Saturday, August 4, 2012

Book 2, Chapter 1

Today we started a whole new chapter in our journey towards creating a family of three (plus). Today officially marks day one of treatment with a Reproductive Endocrinologist (RE). I have nothing incredibly perceptive or witty to say; I just wanted to document my thoughts and emotions on this day. So unless you're in treatment, thinking about starting, or weirdly interested in the status of my follicles and hormones, you may want to skip this post: feel free.

Today I went in for "day 3's". Basically a slew of blood work and an ultrasound. My results are all great for the most part. I'm just barely over the normal range for AMH (Anti-Mullerian Hormone) which does technically put me in the PCOS (Polycystic Ovarian Syndrome) category, but barely. My ultrasound however showed only 15-16 follicles. 6 on one side and 9-10 on the other. Slightly high, but still in a great range! So I'm cleared for beginning treatment. The plan is a round of Clomid with an
IUI (Intrauterine Insemination)


I will admit that today I was kind of frustrated, but I think this is just the nature of the beast. I went in with no idea what to expect, but with expectations none the less. I had so many questions, so many worries. My appointment lasted about 14 minutes start to finish. They stabbed my arm, stole my blood, patched me up and then sent me to a room to disrobe for the ultrasound. A doctor I hadn't met came in with a resident who performed my ultrasound. She was super nervous, so I'm guessing her rotation had just started. Nevertheless, it was over in about three minutes. We shook hands and said nice to meet you. He said someone would call with instructions later, and that was it. Done. There was no consultation, no q and a, just hi, bye, and here's your bill.

I was kind of upset, questioning if we'd made the right decision, thinking to myself, "I'm sure glad this wasn't one of my emotional days." My OB/GYN in Augusta had been so amazing, so caring, so personable. He called me all the time personally to check in, and always spent tons of time in the office answering my questions. This had been nothing like this. I called my care coordinator, an RN who is a part of my care team. After talking with her, I feel much better. She explained that some of the appointments will be quick and dirty, in and out, just tests. But there will be others in which I have time to sit down and talk with my doctor and ask all of my questions. Plus, she answered everything that I had wanted to ask so far. So yay, feeling much better, after that conversation.

Even after my appointment, my thoughts are kind of all over the place: fear, frustration, worry, excitement. Obviously the biggest worries right now are about finances. Starting treatment has almost exactly coincided with quitting my job. Perfect timing, huh? In reality it is. There was no way I could have begun treatment while working in Augusta. I had a dentist appointment turned down three times by managers there. Fertility treatment isn't one of those things that you can just reschedule. You're either all in or your wasting your money. So although starting now was intentional, it's also terrifying. I'm not going to get into the nitty gritty of the finances on the blog. The decisions we are making for our family are very personal to us. Some people will think we are crazy to spend this kind of money, others will "get it" and be committed to spending ten times what we are. If you are considering treatment and would like any info about the costs (or any other information) please feel free to contact me. I'm happy to talk with you, it's just not something I'm comfortable discussing before the whole world.

Starting feels strangely good though. Despite my fears and frustrations on day one, I'm happy to finally be doing something proactive. The waiting is over. We have made a plan and we are fulfilling it.

In a slightly reminiscent mood, I also can't help but note that it was my August cycle last year that we conceived (crazy to think its almost been a year since losing our little one). I'm not really a "luck" person, nor am I superstitious, but it does seem somehow fitting that this August would be the month! Plus I know my mom and Sam would LOVE a May birth! Haha! Not really, Sam's graduating and mom has her biggest fundraiser of the year, but hey, we've delayed enough! Let's do this!

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