Sunday, May 5, 2013

Reflections

Now that I'm out of the haze of anesthesia, I'm able to more clearly analyze my feelings. The laparoscopy revealed zero endometriosis. Does that ever happen?!?! I feel like every infertile leaves the surgery with a diagnosis of at least stage I. I really thought it was going to be stage I or stage II. My doctor wasn't so sure, but based on my history of painful periods, the regular presence of large clots, my mid-cycle cramps, and my higher than normal CA-125 levels, he felt like it was worth a shot.

Endometriosis is no joke. I certainly don't want to have to repeat a laparoscopy every six months or year. I never want to go on birth control ever again (unless of course for IVF). I don't want to worry about endometrial tissue damaging my ovaries or causing my tubes to adhere to my abdominal walls. Endometriomas sound terrible and terrifying… no thank you. I totally get that endo is not a fun diagnosis. 90% of the world assumes endometriosis is "killer cramps"… I don't envy the girls who have to explain that it's so much more. So why was I/am I upset with my "all clear" post surgery?

Everyone was asking and wondering what I was hoping for in terms of the surgery. I hadn't spent too much time thinking about it beforehand. Honestly, I was so scared, I just wanted to wake up and to have all of my essential reproductive organs still intact. But as I said before, upon hearing that there was no endo, I began to cry. I was admittedly kind of surprised by my reaction, and I'm sure a lot of it was due to the anesthesia. But I also think that on some level, I was disappointed. I wanted there to be a reason, a partial explanation, a diagnosis that I can explain to people. I wanted to leave the surgery with an increased chance of pregnancy. I want there to be something there that we can treat.

Instead, I'm left with knowledge. I don't take that for granted. I now know that despite my symptoms, despite my elevated levels, I do not have endometriosis. There has not been anything within my uterus obstructing implantation. My tubes are open and capable of transporting the eggs effectively. These are all good things to know. I'm super thankful that I can mark those things off the list. Any pain that I've experienced from the surgery I consider well worth the knowledge we've gained.

However, with this knowledge, with these answers, comes more questions. And several of these questions are hard. For example: Is my body killing off healthy embryos? Are Sam's sperm and my eggs incompatible? Are there genetic or chromosomal reasons why we can't conceive? You get the picture… the questions I'm left with are game changers. Endometriosis is terrible. But in the big scheme of things, it was an option that I could wrap my hear around. I knew what the treatment options would be and I knew that our chances of conceiving a child (even if via IVF) would still be high after treatment. Now that I've marked it off my list of "why's", I'm forced to look at two years of actively trying and only one recorded pregnancy which quickly failed, and well, I'm forced to confront the possibility that things may be a lot worse than I thought.

But that's as far down that rabbit hole as I'm willing to go at this point. This coming week has a lot of really good awesome things worth celebrating, (like Sam's graduation) so I'm not letting myself spiral into despair yet. I've got to schedule my post-op tomorrow… there's plenty of time to wonder and worry after I talk to my doctor. Until then.

Saturday, May 4, 2013

I'm a Survivor

I'm assigning absolutely zero credit to myself in this, but I survived the laparoscopy. I know you were all equally worried, so I wanted to make sure to ease your fears.

The day was crazy long, and comparatively to others, I think it was short, so props to people who have to do that over and over again. Of which I will not be one. But we'll get back to that later.

You may remember that I ended up having my pre-op a few hours before surgery due to a miscommunication about my last appointment. I'm so thankful I did. I would have been seriously irked if I'd taken off work for that nonsense. Basically, they couldn't find me in the schedule, couldn't find my paperwork, couldn't organize their crap! So that was a great way to start the morning and an awesome vote of confidence for how the day would go.

After working out the kinks, I sat in the waiting room to fill out paperwork and sign all of my rights away. I was called back very quickly by a blood drawer person. She said "Amanda." Well that's me, so I went. And my morning spiraled from there. Apparently, there were two Amanda's on the schedule that morning (I know, shocker), and as she didn't use a last name, we had no idea that I'd just volunteered myself for blood work and an ultrasound to check GESTATION!!!!

I have absolutely zero idea if they ever sorted out the vials of blood correctly. She never had me verify anything on the vial, so I was still clueless. After my blood work she sent me to waiting room two. You have to keep in mind that this is not my doctor's doctor office, it's the main clinic, and basically feels like a zoo. I had no idea I wasn't waiting on an open bathroom. But no, I was waiting on an open ultrasound room to measure my baby. Awkward! I started to feel a little confused when all the ladies around me were discussing pregnancy symptoms and all the women coming out of the rooms were holding ultrasounds photos. They don't give you photos of your follicle, so I knew something was up. But I continued to patiently wait.

Finally, the blood draw lady (sorry to all of them for the super professional title, I'm too lazy to google right now) saw me still sitting there, asked for my last name and what I was having done. Lights went on in her head. "Ohhh, honey. You just sit right back down, I'll find out where you need to go." I should have explained that I knew where I needed to go. I needed to pee, because I hadn't all morning. Alas, she led me to another waiting room and told me someone would be right with me. So I waited there for another ten minutes. Finally, I stood up, explained who I was and what I was having done that day, and asked if I was in the right location. I'm still not sure if I actually was in the right waiting room, but she assured me everything was fine before scampering off to find my pre-op person.

Pre-op was all of five minutes. Blood pressure, a little chest listen. They took my word for it as to my weight and height. Then she left to do my urinalysis, which as I had still not supplied, I assumed she meant getting it ready. 30 minutes later she came in to ask where I left my sample. Ughhhh... In my bladder. Sam had finally found me by this point and explained that there are two Amanda's in the office... A second one was called just after me. Light bulb! I bet she's pregnant. Haha! I wonder what her morning looked like: "ma'm we just need to get a urine sample before we take you back to the surgery center." Commence freak out. The pre-op lady was like, "Oh that explains it. There's a cup back there that says Amanda but its under a different doctor's name". Awesome. Her blood work is going to scare the crap out of her when she hears hCG level of ZERO. Bless her heart.

Anyway, I finally peed. Waited some more, my doctor came to visit me and to "scout out the terrain" (i.e. look at my belly button) which he declared was teeny-weeny and that nothing fun would be discovered in that. Bummer. Some people lose some really odd stuff in their belly buttons, or so I'm told. Other people get belly button rings the night before surgery. Oh well, mine passed inspection; he just said he'd have to downsize the scope.

And with that my pre-op was complete. I turned in all of my paperwork and went back to the main waiting room. Despite the pre-op only really lasting about ten minutes, we'd managed to spend two hours accomplishing all of that. You can imagine how frazzled my nerves were at the thought of any of these people having anything to do with my surgery. I just sat there chanting "I trust doctor Slayden" over and over. And then they called my name again to go back to the surgery center.

I was lead to my eightieth fourth waiting room of the day. But very quickly they took me back to "get me started". Ummm, no I'm good. We can wait. Thank the Lord, from that moment on everything was handled with exceptional amounts of grace, kindness, and professionalism.

The room was freezing... Like free-zing and they still wanted me naked. Ughhh. My get-up was quite humorous. I had a blue hair net, a ginormous hospital gown, some ugly, itchy red bootie-sock things, and then these nude tube things. I had to ask what those were for. Supposedly they are compression socks. Ohh, I know all about compression socks, DVT runs in my family. These were compression socks for Sam sized calves, I could barely keep them on when I stood. Comical to say the least.

Some sweet lady came in to cover me with a warm blanket (bless her) and start my IV. This was honestly one of the worst parts of the whole thing. I'm scared of needles, but as I've mentioned before, two years of needle pricks is the cure to what ails me. I was only a 5-6 on the panic scale. She chose my left hand and went to work. She wasn't very pleased with any veins even after all the cord tying and stress ball squeezing. She proceeded to rub it and thump it and tie more cords. She finally decided it was good enough and actually got the needle in very quickly. I was SO proud. I didn't scream, cry, or pass out. She started the IV drip and approximately 30 seconds later my vein collapsed! Owwww! It was apparently not salvageable so she unhooked it all and pulled the needle out. I'll admit a tear escaped. She moved on to my right hand but quickly declared that hand to be worse. I'd already had a blood draw in my left arm, she moved in on the right. We had to go through the whole process again. My hand still hurts today: collapsed veins are no fun, I guess.

The anesthesiologist came back and he was so sweet. He listened to my heart, asked for my blood pressure, and asked about my experience with anesthesia before, which is pretty slim. I'm all, "I had my wisdom teeth out, does that count?" He asked if I preferred tropical vacations for my dreams. I informed him that I just wanted to wake up. He smiled, told me he'd take good care of me, and not to worry, and left. Haha, right. I started to feel pretty weepy at that point. I was alone, my hand hurt, my arm couldn't bend, I was freezing, and the man responsible for keeping me alive was talking about the beach. They brought Sam in and I had about .2 seconds to decide if I was going to lose it and cry hysterically or whether I was going to man up. Sam's not big on tears, nor theatrics, nor whiners, so I went with the latter. I dried my tears and blew my nose and held his hand.

All hooked up, waiting to go back,
and explaining my sad little hand to Sam
My doctor came back to see me briefly to make sure I didn't have any last questions. At this point, my brain wasn't even working, so no, just don't let me die and don't cut out my ovaries, were the only things I could think of. He left to get scrubbed up and before I knew it they were ready to take me back. I'm actually really thankful that Sam's not an emotional guy, because I would have lost it if he said more than I love you. A quick kiss and he was on his way out. They walked me back to the scariest room I've ever been in.

The anesthesiologist was there along with a zillion other nurses (what are they all doing during the surgery?), but I was pretty happy to see lots of people. I figure surgery on me should be an "all hands on deck" kind of ordeal. I failed to climb on the table in a normal way and therefore almost fell off, which I'm guessing was their cue to knock me out fast. They all started moving at warp speed: fixing my blanket, putting my legs in these squeezy machines, putting on a blood pressure cuff… the next thing I knew the anesthesiologist asked how I was feeling. I squeaked out "fine" and he said, "well, I just gave you a margarita with salt, so I hope you like beach vacations…" And that's the last thing I remember.

I woke up to a different nurse lady who had the terrible task of dealing with me post surgery. I didn't wake up slowly, as if a fog was lifting, I woke up from a dead (literally) sleep as if a gun shot went off by my ear. She scared the hell out of me. We spent the next several minutes half hour trying to understand each other. I don't think I was explaining myself very well, I'd ask for Sam, and she'd say I can't have water yet. It was frustrating. I felt like I couldn't breath and was a little nauseous until she took the oxygen mask off. Dr. Slayden came to check on me and tell me that I had no endometriosis. I did have two small polyps, which he removed, and a small fibroid, which he left. I was way too out of it to ask why, or how, or anything.

The blood pressure cuff was set to beep and start automatically every five minutes or so. The nurse told me this several times, but my brain didn't seem to be able to grasp this… every time it went off I freaked out. Sam came back eventually and interpreted for me. I was finally aloud to sit up and I started feeling a lot better. I was pretty funny I guess because Sam kept laughing at me… but I guess it wasn't too bad because he never broke out the video camera! I suddenly remembered that I'd seen Dr. Slayden, so I told Sam the news (he already knew). I guess I was hoping for endo, somewhere deep inside, because I started crying when I told him. But then the blood pressure cuff started up again and I lost that train of thought entirely. I started to get kind of panicky about being attached to so many things… IV, blood pressure cuff, pulse oximeter… the nurse finally started detaching me.

I was able to get dressed and Dr. Slayden came to see me one last time. And with that, I was discharged to go home. They wheeled me out in a wheelchair. I guess a lot of people put up a fuss about this because my nurse patiently explained that it's protocol and I had to do it. No arguments from me, I couldn't imagine walking. We loaded up in the car and set out for home.

Recovery has been surprisingly easy thus far. I have a feeling that this is in huge part to the fact that almost nothing was removed. I think the pain most experience must be directly related to how much endometriosis they find, so I was pretty lucky. My incisions are sore and I ended up with sutures because the glue stuff didn't work. I'm sore, but not too bad. I'm already down to Aleve only, so comparatively to people like Erika and Jessica, I got off really easy. I could certainly take the Percocet, and probably feel a lot better, put narcotics scare me. I don't want to get hooked and I don't want to feel nauseated, so for the time being, Aleve is doing the trick.

If you're still reading this, kudos. I just needed to get it all out before the details start to fade in a haze of drugs. And thank you everyone for the outpouring of love, kind words, and prayers. I was truly touched by all of you! I'll be back at a later date to discuss what this means and my thoughts on being endo free, but for now, I'm going to sleep... again.


Thursday, May 2, 2013

Laparoscopy: Impending Doom

Scared out of my mind. That's basically the only way to describe my feelings going into my laparoscopy tomorrow. I know, I'm pathetic. A HUGE percentage of ladies struggling with infertility go through this; I'm not unique. At one point or another, even if there's no "evidence" of endometriosis, unexplained's get hustled to go under the knife. I'm volunteering myself. No one is forcing me, heck, no one is really even encouraging me.

So remind me again why I'm doing this. No, I know why I'm doing this. I'm doing it because I need to know. Everything about us is "unknown" or "unexplained" or "in the gray zone". After this surgery, we will know, once and for all, if endometriosis is playing any part in our inability to conceive. I feel like its pretty much the ONLY thing that I can know for sure. So I've just got to know. I can't march down the IVF road in good consciousness without knowing that A- we did everything we could to avoid it, and B- we're doing everything we can to make it successful.

I feel like the lap is necessary in order to check both those little boxes because A- pregnancy rates increase after a laparoscopy + hysteroscopy + D&C (even if no endo is found) and B- if anything might possibly impede implantation, it will be gone. So I've got to do it. Even if they find nothing... Even if I don't get pregnant right after... I've got to do it for my peace of mind.

But you know the saying "curiosity killed the cat"... Well, I'm being real honest here, I'd prefer not to die tomorrow just because "I need to know". Supposedly only like four people out of every one million who go under anesthesia die (yes, I googled it). I'd really like not to be one of those four. I'd also like to not be one of those poor souls who WAKES UP during the surgery, but can't move to alert the physicians. I'm pretty sure I'd die from fear and panic in that situation anyway.

I'm fully aware that I'm being a tad over dramatic here... Well, what's new? I apparently told my mom I was almost eaten by an alligator at preschool one day. She assumes I saw a lizard. Tons of people my age have surgery. They have an ACL repaired, or an appendix removed, or heck, maybe breast implants. Lots of people have surgery. This shouldn't be that big of a deal. But I'm scared senseless.

On a slightly more positive note, if tomorrow is to be my last day, at least I got to meet Erika! Erika and I have been blog friends for way too long to have not met, but we made it official today with lunch in Downtown Athens! As she has been through the same procedure with the same surgeon, we chatted about all that I have to look forward to (assuming I wake up).

So say some prayers that I survive, that I don't wake up too soon, that I leave with the same organs that I started the day with, and that we get some answers!

Wednesday, May 1, 2013

An Anniversary of a Different Sort

Two years. Two full years of trying to concieve. Two full years of taking my temperature every morning, of holding my bladder for four hours for my afternoon OPK test, of every other day timed intercourse, of blood draws, of invasive tests, of questions and no answers. Two years of trying and failing. Bummer.

May marks our "anniversary" of sorts. We officially threw out the condoms and all other forms of birth contol in May of 2011. No, I don't know what day specifically. I didn't know then that this would be an annual day to remember. I know that it was in May, and I know that it was early May, because my next cycle started June 9th. I also know that it was after Sam finished the Spring semester... that was the deal; he wanted to wait until his second year. Whatever specific day my cycle started is irrelevant. We're here. And it's two years later. And we don't have a toddler. Or a baby. Or a bump. We have NOTHING to show for it.

The truth of the matter is, that two years is small potatoes to a lot of infertiles. Sure, there's tons of couples out there that stuggle for one reason or another, but simple medications like Clomid get them appropriately knocked up and they go on their merry way. Not to discredit those couples in anyway, Clomid's no joke, and no one wants intervention in the baby making process, but for a lot of couples the time between "We can't get pregnant" to "Holy freak out, we're pregnant!" is fairly "short". But for WAY TOO MANY other couples it takes years and years and years.

I'll be honest, when I first started marching down this infertility road, I actually avoided stories of delayed success. If the story started with "we've been trying for two (or three, or four years)", I just didn't want to hear about it. I think I subconcoiusly thought if I didn't acknowledge the long journey some couples have, or the fact that IVF is sometimes required, then those things wouldn't be true for us. Hahaha. Funny, Amanda. On one hand, I feel totally justified in pitching a fit about TWO YEARS of trying to do what a zillion tenneage girls do in the back of their boyfriend's car. But on the other hand, gosh, there are so many women, many of whom I've come to call my friends (though most of them, I've never met) who have been at this for much longer than we have.

With that in mind, the two year mark is kind of humbling. Yes, we've been at this for two years. Yes, they've been difficult and costly years. But the truth of the matter is, we may be at this for quite a while longer. I certainly hope not. I hope I never reach the three year mark. If I do, I hope my status is quite a bit different: I hope my uterus is occupied. But I've come to realize that there may be a year three, or four, or (heaven forbid) five in this process.

It's also kind of a revelation, this two year mark... a coming to terms, if you will. For a long time, lots of people have said things to the effect of "you're not that infertile". I think many people assumed this for two reasons. One, I got pregnant before. I miscarried, but I got pregnant, and pretty quickly after we started trying at that. So I think the assumption is, if it happened once, it'll happen again, because hey, even lightning can strike the same spot twice. And then following that comes the assurance that, "I'm sure it'll stick next time." Secondly, I think a diagnosis of unexplained infertility makes people think I'm less infertile in some way than someone with stage IV Endometriosis or Dominished Ovarian Reserve. Since, the doctors can't find anything, many people assume, there must not me much to find. Well, let me tell you, I've come to feel pretty differently about the whole scenario.

I've come to terms over the last several months that I'm infertile. I know I said that along time ago, but with so many people telling me that "I'm just a little infertile" I was secretly hoping that it was true. Of course there's nothing like three textbook perfect IUI cycles failing to make you go "hmmmmm". But the truth is, if I wasn't infertile, I'd be pregnant by now. Period. End of story. 90% of people (I made that statistic up) manage to get pregnant without ever knowing when they ovulate. A little wine here, a little vacation there, and pow... pregnant. An additional 5% of the population (don't you like these stats?) will get frustrated that the magic isn't working, and they'll do some research. They'll read Taking Charge of Your Fertility or begin testing with ovulation predictors or maybe they'll hit up their OB/GYN and leave with a prescription for Clomid to "get the ball rolling". A few months of actually having intercourse when it matters, and voilĂ , pregnant. And then there's the rest of us. That other 5%. We have sex like it's our job. We have schedules. We know when we ovulate. We don't miss ovulation day. We take a slew of drugs and supplements and vitamin cocktails to induce ovulation, to make bigger, stronger, and just plain more eggs, to create cushier uterine linings, to make stronger swimmers, to make every little thing go like clockwork, and yet, to no avail.

That's me. I'm in that group. My twenty-third cycle is in progress. Simple math tells you I should have been pregnant long ago. I've done two medicated cycles on high doses of Clomid, one IUI on Clomid, two more IUI's on Femara and zero of those cycles resulted in a BFP. Even when we're not going though treatment, we're testing, we're supplementing, we're alternating intercourse days, we're temping, we're waiting. But it's been nineteen cycles since that one, brief, BFP. The two year anniversary is all the confirmation I need... I'm infertile.

So happy infertility anniversary to us! May we never see another one!

Friday, April 26, 2013

Working Woman

Sheesh! You guys, I'm tired. Like crazy tired. Operation "go back to work" has commenced and I'm freaking exhausted! 40 hours will kill you, I tell you! Which is why I've always been a big supporter of four day work weeks (not four tens, just four days. less is more.) I'm also a fan of naps. Spain has got the right idea with the whole siesta thing. Smart stuff!

It did not help that I'm currently commuting to work... forty-five minutes in and an hour and twenty-five out. That makes for a crazy long day. People who commute are insane. There's not really even bad traffic for my drive, mostly just long boring roads. I've got nothing on those crazy people who tackle metro-Atlanta traffic. That stuff is intense. I would freaking lose my mind. I can't fathom the kind of salary that would be required for me to add two plus hours to my day, plus the stress of dealing with the crazies who share the road. I'm thinking double... double, and I might consider sacrificing my sanity. Anyway, the good news is that we should only have another week of this nonsense, well four days to be exact. Next Friday is my laparoscopy (AHHHHHH!!!) and then, the following Monday, I should have a nice little commute within the city of Athens. Lovely.

It also didn't help that I started my period this week. Yep, for all of you out there who thought, "hmmmm, there was an awful lot of good for the Greavu's all of a sudden, I wonder if they are pregnant." Don't worry, you weren't the only ones. I did, in fact, ovulate during that special ten day stretch of wonder, but alas, I'm not pregnant. There's nothing like starting your period on your first day of your new job... oh wait, yes there is, starting your period during National Infertility Awareness Week. Nothing makes you more aware of your membership to the "infertile club" than the start of your twenty third cycle since trying to concieve.

All of that added together makes for one very tired working woman. I'm sure I'll get in the swing of things again soon; I mean, I have done this before, but in the interim, I'm falling asleep each night waiting on dinner. Nice, huh? I thought so. So you can guess what I'm doing this weekend... sleeping. I fully intend to sleep-in Saturday and to follow that up with a nap. Beautiful!

I've also got a LOT of projects going on. Most are kind of silly and frivolous, just some pinterest projects to make the new place look more like home. Plus, Sam and I nabbed a table and chairs off craigslist for a steal of a deal. We're going to refinish them to look a little more like us. I'll display all of my craftiness at a later date I assure you.

So that's it! I'm off to rest and craft, rest and craft, and then rest some more only to grumble on Sunday night that weekends are too short. Hope you enjoy your weekend!

Wednesday, April 24, 2013

Happy Birthday Boo Boo

Happy Birthday Everest!

My precious kitty cat is four years old today. I'm not happy about it. How come she has to age so fast? Why can't she stay young forever? Ughhhh! I'm not ready for my babies to grow old.

Everest is a funny little kitty, and she deserves a spotlight on the blog. Her little younger brother takes the spotlight all too often for his antics. Everest is my second Himalayan cat. I purchased her from a breeder about five months after my first cat, Soo Ming, died. Soo Ming was the BEST cat ever, so I knew I wanted another Himalayan. And we found Everest. 

Everest was described to me as being an eight month old male seal point. Soo Ming was a blue point female. I wasn't too sure about this dark male beast, but I went to see her in Alabama anyway. And she was GORGEOUS! I was scared she'd darken with time, but she has stayed mostly white and kept her "points" clearly marked. Oh, and she's a girl. That's right. I brought her home, took her to get her boy parts chopped off and after opening her up, they found, ahem, the wrong parts. They called to inform me that my he was a she and that she was in heat. Lovely. It's a miracle she wasn't pregnant after running around with all those unfixed show kitties at the house.

Life with Everest is kind of a mess. She came to me already eating people food. The first time I sat down to eat a plate of chicken tenders on the couch, she hopped up and proceeded to step on to my plate so she could get chicken. Boo Boo LOVES chicken. And yes, I call her Boo Boo. Everest was picked out after muuccchhhh debate, but when we thought she was a boy. Changing her name was too daunting, so she's still Everest. My nicknames for animals don't' normally make sense anyway. Soo Ming was call Soo Soo, Sooey, and eventually Tootles. Sterling is most commonly called Turtle. Everest comes to either name. She's smart enough to handle both. She also loves pork chops. One night, when she was about ten months old, I came upstairs to find her ATTACKING a bone-in pork chop. I still, to this day, have no idea where or how she got it from the kitchen through the living room into the foyer and up all the stairs. Like I said, she's a mess.

She's SUPER affectionate. To me. Other people, ehhhh. She likes her dad okay. When the term "scaredy cat" was made, they were talking about her. She's scared out of her mind of strangers, and by strangers I mean anyone she doesn't see everyday. She's very vocal, meaning she meow's at the top of her lungs if she doesn't get her way. She's mostly calm, chill, and lazy. But then all of a sudden she'll have spurts of crazy energy where she'll race through the house and chase Sterling. 

Here are a few photos from over the years:






And here is what poor Everest's life is like ever since we brought her brother home…




Happy Birthday Boo Bear, mommy loves you!

Sunday, April 21, 2013

Join the Movement



Today kicks off National Infertility Awareness Week, or if you're in the know, NIAW. Infertiles everywhere are in the know; e-blasts from organizations like Resolve and our RE's offices keep it ever present in our minds in the month of April. I've been thinking all month about what I wanted to do to mark this week, and I still haven't thought of anything. Sorry, no great ideas here. I feel like I've joined the movement. I feel like I've educated people via this blog and conversations in real life. Sure, I could spend more time being an annoying pest to me representatives on Capital Hill, but it's not really my thing. I guess I could wear a t-shirt advocating infertility, but well, I don't have one. Let me know if you see a cool one.

However, in light of this year's theme and the call to "enhance public understanding", I thought I'd offer myself up to the "public" (i.e. everyone not dealing with a diagnosis of infertility) as your infertile representative. If you have a question about infertility, about treatments, about my journey, or the life of a "typical" infertile, here's your chance. I encourage you to comment on the blog (it doesn't hurt, I promise). I'll do my very best to answer any burning questions you may have.

Also this week is mostly about education and advocation, however I encourage you to do something. If you are not infertile, but you know someone who is, I can guarantee you that a kind word goes along way. So if your friend blogs, leave a comment, even if that's "not your thing", just do it. Tell them you care. If they don't blog, send them a private message on Facebook or an email just to say you're thinking of them. Buy them a coffee (decaf please), give them a hug, send them flowers, buy them some prenatal vitamins. Find some way of telling your friends, that no matter where in their journey they may be on the roller coaster of infertility, that you care, that they matter, and that you support them.

And remember, infertility affects 1 in 8 couples. The odds are that you do know someone who is living with infertility.