Get Back In The Saddle

Why? I think we can all agree that we say this one little word over and over again. This one little word that seems to hold so much power over us. It's as though the answer to this question is the magic key that will unlock the door to our infertility and let us conceive, but it's an illusion. Knowing why won't take away the longing for a child of our own, won't take away our heartache and won't give us that feeling of self worth back. No, we fool ourselves into thinking that the answer to "Why?" could change everything. Maybe we just need something to blame and knowing why would give us something to attach that blame to. We all have our theories, but I think mine may be a little different than everyone else's. I call it my Little Black Cloud. 

My Little Black Cloud is a very simple theory really. You hear people joke about having a black cloud over them because of all their bad luck, well that is essentially what I think. Of course I don't believe there is literally a black cloud that follows me everywhere that only I can see. However, I think it's there in spirit. For as far back as I can remember there has always been this feeling of never quite being able to be happy. Of course I have my moments, but they never seem to last and I enjoy them with my breath held waiting for the pin to drop. Bad things seem to be my life. Every good thing that happens to me is always closely followed by something bad and rarely do the bad things come one at a time. Some people would say God has chosen me to endure these things to encourage others, some would say that it's my fate or destiny. I just call it my Little Black Cloud. I can always feel it lurking in the shadows, kind of a twisted comfort because it's what I have come to know as normal. There is a song called "Black Cloud" by the group Crazy Town. Take a listen to it, it's kind of my theme song. 

A small demonstration of my Black Cloud is next. Once home from my D&C and feeling well enough to get out, physically anyway, I decided to go ride my horse. Riding is very freeing for me, it's just me and my horse. My life seems to stand still and nothing else matters, nothing is wrong. On this day though, things were different. I had gone through my pre-ride routine, got her into the riding ring to warm up and, after going around a few times, I noticed that she was being extra stubborn that day and seemed to have a bee sting on her side. While trying for the millionth time to bring her up from a walk to a trot, I apparently hit her bee sting. This caused her to start bucking and eventually I went flying over her head and landed with a nice thud directly in front of her. Being the good girl that she is, most of the time, she stopped dead in front of me and stood guard until Torrey got to me. The first thing I told him once he bent over me was that I thought my collar bone was broken. After managing to stand up it became very obvious that it was broken and looked as though it would pop through my skin. I made my way to the truck and fought with crawling inside while Torrey loaded Callisto up in the trailer. So here I was, just days after my miscarriage and I was headed to the hospital again with a broken collar bone. Yay me. The doctors wouldn't do anything for me and advised against surgery, saying that it usually did more harm than good. Now, three years later I look a little like a freak because my bones never grew back together and my bone still looks as though it's going to come out of my skin.

So I was getting back in the saddle figuratively and literally. When it came to trying to get pregnant again I was ready more than ever to get to work. My Cloud had other plans though. After the D&C I bled for six months straight. Finally I was fed up and called the OB I had gone to before, only because they were close and I didn't want to bleed to death. They told me they thought I had quit ovulating and made me an appointment with their fertility specialist, or so they called him. That appointment was the quickest and most disappointing of my life. He came in, did a literal two second exam, prescribed me Clomid and walked out. I had no idea what had just happened. I was hoping for blood tests, an ultrasound and all those other tests they use when diagnosing infertility and got none of it. Instead I got a cocky doctor that thought Clomid fixes everything and has no time for patients. 

I took the Clomid for the first month and used my fertility monitor, and nothing happened. The doctor upped my dosage of the Clomid and started me on another cycle. When nothing happened again the second month, he upped the dosage again. The same thing with the third month and by this time I was taking the maximum dosage he could prescribe me. Still, I wasn't ovulating. Frustrated beyond belief, I took a break while researching other doctors. A tip I got from a few people I know sent me a couple of hours away to another doctor. This one had really good stats when it came to treating infertility and had helped the people that told me about him get pregnant. 

I was ecstatic when I got to my first appointment with the new doctor and he did an ultrasound first thing, after going over my history. I had some blood work done, but not as extensively as I had hoped. Although, he did give me a diagnoses and that was amazing. I was diagnosed with PCOS, which of course isn't curable. It is treatable, but treatments don't always work (there is my Black Cloud again). I figured treatments were better than nothing and went into it with high hopes, I should have known better. PCOS comes with insulin resistance that isn't detectable in a regular glucose screening most of the time, so I was put on Metformin for insulin resistance. Since I had been on Clomid before and with no success, he prescribed Letrazole instead. He had to up the dosage once, but other than that it seemed to do it's job in making me ovulate. He always checked to make sure I was going to ovulate and that I had ovulated with an ultrasound. He did a semen analysis on my husband also. A laparoscopy was preformed as well as a few different procedures while he was in there. He made sure that my tubes were clear, checked for and removed some endometriosis and did ovarian drilling. Month after month I still wasn't getting pregnant and it was time to try something else. The next step was an IUI. (I'll explain all the medical lingo at the end of the post.) The doctor combined the Letrazole and Metormin with an HCG trigger shot so they could manipulate my ovulation and inject the sperm into my uterus at the optimum time. By the time two of these procedures failed, I was burned out again and an emotional wreck. 

That was the last time I used any kind of medical treatment for my infertility. I feel the medical world has failed me for now and it's time to explore other options. I do believe that if I don't get pregnant in time (I can't really say how long) that I will go back to the medical world and to a new doctor. There is more extensive testing and new procedures I would like to try and, if all else fails, I will turn to in-vitro as a last resort. In these first two posts we have traveled from August of 2008 to the end of 2010. Although this has been a very condensed version of what I have gone through, I'm sure more elaboration will come in time. For now, I just want you to have an idea of where I have been so that you can follow along with me on the rest of my journey. The comments, messages and kind words I have gotten from the first post are very appreciated and make reliving all this worth it. I think one more post should catch us up to where I am present day, and I think that one will be one of the hardest for me to write. If you have any questions, let me know and I'll do my best to answer them. Please "like" my Facebook page https://www.facebook.com/GotAnyKids to get in touch with others that have infertility, keep up with what is going on in the infertility world and raise awareness about infertility. September is PCOS awareness month, so please reach out and let others know about this disease. Someone that has it and doesn't think anything of it might just need to be told how serious it is so they will get treatment or someone that doesn't know they have it may go see a doctor. Thanks for reading.

This section is for information:
Polycystic Ovary Syndrome (PCOS) is a hormonal imbalance in women. Usually causing too much estrogen, too little progesterone and too much androgen (male hormone). 1 in 10 women have it. Even though it is called Polycystic Ovary Syndrome, it does not always present with polycystic ovaries (I don't have polycystic ovaries). Very little is known about this disease at this time. Some symptoms are: 
*No Period
*Irregular Period
*Excess Body Hair
*Small Breasts
*Thinning Hair
*Deeper Voice
*Acne
*Dark Skin Markings
*Swollen Ovaries
*Polycystic Ovaries
*Diabetes
*High Blood Pressure
*High Cholesterol
*Obesity
Most people that have PCOS and get treatment are able to get pregnant and carry a child. There are increased risks of infertility, endometrial cancer and breast cancer for those that have PCOS. If you have any of the symptoms for PCOS, PLEASE get checked. It can cause other slightly worse complications if left untreated. 

Endometriosis is when cells of the uterine lining grow in places they are not supposed to be. It can cause pain, irregular bleeding and infertility. 
Symptoms:
*Pain during and/or after intercourse
*Painful periods
*Pain in the lower abdomen before or during your period
*Cramps for 1-2 weeks before and during your period
*Pain with bowel movements
*Lower back pain at any point in the menstrual cycle
*Cysts
Symptoms can be mild to severe or nonexistent. There is no cure, but can be treated to a certain extent.

Intrauterine Insemination (IUI) is when an ultrasound and usually medication is used to pinpoint ovulation. The woman then goes to the doctor where sperm that has been inspected, separated and washed is placed into the uterus via a catheter. The male must be there to provide a fresh sperm sample unless donor sperm or frozen sperm is used.