Showing posts with label fertility. Show all posts
Showing posts with label fertility. Show all posts

Sunday, December 5, 2010

Sushi Panic

On my way to the doctor's office on Wednesday morning, I had a thought that made me gasp: if the test indicated I was pregnant, I hadn't had any sushi lately, and from what I understand, sushi is verboten during pregnancy. Many a friend has counted down the days until she could drink and eat sushi again.

For whatever reason, the universe said no to conception this month, so we went out for sushi.

Monday, November 29, 2010

False Alarm Every Ten Minutes

They call it the "TWW" or "two week wait" at the fertility clinic and on the online fertility sites. I'm not a very patient person, but this is really trying whatever patience I do have. Because of the progesterone vaginal inserts that I have to take, I'm a little oozy . . . that ooziness feels like I'm getting my period. So every ten minutes or so, I have the feeling that I've gotten my period, and so far, it's just been progesterone ooze.

I guess I could cut down on this false alarm phenomenon by taking the progesterone at night like I'm supposed to, but I find it unappealing to have sex with the progesterone insert in for an hour (precisely because of ooziness), which is what the blogsters out there suggest. My doctor said to insert the progesterone pill AFTER having sex -- this was his answer, after receiving an anxious text from me asking if we could have sex at all for the 21 days I am using the inserts -- but I like to fall blissfully asleep after sex, so the idea of having to go in and put the insert in after sex was not appealing.

At any rate, my period should have come yesterday, today, or tomorrow (depending on what online calendar you use). I have a doctor's appointment Wednesday morning for a pregnancy test, so all I can do until then is try to resist running to the bathroom every ten minutes to check.

My heart sinks, and then it's happy . . . but no matter, I have to keep reminding myself that this was the first month of this type of intervention and it isn't necessarily going to be successful.

What's funny is how similar this "false alarm" feeling is to a "false alarm" feeling when you DON'T want to be pregnant . . . the waiting for the period to come.

New York Magazine had a really interesting story this month called "Waking Up From the Pill: Fifty years ago, birth-control pills gave women control of their bodies, while making it easy to forget their basic biology—until in some cases, it’s too late." I found the article to be perfectly relevant to what I'm dealing with now. Like this passage:

Now many New York women have shifted their attempts at conception back about ten years. And the experience of trying to get pregnant at that age amounts to a new stage in women’s lives, a kind of second adolescence. For many, this passage into childbearing—a Gail Sheehy–esque one, with its own secrets and rituals—is as fraught a time as the one before was carefree.

Suddenly, one anxiety—Am I pregnant?—is replaced by another: Can I get pregnant? The days of gobbling down the Pill and running out to CVS at 3 a.m. for a pregnancy test recede in the distance, replaced by a new set of obsessions. The Pill didn’t create the field of infertility medicine, but it turned it into an enormous industry. Inadvertently, indirectly, infertility has become the Pill’s primary side effect.
One of my colleagues in the women's rights/reproductive rights field thought that the article blamed the pill too much for women postponing childbearing, but I don't think that was the point of the article at all. What the pill did, I think the article argues, is relieve women of having to think so much about their reproductive capabilities. Like the author explains:

. . . [W]omen are half-consciously rebelling against the artificiality of the Pill’s regime. Removal from one’s true biological processes was more appealing in the Mad Men era, when machines were going to save the world and pills could fix everything, even the ennui of housewives. But for the wheatgrass-and-yoga generation, there’s something about taking a pill every day that’s insulting to one’s sense of self, as an accomplished, adult woman. “I feel like I’ve gotten a message over the years that the less I have to do with the nitty-gritty biological stuff of being a woman, the better, and that’s a weird message,” says Sophia, 35, who was on the Pill for fourteen years. “In my ninth-grade health class, I remember the teacher saying, ‘You can get pregnant any day of the month, so always use protection,’ and I kind of knew that wasn’t true, but because I was on the Pill, I never really cared about finding out the right answer. The Pill takes a certain knowledge away from you, and that knowledge is empowering.”

And, in fact, what I think the article argues for, although I think it could have done so more thoughtfully, is that women should be made aware of ALL of the risks and implications of taking the pill. I am constantly surprised at how much I don't know about my own body: blame it on inadequate sex education in school or at home, whatever. The fact is, before taking a drug that prevents conception, we should really understand conception altogether, and at least for me, I know I didn't. Of course I knew that waiting too long would make it more difficult to get pregnant, but I like the fact that the author talks about how easy it is to hit the "off switch" on fertility for a while with the pill, and not have to think about your body so much.

To arrive at the stage when one stops taking the Pill and starts timing one’s ovulations is to enter a new and anxious universe. After that, if you’re unlucky, you may enter a kind of medical and bureaucratic purgatory of doctors’ waiting rooms and insurance companies and worries that’s very far indeed from the freedom you enjoyed before.

On the Pill, it’s easy to forget the truths about biology. Specifically, that as much as athleticism or taut cheekbones are, fertility is a gift of youth. The body that you wake up with after fifteen or more years on the Pill is, in significant ways, not the one you started out with.

The notion of "choice" and "sexual freedom" in this discussion of the pill was also fascinating. The author talks about how NARAL and Planned Parenthood and other "choice" groups don't want there to be any public discussion about the relationship between the pill and infertility. It may be true that, as my colleague suggests, that the article overdoes it by actually insinuating that a "side effect" of the Pill is infertility ("Inadvertently, indirectly, infertility has become the Pill’s primary side effect."), I do believe that choice groups don't want to talk about how these issues intersect. As the author explains:

[I]ronically, this most basic of women’s issues is one that traditional feminism has a very hard time processing—the notion that this freedom might have a cost is thought to be so dangerous it shouldn’t be mentioned.

. . .

Sexual freedom is a fantastic thing, worth paying a lot for. But it’s not anti-feminist to want to be clearer about exactly what is being paid. Anger, regret, repeated miscarriages, the financial strain of assisted reproductive technologies, and the inevitable damage to careers and relationships in one’s thirties and forties that all this involve deserve to be weighed and discussed. The next stage in feminism, in fact, may be to come to terms, without guilt trips or defensiveness, with issues like this.

Choice is a more accurate word when the chooser—us—is aware of all the possible consequences of taking different possible paths. But reality has a hard time getting into these areas, let alone the Brave New World of infertility medicine.

Thursday, November 18, 2010

Flex Spending Revelations

A few months ago, our Communications Director, J., said that she had something small to tell us. "About the size of a lime," she said. She revealed that she was pregnant, and my heart fell. It's not that I wasn't happy for her--I really was. It was just that I felt like every woman my age or just a little younger in the office was a mother. We recently had a spate of pregnancies in my office--one development person, two staff attorneys, our deputy director, and an administrative assistant. The joke was that the pregnancy was contagious in our office. I would always think in my own mind when I heard this: "Except I'm immune." So when J told us, I felt like I was the only one who was struggling with this.

Well, I'm not. And this is how I know.

Our office offers Flexible Spending Accounts (FSAs) that allow you to set aside a certain amount of money for health-related expenses pre-tax; meaning, you put money into an account through paycheck deductions that reduce the amount of taxable income you earn. It's a great tool if you manage it well. One year, I had about $1200 left in my account and I convinced my dermatologist to give me a prescribed chemical peel ($1000) and stocked up on band-aids and cough syrup. Last year, I missed the deadline so I didn't have one. You can use the money for co-pays, expenses not covered by insurance, eyeglasses and supplies, counseling, and over-the-counter medical supplies.

This year, I wanted to estimate correctly, so D and I counted up all of the chiropractor visits we expected to make, the crown he wanted to replace, the prescriptions that we thought we might need at $20 a pop, and . . . then I remembered that if I got pregnant, there would be a load of expenses. How to estimate THAT?

Well, we're planning to find a midwife and see if we can do a home birth, so I knew the expenses would not be easy to determine with a web search. I decided to confide in J, who has also chosen to deal with a midwife for prenatal care and to have a home birth, and ask her for an estimate of what she was paying. J and I aren't close, but I like her and I trust her. When I went to her office to talk to her, she immediately confided in me that it had taken years for her to conceive. She did the whole fertility treatment dealeo . . . innumerable visits, shots, medication, etc. She said it took quite a toll. She said this pregnancy was a long time in the making. She spoke of how hard it was to see all of her friends get pregnant one after another. She talked about the expectations that people had of her, assuming that she was waiting until her career was more established before choosing to have a baby. She told me that she didn't talk to anyone about this while she was trying.

I was grateful to hear all of this. I was grateful that I wasn't alone among the people I knew. I wonder how many other women I know are struggling and not talking. I think it would be helpful to talk about it. I have to admit that on some level, it feels like a giant female failure to not be able to get pregnant easily.

At any rate, we did get to discuss expenses, and while I'll write about this in another blog entry, I should say that the estimate for a home birth (including prenatal care from the midwife) is about $7,500. A lot less than I thought it would be, and it seems that Cigna might cover 80% of that. They better, cause I think that's probably a lot less than what it would cost in a hospital.

Sunday, November 7, 2010

Ovarian Amphetamines

A doctor friend of mind coined this euphemism for the drug "Clomid" or "Clomiphene Citrate," the drug I'm now taking to spark egg production. I like to call it my "twin pills," because I'm convinced that now that I'm taking it, I'm going to conceive, carry, and bear twins--or worse. I remember thinking, not so long ago, that I would never do this. And I remember darker thoughts: that women who did were selfish, foolish, and over-consumers of health care resources. In presentations that I would give to audiences about moms who were struggling with drug addiction, I asked folks to consider the moral, economic, and legal issues raised by moms who used illicit drugs, compared to moms who used fertility drugs. Didn't it cost society more to care for multiples than to care for an infant with drugs in its system at birth? Wasn't the harm greater?

But here I am. Taking one of these little pills twice a day for ten days. And hoping for many things at once. Including grace.

Thursday, November 4, 2010

Offbeat Mama

I just read an amazing blogpost on Offbeat Mama. The founder of Offbeat Bride, the book and accompanying social networking site that helped me keep my sanity during our year-long wedding planning process, started Offbeat Mama, right around the time of our wedding last May. I check back every now and then to see if she creates a feature, like the Waiting Room on the Offbeat Bride Tribe website, for women who are trying to get pregnant. I don't think she did (yet), but I did find this post, by Ariel, the founder herself. She introduces her own story of problems conceiving with a video by a woman who poses a series of "what if" questions...questions that have been swirling around in my mind about infertility for the past year. I have been searching for something to read, something that I could identify with, around all of this for the longest time. My husband is so certain that it will all work out in the end, he insists on speaking in terms of "whens" as opposed to "ifs." Ariel's story was poignant, and scary . . . I hope I only have to go partway through the course of action she had to take in order to become pregnant. But I've already gone farther than I thought I would in order to conceive.

Two parts of Ariel's post particularly resonated with me:

the weight of the trying and failing got heavier and heavier. After a year of trying to conceive, it's not so much fun. It's depressing. It starts to mess with your head. I started feeling like a core part of my body had become an untrustworthy stranger. A breech of trust with your own body is emotionally brutal.

And this one, which describes so many things in my life about which I've harbored fear and loathing:

IVF was this terrible awful procedure that I'd invested a lot of fear in. It just didn't fit with my identity — who's heard of offbeat infertility? Offbeat IVF? Pshaw. It was the expensive invasive terror that desperate people indulged themselves in. It was like gambling: this thing that you keep tossing money at hoping that this time you'll win but ultimately the house always wins and you always lose. Of course you lose. It makes you crazy, and worst part? It doesn't even work most of the time.

. . .

What I want to say is this: I was wrong. I invested years of my life living in fear, seeing something (in this case Western fertility treatments and especially IVF) as the awful boogey man in my hippie closet, the terrible admission of defeat that would forever turn me into a person I hated myself for being. Ultimately, I was wrong. This makes me wonder ... what other massive fears of mine are completely unfounded? What other things that I see as the worst WORST case scenario could actually lead me to a place of profound happiness? What other paralyzing grief and fear could I release?

Wednesday, September 29, 2010

Nourishing the womb

D's chiropractor has been giving me all kinds of advice about fertility--he even gave me a book called Wise Woman Herbal Childbearing Year by Susan S. Weed, a bottle of fertility formula (pictured here), and a bottle of false unicorn. I don't know if these things actually work, but I've been taking 20 drops of the fertility formula three times a day for the past month and a half. I feel like I have a more nurturing womb, but who knows? I hope a fertilized egg thinks so and decides to stay.

Monday, July 19, 2010

Hysterosalping-o-what??

Hysteria After a tumultuous weekend, I feel like a stereotypical woman who, at the turn of the century, was diagnosed with hysteria. I got my period early Sunday morning and completely freaked out. My reaction to finding out our July attempt was not successful was very different from last month--I was totally sad, blamed my partner for not trying hard enough and being not as concerned as me, and I was angry about everything: I was angry that he was on the conputer playing video games, angry that he wasn't helping me around the house, and angry at everything he did. I should have been put down with a horse anesthetic.

Dictionary.com defines hysterical this way:

hys·ter·i·cal

[hi-ster-i-kuhl] Show IPA
–adjective
1. of, pertaining to, or characterized by hysteria.
2. uncontrollably emotional.
3. irrational from fear, emotion, or an emotional shock.
4. causing hysteria.
5. suffering from or subject to hysteria.
6. causing unrestrained laughter; very funny: Oh, that joke is hysterical!


Origin:
1605–15; < L hysteric ( us ) hysteric + -al1

1610s, from L. hystericus "of the womb," from Gk. hysterikos "of the womb, suffering in the womb," from hystera "womb" (see uterus). Originally defined as a neurotic condition peculiar to women and thought to be caused by a dysfunction of the uterus.

He didn't deserve my ire; and I shouldn't have let myself go off the deep end either.

Take steps; take charge. That's what I did on Monday morning.

I made my annual OB/GYN appointment and asked about a procedure called a
hysterosalpingogram that a friend recently told me about. Dye is inserted into the uterus and fallopian tubes to determine if the passages are clear; and apparently, there is a slight increase in fertility after the procedure. I want it. My doctor called me back and told me that since we'd only been trying really on the right schedule for two months that he wouldn't immediately advise me to do it. He suggested waiting for two more months, sending D off for sperm analysis, and being persistent. And patience. He didn't recommend patience, but I think patience is in order. Even though I feel the clock is ticking.....

On the kitten front: D's friend brought over our one-eyed kitten to see if she got along with our existing cat. Things seemed to go well. Kitty Coco (the one-eyed one) will have her sutures taken out next week, and then, if I can get D to agree, we will bring her home.

Sunday, June 27, 2010

Things I Don't Know

I wrote this review on my LivingSocial: Books page on Facebook. What I didn't say in the review is how the book affected me personally. Cohen was not that much older than me when she discovered she was pregnant at 6 months, and her writing about her ambivalence about (even hostility towards) her pregnancy was fascinating to read as I try so hard to conceive. Granted, I have only two of the four strikes against me that she had to grapple with: I have not-such-great health insurance and I'm of "advanced maternal age," but unlike Cohen, I am not a DES baby and I am not taking teratogenic drugs. It's hard to imagine not being aware of the pregnancy in the first six months--especially as I am hypersensitive to anything going on down there these days, but if you've been told for more than a decade that you are infertile, I suppose you wouldn't be looking for those signs.

Her discussions around her feelings about taking care of a child with a disability were hard to read. I don't know where I come out on that one yet, and I don't think anyone does that hasn't faced it. I just hope that I would be less depressed and more communicative with my partner than the author describes herself being.

The scariest part of the book was her description of her process of laboring and giving birth. At one point she says that a doctor told her that after 35, a woman's ease at giving birth and her needed recovery time increases exponentially. I mean doctors say all kinds of shit, so hopefully that's not altogether true, but it does make me feel like I ought to start doing yoga like, now.

Here's my review:

Anyone working in the field of abortion rights should read this book--today. I heard an interview with the author on NPR a few months ago and scrawled the name in my agenda so that I could remember to order it. I forgot about it until I attended the premiere of the Human RIghts Watch film festival a few weeks ago to see the film "12th and Delaware" about a corner in Florida where on one side of the street is an abortion clinic, and the other side is a Crisis Pregnancy Center--basically a "clinic" set up to fool women that they provide abortion services but instead offer them a sonogram and aggressively and with lots and lots of lying, try to convince them not to have an abortion.

There are like, tens of thousands of CPCs that have cropped up all over the country, and it is part of the culture shift around abortion. If we simply demonize the right to lifers and we don't start examining our feelings about life and answer the hard questions about abortion, we're going to keep losing this culture war and women's lives will be at risk. Alice Eve Cohen's articulation of why abortion rights are important in the face of her decision to keep an unwanted pregnancy are starkly and refreshingly honest. Her thoughtful revealing of her struggle around this pregnancy should be front and center in discussions among those of us who fight to retain abortion rights in this country.

Monday, June 21, 2010

Solstice Disappointment

When you have a yardsale, you see tons of kids--newborns in little front-packs, babies in doublewide strollers, toddlers knocking things over . . . And when you go to a yardsale, you see tons of baby detritus--plastic pieces of things that look necessary but it's unclear what they are, stained onesies, weird yesterday's toys . . . We had a yardsale this weekend and what I saw was all that AND proof that this is not the month.

I wasn't as sad as I expected to be, mostly because I kept reminding myself that this past month was the first month that we were really on target with our timing. Its so strange, it's not the baby part that I feel saddest about, it's this feeling that my body isn't nurturing anything. I get that feeling when I have my period, I get it during that time in between when my period ends and the time that I am "fertile." So, basically, half of every month for the past year I've felt like a non-nurturer.

I have to turn that around. I have to create a hospitable womb. (Nothing I'm saying here is knowingly supported by science, by the way). I am going to take the prenatal vitamin every day. I am going to stretch and exercise. I am going to take this "super oxygenated female fertility formula" from our chiropractor. I'm going to avoid yogurt at all cost. (I have this weird feeling that yogurt strengthens your body's ability to fight invaders, and that Nat Geo special on the journey of the sperm made me feel like sperm was being treated as invaders by my body).

I'm also going to make sure that D's little guys are as young and fresh and frisky as they can be (by ensuring that he has lots of orgasms over the next month!)

Three more months of quackery and then I'll pack myself off for some professional consultation.

Thanks to my two good friends who are new mommies and passed along about $75 worth of ovulation tests. I'll start them the day after my period ends and we'll see what we can do this time around.

I have to investigate how common it is for fertilization to happen, implantation to happen, and then immediate flushing. The spotting I had several days before my period made me feel like there was implantation, but that it was not sustainable. I wonder what I can do to turn that around?

Wednesday, July 1, 2009

Damaged Sperm

This was interesting, so I thought I'd re-post it. Of course, I had a discussion with D after reading this article....

Study: More sex may help damaged sperm
By MARIA CHENG, AP Medical Writer Maria Cheng, Ap Medical Writer
Tue Jun 30, 8:07 am ET

LONDON – For men with fertility problems, some doctors are prescribing a very conventional way to have a baby: more sex.

In a study of 118 Australian men with damaged sperm, doctors found that having sex every day for a week significantly reduced the amount of DNA damage in their patients' sperm. Previous studies have linked better sperm quality to higher pregnancy rates.

The research was announced Tuesday at a meeting of the European Society of Human Reproduction and Embryology in Amsterdam.

Dr. David Greening of Sydney IVF, a private fertility clinic in Australia, and colleagues looked at 118 men who had damaged sperm. Greening and colleagues told the men to have sex every day for a week. After seven days, the doctors found that in 81 percent of the men, there was a 12 percent decrease in the amount of damaged sperm.

Many fertility experts suggest men abstain from sex before their partners have in-vitro fertilization, to try to elevate their sperm counts.

Sperm quality can also be improved if men don't smoke, drink moderately, exercise, or get more antioxidants.

Since concluding the study, Greening says he now instructs all couples seeking fertility advice to start by having more sex. "Some of the older men look a little concerned," he said. "But the younger ones seem quite happy about it."

Experts think sex helps reduce the DNA damage in sperm by getting it out of the body quickly; if sperm is in the body for too long, it has a higher chance of getting damaged.

Some experts said that while Greening's research is promising, it doesn't prove that daily sex for men with fertility problems will actually produce more babies.

Greening said he and his colleagues are still analyzing the study data to determine how many women got pregnant.

"Looking at sperm DNA is just one part of the puzzle," said Bill Ledger, a professor of obstetrics and gynecology at the University of Sheffield, who was not connected to the research. "Maybe this will improve pregnancy rates, but we still need to do more studies."

Ledger said instructing couples with infertility problems to have more sex could stress their relationship. "This may add even more anxiety and do more harm than good," he said. He said couples shouldn't feel pressured to adjust their sex lives just for the sake of having a baby.

Greening said the study's findings were ultimately very intuitive. "If you want to have a baby, our advice is to do it often."

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