So, when I decided to make our infertility journey public, I realized I would need to write a post describing how I got my diagnosis, what our options are, and where we are with the process. I've published that post and it will follow below, but mostly it's a recap of what has been posted on this blog before.
Late last year my husband and I found out that we would
(more than likely) not be able to conceive without the help of infertility
treatments. When I first heard the news, I was devastated. I went through a few
different emotions, including feeling worthless, because as a woman I felt it
was my job to bear a child; if I couldn’t do that naturally, what was my “purpose?”
Yes, it probably sounds silly, but an infertility diagnosis is hard to swallow.
It took me a few months to be really ok with it, and I’m still nervous about
the journey that lies ahead of me. What follows is a small snippet of the
journey we have been on with this diagnosis, and an update on where we are in
the process now.
***If you are
squeamish about terms like uterus, eggs, sperm, or cervix please just skip this
post. Also, I am not in any way, shape,
or form dispensing any medical advice. Please see your doctor for any concerns
with fertility.***
To begin, how did we get diagnosed with infertility? We
began (like almost all couples) by trying to start a family naturally. I had
always been concerned that I might not get pregnant naturally though (a gut
feeling), and so I began talking to my doctors about this concern early on. I
began with my local OB who felt that with actively trying and charting my basal
body temperature (a technique many women do when trying to conceive) we should
see results in six months. I then spoke
with my CF team (who had given us approval for having a baby quite some time
before) and was referred to a high-risk OB to establish a relationship prior to
getting pregnant. At the high-risk OB
appointment, the doctor suggested that we get a baseline ultrasound just to see
how everything looked. Upon review of my
ultrasound, it was determined that we would probably not be able to conceive
naturally. The ultrasound showed that my one ovary was filled with cysts and
they couldn’t find my second ovary at all. This led my high-risk OB to
immediately refer me to an infertility specialist.
The infertility specialist, or R.E. (reproductive
endocrinologist), met with David and me and upon reviewing the ultrasound came
to the same conclusion as my high-risk OB.
He then began discussing our options with us. It was a long appointment,
filled with information, but I left feeling that I firmly grasped the options
we had before us since he broke them down into laymen’s terms so well.
Basically, we were told that we had a few problems going against us. The first
was the anatomy of my body, and the second was my CF. With my CF, I produce
thick, sticky mucus that builds up everywhere. Therefore, any number of things could be
blocked with this mucus. We were then
told we have two different options: IUI (intrauterine insemination) and IVF (in
vitro fertilization). Let me explain the two briefly.
IUI – Intrauterine insemination allows the doctor to take the
sperm and bypass the cervix. In other words, the sperm is deposited into the
uterus allowing for greater likelihood of sperm meeting egg. Typically, a woman
is also given Clomid or other drugs to ensure egg production and ovulation. IUI
is much less invasive than IVF, and it is typically the first step in an
infertility diagnosis. Also, IUI has a high risk of multiples. Basically, with
IUI, the doctor is not able to easily control how many eggs are produced and
thus the risk of multiples is higher. Kate Gosselin (Jon and Kate plus 8) used
IUI and wound up with sextuplets.
IVF – In vitro fertilization allows the doctor to fertilize
the egg outside of the body resulting in higher success rates due to the fact
that the “sperm meeting egg” part of the equation is already taken care
of. With IVF, a woman is given hormone
injections for a length of time to allow her body to produce a LOT of eggs.
Then, the woman is put under anesthesia while the doctor goes in and removes as
many mature eggs as possible. The eggs
are then fertilized with sperm in a laboratory.
The doctor will then transfer a predetermined number of embryos back
into the women’s uterus (the unused embryos may be frozen depending on the
couples wishes) to maximize chances of conception. With this procedure, the
risk of multiples is controlled. Yes, many women have had multiples with IVF
(think octomom), but that was due to a doctor putting in too many embryos.
After explaining the risks and benefits of each procedure,
the doctor told us his thoughts but said it was ultimately our choice. Our R.E.
stated that he wants us to go straight to IVF due to the lowered success rates
of IUI combined with the higher chance of multiples in IUI. He stated that with IVF I will be only
implanting ONE embryo at a time which means ONE baby as my body could not
easily carry more than one.
David and I debated over and over again about whether or not
to try IUI first, but we ultimately decided to go straight to IVF since the
overall success rates are higher and the chances of a multiple pregnancy are
GREATLY reduced. My doctors have been overwhelmingly supportive about me
carrying a baby and becoming a mom, but my time frame of “optimum” health is dwindling
away pretty quickly which is why it’s even more important to try the higher success
option first.
So with that decision under our belt, a variety of doctor’s
approvals were needed prior to starting the process. As of last month, we
finally got our last approval letter in which means we are set to begin the IVF
process in the next month or two. It’s crazy to have waited so long and now it
feels so..all of the sudden.
For those of you with objections or concerns about the IVF
process, please know that while I respect them, I would ask you not to voice
them. I understand why people have objections with the process, especially on
religious grounds, but until you have been in this situation, I ask that you
not judge others who are going through it.
As for concern over my health, I understand and am greatly appreciative
of prayers and good thoughts sent our way. That said, I have NORMAL lung
function and my diabetes is in REALLY GOOD control. I’ll have a high-risk
pregnancy, but I’m in the best time of my life to carry a child. Also, please
know that ALL of my doctors have signed off on this saying that I am perfectly
fine to do this, and I will be monitored to the extreme during the entire
pregnancy. Again, prayers or good thoughts are appreciated, but as this is
written primarily to help others who may suffer from infertility as well,
please refrain from posting any negative commentary as it is a sensitive issue
to myself and to the other thousands of women who struggle with an infertility
diagnosis. Thank you.
Honestly, I believe that God (or the deity of your choice) created treatments like IVF and IUI so that wonderful people like you and David would get the chance to have children. I know you guys are going to be awesome parents, and I think IVF is a great example of how lucky we are to live in a time with such advanced technology.
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