With mixed feelings, we went to the fertility doc on
Friday. I told hubs that I would go,
hear what he has to say, with no promises on timing. I don’t know why, I’m just not super excited
about doing all this again. I’m loving
my life right now, and I’m afraid of screwing anything up…
Anyway, we met with the doc, which was actually a new
doc. Apparently the guy that runs the
practice that treated me for the 3 IUI’s, a fresh IVF and a FET is taking a
step back in the practice, and only doing surgeries. So I now have a younger doc, which is
fine. I’m hoping that this should be an
easy process. Hopefully… In the words of my new doc, “If it isn’t broken,
don’t fix it.” We’re going to follow the
same protocol that we followed in the successful FET:
-When AF comes, go in for day 3 baseline. If all goes well, then start BCPs. Take these for about 3 weeks. During those weeks, get a hysteroscopy and
biopsy. He said that both hysteroscopies
and biopsies have been shown to increase pregnancy rates for IVF.
-Stop BCP’s, and then AF will show up again. Day 3 baseline, then start estrogen pills and
patches to build up my lining. Start
baby aspirin and Folgard at the same time as estrogen (for MTHFR).
-About 7-10 days prior to transfer, get intralipid infusion
(for NK cells. Now that I’m thinking
about it, it would be smart to get this tested again, considering pregnancy can
affect NK cells. Ugh. Probably won’t unless this FET fails…). I will need to have this done at home using a
home nurse since the office won’t give me an IV infusion.
-Transfer 2 embryos.
Start Lovenox (for MTHFR) upon transfer.
We talked a lot about the possibility of twins, and how their office is
encouraging everyone to do a single transfer, but given our history (1st
IVF with 2 embryos didn’t work, and 1st FET with 2 embryos made a singleton)
we’re going to try with two embryos. To
be honest, I’m petrified of twins. I used
to want twins, back when I didn’t have any babies. And I still would have loved to have
twins. But now that we’ll have a toddler
when the next one(s) comes along, I can’t imagine going through the newborn
phase with two babies and a toddler. Oh
well, if it happens, we’ll just deal with it.
My marriage may not survive it (only half-joking) but we’ll figure it
out. Right?
-Upon a positive beta, get a 2nd intralipid infusion. Take Lovenox, baby aspirin and folgard until
the end of pregnancy.
-Whole thing is about $5K.
Currently the plan is to start this whole process when AF
comes next. Which considering it’s now
day 25… Ugh.
To say my heart is not in it is an understatement. It’s not that I don’t want another child – I do. And although it seems a little quick, and
some people think it will be too much to handle to have two babies under two
years old, that’s not really the issue either. (Although three babies under two terrifies me…) The real thing is I just don’t want to go
through all this again. The trying
part. The hysteroscopy, and going to the
doctor, and all that crap. Taking
precious days off from work to have the procedures done. The coordination. The wondering, the waiting. And then when/if I actually get pregnant, the
fear. What if I lose another baby? And going through all of this while being the
best mother possible to Alex. How do I
do that?
The other thing that’s distracting me, thank goodness, from
all this fertility stuff, is I’m super into exercising right now. I can’t believe I actually just said that –
this is definitely not normal for me.
But about a month ago, I started the couch to 5K program, but would
sputter around and start and stop for a few weeks. But then I signed up for an online boot camp
run by this program. It started a week
ago, and holy cow! It’s incredible. I work out six days per week, for about 30
minutes a day, but it’s intense. My
goodness it’s intense. It’s all about
interval training and strength training, but using only your body weight as
resistance. There are daily missions,
videos to watch, and written assignments to do.
Because the boot camp is more about the mental issues of weight loss
than it is about nutrition and exercise.
One of the early missions asked us to put percentages by each area that
is causing us to not reach our fitness and weight loss goals: (1) lack of
fitness knowledge, (2) lack of nutrition knowledge, and (3) lack of mental muscles
(your negative voice is constantly feeding you excuses to use to blow off
workouts and eating correctly). Um yeah,
that last one there. About 100%... So that’s what the boot camp attacks – my negative
voice. There are checklists, and online
community support and all that. I’m so
committed, and loving it. Something
about this time is different – I’m finally addressing the cause of my weight
issues – my negative voice.
So one week down for boot camp, and I had my first weigh-in
this morning. Unlike any other week in
my whole life (with the exception of the week I gave birth to my little one of
course…) I lost 4.8 pounds. In one
week! I’m not starving myself – in fact,
I think I’m eating more than ever by following the guideline of eating every
2-3 hours. But I’m making better
nutrition choices. The biggest thing is
I’m dragging myself out of bed every morning at 5:00 am and really working
out! It’s the only time of day that I
can really commit to have the time to myself.
Alex is still sleeping, and I know I can get a wonderful workout in
before doing anything else. It’s hard –
so freakin’ hard. But like the coach of
the boot camp says, if this wasn’t hard, over half of America wouldn’t be
overweight.
This program lasts 8 weeks, and I would really like to
finish it. Or at least get most of it
done. I talked with the doc about
exercise, and I liked how specific he was.
My old doc would say something like “you can moderately exercise.” What is that exactly? This new doc said the exercise restrictions
start when I start the estrogen pills and patches and “You can exercise for no
more than 30 minutes per day, and your heart rate shouldn’t be over 140 beats
per minute.” During the workout
sessions, I’m topping out at 170ish, but with those guidelines, I could tailor
a moderate workout within the bootcamp instructions. But do I want to?
Depending on when the next cycle comes, I may or may not
push off the FET. Hubs thinks we should
start right away, and we probably will.
But if AF shows up in the next few days, or anytime this week, I don’t
know if I’ll be ready to give up this boot camp three weeks from now. I know I won’t be able to sustain an almost 5
pound per week weight loss going forward, but this is about more than weight
loss. It’s about being healthy. It’s about taking back my body after years of
fertility treatments, and pregnancy, and the incredibly frustrating process of
breast feeding. I want to have this time
where I control my body. Every day, my
muscles hurt in different ways, but it makes me so happy. Every painful step reminds me of the time I
spent outside in the dark, running. Or
jumping around in my living room, following an online video. Or forcing myself to do yet another push
up. I’m so proud of myself for getting
myself out of bed and doing this – every day.
It gives me a sense of pride, of accomplishment, that dragging myself to
the doctor for another test, another procedure, never did. I know I’m only a week in, but I’m so
excited, so shocked by the results, that I can’t wait until the next week to
see what happens. What new muscle will I
discover? How much longer will I be able
to run? (I ran for 8 minutes nonstop on
Saturday – this is HUGE for me!)
Yes, I want another baby.
But right now, I want to do this.
I want a better me.