OK, I think I'm finally ready to write this one now. I'm not sure why today, but the mood has finally struck me right. So here goes:
Part II picks up after my miscarriage in Sept. 2001. As I mentioned in the Part I post, I bled for several weeks and finally had to have a D&C in October. Afterward, I still continued to bleed for weeks. My obgyn had to prescribe meds to get me to stop bleeding. As a result of all these complications, we weren't able to finally start trying again until January of 2002. At this point, I still did not know I had a problem. Granted, we had been trying for 10 months before we finally conceived the first time. I figured we would have some sex and within a few months, I would be pregnant again (and terrified). In February, we took a little vacation to Chicago to get a break from things. Nothing special, just a long weekend in a nice hotel. We had a nice time and drove back home feeling refreshed both mentally and physically. We arrived home around 8PM and the phone rang. It was my husbands brother. They never call us so I knew what this meant. I ran up the stairs and hid in what was to be the nursery and cried. Sure enough, my SIL was pregnant and expecting in October.
After the miscarriage, the whole TTC (trying to conceive) business got a whole lot more serious. We were timing and charting temps. We were having sex every other day (unless I was bleeding). But, I was still naive about the process. I was no where near the fertility guru I am now. March, April, May, June, July, August, rolled by with no positive test in sight. At the end of August, I went in to see my obgyn for my yearly check up. I complained to him about our TTC woes. He pretty much blew me off stating, "oh, you are young. .. if you did it once you can do it again". He was oh so very wrong! After explaining that it had now been almost two years since we started trying with only 1 failed pregnancy, I got him to relent and sign us up for a first round of tests. We did the tests and he decided that I wasn't ovulating. Mind you, he didn't even know what cycle day I was on when the test were run which make the bulk of the results absolutely useless! He prescribed. . .of course, any IF'er knows what is coming . . .let's all say it together. . .clomid (50mg). Then he sent me on my way with no monitoring at all. AND, he told me to take it on days 5-9 of my cycle with day 1 being the first day of spotting. Ummmmm. . .. hello. . .. I spot for 7-10 days! I wasted two absolutely useless cycles on 50mg and then called the office to say it wasn't working at all. Then I wasted another useless cycle on 100mg. Three useless cycles. . that. . ..made. . . me.. . .. ABSOLUTELY. . . CRAZY!!!!!!! Here is where IF became an obsession.
At this point in this wonderful journey, I had developed two wonderful gifts. #1 - I could pick out other infertiles without them ever saying anything and #2 - I could pick out pregnant women, long before any announcements were made. I started to talk to one woman who works down the hall from me. I was asking very specific questions to try to get her to tell me she was an IF'er because I just knew she was. It worked. She recommended an RE and STRONGLY suggested I make an appointment. At this time, I was an infertility message board junky and had learned a great deal about TTC and infertility. I knew that things weren't going well for us and that I had to take matters into my own hands. Over Christmas break, I called and made an appointment with Dr. H. Then, I got off the phone and cried. I had no choice, I had to admit that I did indeed suffer from infertility.
Our first consultation with Dr. H was in February of 2003. She looked over our file and concluded the same thing I did. . .that the obgyn's test were totally useless. She then gave us a laundry list of tests that had to be done (which I knew was coming) including an HSG. Afterward, my husband and I went to IHOP and miserably talked about whether we really wanted to go through all of this. We felt so overwhelmed and depressed. Infertilty had already taken over our lives for a whole year. We went back and forth for awhile over pancakes and carafes of coffee and finally decided that we would give it a go.
I think the HSG was scheduled in March and I was nervous. For those who don't know, this is where they shoot die up into your uterus and hope it comes squirting out through your fallopian tubes. It is extremely uncomfortable, to say the least. When it was finally my turn, Dr. H was yanking me all around the table with the damn thing. She moved me to the left, then to the right. She was just short of putting one bootied foot in between my legs and giving the instrument a swift kick. I just clenched my fists and tried to count my breaths. It was not the most pleasant experience. Afterwards, I waited in the hall for her to give me the results. I knew it wasn't going to be good. She started with the good news first, "well the good news is, your tubes are open" but then went on to tell me that my uterus was misshapen and had a septum (or a wall) dividing it in half. She said we would talk about it in our next consultation.
It was decided that I would have a laparoscopy. She would make a little incision right under my belly button and right above the pubic bone. She would then insert through my vagina a laser and would laser off the wall, taking care not to laser a hole through the top of my uterus. She would also poke around in there with a camera and take some home videos of my ovaries, uterus, fallopian tubes just hanging out, being lazy no good bums. The lap was scheduled for May and I was optimistic that this would fix everything and I would be pregnant in no time. After the surgery, I was still half under anesthesia and riding home in the car (trying not to puke). I asked my husband how it went since Dr. H didn't talk to me (or at least I didn't remember her talking to me). His response, "we can talk about it later". OK, well that raises a red flag, wouldn't you say. I snapped back, "No, lets talk about this now. . what's wrong". I later came to find out things didn't go exactly as planned. It turns out the wall in my uterus was so long (all the way to my cervix) that she couldn't get the laser in. She also said my uterus was folded in half and attached to my bowels (I later came to find out it was actually attached to itself and not my bowels). I also have severe endometriosis on my ovaries. In the words of Dr. H, "In my 20 years of practice, I have never seen a patient with the problems that you have". Always reassuring to hear! I was even presented to her other colleagues as a case of interest. I became somewhat of a collaborative effort. In some ways, this worked out for me. As a result of my specialness, Dr. H took a great interest in me.
I was presented with a few options, on how to treat this. All of them involved 6 months of Lupron. I ended up scheduling major surgery in August of 2003. During this surgery, she made a 6 inch incision in my abdomen, burned off my endo, detached my uterus from itself, and opened up my uterus and removed the wall. I was in the hospital afterwards for 3 days with an epidural (can you say wonderful!). Then I had six weeks off from work (can you say spectacular!). I recovered really quickly and even Dr. H said she had never seen someone bounce back as fast as me. What can I say, I was determined. The true test was to come in November when a second HSG was to be done. Dr. H's feared that one of three things could happen as a result of the wall in my uterus being so large. #1 - The side walls of my ute would collapse and heal stuck to each other. #2 - The side walls could collapse anywhere from a little to a lot, but not attach to themselves. or #3 - I would still have a smaller and misshapen uterus but the walls would stay out. She never gave me any statistics on my likelihood of getting pregnant. She never gave me pep talks. She was very matter of fact with no promises. To this day, I appreciate that. She said, if #1 or #2 happened, that I could always use a surrogate. My husband and I discussed this, and while we had many offers from friends and family, we knew this wasn't the right option for us.
November finally came and I propped myself back up on that table. .. hands clenched. . .counting my breaths. This time, there was no heaving and tossing of my small frame across the table. I carefully watched the screen to see how the die would outline my uterus. Praying I would see a triangle shape instead of an hourglass. Thankfully, the side walls stayed open. As Dr. H put it, "its not a perfect uterus, but its much better". We were prescribed six months of trying on our own and then IVF.
As you've read in Life Changing Event Part IV - Adoption. We gave up after only a few cycles of trying on our own and moved on to adoption. Many have asked why we would go through all of the effort and the surgeries just to quit. There are many reasons why we moved on. We knew we didn't want to do IVF because of our small chance of success coupled with the fact that none of it would be covered under our health insurance. We couldn't spend that kind of money on something that most likely wouldn't work. We needed more of a sure thing. We also just could not go on with TTC'ing anymore. It was eating us alive. At this point it had been over three years of mostly misery. Finally, we felt at peace with the decisions we had made. Dr. H did make it possible for me to conceive and/or carry a baby if it happened by some freakish miracle (but trust me, we aren't holding our breath). We knew we would not have any regrets. We had gone as far as we could with treatment given our finances and mental health. I've never looked back on these decisions with regret.