The two week wait

I thought I'd get a bit scientific this time and sort of 'chart my symptoms' a bit more.  That will help my mental state, right enough.  I started off feeling the progesterone plummet only 3 days after insemination (3dpiui as those in the know call it). I got mightily pissed off.  I couldn't believe my body was doing this already, and when I was taking progesterone. About 5dpiui, however, that subsided to be replaced by nausea, a poking cramp in my abdomen and headaches that were verging on migraine.  They were terrible and lasted until 10dpiui.  I felt knackered too.  I started thinking that maybe, just maybe, things had turned around.  I recognised all of these symptoms from the last 2 pregnancies.  And then I dashed my own hopes because I also recognised these symptoms from the hundreds of forums I'd read about progesterone mimicking pregnancy symptoms.

I will confess that on CD21, or 11dpiui, I got so annoyed at these swinging symptoms that I just wanted it over and my period to hurry up.  So I took an htp/POAS/pregnancy test.  Of course it was negative so early, until I looked a bit closer and an extremely faint pinkish line could be seen.  I mean, if you held it up to the light it could be seen.  Not that I'm obsessing or anything. So that got my hopes up, although my negative voice was screaming 'its an evaporation line, you muppet.'   However, it didn't leave me any better off really.  I had one day of thinking I might be pregnant, I really might, and then I came home from work yesterday to feel the onset of cramps akin to period pains and horrid dull aches in my left ovary.  Back to square one.  Sore boobs getting more painful by the day, with veins like a road map?  Yes.  Lower back pain?  Yes.  Cramps? Yes.  Peeing frequently?  And so it goes.  I am driving myself absolutely mental, as no doubt you are too if you're up to the same thing.  Of course, all of the above are also signs of an impending red guest, as we know.  I find myself feeling that inner excitement one minute, but after every cramp I feel devastated because I know it's pms.

This is rubbish.  But...I am not going to test again until Sunday, which will be exactly 16 days after my IUI.  My period is actually due on Monday 17th, but no doubt because of the progesterone it won't come until I test negative and stop taking the drug. Oh the joy.  Every one around me is having a normal life (well it appears that way) while I'm waging a schizophrenic vocal battle in my head.  I need to keep remembering that there are no conclusions about symptoms, you just have to wait.  I should write this out, like lines.  You just have to wait...

And now for the science bit

It has been some time since my last blog.  All quiet on the western front while I waited for cycle number 2 post miscarriage.  I reasoned 26-28 days, but no...32 days.  So I would hazard a guess to say that ovulation will commence later again, say Day 12.  Financially it would be fantastic if it were Day 13 so I'm not flying at the weekend and paying exorbitant prices.  I will say this, if you're living in the UK and about to do the Denmark Dash, start in the winter months - it's so much cheaper.  In the meantime, yet more tests and some strange news.

My GP was not satisfied with everything after I continued to complain of fatigue and being wiped out. So liver, kidney, thyroid were all rechecked and all normal, thankfully.  FSH down to 6.2 and Estrogen normal, which has got to be good too.  Now, I have little knowledge of Androgen, but apparently there was a bit of a 'concern' in that department.  The fertility specialist at the GP practice, Dr. M, tried to explain that my level was a little low and this could be a problem sometimes. I don't appear to be producing enough of the stuff that attracts testosterone to it and stops you from having too much. However, as my actual testosterone level is low too, there is nothing to worry about.  So not a man then.  My chin may be doubling, but no beard it seems.  I am not yet hirsute.  Thank. God.  The spreading middle is quite enough.

Nothing else to report really.  Just hanging on in there and hoping for the best.  Slightly apprehensive as to whether I will be able to afford this round and PMS symptoms becoming truly unbearable, but as I have no thyroid problem, no iron deficiency or any other ailment, I have accepted that this is just peri-menopause in all its glory.  Fabulous.

On the up side I will share with you three stories of women past 40 who have been successful.  We all need a bit of a boost sometimes, I say.  So... a woman of 46 who conceived naturally with her partner and had a healthy boy.  That's success story number one.  Number two, a  44 year old woman successful after donor insemination and a bout of Clomid, now 5 months pregnant. And number three, a 43 year old just pregnant with donor sperm and no fertility drugs.  Keep the faith and a full dose of folic acid.

Next post will be sooner rather than later.  I expect to fly between the 15 -18 July for, what will be Round 4 and over half way to my allotted 6 goes.  It's a lottery, but a damn sight more expensive!

And we're off

It was a little grim to say the least waiting for my period after miscarriage.  I had PMS symptoms 24/7 for almost 4 weeks, still had some pregnancy symptoms and felt completely rubbish.  Not to mention snappy.  Finally on Saturday 4 June it appeared.  A nice little dragging sensation in my abdomen and then whoosh!  Heaviest one I've experienced since my myomectomy to remove those excessively large fibroids.  This is where it helps having a good friend who's Matron of the Emergency Gynaecology Unit and Head of Midwifery at a London hospital. Heavy periods after miscarriage, she tells me, are quite normal.  So, with some relief I settle in and wait for step number two - ovulation.  Those of you who've read my blog before will know that I'm a Day 10 girl in that department, but who knows this time around?  I have a huge box of test sticks to insert into my digital test kit and so I'm ready and able to test pretty much every day from Day 6.

So I tested.  And tested, And tested.  Just beginning to give up thinking that perhaps nature had decided for me that enough was enough and then bingo. Today on Day 12, this morning to be precise at 7 am, there he was - the little smiley face.  If I was a religious person I'd thank God.  As it goes I will just thank my body for playing ball. 

I know this seems like a strange decision, but I have decided to wait this month and begin again in early July.  I didn't have to medically speaking, but if I am honest I didn't feel quite right until really recently and I am so sick of being penniless.  All in all it seemed the right thing for me to do.  Not that I've got time to play about with.  However, it would be a waste of money if I'm not physically feeling on top of the world and I quite clearly wasn't. I was suffering quite extreme fatigue, a kind of juddery low blood sugar feeling and had a few headaches. I want my last three chances to be good ones and mentally I also needed to sort a few things out in my head.  It's getting closer and closer to end game for me, but I don't want that affecting my state of mind when I go for an IUI because that creates a Catch 22 situation.  It's all about not putting too much pressure on yourself.  I keep thinking back to the fact that last time I had an IUI, and it was successful, I really didn't feel that bothered or stressed by it because I assumed it wasn't going to work and devoted my energies into finding out about medication for next time.  It's interesting that my state of mind probably allowed me to relax so that it did work.  We have to be mindful how much pressure we do place on ourselves, particularly as we carry that weight alone, financially and mentally and it feels like so much is at stake. We must relax.

I have been trying to relax this past month and I've been on a few dates actually. Before there is any rejoicing about this, they were all disasters.  One guy was a 54 year old masquerading as someone in his forties, another was far too far right of centre for me to entertain and looked as if he'd have apoplexy if a hair was out of place.  I was just checking it all out really and boy am I glad it's not a priority for me right now.  The 54 year old explained, in no uncertain terms, that it wasn't just body clock reasons that men required women to be at least 6 years younger after 38, it was also because 'we want a nice firm body and good breasts'.  I'll just let that comment settle as I'm sure you will be with me in thinking 'excuse me?'  I don't think I even need to comment on his comment, do I?  I am constantly surprised by balding men, weathered men over 40 and their appalling attitude to women of the same age, who actually look a hundred times better than they do! The age dodger proudly told me that he was so relaxed about meeting women on dates now (read for that he didn't give a toss) that he turned up in a cardigan with holes in it. The irony.

I digress. Suffice to say that I am gladly leaving all that behind again to prepare for July's IUI now I know I am still ovulating.  Got the Well Woman Pre-Conception supplements on the go, the exercise plan has notched up to a yoga session, a Pilate's session, 3 spin classes and a body conditioning class and the self esteem is slowly on the way up.  No thanks to the misogynist daters. I have to confess that I have had an alcoholic beverage or two this last month, but frankly I needed a little blow out.  That, however, has now stopped and I'm favouring the nettle tea in place of the Earl Grey.  Difficult for me as I am a total tea head, so I'm actually having withdrawal.  Finally, my sympathetic GP has redone some of my fertility tests and has confirmed that my FSH is still under 10 and that there are no issues with my endometrium, or anything else.  Of course, the fact that I'm still producing a healthy number of eggs is no guarantee that the eggs themselves are any good.  This I know, but at least I can continue on this path for a little bit longer knowing that there is a chance.

Third time lucky

Looks like I won't be needing a visit to that new clinic I sized up, nor will I have to take the proposed Clomid after all. I almost can't believe I'm able to write this but... I am pregnant.  In terms of the internet's best due date calculator I am 4 weeks pregnant to be precise.  I can't quite get my head around it and am still dashing to the loo every ten minutes expecting to see the red visitor.

Around 8 days after the insemination, I knew.  There were only two tell tale signs that were markedly different, given that all cramps, bloating and twangs could be either pms or pregnancy.  The first was this... Normally, 7 days before my period I have extremely intense irritation and snap at the slightest thing.  I describe it as a kind of tummy flip.  I don't appear to have any control over it and when I think back to all my terrible arguments with my last boyfriend, each one was right before my period.  Including our ultimate one.  So when I was 5 days away from my period and felt serenely calm I knew something was definitely going on.  The second thing was a total lack of sore boobs.  Again, these normally kick in around 7 days before my period.  I must have looked like a crazy woman, constantly tapping and touching them for signs of soreness, oblivious to the public.  There are names for people who do that.  3 days before my period I could feel them just beginning to ache, but in a different place. I cried for a whole day as I'd been so convinced that I was pregnant, I couldn't believe it had just been a delayed period.  Just out of sheer bloody mindedness and spite I took a test the next day and I was completely floored by the very faint line that popped up next to the control line.

I took another the next day and another the next, both faint positives.  I was convinced that I had an ectopic or non-viable pregnancy as the lines were so faint.  Why in God's name are my HCG levels not rising?  So I waited another three days, driving my self and my friend, D, truly mental by reading forum after forum.

Finally I tested on Monday, 3 days after my period was due and there it was - a dark line, not quite as dark as the test line, but clear and bold, appearing in 10 seconds.

You'd think that I would be ecstatic immediately, wouldn't you?  And let me tell you I really, really am. But.  And here's the truth. I am now overly aware of (read completely obsessed by) every little cramp, pain and twang and am STILL driving myself loopy. Is it ectopic? It's bound to be. How could it attach to my thin endometrium? What if it has attached to the scars where my fibroids were removed?  It won't make it. I'm 43; the miscarriage rate is 50%. It's inevitable. Aaaaahhhhhh!

Fortunately, for everyone concerned,  I have calmed down a bit and have booked myself an appointment with my GP to get myself in the system.  Finally some professional care that doesn't cost me a mortgage payment.  He can check out my ectopic fear in a couple of weeks and monitor any weird pains, which I seem to have a lot of.

Now, lots of women want to know what you did differently when you are finally successful and I did a few things that may have made a difference.  I will tell all in my next post.  For now, I'm still reeling, hoping that I maintain this much wanted mini-baby and terrified about, well everything really. 

So my parting words for this post?  If a 43 year old woman with a recent late miscarriage, followed by a full on open abdominal myomectomy,  leaving a thin, irregular and scarred endometrium can get pregnant by donor insemination and without ANY fertility drugs, then so can you.  It really is not over till that fat lady sings.

And breathe...

I had a hell of a struggle with predicting ovulation this time round.  What possessed me to do two tests at the same time?  I'll tell you what - a complete inability to believe that new products work. Typical know-it-all Virgo.  So, there I am at 8pm on Day 9 just making sure there's nothing doing before the usual smiley face on Day 10.  I pull off the little pink cap from the inserted pee stick and the whole stick comes out of the test which goes nuts and flashes 'error!' at me.  Ok, I think, let's not panic.  I will drink nothing until 10pm and do it again when the test device has gone back to normal.  And that's what I did.  Except, me being me, I used the old digital test and the new one at the same time,  just to be sure.  Big mistake.  I end up with one smiley face and one blank circle.  What am I supposed to do with that? I ring the clinic and leave a message.  I'm flying out on Day 10 until Day 11 to visit another clinic, so it's not a complete disaster.  Almost as soon as I've done it, I realise I have strong ovualtion cramps and I am overheating like nobody's business.  I am definitely ovulating, but am completely freaked out that it has happened late on Day 9.  In 10 months of testing it's never been on any other day, only Day 10.

At 7am I've checked in at Gatwick and am on the phone to Stork in a state of total confusion whilst wrestling with a Pret-a-Manger Muesli and Granola Pot.  Doubting Thomas here has taken another two tests at 5am with morning urine.  Both negative.  Rising panic.  My abdomen feels fit to burst and I know I'm ovulating.  We decide that I should stop taking any more tests, trust the previous night's positive one and pay attention to what my body is telling me.  And breathe.

Once at the clinic at 1.45, I realise I am super stressed.  The lovely midwife calms me down, plies me with harmonising tea and sets to work.  She confirms that everything looks pretty good in the 'ready and fertile' department, so I relax.  When I'm done with my 'chill out' session after insemination,  I walk 30 minutes to my hotel and crash out in bed for 2 hours straight.  It's all good.

The next day I pitch up at Copenhagen Fertility Centre for my free consultation with Dr Jan.  I've pretty much decided that after 3 failed unmedicated IUIs I must move on.  So, I'm here to find out the possibilities of being treated with meds.  What I discover blows me over.  Not only does Dr. Jan write me a prescription there and then for Clomid, with specific instructions, he beams as he tells me it's 1200DKK cheaper than Stork.  I actually can't believe it.  That's a whole £150!  Back at home I ponder how I obtain the drugs with an overseas prescription.  Pharmacies here can refuse to dispense so I've booked myself an appointment with my GP so he can countersign and while I'm at it I'm asking about Progesterone pessaries.  My lining is dicey and with Clomid it will thin even more.  I'm convinced I need Progesterone to boost that lining.  We will see.

So, back to the aftermath of IUI.  It's day 5 post IUI and I have a strange, lower abdominal dull ache.  A bit like constipation.  Are they post procedure cramps, are they hints of implantation or a stretching uterus?  I know, let's drive ourselves nuts thinking about it!  Step away from Google, Fertility Friends and all medical forums.  After all, I only have two days to wait before my beloved PMS should kick in.  By Day 7 I will have the sore boobs and mood swings if it's not to be, but here's hoping...

The blight of PMS

Well, at 7 days past the IUI I started getting sore and swollen boobs and the blighters have got worse and worse.  I'm already a big chested girl; now Jordan looks like an A cup next to me.  I've had cramps and a sort of heaviness in my abdomen, kind of like constipation, but different.   Not very scientific in explanation, I know.  I am not really sure why my unmedicated IUIs are bringing on such extreme PMS symptoms, and so soon.  I normally get mood swings about 7 days before I'm due my period, but sore and swollen breasts and cramps usually only 3-4 days before.  Now it seems that I am suffering for a whole 9-10 days!  Grim.  Still, I suppose it cuts down the two week wait to just one week.  I am feeling so irritable and down that I've taken half a day's leave this afternoon and come home. I must have seemed like a moody witch to my colleagues, who know nothing about what I'm doing.

So,  I'm snuggled on the sofa watching a truly rubbish DVD (The Boat That Rocked - utter trash), I feel swollen in every area and about as pregnant as an old man.  Ah well. Although I have been calmer this time and less obsessive, I took an early pregnancy test 10 days after the IUI to see if the weirdy cramps were a symptom of pregnancy.  I knew damn well they weren't, but I was ever hopeful.  It was, of course, negative.  I now wait for the dreaded flow which is another 4 long days away.  I feel disappointed and hugely irritated that I am swollen, whale like and sore with no reward to be gained at the end of it.

I'm sure everyone going through this experiences something similar.  You can drive yourself crazy.  I have read countless forums and experiences of other women and I don't know if it helps.  Sadly for me, a British woman doing this on my own finances (over 40 and single), I have no support from a gynaecologist or fertility expert to tell me if I'm wasting my cash.  All I have to go on is the tests my GP did for me.  I have an FSH of 7.5, 10 antral follicles, good clear ovaries and an endometrium that's as thin as it's allowed to get before it's pointless.  I am grumpy and feeling very sorry for myself today, wishing I'd not wasted my time in a long relationship that failed so late on in my biological clock, leaving me in this position past 40.

Oh well, spilt milk and all that stiff upper lip stuff.  Time to down another vat of Earl Grey tea.  I'm having March off to replenish my finances and do some acupuncture.  I think I need a month off so that I don't become absolutely deranged!   Here's hoping a few needles, Eastern thinking and some new clothes will make a difference for April.

What I learned this week: Waiting is grim

I'm convinced I have PMS.  I've been through a whole range of symptoms so I no longer trust my judgement.  I'm due to test tomorrow, Day 14 after insemination,  but my period could be due as late as Monday as my cycle is between 24-27 days.  Hmmm. This is the most peculiar kind of torture, which makes me wonder if I have the metal to cope with the two week wait, post insemination, for another 6 months.    Part of me intuitively feels that I'm pregnant and part of me is sure my period is on its way.  The truth is that reading forum after forum, articles and comments on pregnancy sites is a contradictory and insane thing to do.  It drives you nuts in the end.  The only conclusion I can come to is that there isn't one.  You just have to wait.  For the record,  the cramps I had last week have given way to a more familiar kind, but I feel a different sort of fatigue, bloating and indigestion from my usual PMS.  What to make of that?

I will be gutted if I get my period, but like everyone else I will just have to look forward to the next ovulation. It is a little ridiculous to expect it to happen the first time and certainly at my age. Somehow, even though I'm often very cynical about most things, I was very positive about this.  When the stakes are high it seems the mind can play incredible tricks on you. The power of suggestion!

I'm giving myself 6 tries and then I will be forced to draw a line under it.  It's the most sensible time frame given my prospects, my doctor's comments, my age and me.  I know how much I can take.  Perhaps I will spend my next 'two week wait' devising a Plan B for after the 6 months are over.  That way, I will obsess less about every little twinge I'm feeling and think about  life without a biological child as a different path, if not a chosen one.