Friday, July 3, 2009

Stick a fork in me...

I'm done.
I am so pissed! And tired, so very tired. My hormones are yet again a wreck! I was having a pretty good day today, I mean I had my moments, but for the most part things were going good. We had a cook out at my brother's house, and I was having a really good time. We swam; I jumped on the trampoline like I hadn't done since I was in gymnastics, a fun time was had by all. Then something happened, and I started feeling incredibly down and depressed, and as if I could burst into tears. Then I went to the restroom to discover I was having breakthrough bleeding AGAIN... after only 1 of the new (actually old, lower dose) pills! I was angry, very ticked off! I wanted to throw my hands up and scream. I feel done, but I can't be done. I don't know what to do. I'm thinking lupron. I am calling my local gyn Monday to see if I can talk to him about my options. I really wasn't wanting to do lupron just yet, but unless I can get something else figured out, I may go ahead with it. I really don't know what to do. I know I want to feel good, and feel happy.

Thursday, July 2, 2009

side effects

Are killing me! I am done with the new bcp. I have been on it for 10 days now and have had at least 4 days were I had to take my migraine meds and crawl into bed. Today was the second one this week, the worst, and the final straw. This is not the "quality of life" my new dr spoke so highly of. I called my local gyn, practically in tears, asking what to do. I know if I simply stop I will be in even a worse situation, with a major hormone drop. So I requested switching back to the lo ovral, what I had been taking and have taken on and off for years, until we can get something else figured out.

I'm not sure what to do, I know my options rather well, but am just not sure what it is I want to do. There is the option to try the ring. Since it is vaginal, the side effects are generally less. There is depo provera, but I am not interested in that due to side effects and the effect it has on fertility after stopping it. There is also depo lupron, but I have already done 11 months of it; the FDA only recommends 6 months, so I don't know that that is the best idea. But I have to admit that part of me wants to go back on it, for a slew of reasons that I am not up for discussing at the moment. Then there is Mirena. This is a toughy for me. My new dr explained it to me and there are parts of it that sound very appealing, but I have my reservations. I don't like the idea of something in the uterus. It scars me a little, well maybe a lot. It just feels like it could be one more mark against me. Also, while I know it is not like the old copper IUD, it still can work like an IUD, and I don't like the thought of that. We worked so hard to have Cooper, and while I am looking for birth control as well as endo control now, if I conceive (meaning egg meeting sperm) I want to get pregnant. I remember feeling slightly sad (repeat slightly, just a little sting, which is why my family had to hear, "I really wanted twins") that I only got pregnant with 1 baby, because I couldn't help but think that there were 3 eggs that ovulated and wondering if they all fertilized, but just didn't implant. This is highly unlikely, but I still wondered about it, and that hurts a little. I am afraid with the Mirena, that I would always wonder how it worked. I would wonder if it worked because I didn't ovulate, or because my CM was too thick, or if it hadn't worked at all, but rather the fertilized egg couldn't implant. Wow, writing this out makes it pretty clear I am not ready to go this route. Not now at least, maybe never. I really don't know what I will do, but I will think about it, research some, talk to my drs, and make a decision.

Oh, and the vesicare, that is nasty stuff. Lets just say I need to up my fiber intake.

Wednesday, June 24, 2009

ready

I'm ready to start writing now, putting these crazy feelings into words. Reminder: I have just started a new bcp, the hormones are high, so bare with me. It is likely this is contributing to all these crazy feelings.

So, I have had several dreams about having another child recently, two of which really stick out in my mind. The first, we had been given a baby, adopted. It was so simple; we decided to go for it, then within days, we had a new baby. It was a wonderful dream, so real. As I was waking up, I hoped it might be real, and I would find a baby lying next to me. Of course, there was not; it was only a dream. Then only a few days later, another baby dream. This time we went the fertility route. We were with our old RE, the one we used to get pregnant with Cooper. It was the day of the IUI, and he said, "wouldn't be great if you got pregnant the first time around?" Well, yeah! I woke up happy, thinking of a new baby. These dreams have left me pondering the thought of another baby. There is no doubt now that it is what I want, just not sure how we will go about getting it.

And there is the question of when. Honestly, I don't know when. There are times, when my heart aches for another baby now, then times where I can't imagine being pregnant or having a new born yet. Cooper is still so young, yet growing up fast. I am frustrated that I can't feel content one way or the other, but that is human nature I suppose.

Then there is the jealousy issue. Lots of IFers talk about this. It is something I hate, something I never wanted to feel, something that I don't even understand, but I am feeling it lately. I don't know why. It seems kind of stupid to feel this way. It's not like we are currently TTC, so why do I feel this way? It isn't so much that I am jealous of others, or that they are pregnant, or have a newborn, but more that they can if they so choose. Does that make any sense? It's just not that simple for us. Are we financially ready for another child? Not really. Can we afford to travel to an RE and pay for fertility testing, drugs, and treatment all in the hopes of another right now? No way. Are we in a place where we can peruse adoption? I don't think so. I guess that is where the jealousy stems. On Monday, we went to some dear friend's daughter's 1st birthday. At the end of the party, she opened her present from her mommy and daddy. It was an adorable little onsie that read, "big sister." I am overjoyed for them. They are great parents, and deserve another child. But there was this little piece of me, deep in my soul, screaming, "is it my turn yet? I want that." There was also 2 others there that had 2. One father I went to school with, had his 3 week old in a carrier and a 22 month old running around. The others have a 2 year old and a 10 month old. It just felt like I was the odd ball. Don't get me wrong. I am happy for all of them; it just makes me want the same.

So here is the really crazy thing. I see these couples with there little families, how busy they are, and think "I can't imagine..." Why oh why then, do I feel even a tinsy bit of jealousy? I think it is because I am a multi faceted woman, who isn't sure what I really want. A battle of the sides. I know that I want another child, just not sure how or when. But dont' think for a second that if by some miracle I were to get a "surprise" that I wouldn't be floored, and make the most of it, because I absolutely would.

Maybe these are normal feelings. Maybe it's the hormones talking. Or maybe I'm just plain nuts. No matter, they are my feelings; they matter to me. Please pray that I wouldn't feel even an inkling of jealousy, but only joy. And that my sides would stop arguing and make up their minds!

Tuesday, June 23, 2009

so much to say...

Just not sure how to put it into words. I have a lot on my mind. It seems to be that my sides are conflicting with each other. That is tough. I don't even have the energy to try and get it all down. I want something, but maybe I don't. Feeling some jealousy, even though I know I shouldn't. I am not even making sense to myself. Anyway, a post is coming, just not tonight. Cooper is hacking. I think it might be reflux from the OJ he sucked down on accident or perhaps he's getting sick. Either way, it's going to be a long night I have a feeling.

Friday, June 19, 2009

not much to report

Sorry for the lag in posting, I hadn't been feeling too well. Hoping that things are all straightened out now, after a 10 day period. I start my new pills on Sunday. I really hope it doesn't make me sick. I can't handle the morning-like sickness that bcp often gives me. I have started my new meds, but haven't seen a difference yet, oh except for side effects. One of them gives me horrible acid reflux and I mean horrible, so I will likely be starting a new med for that. The other which causes constipation. I knew this had been an issue, but didn't realise why until I saw a commercial for the med today. It mentioned constipation 3 times in the ad, guessing it must be a pretty common side effect. Oh the joys of meds.

Thursday, June 11, 2009

hormones

Feeling bad. I'm a hormonal wreck... headaches, upset stomach, and bad cramps. Hopefully, I will be feeling better soon. And hopefully the new bcp will do the trick. This is my 3 cycle in 6 weeks. I can't handle this much more. Ready to get back to my no cycle life style.

Started the IC meds today. Hoping they kick in soon too.

Wednesday, June 10, 2009

2nd appt

Yesterday I had my second visit at the new dr's office. They are really great. Everyone is very kind. I annoyingly had to pay my deductible at the appointment, and I was not expecting that. They did what they call PMR (pelvic muscle retraining). This is a test to see how much in spasm and how tense my pelvic muscles are. Ok, again this is TMI and I can't believe I'm sharing this, but WTHeck! So they measure this by placing 2 probes, neither of which are in the bladder, I'll let you figure it out. SO SO not fun. And the fact that I had to pay for that! EEEEK!!! I still am not over it:) But, this was a good test to have done. It gave important information. The average woman has a muscle pressure (I guess that is what you call it?) of 5 when relaxing. When I was relaxing I ranged from 12-13, in other words very tense. It makes sense. I don't even have a clue I am doing this. I have just gotten in a terrible habit of it, from years of pelvic pain and holding my urine. Honestly, I was shocked when she told me the number. I was trying to think of beaches ect, really relaxing, or so I thought. Basically, some people hold their tension in their necks, I hold mine in my crotch! What can I say:) Anyway, they do a variety of "exercises" if you will. After that, I got my pressure down to a 9. Still high, but an improvement. After that, I had my second bladder instillation. It hurt. I hope I can get used to that soon.

Then the dr came in with a bag full of estrogen. The plan was that I would take it for 4 months along with my regular bcps. Then we got to talking. He pretty much thinks that my body is terribly used to the pill and that my liver now metabolizes it faster, thus the breakthrough bleeding, all the time. We decided that it might be time that I try a new pill, a much stronger pill, with the higher dose of estrogen built in. I'm sure it will make me terribly sick! I am going to go ahead and let myself even out and have a full cycle, then not this Sunday, but the next, start the new pills. So keep me in you thoughts and prayers over the next couple of weeks as it may be rough. We also discussed, that after being on IC meds for a couple of months, perhaps I see what having a cycle each month is like. So, that is a possibility.

I went to the pharmacy today. Meds are outrageously expensive, so I will be having to mail order them. But, I went ahead and got 2 weeks worth so I can start. I will be starting the IC meds tomorrow. I also will call my local gyn and see what he says for a plan for the instillation. Hoping to be seeing some major changes soon!

Monday, June 8, 2009

The appointment

Today was the day. I was, of course, very nervous. Woke up with my usual anxious nausea. We had lunch at Boston's (delicious g free pizza) before the appointment, which was just what I needed. I walked in the office to read a sign that nicely said, "no children aloud." I of course had my little man (and hubby) with me. We came from 3 hours away, so it's not like I could just leave him with a friend. I asked about it, they said we could leave him with an operator (yeah right). The receptionist asked and said that they could come in after the exam.

This office caters to Spanish speaking patients as my dr was the only Spanish speaking ob in the area when he stared. He has since devoted time to providing quality care and understanding for Spanish speaking women. While I think this is wonderful, it did make it a little difficult. It is clear that Spanish is the first language for many of the office staff. The PA who I worked with a lot had a very strong accent which sometimes made it difficult to communicate. The doctor himself was very easy to understand as he has been in Texas all his life and did not have an accient. This was very much a relief.

He said I was textbook IC. He talked about the relationship between IC and endo and even gave me an article the referred to the 2 as the evil twins. He did an exam which was uber painful. He said the exam was abnormal in my inability to tolerate certain things, and typical of IC. He was very kind and knowledgeable, the most knowledgeable on IC of anyone I've ever seen. He explained how he believes it is a form of an allergy and hopes that I can pinpoint my trigger food.

The only thing he said that I didn't agree with was about infertility. He was discussing lupron and suggested that perhaps it isn't the miracle drug so many drs believe it to be (with this I agree). He then said "does endo cause infertility? points to Cooper I think not." With that I don't agree. I said, "well it certainly took some help." He replied that I told him I was anovulatory, which I was due to lupron, but without it would I have gotten pregnant. Who knows? I believe that endo most certainly can cause infertilty. It did for me. Because of endo I was on lupron, because of lupron I was anovulatory. I connect the 2, he does not. Whatever. This really isn't an issue at all. We will just agree to disagree. I still believe some of my cpp is endo, but agree that the IC is a huge contributing factor as well.

I came in with pain around a 6 on the pain scale. I was nervous, knowing I was going to have a pelvic exam, which set me into spasm, causing pain. Some people get a belly ache, I get cramps...go figure. The pain turned out to be a good thing. Since I was suffering, he wanted to go ahead and do a bladder instillation as a test of sorts. They cathed me (oh my gosh how it hurt), emptied my bladder, then injected the medicine. By the time this was over I was at a 7 or an 8, had trouble walking out of the office and made hubby drive. The dr also gave me a script for Elmeron and Vesacare. I will have 9 instillation to begin and take these meds daily. He called this evening to see if my pain had eased. It had, making the test positive, and getting me the official diagnoses. I told him that I was still at a 3-4, what felt like uterine cramping, likely due to the breakthrough that is heavier now. He said he would give me a script for estrogen (oh how I hate estrace!) that what hopefully clear that up. I go in again in the morning for another istillation and a muscle test to see what kind of spasms I am having. I'm bracing for it.

So I know have quite the med list. But, I am hoping it will give me pain free days. If it does, then it is worth it. I am so glad to have found this dr. I know that I would be no where near this kind of help anywhere else. It is truly a blessing. I told him I was sad to get another diagnoses. He said he understood, but in the over 500 cases he has treated, most get substantial relief. I will be starting an elimination diet avoiding the foods on the list. Hoping I am able to pinpoint a specific soon. I'm feeling hopeful today, and blessed. Things are good!

Sunday, June 7, 2009

getting close

Tomorrow's the day. It can't get here soon enough. I am having some breakthrough...again! Lots of cramping that is trying to ruin my fun time with my boys, but I'm fighting through it. I am anxious, excited, and hopeful.

Friday, June 5, 2009

been awhile

Well, I was a very good blogger at first, but as of late, I have not been keeping up so well. I have written at least a blog a day in my head, but finding the time to sit down and get it in type has been difficult. I have been very busy with the photography biz, last week had a sick baby, this week I've been sick. Time is lacking.

I think that sometimes having the energy to put these thoughts in words is what I really struggle with. It makes it more real, and heaven knows it is sometimes easier to just hold them in. It is even easier to put them here, in a blog, then share them with my IRL loved ones. I hope to be better at that.

On Thursday I was lucky enough to get to meet 2 beautiful children. They were adopted by a friend, Melissa and her family, from Uganda about a year ago. this was my first time meeting them. I got to spend time with them, and even photography them. My oh my they are beautiful. The boy's sweet little ancient and the girl's desire to eat everything in sight because she spent the first 3 years of her life in an orphanage. Oh, how they pulled at my heartstrings, melted me with every smile. I wish you all could meet them too. They are perfect.

I knew what meeting them would do. Anyone who knows me knew what my meeting them would do. I want that. There is a place in my heart for adoption, that desires it so. I have for years and years, every since I learned about the endo. I want to show a child that kind of love, the love of Jesus. I want to be a mother to the motherless. Wow! Putting it down makes my desire so real. I want to show Cooper how to love no matter. I want that.

Today, I spoke with my best friend. She is expecting her first. We discussed labor, breastfeeding, the first weeks, ect. My heart goes there, to having another baby. There are times when I fully cannot imagine not having another. Not feeling another move in my belly, not going through labor, not nursing another. I want that.

How selfish am I? Terribly! I want it all. But maybe I don't, perhaps I just want to adopt, or maybe just try and have another of our own. Really, I don't have a clue. I am sure now though that I don't want just one. I will be completely happy with just one, if that is how it goes, but it isn't my desire. That is clear to me now. I am so glad that I don't have to decide any of this today. I am also so glad that it isn't in my control. I am SO SO glad that I have a sovereign God who has a plan for me.

Friday, May 22, 2009

I got a plan, I got a plan, I got a plan HeyHeyHeyHey

Gotta love a girl with a plan! Can you tell I'm in a better mood? First, I am back to just one bcp a day, and the bleeding has stopped, which makes a huge difference. Then, I had my much awaited appointment today. The dr walked in the door and started to say "how are you?" He stopped and said that that is general a stupid question when walking in a room of a chronic pelvic pain patient. I told him that I would have said "good." My little guy is doing considerably better, other than this crap, things aren't too bad. Anyway, the appointment was pretty much to persuade me out of having him do a forth lap, but instead going to a specialist to see what he thinks. We chatted, he explained how he would not want to do a surgery that would need to be redone in 3 months by a specialist. He's right, and I respect him for telling me the truth. I think I fear that I will go to a specialist, and then it would be something that he could have done. Sometimes I worry I'm crazy, and all this is in my head. I think most pelvic pain people feel this way at one time or another. It is the nature of the condition. That "unseen" sickness. Anywho, I got an appointment with a dr who specializes in pelvic pain and IC in 2 weeks. That was so exciting. I am glad to not have to wait too long. I was fine with it, but not overly excited. But then, I got home and looked at there website. If you want, check it out. Here is a part of their mission statement...
At Las Colinas OB/GYN, we feel our patients should be made aware that QUALITY OF LIFE is something YOU deserve!
That is the kind of place where I want to be seen. I feel excited and positive, for the first time, in a long time. I'm not expecting a cure, because there isn't one. But I am looking forward to feeling better. I am super pumped and can't wait. Plus, my ob/gyn was given his name through the RE he uses, so I know I have that connection if/when I need it.

Tuesday, May 19, 2009

Train wreck

That's how I feel... like a train wreck waiting to happen. I'm a mess, a huge mess. My hormones are nuts. Can I just tell you, I hate bcps. I hate the normal dose, and I doubly hate the double dose. I feel like I'm on the verge of a breakdown. Seriously, if this doesn't stop soon, I will lose it. I can't be a parent, at least not the one I want to be. I miss my baby boy, but don't have the energy to take care of him. I have been getting help with family, and I appreciate it so much, but I want to do it myself. I have a major hormone migraine and will take something for it before bed. I am really struggling. And I hate it. I want to be strong, pulled together, with it, but I'm not, not right now. I don't know what to do or how to feel.

I'm just a wreck

Monday, May 18, 2009

double up

So after 5 days of breakthrough, I decided to call the doc. The nurse told me to double up on my bcp for 3 days. If that doesn't do the trick, then I am to call back. Not sure what the plan is after that. I hate this. I have had to take pain meds most days. This weekend was rough, but I fought through the pain. But I'm tired of fighting. My anniversary is Thursday, and I really want to be better by then. Hubby took off and we were going to go on a real date. We haven't done that in a long time. I really want to feel good. I'm dreading the doubling up tonight. I know it will make me sick. I sometimes get sick when taking just one pill. I am going to go ahead and take my anti-nausea meds with the pills.

I am just tired... So VERY tired.

Saturday, May 16, 2009

URG!!!

Well, I would say I am now having a full blown period, cramps and all, 2 weeks into active pills. I let myself have a cycle last pack, after 5 packs without one. I thought it might help straighten me out, but apparently it only made things worse. I didn't start until 5 days after my last active pill, then continued to have it once I started this new pack. It stopped for about a week, and now it is back. I have never had breakthrough before, and this seems like more than just breakthrough. I was in bed all afternoon, but decided to fight through the pain and go to the rodeo tonight. I was glad I did and had fun until the end. My bladder got full, and I got very cold, which made me really start cramping. It turned to curled up, moaning in pain cramping. I now have taken a pain pill and have the heating pad on my back. I am starting to zone out, which is a good thing right now. I am calling the doctor first thing Monday morning, and my appointment is Friday. I'm really hoping to find something out soon.

Thursday, May 14, 2009

WTHeck

*TMI WARNING*
It's my blog about my issues, so with warning, I felt I can write about it. Today started out ok. I planted flowers in my front yard. (which look terrific btw). Then this afternoon, I started spotting. It was heavier than just spotting, but not AF. I am on continuous bcp, and have been off and on for years, and have never had breakthrough. Then came the cramping. Midline, down my legs, the bottoms of my feet. And I was in some mood too. I know my hormones are out of wack. I am so glad I go to the dr next Friday. My legs are killing me right now. It hurts so bad. I've never understood why my legs always ache, but they do, and have for as long as I can remember. I thought today was going to be pain free, but I was wrong. I am thinking I may have to take some pain meds before bed. We will see how long it takes me to fall asleep first. On a happier note, I am getting a new lens for my Nikon, and I'm super pumped about that. Anybody watch Grey's tonight? Man it was something. I am exausted now!

Wednesday, May 13, 2009

happy birthday to me!

Today was a really good day. Best one in a while. I had very little pain today, which was great. My mom fixed me a great G free salad lunch. We had chicken salad, my favorite green salad, fruit salad, and I brought a rice pasta salad. My sis made a gf angel food cake, and we had strawberry shortcake that was YUMMY! Then we went to the annual rodeo parade. It was hot and redneck city, but it is a tradition and part of raising Cooper here. Then for super I ate with my sis, and we made gf and dairy free brownies that were great. I will share the recipe soon! Hubby just walked in from work with a dozen white roses. It is been a good day. Oh and I forgot to mention, I gave Cooper a peice of my cake. It was made of all safe foods except for egg whites, and it seems to be a success. If so, he may just have a bday cake this year after all! Here's a pic of me and my lil man. He totally was trying to get out of my lap, but whatever, it is a picture of the 2 of us, which is few and far between!

Tuesday, May 12, 2009

Interesting

So my dear friend Erica shared this link with me today, and I thought it was interesting enough to share with you. It confirms it for me about the Celiac thing. I mean I just have too many symptoms for it to be anything else. Check it out if your interested
http://www.celiac.com/articles/21636/1/Gluten-Sensitivity-and-Bladder-Disease/Page1.html

Also, I have another endo friend who is in need of thoughts and prayers. Jenifer is struggling right now, so just think of her. This endo is an aweful disease. It can easily control you life and take away your spirit. She is much to precous for that! Hang in there girl. I know it sucks and sure aint easy, but I'm praying for you.

My birthday is tommorow, and my wish is for a pain free day. Will you wish it for me too?

Monday, May 11, 2009

Why do you hate me?

Today has been a day. I was accidentally glutenized this weekend and have been paying for it all day long. Ok, so I think I failed to mention that I can no longer tolerate wheat/gluten ever since going off it to nurse Cooper. I am self diagnosed Celiac these days. I fit all the symptoms, but can't get a positive diagnosis because I have been off gluten for too long. I know I have some sort of gluten intolerance, be it Celiac or not, so I am living the G-free life now. Eating food that I didn't prepare and packaged foods with hidden glutens all weekend long caught up to me today. My energy was gone, I have a headache, and I have the lovely tummy issues that comes with the territory. I think it's almost over though. I have got to be more cautious and more prepared.

Here's my question though... Why does my body keep attacking itself? What is off? How can I fix it. My chiro believes that there is a cause for everything, something out of line. So what is out of line with me? My body attacks my hair follicles, and makes my hair fall out. Alopecia. I am lucky to have post pubescent onset though, so only a few bald patches that are easily covered. If I do in fact have Celiac, then when I eat wheat/gluten, it causes my body to attack itself. I believe that endo and IC are also auto-immune. My uterus produces a lining as it should, but instead of staying in the uterus, it grows on my bladder, ovaries, uterosacrels, and then bleeds when I cycle. My body doesn't like this bleeding, so it reacts. With the IC, my body causes irritation in my bladder, for no known reason and can even produce ulcers as a response. So, I can't help but wonder, why? What is causing this? I will probably never now. I'm ok with that, but life would be easier if I could figure it out.

Sunday, May 10, 2009

the question

"Are you guy's going to have any more?"

I can't tell you how much I hate this question. I don't know how to respond to it. Really, I don't, no matter how many times it is asked. I try to think of something witty to say, prepare myself for the inevitable, but it never comes out the way I planned, and it always catches me off guard. There are several reasons why I don't know what to say. Honestly, I don't know the answer. I mean, really, none of us do, but we generally think we do and have a plan. But, right now, I don't. I don't know if I want to do the whole IF crap again, and we only tested the waters before, never had to dive deep into them. There isn't an RE within 3 hours of here, and I won't do anything with a gyn. They don't monitor as closely and I got OHSS with Cooper, so I wouldn't want to take that chance. I don't know if we would be able to get pregnant on our own. My RE seemed to think it was unlikely. If we can't and we decide not to go the IF route, then we won't have anymore. Then there is the issue of carrying a baby. My body has been through a lot; my uterus is weak. I was put on bedrest and meds at 24 weeks with Cooper. What would that mean for next time. My uterosacrels have been cut, more than once. I carried Cooper so low, because they weren't strong enough I believe. I had an xray at 31 weeks and the 2 techs thought he would be born anytime because we was so low in the pelvis. This scares me. What if next time I can't carry to term, despite medical intervention. Having a baby in the NICU 3 hrs away while having a little one at home is an overwhelming thought. So, maybe there is a part of me that is fine with just one. Happy and satisfied and done. I think there is, but the other part of me is bigger. The part that wants for Cooper to have siblings. I am so close to my own, I can't help but want that for my own child. Then there's that part of me that is in pain. The part that says, just get rid of it, be done with this all, have the hysterectomy. It is going to happen sooner than later. I have been told it would be done before 30. Somedays that terrifies me, then days like today, when I'm hurting, it can't seem to come soon enough. It is so final though; that is the scary thing. Today, I was holding my abdomen; I didn't even realize it, but I was; I was hurting. Someone asked me "Molly, are you having more babies?" At first, I thought oh great, this dress makes me look fat. I responded, "Oh no" and she replied, " I thought, oh poor think, she must have babies kicking in there." This took my breath away, knocked the wind right out of me. Babies? Poor thing? I would love to have babies kicking me, it would not be poor thing. It was one of those moments that pulled out the one in me that wants more. For a moment, I wished I could've replied happily, "yes I am." But, I'm happy today with one, not ready for another yet. But, I still think about the future, the what ifs. Don't we all? My best friend is pregnant right now. I couldn't be happier for her. Her road was not the short, fast one either. I took her maternity photos on Saturday. She is glowing, so happy. Her nursery is perfect, and ready for baby girl. Her belly is big and beautiful. That made me want more. I want to take maternity photos, I didn't do it the first time. I want to have a perfect new room. I'd love a little girl, for Cooper to have a little sister. (I'd love a little boy just as much) It is those moments that make me hang in there, fight through the pain, because I don't know where will go in the future. I just don't think I'm ready tho take the option off the table.

So, I smile, I giggle, I say "only God knows." But inside it tears at me a little. It starts a battle between my two sides. See why I hate that question?

Friday, May 8, 2009

Where I am now

Cooper's life has been filled with trials we never could have imagined. He is one tough little boy who has been through so much, but seems that he is finally making his way over the hill and turning into a healthy, thriving boy. I thank God everyday for healing our son the way He has. I finally have some time to look at my own health now.

My cycle was suppressed while nursing Cooper; it was so nice, but I still had pain. It varied from time to time, but there was one particularly awful time when I worried I might have an ectopic pregnancy. Not sure what that was about. I got a shot of toridal and quickly recovered. I have seen my RE once since delivering. He told me he wanted for me to be either pregnant, trying to get pregnant, or completely suppressed. He never wanted my cycling, because if I am, it is inevitable, endo will grow. Of course I believe that the Lord is capable of healing me of this, but am fulling accepting if He does not. I asked about our future of conceiving and if he believed I could conceive on my own. He said, it would be fine to try a few months on our own, but would put me back on injectables in a heartbeat. As soon as I got my cycle back after weaning Cooper, I started on continuous bcp. I have only had one cycle since and it was difficult.

During my pregnancy, I had a boat load of issues. I had pre term contractions early on due to a kidney stone. It blocked my kidney at 31w, and I was forced to have a stint placed inorder to renew kidney function. It was awful. Once delivered, I had lithotripsy to break up the stone, then had the stint removed. My bladder has never been the same. I had multiple occasions with symptoms of bladder infections (blood in the urine, flank pain, ect) but no infection present. I would empty my bladder, stand up, and need to go again. I can go some time without a bathroom break, but once I go, I need to go over and over. I have pain often, with all sorts of activities. I stumbled across IC, and began to see how I fit all the symptoms. I mentioned it to my obgyn, and he kind of wrote it off at the time. He suggested I try pelvic physical therapy to retrain my muscles and bladder. I only went a few times; I think it could have helped, but it was hard to find the time with an often sick baby.

I have come to realize that I have some degree of gluten intolerance. I believe it is Celiac, but am not officially diagnosed. I am completely gluten free and vastly dairy free now, which can be helpful for endo. My pain has recently gotten increasingly worse, and I haven't had a lap since Oct 06, so I decided it was time to schedule one and see what is going on. Before I could get it scheduled, I had a bought with severe pain. They had me go for a urinalysis. It came back with lots of blood present. That explained it, I had a raging infection. But the culture came back clean. There was no explanation for the blood. I told my obgyn and asked if this could be from endo on the bladder. He said it was possible, but felt that it was more likely from irritation in the bladder, aka IC. He is wanting to find me a urogyn. I am tentatively scheduled for a lap on June 11, but have an appointment on May 22, so things could change.

That's where I am now. I'm in some sort of pain every day. I can't wait for that appointment. I am trying to learn what I can about IC, and work through my emotions here. It is hard to think of another diagnoses that doesn't have a cure. It is also hard knowing I can't just get rid of my bladder as I plan to with my uterus and ovaries. The good thing is, I far as I know, this won't further affect my fertility, but I don't know what our plans are with that anyhow. That is for another post though. I'm trying to deal, and remember that God is sovereign. That this is only for a season, even if that season last the rest of my life. I will one day be healed. I have to remember that. That is what keeps me going.

Thursday, May 7, 2009

What happened next

He brought us into his office, sat us down, and gave it to us straight. Before that moment, I was naive; I didn't think I was naive, but I was. He gave us a plan. Really a plan??? I kinda just thought I would get my period, chart a cycle, and then, ya know, and it would happen. Ok, so I wasn't that naive, I knew there was a chance we would need help, but I figured we would at least get 6 months on our own. No such luck! He gave us a plan to start injectable gonadotropins, followed by an hcg injection, and then 2 IUIs. Before that, I would have a HSG and dh would have a semen analysis. We checked our insurance to learn that we had coverage for testing but not for treatment. I left the office in a state of shock. My life would never be the same.

We had our testing, I ordered my meds and set up an injection lesson. I was scared but excited. I was naive. I had my baseline ultrasound and got the all clear. Dr. S dosed me for the first time. I went shopping that day with my sister and the kids. I bought myself a new eyeshadow set from Sephora, I guess as some sort of memento or something, then 6 'o clock came, and I walked into the Nordstrom lounge, gritted my teeth and did it. My life would never be the same.

Morning after morning, day after day, I would go in for early labs, to check estrogen levels, afternoon vaginal ultrasounds for follicle checks. 13 days of injections and things looked good, we had our IUI, and now for the wait. Did I mention it was Christmas time. I just knew I was pregnant. It had to work. I was naive. A few days after Christmas, I got a phone call. It should have been happy, and it was, but it was hard. It was my sister-in-law. She chit chatted, talked about God's plans for our lives, bounced around the reason for the call. I got this lump in my throat, this empty feeling in the pit of my stomach. I knew what was coming. I felt so bad for Tracey for even having to tell me, but she was gentle, so kind. She told me she was expecting. This would be her third; they thought they were finished; this was very much a surprise. She apologized, I told her it was fine and I was happy for them, and I was. But oh how it stung. I have never shared those feelings before, because it is hard, and I don't want any hurt feelings, but that's what this blog is about. MY feelings. We went home for Christmas, we looked at the calendar together, discussed dates, and how close our children would be, if indeed I was pregnant. I knew I was after all. Things were just great that cycle. I was already feeling ill. Bloated belly, nausea, all good signs. Christmas came and went. I POAS daily continued to see one line. On New Year's Eve, it was official. I wasn't pregnant. Happy freaking New Year! My life would never be the same.

I went in for my cd3 u/s to learn I had a lovely residual cyst. My doc said there was no way I could do injectables that month. If you know me, you know that patience is not one of my greatest qualities. He wanted me to go on bcps, but I asked if we could possible try clomid that month, so it wouldn't go to waste. He said if the cyst got small enough, he'd be fine with that. The cyst shrank, and I began clomid. I didn't really respond so well to it. I eventually got one mature follicle and ovulated. The dr didn't think it was worth doing an IUI, so we tried naturally that month. Not to anyone's surprise it failed. I went back on injectables for the next cycle. The cycle was slow, response was crap, so Dr. S decided to push me a little more. Things started to look up. Then, I was slapped in the face by the witch that is infertility. My ovaries decided to start doing what they were supposed to do, and follies grew like weeds. Since we were openly opposed to reduction, the cycle was canceled. It hurt so bad. Every injection, every lab draw, every ultrasound, every penny, all for not. That was the first time the doc mentioned IVF. He told me he felt it was time. He worried with my being so "tricky to medicate" and history with quickly growing endo, it might take to long to go the IUI route. That was the first time I cried in his office. I told him it wasn't supposed to be this way. I told him we had no coverage and no way could we afford IVF. He told me he would work with us and would put us on a study wait list. He agreed that until then, we could try one more cycle. He hugged me before leaving the room, told me he hated to see his patients to leave without a baby, and expressed how he truly desired it for each and everyone of them. He was so human in that moment. It was a great moment in a horrible day. I left confused, overwhelmed, and unsure of the future. My life would never be the same.

My body was eventually ready to cycle again. This was it. One last try at least for a while. I was so scared and had no expectations of it working. I began to throw myself into the IF world and learn all I could about IVF. I found IVF connections and met wonderful women in my area who had gone through infertility hell that no one should ever have to suffer. The cycle was crap. It was slow, my e2 wouldn't rise, lining wouldn't thicken, follies wouldn't grow. I stimmed for 15 days. I remember them having to get a second sheet for my dosage because they only went to day 14. I finally was ready for trigger and IUI. Things looked good; he gave me high chances. Then came IUI number one. Sperm was crap, basically bad enough not to even use, but he reminded us it only takes one and hoped for a better sample the next day. IUI 2 was better. As I lay on the table, I prayed for a baby. I wanted it so bad, I needed it. The wait was on. About 10 days in I started having symptoms of OHSS. It was bad, painful, but a good sign. OHSS is more likely in conception cycles. 11 days after my IUI I saw what every IFer hopes to see, 2 lines. It was faint, I rushed for a digital. I was pregnant. I could write for days about my pregnancy, but I won't. After a trying pregnancy, our beautiful baby boy, Cooper Jack, was born on December 21. My live WILL never be the same.

I have to take the time to make an important point now. My suffers with IF were nothing compared to many out there. I know so many in blog world that struggle beyond belief. Take my IF friend Larisa for example. She has endured more than anyone should in her journey for a baby. I never want to make my situation seem worse than another, because it's not. In the IF world, I was a lucky one. I know that. I am so thankful for that. But I still suffered. It still hurt. It still does. It was still hard. It still sucked! I had to walk the road, and it still changed me, even though I am a lucky one. I don't know what the future holds, but I do know I'll have Coop by my side, and for that I am thankful beyond belief.

Wednesday, May 6, 2009

Where to start...

I guess the beginning. I have suffered from pain as long as I can remember. I remember waking in the night in awful pain. I went to my parents room, doubled over, telling my mom my stomach hurt. I didn't know how else to describe it. The next day I got my first period. I was 12, and my life would never be the same.

From then on I had pain from month to month, often missing school. At 14, the pain was severe enough to land me in the ER. I could barely walk. They found blood in my urine, but no infection. I was sent to a urologist for a possible kidney stone. He performed an IVP... no stones present, he checked for a hernia... no hernia, he said, "I think she has endometriosis." My life would never be the same.

I remember crying in the parking lot. What did this mean? I was so young. I fought the pain for a couple more years, going on rx anti inflammatories and pain meds. Then, at 16 I finally went to the gyn. She was awful. I didn't feel comfortable. She agreeded that it was probably endo and prescribed celebrex and bcp. The celebrex never helped. The pill helped a little. I eventually went on the pill continuously and saw some relief. I missed a lot of school, but made it through. I was scared. I struggled a lot. I turned 18, moved out of town, and found a new gyn. While seeing him, I got off the pill and had my first lap. Extensive endometriosis. I remember that. I don't remember much, because I was groggy, but I remember that. It was on my bladder and ovaries. The recovery was hell. Every time I peed, I thought I might die. It was official, I had endo... my life would never be the same.

He suggested depot Lupron, I googled it and said, "no thank you!" My first period after that lap was some of the worst pain of my life. I remember lying in the bath in my apartment; I could barely move. I remember calling my mom in tears, hardly speaking. I was doped up on vicodin. I missed class after class. After that I got engaged to the love of my life. We would marry in May. Cycle after cycle, I was in pain. I didn't know what to do. The cycle before my wedding fell 20 something days before my wedding, meaning I would be on for my wedding. That would not do. We had this beautiful wedding planned, and a Mexican honeymoon. I wouldn't even be able to make it down the aisle. I went back on the pill, and started searching for a new doctor. My sister was looking as well, and she had found someone. Following out wedding, I had my first appointment with Dr. Silverberg, a reproductive endocrinologist... my life would never be the same.

He was wonderful, knowledgeable, and a little arrogant, but I didn't mind, he deserved to be. He scheduled my second lap, just 10 months after the first. He found endo on my ovaries as well as nodular (or a tumor as he worded it) endometriosis on my uterosacrel ligaments. He excised it, sent it for biopsy which came back as endo, no surprise. At my post op he urged me to consider Lupron. He was confident, and said "what are you so worried about?" The truth was, I was worried about everything. I was going to be in menopause. That is not normal. What would this mean for my new marriage? What would this mean for my future? I figured, I didn't really have any other options. When I went to pick up my first injection from the pharmacy, I bought a fancy box of chocolates. After all, I was putting myself in menopause the next day, I deserved it. I went to the RE's office, evil injection in hand, and my sweet nurse Jen gave me the shot and an rx for hormone replacement therapy... my life would never be the same.

The side effects were tough. Hot flashes, mood swings, low libido, all that fun stuff, but the pain was less. It was a relief, for the first time, in a long time. I continued to do the monthly injections until I felt good enough to give bcp another try. It didn't last long. The pain returned. I went back on Lupron after a few months off. In Oct 06, I had another lap. One of my ovaries was adhered to the wall, there were a few patched of endo he removed, as well as removing portions of my uterosacrels. Recovery was easy. I went to my post op; he gave me "the talk" letting me know it was time to consider having a baby, if it was something we wanted. I was game, but dh would need some persuasions. I got one last lupron shot and set up a fertility consultation. The consult came... my life would never be the same.

I will leave it at that for tonight.