HSGs and Clomids and infertilities... oh my.
Many close friends and family know of our struggle. Ā Itās becoming less of a secret, especially with being married almost 5 years and others knowing our desire to have children. Ā So, hereās a raw, sometimes humorous, often heartbreaking commentary on the journey so far. Ā Be aware, some of this is messy and detailed - if youāre squeemish or feel that you may be triggered (you can tell by the title) stop here.
So about 9 months ago or so, I visited my ob/gyn for the first appointment. Ā We had beenĀ ātryingā well over a year with no luck and they say that at my age once you hit that 1 year mark, ya gotta seek the outside help. Ā The doctor puts me on Clomid, a drug that induces ovulation, though I have no diagnosis and everything is technically normal (hubs test = normal, blood tests = normal). Ā They tell me that I need a hysterosalpingogram (HSG) which is a test where they inject radiographic dye into the fallopian tubes to check for abnormalities or blockages. Ā They say that fertility increases slightly after a HSG because it can flush out blockages and such.
The trick for this beautiful procedure is that you need to call at the beginning of your cycle because then you need to have it done after you are done menstruating and before ovulation. Ā So, first cycle on Clomid, I call the Drās office to schedule and apparently the women of Marionās pregnancies are synced with my cycle because he had c-sections scheduled during my small window and my schedule did not match with his availabilies. Ā Ok, no problem, itās just one month. Ā Next month it is!
I get myself prepared for the next month - doing research on what to expect. Ā Schedule it - great. Ā Go in to the surgery center first thing in the morning, get in my gown, sit in the big comfy pre-op chair covered in a sheet, with blankets on, somewhat nervous about what is to come. Ā Oh and did I mention, I had to pee in a cup so that they could do a pregnancy test. Ā You donāt want to flush out an embryo if there happens to be one in there. Ā Adam and I are still the only patients in the facility. Ā Slowly, quite a few employees filter into the room, talking among themselves - nurses, drs, assistants... My attending nurse then comes in and asks,Ā āWhen was your last period?ā Ā I get out my phone, as the modern woman that I am, to look at the fertility app I record everything in. Ā I told her it was whatever it was. Ā She then says,Ā āAre you sure it was your period?ā Ā The employees are now all looking at me and Adam. Ā I say,Ā āYes, I use a Diva Cup, so I am pretty aware of my bodyās patterns.ā Ā She then says,Ā āWell, we have a positive pregnancy test here!ā To which everyone in the facility (probably 6 to 10 spectators by now) start congratulating Adam and I. Ā āCongrats Dad!ā The one guy in his scrubs and surgery cap says to my husband. Ā Adam and I are both in shock. Ā Joy and apprehension fill me. Ā It doesnāt make sense, but I want to believe it. The nurse said she dumped the urine or else she would test again. My nurse calls my Dr. telling them of the positive test and they order a blood test. Ā I get dressed, we get our refund of the money we paid when we first arrived, and head to the lab for my blood work. Ā We then excitedly go to Bob Evans for breakfast, as we were pretty hungry after not eating much due to the early rise. Ā We talk about how crazy this story is and how funny it was to have all of those people in there when we first found out. Ā Adam is so excited, and I am too, though I feel like I know my body and I just felt like I couldnāt let myself get fully excited yet. Ā We go home and go about our days. Ā I had a few cheapo preg tests that I felt like I just needed to take... I took 2... both negative. My Drās office called and the woman says, āCongratulations are in order!ā Ā I tell her about the 2 negative tests and say, āWell they are the cheap kind, so they could be wrong.ā Ā I could hear in her voice that she wished she didnāt congratulate me and told me that she would call the minute she got the blood test results in. Adam and I go about our day, I take a nap. Ā My Drās office then calls... the blood test was negative. The final verdict and my heart breaks. Ā It was like we lost a child that never existed. Ā Understandably it was only a few hours that I thought we finally had our prayers answered, but it was enough. Ā I feel so much more sympathy for women who have had miscarriages, for the plans that never came to be. Ā I sobbed the rest of the day (and do so now as I write this, too). Ā
Okay....... on the next month. Ā I call the Dr. Schedule the HSG. Ā They canāt do it at the surgery center like they wanted to do last time because of scheduling, so they schedule me at the local hospital. Ā Adam and I get up bright and early and go to check in at the hospital. Ā The nice woman at the desk asks me my name. Ā She canāt find it. Ā āWhat is your Drās name?ā I tell her. Ā She finds that I am scheduled for an HSG for NEXT MONTH, not that day. Ā Mind you - HSGās canāt be scheduled that far in advance because they are determined by your menstrual cycle and you literally schedule them a week or days in advance. Ā ARE YOU KIDDING ME?!?! Ā We go out to our car, sit in the Starbuckās parking lot and wait for the Drās office to open (because it is still very early). Ā I call them finally getting through. Ā Tell them about the predicament. Ā They tell me that I need to come into the office. Ā The woman at their front desk dares to tell me that I was supposed to go to the surgery center - basically telling me that it is my fault, but they will try to get me in today. Ā I am beyond aggravated. Ā A women then pulls me into her office, she apologizes, tells me they are going to make sure to get me in that day for the HSG, gives me a $25 visa gift card (as if that makes it better) and I get scheduled that day during the Drās lunch break. Ā Fantastic. Ā They make sure to do the urine pregnancy test at the Drās office this time. Ā It came back negative. Ā Off to the surgery center... again.
My attending nurse, a very kind older woman comes in and gives me my gown, non-slip blue socks, back for my belongings, and asks how Iām doing. Ā I remember her being at the first spectacle, but she was not in our peanut gallery. Ā I break down in tears and she gives me one of the most needed hugs I have ever had and says, āOh sweetie, you have had a rough go at this.ā Ā So, I get in the operating room, they explain to me whatās going to happen - Ā I can see my reproductive organs on this screen - fantastic. Letās go. Ā A nurse is up by my head and he tells me that he is there for moral support, I say, āOk great.ā Ā They insert the speculum - nothing unusual - all women know what this feels like. Ā Dr says something along the lines of,Ā āHmm, the cervix is closed, so weāre going to have to dilate it. Ā Hand me the hystero-dilator (or something like that).ā Ā Nurse has no f-ing idea what he is talking about.Ā āThese?ā she asks. Ā Yup, them. (btw, she was one of the peanut gallery a month earlier). Ā The tool looks like one of those short scissor things. āYou feel any discomfort?ā Feeling good, doc, letās get this over with. This is when I experienced one of the most excruciating painful experiences of my life. Ā Dear Lord, it was like I was one of Vlad the Impalerās victimās. Ā āI am feeling pain nowā I say with a trembling voice. Ā The nurse says āGrab my handā and the poor manās hand probably needed x-rayed after I was done with the machine. Peanut gallery nurse says to the observing student who I had no idea was there the whole time, āYou can see the cervix, can you see the cervixā like a freakin zoo animal. Ā I am here for your amusement, I thought as I had sweat pouring off my brow in the cold room. Ā Then they inflated the balloon - even more pain. Ā Then the ink is inserted - slight fire through my abdomen. Ā āThe right tube is open - good news!ā Dr says... Extreme fire through my abdomen - Dr saysĀ āLeft tube is a bit closed, but open now!ā Ā āWeāre doneā were the best words I had heard. Ā The bloody tools are pulled out, balloon deflated. Ā Should I really have been awake for this? Ā It was quick, but wow. Ā Douche peanut gallery nurse then wisely states,Ā āThatās what it will feel like when a babyās head comes out.ā Delirious from the pain high, I just stared at her. Ā Well it was over. Ā Better chance to conceive now. Ā Hope. Ā
Several months later, nine months of Clomid (only supposed to be on it for like 6 months because it diminishes the egg reserve), and our Dr refers us to the specialist. Ā Hope is not gone, but it is struggling to stay afloat. Ā Still no diagnosis, and a bit of a let down from when the Dr was so confident. Ā We will see what the specialist says. Ā Next potential options would be IUI (inter-uterine insemination) or IVF, which we do not feel is an option for us at this point.Ā
I write about this because I feel like these struggles are predominately kept silent. Ā I found a pretty great online community through a facebook group that I have gone to for questions, a proverbial shoulder to cry on, etc. but sadly there, with this group being women only, my husband has had a hard time with not having such a resource. Ā You are not alone in your struggles of infertility. Ā We have around two and a half years under our belt, certainly not as long as some, but it feels like forever. Ā Prayers are appreciated. Ā Feel free to private message me or come up to me privately if you would like to talk - it is hard to talk about it sometimes without crying so I prefer to not do so in a very public setting. Ā But know that if you know this struggle, you are far from alone.
We have a great desire to be parents and are proactively in the process to become foster parents, with the goal of adoption. Ā This was a desire for us even before this struggle, but we decided to go about beginning the process sooner. Ā More on this in a future post. Ā
For now, xoxo. Ā Oh and...