Finished with artificial hormones!

Over the last two weeks, the fertility clinic has been weaning me off all the artificial hormones I have been taking to help support the pregnancy.  As of three days ago, I am no longer taking anything!

The difference is huge!  I feel so much better.  I know part of it is getting past the 12 week scan and part of it is moving into the second trimester.  But a big part of it, I believe, is no more extra progesterone and estrogen.  I'm not so tired, I can focus on work again and my nausea seems to be a bit better too.

What a relief!  The sense of freedom is huge.  I was on them three times a day for 10 weeks!  Had to lay down for 30 minutes after each dose, then couldn't go to the toilet for at least an hour afterwards.  It is so nice to be able to go to the toilet when I want to!!  lol!

I have one more blood test tomorrow just to make sure the levels are ok without any assistance.  Hopefully everything is fine.

.............

Another day has passed since I wrote the above and I'm getting restless now about bubs.  Its been 5 days since the 12 week scan and some anxiety is creeping back again.  Our next scan is in another 5 days when we see the OB for the results of the nuchal testing etc.

I just have to take each day as it comes and trust that everything is still okay.  I look at the photos and videos from the 12 week scan and that helps.  I feel certain things in my body and that helps.

One day at a time, one scan at a time!

Love and light
xx

Follow up test

After a stressful couple of days, todays test results show that our pregnancy is progressing really well!!!  HCG levels have gone from 99 two days ago, to 265 today - they've nearly tripled!!

I am SO relieved!  We are still pregnant!

It's been a tough two days.  Once the initial excitement were off, I started worrying.  Please, please, please embies, keep growing, snuggle in, HCG levels keep rising.  I've been so scared.  I've been really trying not to but it's just been there.  Waiting for these results have been so much harder than waiting for the initial result saying we were pregnant.  It felt like there was so much more at stake.

And then I started spotting a little.  The leftover crinone began releasing with specks of colour in it.  Mostly the colour was brown, but sometimes it wasn't so brown.  And then today I started spotting more.  Once again though, mostly old blood.  The times when it wasn't quite brown absolutely terrified me.

And the results took so long to come in.  I was expecting them by 2 pm at the latest.  They didn't come in till 5 pm.  It's been a tough day.  But finally they arrived and I couldn't believe the number.  265!!!

The nurse said not to worry about the spotting.  The crinone release is normal and as long as the blood is old it is all good.  As for the couple of times I felt it wasn't quite old, she said is could be anything.  Implantation blood even.  Shes taken note of it and will follow up on Monday but she said not to worry.  That my levels were terrific.  And we are doing everything that needs to be done.  She said go away and have a relaxing Easter!  Things are progressing well.

I go in again on Monday for a final follow up blood test.  That one should be around 1000 in hcg levels.  So fingers crossed.

A friend said today that I just need to trust.  TRUST.  It is a good word.  A reassuring word.  A word of faith and belief.  A word of confidence.  A word of peacefulness, serenity, love.  I like it.

This afternoon I started wearing around my wrist, the pouch of buddhist prayers my dear friend brought back from Japan with me.  It is the one that I had with me on our wedding day, and I took with me to both the egg harvest and embryo transfer.  It really helped me to settle down a little this afternoon.  And I guess it brought with it Trust and Faith.

It is still on my wrist!

So now I go away with Trust in my heart and soul and know that once again we are progressing well through each step of the IVF process.

A new symptom and some relief!

I had to call the clinic today because, just to add to the list of side effects and things I have to take, I have developed thrush!  I was worried about what that would do to the potential pregnancy and what I could take to treat it.  In the past, the only thing that has worked for me has been the one dose tablet, the creams have never been successful.  However I can't take the tablet, I have to do the cream, so fingers crossed it works.  That means in the morning I do the thrush cream and in the evening the crinone.  Ah, the things we do!!  I was warned it might all be a little messy.  Ooooooo!!

I am just completely relieved that the thrush infection will not harm the embryos.  The nurse said that some women do get thrush as a result of all the hormones we are taking.  I haven't experienced it before so something different yet again for this cycle!  I found it amazing how every cycle has been so different.  Our bodies are just incredible works of art!

It was really good to talk to the nurses today after having the weekend with no contact.  I guess I built up a few questions without realising it because I asked a lot and learnt a lot!

I was relieved to know that the only thing that will affect the embryos is overheating.  Not any activity I do such as housework etc.  I must make sure my core temperature does not get too high.  All the other pains I have been having are the ovaries still healing from theatre and the multitude of hormones - nothing to do with the embryos.  Phewww!  I did suspect that, going on the position of the pain, but it was a relief to hear it from the professionals.

Jane (my fav nurse!) said that I can do all my activities as normal, but as soon as I feel any pain to stop and either not do it, or pass it on to Dave. 

I have been feeling a lot better today and managed a medium paced 30 minute walk this morning.  I stayed close to home, walking back and forth along the streets, in case I needed to come back and I was definitely ready to return after 25 minutes.  I've also done a little bit of housework but found that it stirred up some ovary pain and discomfort and I stopped.

So, its still been resting today and light activities.  I've sorted out my school bag (small suitcase on wheels) so I'm not carrying so many teaching materials and that has left me enough space to put my computer in the suitcase.  One less thing over my shoulder.  I will get Dave to weigh it tonight and make sure it is not over 10 kilos - the limit the OB said I should lift.  I only have a short day tomorrow, so that will be good.

I feel a large sense of relief at what I have learnt today.  My babies are secure and safe and hopefully continuing to grow and flourish.

Love and Light
xx

Post Theatre

Theatre went well yesterday.

Aside from the anaesthetist who, upon having trouble getting the needle into my hand, tried to put it into my wrist instead.  The pain was excriating.  He then gave me gas to relax me so he could try to get it into my other hand.  Of course I was even more tense after what he had just done to my hand and wrist!  And I hated the gas as well.  It was awful.  But finally the needle went in the other hand.  Why he didn't try my other hand first before trying my wrist is beyond me.
 
When I woke from theatre the only pain I had was the excriating pain in my wrist.  My abdomen was fine!  I couldn't move my arm at all without agony.  My wrist was iced by the nurses and a cream put on it to try to bring out the bruising and encourage faster healing.  Today it is better, but I still need to be careful.  I can type in short bursts (this post is taking a long time to put together!), but I can't undo bottles/jars or do up my bra!  I made sure to get dressed before Dave left for work so he could help me  :)  So, no permanent damage to my wrist thank goodness.  Just a really nasty bruise covering my inner wrist and a dark red blotch where the needle went in.

We got 7 eggs which the OB was happy with.  I was hoping for 8-10, but 7 is still good.  After all, we only need one good one!  Of those 7, one was immature and one didn't fertilise.  So we have 5 embryos starting to grow!  Fingers crossed they continue to grow!

Wednesday I start the Crinone (progesterone cream).

Thursday I start aspirin 100 mg and Clexane 40 mg.
One of the results of my multiple blood screenings was that I have a problem with blood clotting.  I don't know what that means in regards to my overall health, I will investigate that further later on.  But in regards to pregnancy, it means that it can be more difficult for implantation to fully take hold.  So, I will be on these two drugs until further notice.  The clexane is another daily injection - just great!  Not!

Friday we go in for the transfer - fingers crossed of course that we get at least one good embryo.

Monday I go into the clinic for a pregnyl 500iu injection.  I haven't had this one before either.  This one helps keep the lining of the womb all nice and juicy for implantation.

And then on Wednesday the 27th, if I haven't started my period, I go in for a pregnancy test.

My OB is pulling out all the stops for this one.  Giving it everything she can.  I'm glad.  Because I really don't think I can go through it again.  Especially theatre.  The anxiety I feel going in there is so high and I so wanted to jump off that bed and say "I'm calling it off, I'm calling it off".  But of course I didn't.

And theatre is still not the end of it as you can see from the list above.  I'm tired of being poked and prodded.  I'm tired of feeling so many array of emotions and physical symptoms.  I'm really tired of injections.  My coping skills are really struggling with that one.

Please, please, please let this one work.

Feeling Good!

My blood tests results came back very positively yesterday.  My FSH levels are exactly where they need to be in order for the IVF drugs to work their best wonders.

I gave myself my first injection last night with no problems.  I was so worried about going through these next two weeks without Dave.  In fact 24 hours ago, I would have said I wasn't coping.  But something shifted during the day yesterday and I feel great!  Don't ask me what it was.  I wouldn't have a clue!!!

I'm feeling really, really positive about this round.  I know that can be a dangerous place to go when the let down can then be even bigger, but I don't care!  I'm feeling really good about the possiblity of being successful this time around and I intend to go with this feeling!

So many things seem to be falling into place at the moment. 

One - The freakiest one of all is the level of syncronicity between my kinesiologist and my therapist.  Everytime a new things come up with one person, it is also comes up with the other.  It's crazy!  And I love it!  I feel like they are working together.  And I really believe that I have been led to both of them at this time in my life.

I feel like there are some really significant breakthroughs going on in my pysche and that I am finally beginning to take some small steps toward releasing some long held patterns and issues in my life.  And to be doing that just before a baby comes along, is simply wondrous.  I have always wanted to be in a place where I am not passing on to much "garbage" to my child.  So that they don't inherit and have to deal with all the difficult things that I have had to.  We bring so much into our lives that need healing as it is, it would be nice not to give my child all my "garbage" on top of that as well.

Anyway, it is just baby steps, but I'm feeling so good about it all at the moment.  It is giving me the feeling of the timing being just right.  And that, as I let go and heal from my own issues, I will be a much better mother.

Two - And then there is starting to babysit my great nephew every week.  My maternal instincts have been switched on with him and I am loving the role of being his caretaker once a week.  I love it more than I thought I would and it just fits me to a tee!  It's made me more excited about being a mum.

Three - Without my intending it to be, my work hours have dropped quite a lot this year.  I have more time, less stress and I am beginning to love my life once more.  I am certainly enjoying work more which is just wonderful.  In fact, I could even begin to say, I'm starting to love it again.  I haven't been able to say that for years!

As a result, I am beginning to enjoy my home life more.  I'm getting out into the garden, I'm keeping up with the bookwork.  I'm back to regular exercise.  I'm not feeling this constant pressure to have to keep up with everything because I have more time to achieve what needs to be done.

I am grateful to be in this place now, after two months of really struggling.  Thank you!!!

-----------------------------

A truly happy one for today! One of my favs of Dave!

Here we go!

Day 1 today.  Here we go on Round 4!

I must admit to being extremely nervous this time around.  Mostly because Dave is not here.  He is away until the end of next week, so I am doing the first two weeks all by myself this time.  Injections, emotions, tiredness etc etc without his support.  I know he would rather be here with me, but he can't.  And I am scared.

I've gone through so much all ready this year.  It was good for a while to be able to grieve in my own space without him here, but after a while it became difficult to go through it all alone.  My friends have started calling me a "wine vintage widow".  It's been full on for him this season.  I've never seen it like this.  But hopefully all the hard work, the stress and hours on the road will pay off. 

I start this round with Day 2 blood tests tomorrow.  We are testing for the usual FSH, Prog, E2 to see how effective this round might be, but also for HCG just to make sure I'm not pregnant.  Not that is really any chance of that and the start of this period feels normal, not the like the last time when it turned out I was pregnant.

I go to the clinic tomorrow to pick up the drugs and we will sort out the rest of the dates.  I begin taking the puregon tomorrow.  This time, the OB has increased the dosage to 300 in the hope of getting a few more eggs, but not enough that I will get ovarian hyper stimulation - it's all such a fine balance!

Wish me luck!

-----------------

Today's photo - one of the fun ones!

Another brief pregnancy

Following on from conceiving after we got married and not succeeding with that pregnancy, I then proceeded to conceive again the very next cycle - on our honeymoon!  That also would have been a good story - but was also not to be.

This loss was so much harder for so many reasons.  Two in a row.  And also this one went for longer and started with a little bit of hope.

My hormone levels were monitored right from the moment I knew that I had implanted.  The first two tests gave us some hope.  But more importantly this pregnancy FELT different.  I felt as though I had a little life growing in me, I felt a connection, a prescence.  It might sound strange and I don't know what other women have experienced in that regard.  But I felt something completely different to the other two times.

So when we got the third blood test that showed that things were progressing as they should, we were so disappointed.  For another three weeks I was monitored.  The pregnancy kept hobbling along with no real progress, but my hcg levels kept rising just a little bit every time.  However, instead of doubling every 2 days, I would only go up my 20.  By the end of those three weeks, instead of being in the thousands, I was at 180.

And then I started bleeding.  And I shut down.  Even now, I am still struggling, but I'm better.  I lost any interest in anything.  I stayed home, didn't do anything, watched TV.  Every now and then something would grab my attention and I would be so glad to do it.  But for the most part, there was nothing.  Not even any tears.  Just nothing.

I was grateful to be on school holidays and I didn't judge myself for my behaviour.  I just let it all happen and allowed myself to respond in whatever way I needed. 

I bled for a week, then a week later I started bleeding again.  It was old blood that still needed to remove itself.  It was unpleasant.  And has nearly lasted for a week so far.

This loss has hit me hard.  I finally cried about it a few days ago.  Even now, writing this, the tears are welling up.  We were so desperate to start an IVF round in November last year.  To grab those eggs of mine before they got any older.  To be assured of getting a good embryo to transfer.  Now, two natural invalid pregnancies later, we are still waiting and my eggs are getting older.

So this cycle, there will no unprotected sex!!  It helps that Dave is away for most of the month with work!  And we will try for our fourth ICSI round next cycle.

I have had copious amounts of blood taken and am being tested for all sorts of things, including the antiobodies that can cause miscarriage.  So far all the tests have come back healthy, but the antibodies test takes longer to come in.  It could be a few more weeks yet before we now that one.

The positive thing in all of this, is that my body is trying to get pregnant.  We went three and a half years with only one pregnancy in that time and now...  two cycles in a  row, I have conceived.  Something has changed. 

• I think a lot of it has to do with having the polyp removed from my uterine wall last round.  
• It is also the prayers that were being said for an entire month by the monks in Japan which my beautiful friend organised for me on her holidays.  
• It could be the kinesiology sessions I have been having and the counselling sessions that are matching up with the kinesiology in a way that is just a little freaky.  
• I also like to think it's because we are married now.

Whatever the reason, it has given us, and even my doctor, a little more hope that if we can just find the right embryo, things will turn out well.

IVF

And so it begins…

We got all the IVF drugs today and will start our first round when I get my period in a few days.

To be absolutely honest, I am absolutely terrified.

I am going through a tough patch now, just with my life.  I am terrified about throwing this into the mix as well.  How am I going to react?  Will it be too much for me?  Will I lose the plot?  Will I end up in a full blown panic attack and in hospital?  That maybe an overreaction, but it is a thought that I truly and honestly feel all the time.

First thing is, I need to try and get on top of things.  I’m just not really sure how to go about that.  Everything I have tried over the last few weeks hasn’t even gotten off the ground.  But from tomorrow and especially from Monday, things need to be radically different.

The nurse said something interesting today.  She said that for every negative thought we have, we need 6 positive thoughts to counteract it.  Which roughly would mean I would need about 200 positive thought a day!  LOL  and a , but true.  It shows just how powerful our negative thoughts are.

She suggested starting a list of positive things to do, when the negativity / despair etc descends.  So Dave and I have put a little plan into action.  We have a grocery shopping app that links to both our phones.  Occasionally we have fun with it and leave each other messages.  Dave is going to do this for me now.  He is going to leave me positive, fun messages to try and help me through this phase I am in.  That in itself is a wonderfully positive thought!   

As for me, I need to find my own list.  I need to remember that this IVF thing is the most important thing in my life and I need to battle my inner demons with love and positivity in order for things to go well for me, for us and for our future baby.

Here goes!!

Day 1

It’s Day 1 today.  I’m still having those uncomfortable uterine pains which I relate to my last pregnancy, but upon googling others experiences of post-miscarriage PMS, it all seems fairly normal.

It can take 3-4 months for the body to return to normal.  Until then, the symptoms can often make you feel as though you may be pregnant again.  Which is exactly what I am experiencing.  It is quite different to my usual PMS and period pain.  For me, as with some other women who have written over the net, I am experiencing lower back pain, cramping which is more like a constant dull ache or stretching sensation, nausea, mild breast tenderness and tiredness.  All of which, can be symptoms of pregnancy!  It can all be so confusing!

Last cycle, I began experiencing these things right after ovulation.  This time, they started about a week ago, along with a mood change of feeling quite sad one morning, which is a common PMS thing for me. 

The positive thing is that this is a 30 day cycle.  Having always had irregular cycles - , they can be anything from 30 – 36 days - having a 30 day cycle is a good sign for me.  I still have the hope that having experienced a pregnancy, my body has been reminded on what it has to do and is making the changes already.

As for what to do next, I have had enough of waiting to get pregnant.  I’m getting in with the OB asap!

Feelings after an early miscarriage

The thing with an early miscarriage is that you don’t get a chance to connect with your child.  A pregnancy that just never took, means that there was never a heartbeat, there was never a chance to feel your child, to really know that he/she was there.  You go through the early pregnancy symptoms - sore breasts, abdomen pains as ligaments start to stretch – but you never get to the morning sickness because your HCG levels never got high enough.   The pregnancy failed long before it ever really got started.

When you find out you are pregnant, you get so excited at the prospects that are ahead of you and you start to plan.  But you never actually get to the stage of putting any plans into action, because it ended all too soon.

And you realise that you never actually got your child.  The fertilised egg that you made didn’t go anywhere.  Your HCG levels never even got into the thousands.  There was no chance.  And you realise that you aren’t actually feeling the loss of a child, but the loss of the potential of a child for which you have longed for so long. 

And then you become scared that you won’t be able to get pregnant again.  And that if you do, you won’t be able to hold on to the next egg either and you will have to go through this all over again.  Or that maybe you will get further, maybe you will get to hear a heartbeat only to have to go through even greater grief of losing the growing child that you did begin to connect with.

So where does that leave me?

It leaves me with the only thing I can do.  To once again hand it over to God.  To accept that I cannot possibly understand the spiritual plan of my life.   To accept that there are never any answers.  To simply believe.  To be patient.  To trust that what is meant to happen in my life is happening and we are exactly where we need to be right now.  And to continue to slowly heal.

A Four Month Update.

It’s been 4 months nearly since my last post.  Hard to believe.  An update has been in order for a long time.  My desire to document our journey so that our children can read about it one day, if they wish, is still there. 

But our lack of success and our need to take a break from it all, saw me steer clear of all blogging of any kind.

Now, due to the summer break and some thoughtful emails and comments from some blogger friends, I find myself back here.  Thank you.

There isn’t a lot to report. 

Upon mutual agreement we stopped seeing Queen Naturo and King Acupunc for fertility treatments.  They, and we, felt that what could be done by them, had be done and I was so ready to stop for a while.  Therefore the next step is IVF.

I have a second naturopath I see from time to time who has helped with my hormones greatly over the years.  I went to see her first before deciding to see QN and KA.  So, I went back to her just because I had to try.  I don’t have my hopes up at all and its been nearly three months now.  So, this is telling time.  They always say it takes around three months for the herbs to really make visible changes.  I’m hopeful.  But I’m not holding my breath.

We are both really disappointed that the very thing that brought us together, helps up in so many other ways and that we both believe in wholeheartedly has not helped us to become pregnant.

I finally told my Mum.  She was good about it and while she would prefer that we were married first, she understands our decisions and supports us.  And is actually a bit excited for me, as it turns out!  The most significant discovery however, was that her and Dad went through the same thing, with the same problems. 
Obviously, I always knew that there are many years between my two older brothers and myself and many years between them, but I didn’t give it a lot of thought. 
Mum and Dad went through the same procedures D and I are.  The tests, the questions, all of it – with the same result.  Unexplained infertility.
Which most likely puts it on my side!  And I wonder if Mum had the same problem as I seem to have with a lack of ovulation…

The last three cycles, I have tested for ovulation in THREE ways – basal, saliva and urine testing.  There has been no sign of ovulation with any of them.  You would think that if I was ovulating, ONE of them would indicate it.  I really wish the fertility clinic had just given me the clomid and been done with it.  But they wouldn’t because the blood tests indicated that I was ovulating.

However, our waiting period for the private hospital cover has completed now and we are able to go through the private system picking out our own OB.  We have a name a friend and nurse recommended, and when the time is right, this is the way we will have to go.

However, my mother is still in hospital after having surgery for bowel cancer.  She went in the week before Christmas and hasn’t been able to come home.  While the surgery went well and they believe they have gotten all of the cancer, there have been post-operative complications.  Physically, she is recovering very well.

But she has had a reaction to either anaesthesia or the medication she was given and is suffering from confusion and delusions.  It has been a very traumatic time for her, and for us, and we don’t know how long it will last.  As a result of this, she is also unable to handle the stoma she needed to have in order to allow her bowel to rest and heal. 
Dad doesn’t cope without her. They are both 80 years old.  He suffers from depression and, on one hand is handling it well, and on another hand is a mess.

So, there is no way that I can possibly face going through IVF until my parents are well.  It is hard enough being on holidays and dealing with it all, let alone back at work, supporting my parents and handling IVF treatments.

So, everything is hold for now.

Making room for bubs (and updating!)

 

Hi all!  Sorry I haven't been around much or kept up blogging - both posting and commenting.  There just doesn't seemed to have been time in my head for it!  But I have really appreciated the comments I have received and have enjoyed quick catch ups on your blogs to see how things are going for you.

One of the reasons that there has been no time, is that we have been tackling some major projects around the home - clutter clearing, organising, building, gardening - all outdoor projects which is an area we haven't tackled since D moved in.  See my other blog - Creating Peaceful Thoughts- for all the details!

The clutter clearing and building in particular, held a lot of significance for me in regards to our conception journey, because I saw it as clearing away lots of rubbish in order to make room for bringing a new life into our home and lives.  And the building of a work area in the carport was like adding a new room to our home and saw us becoming more efficient both inside and outside the home with more clutter clearing, organising and creating of space.

The process is continuing with much more still to do.  And each step forward always signifies to me, more space in our lives for bubs to come in.

That was one of the really positive things that has happened and is still happening!

This, plus so many other little signs last cycle though, made me really hopeful about a positive result.  I was sure that we were finally going to conceive.  So, when my new cycle began, I was so upset.  It was the first time I have really truly cried over a new cycle.  And it occurred just as we were about to go away for the weekend and with visitors!  Oh dear.  Somehow, with D's help and support, I managed to get through that little episode secretly with our visitors none the wiser, and a wonderful weekend away!

However, the positive thing in this new cycle is that the length was back down to 30 days.  I haven't had a 30 day cycle since before we started trying a year and a half ago.  It always takes around 3 months for new naturopathic meds to really kick into the system and it has now been that long since Queen Naturo put me on new hormones. 

I truly believe that my system is balanced so much better and more ready to conceive - a 30 day cycle is awesome for me.  A few weeks ago I was all ready to go see my other naturopath for a second opinion (who I haven't seen at all since the journey began), but this has brought my belief back again to the awesome duo that I have my faith in.

It also means that I once again, have such hopes for this cycle.  A blessing and a curse all at once!!

More updates:

**  King Acupunc has become more gungho about getting us pregnant after going to yet another fertility workshop.  He came away equipped with more ideas, more specific points to needle me, and with lots of charts for me to fill in!  I appreciate this passion he has to ensure results and hope it works!

**  Mr. Ayuveda is continuing to help me, this time working with my own feelings and instincts on what is going on for me.  Every now and then I turn up at his door with such a clear image on what is wrong and when it is that strong he is able to get a clearer picture himself on what is needed.

This week was all about helping my soul to find my body.  I have been feeling so strongly that I am living outside of my body, up in my head.  And I think it has been this way for a long time, which is a big reason for my struggles with weight and food addiction.  Before I saw him, I managed for split seconds every now and then to be able to become grounded in myself.  And every time I did, for that split second, the food cravings would disappear completely.

Now, after his session, I am able to ground myself and feel centered for longer periods, which is really helping with healthy eating and feeling more peaceful.  Which in turn, will help us conceive, I'm sure!

Test Results

I’m really please with my test results today.  In all but one area, excellent improvements all around.  And the one area where there was no change, has given us a focus on what we need to work on.  I feel really encouraged by this!  I’m glad that so much has improved.  And I’m glad to know where the problem is and that there are solutions.

My homocysteine levels have improved dramatically!  They are now the best results she has ever seen.  If your homocysteine levels are too high there is a risk of miscarriage and down syndrome, so it was very important to get these levels down!  Queen Naturo would have been happy if these levels had dropped to around 7.  But mine are at a specy 5.5 (range 5.0 – 15.0)!

My testosterone levels have also improved, going from 156 pmol/L down to 121 (range 24-137).  She is happy with this!

My progesterone levels were okay, she said and did increase in the second test 2 days later.  A good sign!  But they need to be better and will be, once my oestradiol (oestrogen) levels are fixed.  This is where the problems lays.  Progesterone levels will improve once my oestradiol improves, so Queen Naturo is now no longer worried about the P4.

My E2 levels were the same as they were 9 months ago – at 2 pmol/L.  (Range – 6-14).  They are way too low which indicate that, at least for last month, I didn’t ovulate.  Oestrogen is what drives the release of the egg.  Without it, no ovulation.

I am actually really happy with this.  I was worried that the results would be fine and it would all be a big mystery, just as it was at the fertility clinic.  But instead, we have some focus.  We have an area that isn’t working and we have treatments to get it working!

I started taking progesterone tablets just a couple of weeks ago.  These will help me hold a conception.
And now I will begin taking tablets to help increase the E2 levels and encourage ovulation.

The two together should do the trick!  Fingers crossed!



On another medical note, my arthritis has flared up hugely this week.  Worse ever.  Both King Acupunc and Queen Naturo believe the weather is a large factor.  It has turned cold and wet here this week.  She has recommended some new tabs for me to take.  However, I haven’t been able to find them in store.  They are a new release to the over the counter market. One chemist, though, was able to give me the name and number of the agent that supplies them.  So, a phone call to her will in order tomorrow.  In the meantime, I have some cream – Traumeel – to rub into the joints.

I’m feeling so much more positive and hopeful now than I was yesterday!

Homocysteine – 5.5 umol/L (range 5.0 – 15.0)

Oestradiol (E2) - 2 pmol/L.  (Range – 6-14)
Progesterone (P4) – 306 pmol/L increasing to 407 2 days later (Range 140-520)
Testosterone – 121 pmol/L (range 24-137)

A new beginning

I don’t know what it is about today, but it feels like the start of a new day!  I feel good, I feel at ease and I’ve put my first smiley face on the calendar.  Thanks Anita!

I feel unconcerned about the usual problems that hammer away at my head and soul.  They feel inconsequential.  I feel light.

So why I am writing about this in my conception blog?  It seems more appropriate to be writing it in my creating peaceful thoughts blog.

Because I think it is all because of my large progesterone number.  I think that seeing actual prove of my P4 going from 2.2 to 45 in just 6 days, gave me confidence and belief in the fact that I am ovulating.

The night before, I was going through all the tests results from the fertility clinic and saying to D that it didn’t make any sense.  There was nothing in there to indicate ovulation.  I had one P4 that was at 26, but that is just scraping in at the barrel.  I was annoyed, I was angry at the OB diagnosis that I was ovulating.  “Where is the indication of it?” I was saying. 

I looked back over my posts to match up dates with what I written about the appointments.  After my first appointment, she had me take 3 P4 tests at two day intervals.  It was from these that she first said I was ovulating.  There was only one result from those tests in the file and it was only a 13.  What was going on?

I realised that this one was probably the last of the 3 tests and perhaps the others were of a higher level.  “I must get the other results to see”  I thought.  “Surely they will make sense of this.”

I was disappointed with my OB.  She had done nothing for us, no help, no meds, nothing.  I was very grateful for the results of my HSG scan and D’s sperm analysis. I was very grateful at how completely willing she was, with no hesitation, giving me copies of all the results.  I didn’t even have to sign anything.  That was terrific.  I was also very grateful for the clear and more in depth explanations she gave us of her findings.  But no assistance.

Yet, on second thinking, it is probably a good thing.  The drugs that I would have been pumped with would have caused so many side affects and go so against our belief in staying away from artificial things.  We may yet have to go down that path, but for now I am happy to be still be trying naturally.  Especially now that we now know we are basically ok.

On insisting I have a second P4 test on Tuesday, so past the usual date for doing these things, our OB resurrected herself in my eyes!  Such wonderful instincts!  For that, I am SO SO SO SO SO SO grateful.  Ecstatic!!  Thank you, thank you!

Because now, as a result, I feel terrific.  I feel renewed.  I feel happy.  I feel clean.  I feel light.  I feel bright eyed.  I feel more confident.  Within my underlying self, I feel better than I have in many months!  Thank you 45.  My new favourite number!  Thank you OB and the fertility clinic.

Today’s Results!

I’m back from the fertility clinic.  D was able to come which was great.  I really wasn’t expecting him to be able to make it.  It is vintage here in the Australian wine industry so it can get busy and demanding for him.  I’m grateful that today was a light day.

The doctor was a lot more explanatory about things this appointment and talked about previous results with more detail than before.  It could have been because it was like an overall summary of everything that can and has been done before the IVF decision is needed.  Or it could have been because she had a medical student sitting in on the appointment.  If this was the case then I am very grateful!  It meant we got a clearer picture on things than we have in the past.

HSG SCAN

The HSG scan showed that my tubes are all clear – no blockages!  Good news.  The pain that I had was probably from muscle spasms.  The results said that my “…tubes were slow to opacify [which can be caused by spasming, so that makes sense] but with time, contrast was seen to enter the peritoneal cavity via both tubes...”  Contrast being the iodine and opacifying meaning that the tubes and uterine cavity looked white on the image from the flow of the dye.  In summary, both tubes were clear and the dye spilled right on through!

I asked her if the scan showed anything else and she said no.  Some research I came across said that scan can be used to show fibroids and endometriosis.  I did ask if it showed cysts or anything else and she simply referred back to my pelvic scan.

 

SPERM ANALYSIS

When she first got the results of D’s sperm analysis, she simply told me everything was fine.  Today, however, was more detailed.  Whether the fact that D was there this time made a difference as well, I don’t know.  However, she said that his sperm count and motility was good, but his morphology (sperm shape) was lower than average at 25% instead of the average 30%.  While she said that this is fine under normal circumstance, it could make a difference if we choose to do IVF.   

Her concern in regards to this, was combining it with the fact that I’m over 40.  Sigh.

PELVIC SCAN

She also gave me more information in regard to my pelvic scan from several months ago.  There was a follicle that shouldn’t have been there at that stage in my cycle.  She was unsure what it was about but believes that now that my cycle seems to have settled down and regulated a lot more, it is something we no longer need to worry about.

Of course, what was never mentioned was why my cycle has settled down over the last 6 months.  She is not even questioning it or wondering, which considering she hasn’t given me any medication, you would think she would be wanting to know why.  I wonder if in her head, she is even thinking about the fact that I am seeing Queen Naturo and it is her treatment that is working!!

 

OVULATION

My progesterone test from this cycle only 2.2, indicating that I haven’t ovulated this cycle.  This is a figure more likely seen in the follicular phase of the cycle, so she got me to take another P4 blood test for today.  She wants to determine whether I haven’t ovulated or whether I have ovulated late and may just end up having a long cycle this time around.

I’m due for my period on the weekend, so the results of the test will let us know what to do if my period hasn’t come by Monday.  Ovulated – wait another week to see.  Not ovulated – wait another week to see.  Oh yea, the same action either way!!  :)

All in all, she believes that I am ovulating enough to not warrant taking clomid - that it is normal for a woman my age to not ovulate every cycle.  She believes that the affects of clomid could actually disadvantage us at this stage.  I can’t remember everything she said, but something to do with clomid possibly causing problems with implantation.

NOW WHAT?

This clinic doesn’t do IUI, so if we wanted to go down that path, we would have to go somewhere else.  She has given us information about IVF and sent us off to read it over and discuss what we want to do.

However, we are already decided.  We are going to continue with the natural path for the rest of the year.  Queen Naturo is ready to do the saliva tests again to see how much improvement there has been since she started treating me and to see where to go next with natural therapy.  I have a copy of most of the results from the clinic which I will take to QN for her to look at.

We both believe that by following this path, we will conceive.  So much has improved over the last few months with my statistics.  If by the end of the year we aren’t pregnant, we will look at it again.  Also by then, our years waiting period with our health fund will be over and we will be able to go into the private stream, with our choice of doctors and clinics.  And that’

s really important to us as well.

We know we don’t have a lot of time on our hands and the doctor was most encouraging that we start sooner than later.   But I really don’t want to go down the IVF path.  We truly believe in natural therapy and the 100% success rate from the natural therapy clinic.

CONCLUSION

We have achieved what we set out to do by going to the fertility clinic.  We know that we are basically okay and fertile.  There are no blockages, no abnormalities.  There is some concern over the regularity of my ovulation but she believes that I am ovulating.  D’s sperm morphology is slightly lower than the norm but also fine.  We are functioning!

Now we do all that we can in the natural medicine realm for the next few months. 

 

Postpartum Depression

I was doing a lot of browsing yesterday on over 40 pregnancy and over 40 mums.  I must say, if I wasn’t a glass half full person, I would be mightily depressed and unhappy right now!  Postpartum Depression, exhaustion from lack of sleep, not being able to bond with baby, not knowing what to do etc etc. 

Fortunately I also found quite a bit of good stuff!!  In particular from a series of books by Elizabeth Pantley.  I highly recommend going to look at this site and downloading some excerpts.  She has some great, stress-free, calming ideas!



It was the postpartum depression material that has kept me thinking over the last 24 hours.  Depression is in my family genes and I’ve had more than my share!  And it seems that PPD is more prevalent in over 40 mums. 

I read excerpts from Brooke Shields book Down Came The Rain.
I read about the changes in biochemicals that occurs both during and after pregnancy.
And I read about how over 40 women have become so established in their lifestyles and careers that the life altering changes and loss of independence that come with a baby, have the potential to bring on PPD.

Flower Power Moms blog post about postpartum depression was most interesting.

          “McCabe goes on to point out that the likelihood of increased anxiety for older mothers during pregnancy is exacerbated by the medical establishment—a process that augurs an uncomfortable ride after birth and a lack of postnatal bliss.

“This group is also put through a lot more medical intervention—many more tests may be performed and there are often suggestions of abnormality in the baby or danger for the mother.””

Fortunately, even though a part of is concerned that I will be susceptible to it, I find myself optimistically not in the least bit worried! 

Firstly, if it does occur, I have wonderful support in both Queen Naturo and King Acupunct who will quickly help to rebalance my biochemcials.  I spoke to King Acupunct today at my appointment and he went “no worries!”

He said that the two biggest causes of postpartum depression were the dramatic changes in biochemcials and also the approach of the new mother to the change in lifestyle.  He said “you are a ‘glass half full’ woman and much less susceptible to it even taking into consideration the depression gene.”  I choose to completely agree with him!  :)



In regards to the change in lifestyle, I am welcoming it.  I have done all that I want to do with my career.  I have travelled, I have soul searched, I have loved and lost and now wonderfully, have loved and won!!  I want this change of lifestyle.  I want to be at home being a full-time mum and taking care of things around here.  I’ve been ready for this change for the last few years!

Also, I don’t have any expectations on what it is going to be like to be a mother.  I don’t have any expectations on what our baby is going to be like.  I don’t have any expectations on what the first few months are going to be like.  This can be one of the traps and causes of PPD.  When things just aren’t the way you wanted or expected them to be.

What I do completely acknowledge though, is the loss of independence.  That one could really affect me!  As well as the complete exhaustion, that will no doubt occur, coming along and taking away my rational thinking that is writing this post right now!  :)

But with the support of natural medicine,
with complete awareness of what could happen,
with the acceptance and welcoming of the lifestyle changes that will occur,
with no expectations,
with my half-full glass,
with willingness to accept help, 
and with the ability to be able to live in the moment and take things as they come,
I am thinking positive and believe that I will be okay even if the symptoms do come and take over for a while.

Live Peacefully In The Moment

The journey continues…

There is a lot to put down into words from the last 24 hours.  Perhaps a couple of posts would the best way to do it.

Last night saw me have a bit of a meltdown.

All of the following things listed – mentally, I know are just fine.  They are all the things of which I have complete mental clarity, understanding and acceptance.  None of them are a problem and they all have either my desire to be doing it or my complete support. 

Yet, my emotions have taken me a different way.  The rolled out in this order:

• The winding down and shifting energy after family left from two week Christmas/NY visit,
• Working out together, that the week D needs to go out of town for work is my ovulation week,
• the results of yet another test,
• the build up of 7 months of taking pills, having tests, getting results, tracking cycles and ovulations (or the lack thereof), going to the fertility clinic, naturopath and weekly acupuncture appointments,
• not being able to lose weight and continuing to really struggle with healthy eating patterns (my lifelong challenge which only adds stress to my desire to conceive)

The consequence of this was a complete switch in my emotions and hormones – chemical changes fluctuating wildly!  And my mental clarity and understanding having absolutely no say in the matter.

D saw something was wrong “Whats wrong, Bloss.  Talk to me”.

”I don’t know” I said, “Maybe it is winding down after having family here, maybe I’m sick of trying to conceive”

And on that, I burst into tears.  Ah, that is what it is.  Now I knew.

This morning I stayed in bed and continued to sleep until midday.  That in itself says a hell of a lot as I can never sleep during the day unless I am sick.  I got up only when I realised that my other naturopath might have my happy pills that I haven’t had for a few weeks.  She did and I went to get them.  A little naturally healthy kick of the chemicals that help mood is in order.

 

She also had another tab that will help with my last test results.  So I came home and worked out how many mg and mcg I needed of B12, B6, Folic Acid and Zinc and worked out what I needed to take in order to achieve that.  I will check it all with Queen Naturo when she returns from holidays.

Being pro-active with this has definitely helped.  I’m not one to want to wallow in these challenging emotions.  I have to acknowledge them, I have to feel them and allow them their natural course, but I will also try to find a way out of them.  I haven’t felt this depth of depression for quite some time though, so it will take some time I think.

In the meantime, after a day of laying in bed and either reading or sleeping, I am ready to start to do one thing at a time, one step at a time.  Right now, I’m going to cut around the stickers that I’ve been meaning to use for a long time.

Next posts – Homocysteine Tests and my new book purchase You Can Get Pregnant Naturally Over 40 by Sandy Robertson.

Fertility Clinic results

I had my second appointment with the GYN this week.   The results are all good. 

• All my hormones were where they should be,
• D’s results were good,
• I have a high egg count for my age,
• my scan was mostly good with some strange follicle/cyst behaviour that doesn’t concern her,
• she says that I am ovulating.

Still no pregnancy!

My naturopath and acupuncturist are really pleased.  They believe that all that we have been doing for the last 5 months is working.  And I do too!  They believe that I have had/still have PCOS, but that the herbs and acupuncture are doing their job and the cysts are gradually staying away.  Queen Naturo also reminded me that a few months ago, my bloods showed that I wasn’t ovulating, so progress is being made!

At this stage, the GYN has no answer, but she does have action.  Over the next two months, I undergo:

• a blood test each cycle to continue to monitor my ovulation.  She wants to look at whether I am regularly ovulating or not. 
  However she did say something really interesting about this.  That the fact that my cycles have regulated over the last few months, is a good sign that I am ovulating.  She said that regular cycles mean regular ovulation!  Once again, thanks to Queen Naturo and King Acupunt.  Because before them, my cycles were all over the place.  Probably why I still have lots of eggs left!!
• And she has also scheduled me in for a HSG scan to look at my tubes.  Once again, it doesn’t sound like a pleasant experience!  But I am grateful to be able to find out whether my tubes are healthy or blocked in any way.

After that, if things are still looking good, then it becomes a diagnosis of unexplained infertility.  From there, we can choose to either continue to try on our own, or take the IVF path. 

If we are very fortunate, a pregnancy will ensue before that time comes!  However, we both agree that in two months, if we still aren’t pregnant, we will continue to work with the naturopath for a little while longer.  You gotta have faith in their 100% strike rate!

I am very grateful to know though, that the GYN will be happy to proceed with IVF.  Issues of my weight did come up, along with the complications it can cause, but it is not enough to not proceed with IVF.  She has simply encouraged me to continue to work on that area.  Like I haven’t been working on that issue every day of my life!

She was really good in this consultation.  You may remember I was unhappy with our last appointment, but it was really good this time.  She was very support and compassionate, gentle and reassuring with all the results.   And only 30 minutes late instead of 90!!  :)

So, I’ve come away reassured by all the test results.

• I believe that, while there are still some cysts I am recovering from PCOS!
• I am not yet convinced on the ovulation thing.  Maybe Baby is still showing nothing and I am not feeling anything myself either.  It is possible though, that Maybe Baby is just not working for me.  And their website also states that it isn’t right for everyone. 
  I am looking forward to finding out the results of continuing ovulation testing and of course, seeing whether or not, I begin a new cycle!

Polycystic Ovarian Syndrome

Last week I received the news from both my naturopath and acupunturist, that they believe that I have polycystic ovarian syndrome. While I have not been medically tested for it through an ultra sound, all my symptoms point to this syndrome.

Obviously, I will get tested for it when I go to the fertility clinic (more on this in a post coming up soon), but the problem with the cysts is that they can come and go and therefore cannot always be seen on an ultra sound. Both doctors and naturopaths acknowledge that is a very difficult syndrome to conclusively diagnose.

Some of the symptoms for this hormone disorder are:

• Irregular menstrual cycles - menstruation may be less frequent due to less frequent ovulation, and may be either heavier or lighter than average.
• Amenorrhoea - some women with PCOS do not menstruate, in some cases for many years.
• Obesity - the cause of this is unclear.
• Excessive hair growth and/or facial hair - may be due to increased testosterone.
• Acne - the cause is unclear.
• Infertility - related to less frequent or absent ovulation.
• Sugar cravings
• Increased LH, lower FSH levels, progesterone is low, testosterone is high.

I have 6 of these symptoms, including the test results. And the three main ones for their diagnosis are the fact that I haven't ovulated for the last 2 months, irregular periods and my higher levels of testosterone along with my other hormone test results. While the lack of ovulation could be my age, when combined with other symptoms they are fairly certain of this diagnosis.

So, treatment has begun to help. Whether I truly have this syndrome doesn't matter in regards to treatment, because what I am being given is all good for helping us to conceive anyway.

One important thing for me to do is cut out sugars. Just like with candida, sugars and high GI foods feed the cysts. Normalizing insulin and blood sugar levels is an essential part of treatment and assists in stimulating ovulation.
I have also started to wonder if it is sugar that is giving me these headaches. I'm not sure yet, but I began to wonder about the link a couple of days ago and am keeping a close eye on it now. Any just maybe, with the cysts and my hormones being treated, any sugar is just freaking out my system.

Several supplements are essential to reduce excess androgens, improve insulin function and hormonal regulation by the ovaries. B vitamins, zinc, magnesium, chromium, Omega 3 oils, Dong Quai. Most of these I have been taking for some time now - especially B vits and Omega 3 oils.

In doing more research on this, I discovered the following definition...

Polycystic ovarian syndrome (PCOS), also known as Stein-Leventhal syndrome is a condition characterized by an imbalance of hormones in women which can affect menstrual periods and ovulation. Women are often very embarrassed and upset by some of the symptoms associated with this condition such as excessive hair
growth, acne, obesity and the growth of small cysts on the ovaries. It is also one of the leading causes of infertility. Because of these distressing symptoms, women may also experience feelings of depression and anxiety.

It makes me wonder how long I have had this condition for. Irregular periods and weight control have been the bane of my life for a long time. And plucking hairs out of my chin and neck began many years ago. Nothing extreme, just a few here and there, but it makes me wonder...

Tempermental Hormones!

I've been meaning to do a post documenting my test results - both the saliva testing through the naturopath and the blood tests through the doctor. However, my naturopath summed it up all too well yesterday. "Your hormones are all over the place!"

And the perfect example are my my E2's (oestradiol). In my saliva tests (Day 21 of my cycle) they were too low. A few weeks later (Day 18 of my next cycle), the blood tests showed them as being too high. No wonder I'm so screwed up!! :):) (other test figures at bottom of post)

She believes that is probably why I reacted with a migraine to the herbs that are trying to change my hormones to a better baby making balance. My usual hormone balance is simply too up and down to be able to cope. So, for the last week I have been on some hormone balancing herbs.

Today I begin taking a gentler version of the herb she believes caused the migraine. I am very scared to do so. I'm debating whether to wait until after our recital tomorrow. I have to be in tip top shape for that and with a cold coming on I want to take my cold mix. I'm nervous that the two together won't be good. And right now, the cold mix is more important.

Okay, what I will do is take the cold mix now, wait a couple of hours for it to sink in. And then take the hormone herbs. Decision made!!

It's interesting see all these crazy results and wondering how my hormones have been affecting my life up until this point. Who knows really??!!

Nevertheless, I am happy to still be grateful and at ease with the journey that we are on. No matter what bumps in the road, we are still living our lives. And while hopefully that will lead to a bump in my belly(!), I am fascinated and grateful for the experiences that we are having and the things that we are learning!


------------------

Footnote:

Blood tests -

FSH - within range

LH - too high

P4 - too low

E2 - too high

Saliva test -

E1 - withing range

E2 - too low

P4 - okay

P4:E2 - the balance between the two is ok.

Testoserone - way too high. Usually a result of insulin spikes. Need to eat low GI, low carb.