony constitutes the only dignified "place" in which a new human being, which is always a gift, may be called into existence...

...The human and Christian dignity of procreation, in fact, does not consist in a "product," but in its connection with the conjugal act, the expression of the love of the husband and wife, of their union that is not only biological but also spiritual. The instruction "Donum vitae" reminds us in this regard, that by its "intimate structure, the conjugal act, while most closely uniting husband and wife, capacitates them for the generation of new lives, according to laws inscribed in the very being of man and of woman" (n. 126). The legitimate parental aspirations of an infertile couple must, for this reason, with the help of science, find a response that fully respects their dignity as persons and spouses. The humility and precision with which you deal with these questions -- seen as obsolete by some of your colleagues fascinated by artificial fertility technologies -- merits encouragement and support. On the occasion of the 10th anniversary of the encyclical "Fides et Ratio," I recalled how "easy gain or, worse still, the arrogance of taking the Creator's place, sometimes play a decisive role. This is a form of the hubris of reason, which can take on dangerous characteristics for humanity itself..."

...The Church pays much attention to the suffering of infertile couples, it cares for them and, because of this, encourages medical research. The science, nevertheless, is not always able to respond to the desires of many couples. I would like again to remind the spouses who experience infertility that their vocation to marriage is not frustrated because of this. The husband and wife, because of their baptismal and matrimonial vocations themselves, are always called to work together with God in creating a new humanity. The vocation to love, in fact, is a vocation to the gift of self and this is a possibility that cannot be impeded by any organic condition. Therefore, where science cannot find an answer, the answer that brings light comes from Christ...

Isn't that last paragraph just beautiful? :)

While I’m sharing words of wisdom from the current pope, I thought I’d add some of what the previous pope had to say as well.  I tried to look up if Pope John Paul II talked about infertility in his weekly audiences that comprise the “Theology of the Body,” but I couldn’t find anything.  If anyone can find that he did, please tell me the date of the audience.  (Thanks!!)

This excerpt below is from Donum Vitae (Instruction on Respect for Human Life in its Origin and on the Dignity of Procreation), issued by the Congregation for the Doctrine of the Faith in 1987.  The whole text is here.

The Suffering Caused by Infertility in Marriage

The suffering of spouses who cannot have children or who are afraid of bringing a handicapped child into the world is a suffering that everyone must understand and properly evaluate.

On the part of the spouses, the desire for a child is natural: it expresses the vocation to fatherhood and motherhood inscribed in conjugal love. This desire can be even stronger if the couple is affected by sterility which appears incurable. Nevertheless, marriage does not confer upon the spouses the right to have a child, but only the right to perform those natural acts which are per se ordered to procreation. A true and proper right to a child would be contrary to the child's dignity and nature. The child is not an object to which one has a right, nor can he be considered as an object of ownership: rather, a child is a gift, "the supreme gift" and the most gratuitous gift of marriage, and is a living testimony of the mutual giving of his parents. For this reason, the child has the right, as already mentioned, to be the fruit of the specific act of the conjugal love of his parents; and he also has the right to be respected as a person from the moment of his conception.

Nevertheless, whatever its cause or prognosis, sterility is certainly a difficult trial. The community of believers is called to shed light upon and support the suffering of those who are unable to fulfill their legitimate aspiration to motherhood and fatherhood. Spouses who find themselves in this sad situation are called to find in it an opportunity for sharing in a particular way in the Lord's Cross, the source of spiritual fruitfulness. Sterile couples must not forget that "even when procreation is not possible, conjugal life does not for this reason lose its value. Physical sterility in fact can be for spouses the occasion for other important services to the life of the human person, for example, adoption, various forms of educational work, and assistance to other families and to poor or handicapped children." Many researchers are engaged in the fight against sterility. While fully safeguarding the dignity of human procreation, some have achieved results which previously seemed unattainable. Scientists therefore are to be encouraged to continue their research with the aim of preventing the causes of sterility and of being able to remedy them so that sterile couples will be able to procreate in full respect for their own personal dignity and that of the child to be born.

No stone unturned

Dr. K gave me her recommendations in my last cycle review: two new drugs to take. I am going to start Clomid (25 mg on CD 3-5), but not until next cycle because my pharmacy didn't have any in stock when I called. I guess I'm a bit surprised they didn't have any since I assumed that was a fairly common drug. Oh, well. I guess that just means we'll have one cycle where I'm only adding one new drug instead of two. Dr. K also wanted me to start Cortef to try to combat my TEBB. Cortef is hydrocortisone, a steroid. It's used to treat adrenal fatigue. I haven't ever been tested for adrenal fatigue, but that is the only remaining cause of TEBB—of the six causes that I know of—that hasn't been explored for me yet. Infection could still be playing a role since we've only tried two antibiotics. (I am reminded of one of my clients whose TEBB was eliminated with the third antibiotic her doctor tried...) I am actually kind of excited to try the Cortef. Obviously if it helps us get pregnant I will be overjoyed, but I am very curious to see if it improves my TEBB, and I'm glad to have a break from the antibiotics. My face, neck, back, and chest are finally starting to clear up after a horrible acne breakout (maybe the worst since high school…yuck) that started suspiciously close to the time when I finished the second of the two back-to-back antibiotics. My theory, supported by Dr. Google, is that after the antibiotic effects wore off (yay, clear skin for a couple weeks!), a crop of really bad bacteria took up residence. Even my sweet DH, who claims never to see my acne, commented to me yesterday that my skin looked so much better than recent weeks.

Back to the Cortef…since I wasn’t supposed to start taking it until AF stopped this cycle, we won't know its effect on the TEBB for another month at least. I am also interested to see if it affects me in other ways—good side effects, if you will—like increased energy, improved concentration, etc. I looked at the list of symptoms for adrenal fatigue, and if I have any of them, they are very mild. For example, if you asked me if I have fatigue, I would say no. To me, fatigue would mean dragging through the day or having trouble staying awake. But I would qualify that by saying I am pretty much always open to taking a nap if the opportunity presents itself (give me a pillow and a flat surface), and I would have no trouble falling asleep even if I didn't "feel" tired and even if I was getting plenty of sleep at night. If I fit it into my schedule, I could easily sleep 10 hours a night or more. I bet that sounds odd. I wonder if it could be like what happened with taking naltrexone. If you had asked me before taking it if my mood was low/poor/etc. (even excluding PMS days), I would have said no, but after taking high-dose naltrexone I could definitely notice my mood was improved and not just post-peak. I guess I never knew any different so I assumed my mood pre-naltrexone was normal. That's how it is with my energy level; I don't know any different so I assume this is normal. I can function well enough during the day. I just happen to like to sleep. ;) But I would be pretty excited if taking Cortef made my energy and alertness even better. We shall see what happens. The jury is still out because I haven’t been taking Cortef very long.

And speaking of the naltrexone, I am up to 50 mg per day. I was at 25 mg but that just wasn't helping my PMS enough. When AF arrived this cycle (while taking 50 mg), I was much more stable emotionally than usual even though I still had some CD1 blues, and I'm attributing it to the higher dose. I hope this lasts.

Of course new meds means more pills to pop each day. I was feeling kind of maxed out in the pill department until recently when I found a couple of my supplements are sold in gummy form. Now I get to eat candy every day.  ;)  I wish all medications were available as gummies. That would certainly make the life of an IFer undergoing treatment a little brighter.

I made the graph below for fun and out of curiosity. These are all the TTC-related medications and supplements I’ve taken since we started TTC in summer 2009. The spike in February 2011 is for my laparoscopy. The graph does include the gummy supplements I’ve been taking lately, but I don’t count those as a “burden” anymore. They almost should count as negative pills because they’re so fun to take.  :)   I should mention that I could decrease my pill count by four if I ordered my vitamin B6 online (500 mg capsules). It’s easier for me to buy it locally, but the store only sells 100 mg capsules, so I take five of them.

My daily pill counts (TTC-related)

DH wanted to see his pill count too, so I added it to the graph.  He's the red.  But I'm guessing you could have figured that out.  ;)


P.S. I have a list of my current meds on the right side bar if you were wondering.

Confessions of an IF girl

Most of these topics are seemingly taboo on an IF blog and for good reason, I suppose. An IF girl can still dream though...

1. I own a glider (chair) and matching ottoman that are obviously designed for a nursery. They are white with pastel cushions. I obtained them for free; I don't remember if we knew we were IF at that point. I have plans to recover the cushions with a non-nursery-inspired material which would be suitable for the living room. Luckily they fit in the closet which is where they sit at present hidden under a stack of boxes.

2. I own maternity clothes, some of which were purchased after our IF diagnosis... I think my current collection includes: two pair of pants, a pair of sweatpants, a skirt, at least four shirts, and a spring coat. (Technically I am keeping an old winter coat that is too big for me now—for the singular purpose of using it during a winter pregnancy.) The pants I bought on super clearance before we even started TTC after a pregnant friend complained to me how expensive maternity pants are. At that time we were planning to start TTC soon (after my regular ob/gyn finished running some tests related to my unusual bleeding...wow, that was a long time ago). Then the unexpected happened which delayed our TTC plans quite a while. I knew circumstances could change quickly so whenever I went shopping I kept an eye out for non-maternity clothes that could be also worn during part of pregnancy (extra long or roomy in the front). I still do that. My only rule is that it has to look good on me now (and not just if I had a large belly). I may actually wear one or two maternity shirts as part of my normal wardrobe. Might as well make use of them, right? :) The maternity spring coat I wear all the time. I bought it because it's cute. And because I could wear it should I miraculously become pregnant...let's not kid ourselves here. You'd never guess it was maternity. I get compliments on it occasionally so I don't think anyone can tell. I really should cover up the label inside the collar though... One of these days I'm going to visit a friend who takes my coat to hang it up, sees the label, and asks me about it. :P

3. I am still not comfortable giving myself the HCG shots, even though I've been self-administering them for the past 9 cycles. I sit there—for a long time—with the filled syringe in hand and chicken out while attempting to stick it in my thigh. I am lucky the medicine doesn't completely go bad (while at room temperature) in the time it takes me to actually inject it. Thankfully my P+7 blood work has shown that the HCG is helping, so at least the P+5 shot is going well.

4. I have planned out exactly how I would tell DH if we became pregnant. I had the idea before we were IF but I didn't buy the required item for the announcement until after we were IF. It's hidden in a secret spot with the maternity pants and some rubber duckies we received as a wedding present.

5. As long as I'm not within about 5 days of CD1, I (usually) like looking at pictures other people's kids and babies. I recently stalked two friends' Facebook pages to see if they had given birth yet. Being bombarded with Christmas letters and pictures of babies in December was an exception—that was too much. I had DH prescreen them for me and remove all the pictures. I looked at the pictures when I could handle it (and one at a time). I really appreciated those that had a separate card. If we ever have kids, I hope I remember never to do the photocards. Sending a photo inside of a regular Christmas card is a better alternative, in my opinion.

6. DH and I sometimes talk about baby names. I started "the list" with my favorite names before I met DH. (Don't all single girls discuss this with their other single girlfriends and update each other when preferences change?) Of course once DH entered the scene I let him add his preferences. (awfully nice of me, huh?) I'm currently trying to convince let DH get used to my top boy name, which didn't get added to the list until recently. He's a choleric so these things take time. Maybe by the time we'd have the chance to use it DH would like it... Boys names are hard for me. I have a long list of girl names ready to go (all of which I love) but only one or two boy names, and I only like the boy names so-so.

7. DH has (not often but at least twice) looked at my stomach during the late post-peak phase and addressed the nonexistent-but-hoped-for baby by name. He uses two of my favorite girl names. He is eternally optimistic about a future pregnancy. I'm glad at least one of us is. If only his attitude might rub off on me a little... :)

I don't always live in dreamland but it's nice to visit every once in a while. :)

I'm not the only one who will admit to these things, right?

Phlebotomist's dream, ultrasonographer's nightmare

Much has happened since my last post.

1.  I had my first blogger meet-up!  It was lovely.  The group included Rebecca (The Road Home), Ania (The 411 on the 418s), E (God's Plan is my Joy), and TCIE.  It was as if I was chatting with old friends, even though I had never met any of them before (except TCIE).  It was so nice to talk to ladies who completely understand what it's like to be infertile and Catholic.  And since Rebecca had just had her surgery, we of course had to swap surgery and doctor stories.  I wish they all lived closer so I could hang out with them more often.  :)

2.  I earned this:

I had my ultrasound (US) series.  TCIE was so kind to let me stay at her house the entire week and a half. Hers is the only clinic besides the PPVI Institute itself where Dr. K would allow the series to be done.  TCIE explained to me in detail what a NaPro US entails and why it has to be done by a NaPro-trained ultrasonographer.  She told me they have tried to work with other ultrasound centers that are more conveniently located for out-of-town patients, but no one to date has been able to do a satisfactory job.  Her clinic has a detailed worksheet that they've sent along with patients who go to outside centers, so you would think the ultrasonographer would be able to handle checking boxes and filling in blanks if it's all spelled out for them.  Apparently that is not the case.  Some things on the checklist are not taught in ultrasound school, and others are simply not part of the template report that many centers use, so it's too much work to make extra observations or measurements.  TCIE said even when the patient holds a copy of the worksheet and asks for certain things while she is being wanded, the ultrasonographer still doesn't always cooperate.  I understand now why Dr. K insisted I go to a NaPro ultrasonographer, and I am thankful I had the opportunity to do so.

Here's how my US series went.  TCIE described it as an "ultrasonographer's nightmare."  It doesn't seem THAT bad looking back...

CD6:  I had my baseline US.  It was the only one that included both a pelvic US (on the belly) and a vaginal US (internal).  (The rest were vaginal only.)  I completely forgot that I was supposed to have a full bladder for the pelvic US, but luckily I had drunk enough water that day that my bladder was full enough to proceed.  A follicle on my left ovary was identified as the one that would likely progress toward ovulation.  There was a shadowy area of my left ovary that looked suspiciously like an endometrioma (endometriosis on the ovary).  I was told it doesn't necessarily interfere with pregnancy since they see endometriomas in pregnant patients sometimes...  [Note: it turned out not be an endometrioma.]

CD9:  I started to observe fertile mucus just before the US.  The US showed that my cervix was dilated a tiny bit, and my endometrium was thicker than it was on CD6.  These were good signs.  (The endometrium is supposed to grow in thickness as you get closer to ovulation.)  The follicle on the left ovary didn't grow at all since CD6.

CD11:  This was the third day of good mucus.  The US showed my cervix was dilated more and my endometrium was thicker than CD9.  Progress!  However, my follicle on the left ovary still hadn't grown at all.  (Nothing was happening on the right either.)  This was not consistent with my mucus, endometrium, and cervix status.  At this point it was possible that 1) the follicle could have a quick growth spurt right before ovulation or 2) the follicle would be too small when it ruptured at ovulation.  Still it was puzzling that I was having good mucus with zero follicle growth.

CD13:  This was the fifth day of good mucus.  I don't usually have more than five days in my mucus cycle, so I expected that the follicle would have grown by now.  The US showed my endometrium was thicker than CD11, and my cervix was still dilated.  Unfortunately, that silly follicle still did not grow one bit.  This really didn't make any sense.  Why was I having a normal mucus cycle, normal endometrium growth, normal cervix dilation, and zero follicle growth?  Neither TCIE nor the doctor could explain it.  When I spoke to DH on the phone, he joked that Dr. Hilgers should use me as a case report in his next book or presentation.  I hoped someone would be able to figure out what was going on.  I didn't particularly want to be a case report...I just wanted my ovaries to work!  A few hours after the US, I had 10KL that stretched three inches.  (Yes, I just wrote how much my mucus stretched.  I have no shame.)  :)  I also had very obvious left-sided abdominal pain (mittelschmerz), which I have observed occasionally in past cycles.  I mentioned this to TCIE in the evening.

CD14:  TCIE told the doctor about my mittelschmerz and fabulous mucus from CD13.  She called me and said that the doctor wanted to run some labs (estradiol, progesterone, FSH, LH) to see if that would give us a clue of what was going on.  I drove to the clinic to have my blood drawn.  The woman who drew my blood took one look at my arms and complimented me on my veins.  (She had her pick of four easy-to-access veins.)  Just about every phlebotomist who draws my blood comments that I have good veins.  I wish I could take credit for them.  hahaha  At least it made one person's job easier.

CD15:  It was Peak+1.  I had a six-day mucus cycle, which is great.  At least my cervix was on its best behavior this cycle. :)  I wish I could say that about some other organs...namely my colon.  Yes, my colon.  You'll see why in a minute.  The US showed my cervix was closing up, and the follicle was as dormant as ever.  The blood work from CD14 was perfectly normal for someone who had just ovulated.  The doctor was completely stumped.  TCIE continued the US and guess what she found on the left ovary?  A corpus luteum!  (that's what the follicle becomes after ovulation) That meant I ovulated!!  But the follicle we'd been watching since CD6 on the left ovary was still there.  The corpus luteum was not near that follicle; it was in a separate location but still on the left side.  What did this mean?  I have a dumbbell-shaped left ovary.  The corpus luteum was on the other half of the ovary.  We had never seen this half of the ovary before this US.  Apparently the half of the left ovary with the dormant follicle had very nice, clear borders so there was no reason to suspect that my ovary was dumbbell-shaped. So you might be wondering why the other half of my ovary didn't show up on any other US...that would be thanks to my very active, redundant colon.  My colon has extra loops to it (a normal variant which I knew about before the series), and the loops covered up the half of my dumbbell ovary containing the follicle that eventually ruptured.  For whatever reason, my colon decided to get out of the way on CD15 so we could see the corpus luteum.  Silly colon.  Unfortunately, we don't know how big the follicle got before it ruptured.  Follicle size is important to know.  (If the follicle is too small, it's not a good ovulation.)  The corpus luteum looked "fresh" which meant I likely ovulated on CD14, which was consistent with the blood work.  How's that for a textbook cycle?!?  Ovulating on CD14 and Peak Day!!  ;)

On the bright side, measuring follicles is something any ultrasonongrapher can do, so if Dr. K decides that she wants to know how big my follicle gets before ovulation, I could have that done locally.

3.  DH was able to visit for a short time while I was having the US series done.  We spent a whole day in New York City, which was a lot of fun even though there was snow and slush on the ground.  It was his first time there.  The timing of his visit was okay but not great in relation to ovulation.  I don't think I can completely blame our not getting pregnant this cycle on the timing though (as much as I want to!).  There's obviously something still wrong, and I wish we could figure out what it is.  I still have lots of TEBB, so that's one thing to focus on yet.  I am really curious about where Dr. K will want to go from here.  I'll find out in a few days when I receive her feedback on my cycle review.

4. While I was staying with TCIE I visited these beautiful shrines, each with first class relics of the saint.  I offered prayers for bloggers still waiting at each one.

National Shrine of St. Rita of Cascia in Philadelphia

St. Rita is a patron saint for infertility and hopeless cases.  Her parents prayed for many years to have a child before St. Rita was born.

Shrine of St. Anne in New York City

St. Anne went through a period of infertility before becoming the mother of the Blessed Virgin Mary.  She is a patron saint for those facing infertility.

The world is not ending

But it sure feels like that on CD1.  :*(

On the bright side, I'll get to spend time with TCIE for my ultrasound series this cycle.  My baseline ultrasound is on Monday.  :)

Goodbye PMS, hello desperation

I didn’t have PMS this cycle!!  Praise God!!  DH thinks I’m a completely different person.  The naltrexone (32 mg/day) not only got rid of the ugly mood symptoms I used to have consistently post-peak (irritability, anger, depression, etc.) but it actually made my mood better than a normal non-PMS day.  It’s like a weight has been lifted, and I feel free to be happy.  I think I’m actually happier and more perky than usual.  This is the part that DH is still getting used to.  (He tends to be on the serious side.)  :) 

At least with PMS he knew exactly what to expect.  I would feel my mood turn sour and tell him I’m PMSing.  He would leave me alone.  Sometimes giving me extra compliments or hugs helped defuse my short fuse but often it was best if we just sat in different rooms.  (Sounds not so healthy for marriage, I know.)  But DH reassured me every month that he was not taking it personally, and he knew that he didn’t do anything wrong.  We learned very quickly that nothing important could be discussed on my PMS days, especially anything where we might disagree.  I was not capable of much rational thought those days; I was pretty much pure (negative) emotion.  But this cycle that was totally gone.  This is seriously amazing.

DH says this isn’t real; this is just polkadot on drugs.  Hahahahahaha  

It has me wondering though:  Is this my true normal (healthy) state that naltrexone has restored?   Were my endorphins so deficient before which caused the PMS and now they are back to normal levels?

It took me a while to get up to the 32 mg dose.  PPVI had me start at 4 mg/day, and every 10 days the dose doubled.  After I survived 10 days of 32 mg/day (divided up into four doses throughout the day), I could start taking the whole dose at night.  The final dose will now be 50 mg at night.

Since I “graduated” from 32 mg (compounded) to 50 mg, I can now get the prescription filled at a local, non-compounding pharmacy.  Apparently 50 mg is a typical dose for someone being treated for alcohol or opioid addictions, which is why normal pharmacies carry it.  (Did you know that’s what the rest of the world uses it for outside of NaPro?  I had to convince my doctor during my health scare in October that I did not have an addiction to drugs… haha)  The nurse from PPVI said I can either take 50 mg or 25 mg (by cutting the pill in half).  Since my mood has been too so good, I think I’ll try taking 25 mg daily to see if that’s enough to keep PMS at bay.  I don’t mind being extra smiley all the time, but DH is a little weary of it, so maybe 25 mg will be the perfect dose.

Months ago I had called around town to find a pharmacy that carries lactose-free naltrexone.  I found one pharmacy that had it.  When I called them on Friday afternoon to see if my new prescription was ready, they said they didn’t have any in stock and couldn’t order it until Monday.  Boo.  I'm not sure why they couldn't tell me that in one of the previous three times I called them last week...  :P

Unfortunately I ran out of naltrexone, and it was two days before my cycle ended…  Very poor timing.  I don’t know if it was naltrexone withdrawal or just normal plummeting hormone levels that come with a new cycle, but I cried uncontrollably on and off all day for two days—on both the day before CD1 and CD1.  It hasn’t been that bad in a long time.  When DH tried to comfort me, my tears soaked his shirt so much he had to change it.  :(  I knew CD1 was coming the day before it happened because my temperature dropped, so that was part of the reason for tears.  (I still have to monitor my temperature occasionally while on T3, and I know when my temperature drops, AF will arrive 24 hours later.  Long ago before I met DH I charted sympto-thermal for my own knowledge.)  I hope I’m more stable this cycle...

Because of the arrival of AF, Mass for Gaudete Sunday wasn’t the joyful occasion it’s supposed to be.  Do you know how many times words like “brokenhearted” or “sorrow(ful)” were mentioned during Mass?  At least six times at our parish.  I know because I cried after hearing each one because it reminded me of our IF.  With all the exhortations to rejoice, I tried but I told God I could not.  Instead I told Him this cross is crushing me.  Prayer Buddy, I offered it all up for you.

I don’t know whether to laugh or cry in admitting this.  DH and I went out Sunday afternoon to finish Christmas shopping.  I saw a woman holding a baby.  I had the urge to take the baby.  Bad, polkadot.  Bad idea.  I know I’m not the first IF girl with this thought.  Maybe the second, but definitely not the first!  It kind of shocked me to have that thought.  It happened again while we were out.  Twice in one day.  Yikes.  I promise I will never take anyone’s baby, but wow, did I feel desperate! 

I’m kind of feeling like Rachel in the Old Testament when she says, “Give me children or I shall die!”  (Genesis 30:1)   I understand the desperation.  I hate feeling this desperate, but it is what it is right now.

*sigh*  

God, will you send us a baby soon?  Please?  Thanks in advance.  :)