Monday, November 26, 2012
How We Got Here
I think the most common question we've received since the last post is, "So, how come you decided to do IVF?"I kind of thought the answer was obvious- you know, wanting to have a baby- but I suppose most people are looking for the more detailed explanation of how we got here. Well, that makes sense.
In April, Matt and I decided that I would get off birth control pills, which I had also been using to control the growth of my endometriosis. We figured it would take time to work back into my normal cycle and I would track things to gain a better understanding and plan for the future. During this time we thought we would try the "old fashioned way" (as some of our friends have referred to it) and see what happened.
Then in June I thought we'd had success and I made a doctor appointment to get a blood pregnancy test, but it came back negative, which wasn't making any sense since I was so late. That's what led to the beginning of tests to investigate if I had PCOS (polycystic ovarian syndrome) as well as my endometriosis. One doctor appointment led to another, and then one set of tests led to another.
In September we found ourselves at a fertility specialist (or at least that's what she called herself) in San Jose, and she put me on Clomid even though we felt in our gut that it wasn't going to work. Working with her was a mess- we couldn't understand her accent, she didn't seem to listen to us, got defensive over our questions, and would skip around the truth. After a series of test results came back she diagnosed me as having PCOS and endometriosis, and then prescribed the Clomid, reassuring me that it would work just fine. But a few appointments and weeks later, she told me that it would actually take a few months of using Clomid before we possibly saw any benefits.
At this point I called my sister, asking if this is how infertility doctors worked or if this lady was as cracked up as I was beginning to think she was. After a long conversation my sister made a very significant and insightful suggestion. She told me that if she could go back in time and could do it again, she would go straight to IVF and skip all of the pain, emotional ups and downs, and money wasted on procedures with a lower chance of success. Matt and I knew we were in a fortunate and rare position where our health insurance would cover the amount of about one round of IVF. So my sister made some calls and was able to connect us with the fertility specialist she saw in Thousand Oaks. He recommended a specialist in San Francisco but that doctor was an out-of-network provider and the doctor down south was in-network, meaning our benefits would go farther with him despite the distance we'd need to travel to get there.
So here we were in November, finally meeting with a doctor who knew what he was talking about, welcomed questions, made things easy to understand, and had numerous success cases. He presented us with a wealth of information and two options. First, I had a cyst on an ovary that was 6cm, or about the size of a lemon. If we wanted to move forward with this doctor then we needed to do so now (to be done before they close their office in December for the holidays) or wait until January to begin (which really means doing the transfer in February, so more like a 4 month wait). The trouble is that a cyst basically feeds on the eggs, and the less eggs you have the poorer the quality of the remaining ones, plus a cyst can continue to grow the longer you leave it. So if we waited four months we ran the risk of less success due to quality and number of eggs, and a chance that the cyst could grow and even rupture. Plus, a cyst of this size indicated that my endometriosis was at Stage 4, which is the worst stage. This combination was the factor that steamrolled us into our fertility treatment options.
Option 1 had a 20% chance of success and was to do everything like IVF- meds, tests, etc.- but the doctor inserts the sample directly at the prime moment. Option 2 had a 60% chance of working and was IVF, where after lots of meds and tests, the doctor removes the eggs, creates embryos, and inserts the embryos at the prime moment. Knowing that we only had one shot to do this, and insurance would only cover so much, we chose our stronger option. And we chose to do so now due to the cyst and the chance that my egg quality/quantity had been compromised due to my long history of cysts (and having them rupture, which is what first alerted us to my endometriosis in 2005).
So here we are. Starting injections today and planning for IVF. We didn't plan on going this route, we certainly hoped we wouldn't have to, but we're thankful that we have the opportunity, as most couples can't afford to. At this point, we're really only able to take things day-by-day and dose-by-dose. Matt is giving me my morning and evening shots and luckily for me, my husband was a vet tech assistant in high school and is familiar with giving them. We'll just be sure that as these hormones kick in, we don't compare me to any animals. ;)
Sunday, November 11, 2012
A New Diagnosis
**I would like to note that I have written, deleted, and
rewritten different versions of this post numerous times over the past month.
As things have progressed I have kept silent, unsure what to say and how it
would be received. So please, read this knowing that I am opening up and sharing with you from
the very most personal part of my heart. Thank you.**
The other day I was rummaging through a desk drawer, on the
hunt for the packing tape, when I ran across this old pair of Nathan’s socks.
Months ago, my sister gave them to me so we could put them on Hunter’s feet as
a fun joke after seeing similar (and hilarious!) stunts on YouTube. Now,
looking at these tiny socks, a whole new flood of emotions washed over me.
There are some things you just know about yourself from a very
young age. For me, I’ve always known this:
- I’m crazy over long dogs with short, stubby legs, and big, floppy ears.
- I could spend all day lost in a good book, curled up with a warm cup of tea beside me.
- I’m quiet until I feel secure, and only then can I feel free to be myself.
- I may act resilient but really even the quietest criticism is embedded in my heart.
- I’m meant to be a mother, snuggling little ones, teaching them about life, and watching them grow with pride in my eyes.
While I’ve known in my heart that I was designed to love
little ones, I’ve also known for the last seven years that my biology did not
agree with creating with this truth. So when Matt and I started talking about
the time when we would have a family, I decided to head to the doctor for a
checkup and some tests. But I wasn’t prepared for what she would tell me- that
I had not one infertility disease to battle, but two. With that news, I cried.
A lot- some with Matt and some by myself- feeling like nobody understood what
this meant: giving up the “normal” progression of life, finding out in a secret
moment by myself and planning how to keep and share the incredible news, the
feeling of excitement with a little bit of fear of the unknown mixed in, and
the lighthearted banter with other expecting friends.
Instead these facts meant that I would be headed down a path
I had seen several others struggle down, full of pain and heartbreak, judgment
and unneeded advice thought to be “helpful” by those who offered it, and trials
of faith and heart. While it’s not uncommon for the average mother to have at least
one miscarriage in her lifetime, for a mother fighting infertility, it is
practically promised that she will have several. Somehow it seems so wrong that
the women who work the hardest to gain their children lose them the easiest.
Taking the advice and help of my sister, I made an
appointment for a second opinion with a specialist in Southern California. I
gathered the last seven years of information from my medical files- exams,
tests, surgeries, and results- and headed to my meeting hoping to learn my fate
as a mother. As I sat in that office chair, on the opposite side of the desk
from the doctor who would either crush my heart or stir my dreams, my hands
shook and I tried desperately to hide the betrayal of my nerves by clutching
them tightly together in my lap. When he overturned the diagnosis made several
weeks before, stating evidence and facts that I had never heard before but now
made perfect sense, my heartbeat quickened and hope slowly grew within. While I
was still dealing with one infertility disease- my endometriosis, which now
appeared to be at the most severe stage possible- I was not dealing with a
second. And for that I could take a breath and praise God. And then face my
future.
The doctor laid out several paths we could take if we wanted
to move forward and we then said goodbye. I took my folders of information home
with me and discussed them over the weekend with Matt, and on Monday we called
the doctor to hire him onto our team. I needed someone in my corner who knew what
I faced, knew how to handle it, and had faith that it could be done. I am so
blessed to have found that! He calls me personally on the phone to check in, to
ask if I have questions, to explain what steps are next, and he keeps it all
simple despite an overwhelming process.
You see, I know now that sometimes when you know something
is meant to be, it doesn’t mean that it will come easily. It means that you
will FIGHT to gain your dreams. You will become RELENTLESS in your pursuit. And you will fall at each defeat but you will RISE
AGAIN to overcome. This is my path
to becoming a mom. It doesn’t look like everyone else’s but that’s okay. I know
I am not alone as I walk this path in front of me, but am surrounded by a
husband and family who love me and are committed to praying for our journey.
So tomorrow I will begin my IVF cycle. It begins with
several weeks of medications and injections, moves on to surgery, several days
of recovery, and then a procedure which will hopefully take and become the
start of our new family. Several people have told me that I shouldn’t put this
information out there for everyone to know, and I know that by doing so I am
opening myself up for unintended hurtful comments and opinions, but I strongly
feel that no woman should have to go through this process alone. If I put my
story out there and can help even one woman through it down the road, then it will be worth it. I also
know that if I keep this to myself then others won’t know how deeply it hurts
to hear the often-said phrases of, “You don’t know because you’re not a mom”,
“It’s your turn next”, or “You don’t want to wait too long because you’re only
getting older.” And most importantly, by keeping this information hidden, I
would be blocking you out of the opportunity to pray with us and see His
answers unfold.
Suddenly looking at this little pair of socks, I was
reminded of why I’m embarking on this difficult path and that it will be worth
it in the end, as we have little feet to once again fill them. When I first
started this blog I invited you to come along with us on our journey, and this
is an important part of that. So I ask that you join us with your support and
prayers for safety, wisdom, recovery, health, trust, and courage. Please stand by us
with love and encouragement, as we’ll need that more than ever in the upcoming
weeks.
Thank you!
Team Scott- Staci and Matt
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