The thing you worry about...

Last week, we went in for our first ultrasound. Based on my LMP, the reproductive endocrinologist and ultrasound tech had estimated me to be at about 7 weeks. However, when they did the ultrasound, the fetus was measuring more at 6 weeks. This didn't surprise me because that was the estimate I was going off of based on my irregular cycles. I know that I don't ovulate right at 14 days, it could have been anywhere between day 16-20 really. The RE asked us to come back in a week to do another scan to see how it progresses.

It felt like the longest week of my life, but I tried my best to stay calm, occupied, and free of worry. I didn't want to worry about something that was just in my head. But when it's your first pregnancy you just don't know what to feel or to expect.

I have been having the classic pregnancy symptoms for about two and a half weeks. Sore breasts, frequent urination, some fatigue, and a little morning sickness - mostly just feeling queasy. Even though I wasn't feeling awesome, I figured that having symptoms was a good sign.

We nicknamed the baby "The Nugget" and my husband would talk to my belly and tell the Nugget to keep growing. It's the cutest thing.

I prayed a lot. I did my best to concentrate on other things. I worked out. I indulged a little. I did some work. I tried to reduce any stress I was feeling. But a week is a long time.

In the back of my mind, I couldn't help but think about if something was wrong. What if the baby hadn't progressed in growth? What if I had a miscarriage?

I haven't had any spotting. I haven't had any cramps. I've been feeling pretty good, aside from some of the general symptoms. So I figured that I should just tell my worries to be quiet and wait for the appointment.

Well, our appointment was yesterday. We do the usual drill, another vaginal ultrasound. The tech does the initial scan, and while I'm not trained in reading ultrasounds, I can kind of tell that there's something not quite right. From what I can see on the screen, there doesn't appear to be much if any growth of the fetus since last week.

And I have to say that the ultrasound tech is quite nice and has good bedside manner, but when she says, "I'm just going to have the doctor come in and take a second look," and "It doesn't look like there was any growth, unfortunately," I couldn't help but see my worst fears come to light.

I mean, obviously, if there was no progress, that can't be a great thing. I was desperately hoping to see progress, to see the heartbeat flicker, to have proof that the baby growing inside me is doing well and getting bigger.

As we waited for the doctor to come in, I could only lay there and think worst case scenario. My husband grabbed my hand and we just looked at each other, not saying a word.

The doctor came in, did a second ultrasound scan, and while she could see the yolk sac/fetal pole, she said that it didn't look like the pregnancy was progress like she had hoped it would. She wanted to talk to us in her office after I got dressed.

She compared the ultrasound from this week to last weeks, and the look on her face basically said it. While she didn't rule it a pregnancy loss yet, she wants us to come in on Tuesday for a final scan to see what happens. She said that by that point we should be able to see a heartbeat, and if we can't....then we will discuss "options".

It just feels so grim.

Knowing, but also not knowing, that there's potentially a non-viable fetus inside of me.

It's the unknown that's the hardest. I feel like I have no control...and I while I know that I don't have control because all this is in God's court, still, I wish I could understand what and why this is happening. I feel like it's been an arduous journey to even get here to this point, only to have the rug pulled out from under us in a hot second.

We're in a place of wait and see.

It's crazy to me how we could go from such pure joy to devastation in a matter of seconds. While I don't know if I will have a miscarriage or not at this point, my gut tells me that we probably will. The optimistic side of my brain is grasping to the tiny shred of hope that the baby may progress at least a little bit by Tuesday.

However, I will say, that I am so thankful and grateful that we were even able to get pregnant naturally...or as the office calls it "spontaneously". Seeing that positive pregnancy test was pure joy. I was shocked and couldn't believe my eyes. I know that for many, many couples out there, this isn't even a possibility. So I am really thankful that we know that getting pregnant is a possibility for us. I'm trying to find the silver lining in between sobbing for the unknown.

Have you ever been through something like this?

Positive

The craziest thing happened today.

We got a positive pregnancy test.

I've never had a positive pregnancy test before. I also didn't believe it when I saw the plus sign on the Clear Blue Easy test.

In fact, while I was waiting the three minutes for the test to work, and two minutes and forty seconds had passed by and there was still nothing showing up...I almost gave up. When my timer went off, however, I looked at the test and there it was.

A strong plus sign.

WHAT?

I was in shock. I didn't believe it. We've never had a positive test before. Granted, I've only ever tested twice before this...but the first is definitely amazing.

Being myself, I googled the possibilities of false positives. I read that false negatives are more common than false positives.

I took the test and brought it out to the living room where my husband was working out. I said, "So I decided to take this test and..." and I showed him the stick. He didn't believe it either. He said, "Wait...what? It's positive?"

He stopped what he was doing and gave me a big hug as we both cried happy tears.

We were lucky that it also happened to be one of the days that he worked from home. Just as I was trying to figure out what to do next after having a positive pregnancy test, I made a call to my OBGYN to schedule an appointment. About thirty minutes later, our RE's office calls because they want to run some more tests since the records they pulled from my OBGYN were out of date.

That's when I told them that I just took a pregnancy test and it was positive.

A spontaneous pregnancy.

I still can't believe it.

The RE's office told me that if I could come in before noon for a blood draw (including the tests they wanted to run) they could give me results after lunchtime. So we quickly made that appointment and got there by 10:30.

We got to the doctor's office and after a few minutes they called my name to take me back to have my blood drawn. Throughout the day I was nervous, simply because I've never had a positive pregnancy test before. They told me that following my results they might ask me to come in for a follow up beta hCG test to make sure my levels were doubling properly.

Waiting until after lunchtime felt like slow painful torture. I just wanted to know the results!

At 3:45, with their office closing at 4:30, I stopped being patient and called the office. I finally got a hold of our nurse and she told me that I was definitely and "very" pregnant with a beta hCG of 9,000 and that I did not need to come in for a follow up. They were, however, going to prescribe me the drug Prometrium to maintain and increase my progesterone levels, since it was at 18.

Oh my goodness, I couldn't even believe it. Confirmed by a blood test. We are pregnant! (I am, haha).

We told our parents and siblings over Skype and FaceTime since we couldn't just keep the news to ourselves.

We'll go back to our RE's office for our first ultrasound next week. How am I even going to keep it together to wait these next seven days?!


Cycle Day 40: The Wait Continues

Oh the wait.

I suppose that if I had a normal cycle, I would have already taken a test.

But I don't. When you have PCOS, you have an irregular cycle. I've had irregular cycles most of my life (thought I didn't know it until I was in college)...although I have been having fairly regular 31-32 day cycles.

This time, however, here we are again at cycle day 40. When you have an irregular cycle, you're supposed to wait at least until you have the longest cycle you've had. For me, that's around 42-45 days.

I don't want to negotiate with God. Like, "Okay God, if this happens then this..." or something similar. I know that he has perfect timing in everything that happens, so even if I don't understand, He does.

Cycle Day 42 is on Wednesday. I think that will be the day that I test, should nothing happen between now and then.

I had 41 day cycles in January and March, so while this could be that (we'll see tomorrow), I'm also cautiously optimistic. I know that if this is our time, that it will truly have been a miracle. Seriously.

One of the things that is shaping my positive outlook is the fact that I ovulated this month - the blood test I had a week and a half ago showed that. I've also had sore boobs and frequent urination.

You better believe that I've been Googling "early pregnancy symptoms" and "when to take a pregnancy test."

And you may be wondering why I haven't gotten it over with and just taken one already.

Because my pragmatic side and my idealistic side don't jive.

It's kind of ridiculous.

I'm also naturally frugal, so I don't want to "waste" a test, which some may consider silly. However, considering that the very first pregnancy test I ever took (about a year ago), I totally botched (I did it wrong)...I don't want to make an expensive mistake again. Ha!

I know that I could order those cheap tests off of Amazon, but I haven't done that yet.

So I'm just practicing patience and trust in God's plan for all of this and on Wednesday, I'll take a test...

What would you do?

Our New RE // Cycle Day 37

Last week we had our appointment with a new reproductive endocrinologist.

It was a great experience! I'm so happy that we have found her and feel so reassured after meeting with her. Like a mentioned in my previous post, it was important to me to find a female reproductive endocrinologist. It's not that I don't trust men, it's just that I don't think male doctors who work in the lady part department will ever FULLY grasp what it's like. Sure they can try to empathize and if their wife has ever gone through infertility they can kind of get it....but it's just not quite the same as a female doctor who has had experience with infertility herself.

The experience was excellent from the get-go. I called the make the appointment and the receptionist was super friendly and got me set up in a jiffy. The day before my appointment someone called to confirm and had a bright and cheerful voice on the phone. (I point this out because the medical assistant at my OBGYN's office has the worst phone voice ever...as if it's torture for her to be talking on the phone - she sounds so bored and annoyed.)

That, in and of itself, made me calmer and look forward to the appointment.

My husband came to the appointment with me and though he technically was not required to be there, I was really happy to have him by my side. After the usual wait in a doctor's office and filling out some additional paperwork, I had my vitals taken, and we were led into the doctor's office.

Her office was bright, with comfy chairs and colorful pillows - definitely a woman's office! Dr. T came in and greeted us with a smile on her face. (I point out these details because they make a difference - to me at least!) She took time to take our history and ask relevant questions. I could tell that she was really listening and trying to get a good understanding of our current situation. It felt nice to talk to someone who was really listening and interested. We talked about my PCOS, when I was diagnosed, what I've done to manage it, and she even gave me some more understanding about what was going on.

My husband had just had an SA the week before this RE appointment. Unfortunately, we had not yet received the results...which you know can make anyone nervous. We didn't receive the results until the end of the week and spoiler alert - he's normal!

After taking our histories, the doctor took us in for an ultrasound to check things out. It was the first time that I had a doctor (and not an ultrasound tech) do the vaginal ultrasound. She pointed out everything as she was going and it was the first time that anything had ever been really pointed out to me. Good news, she counted follicles (so it seems like eggs are not currently an issue) and it looked like one of them was nice and big for ovulation. She ordered a blood test to check to see if I had ovulated as well.

Overall, I was just thrilled with how the appointment went. She was very friendly and warm - something that I feel is hard to come by with doctors. When it comes to something like this, infertility, I need someone who is going to be empathetic and sensitive to the experience. I wouldn't do well with someone who was all "JUST THE FACTS". I know some people prefer that, but not me. I like the warm fuzzies. It helps so much with the trust factor.

It was such a contrast from my experience last year. I also had a year of infertility experience and further understanding, but also the doctor herself was a dream in comparison. And let's just say that I had heard no reassuring comments about last year's doctor through the grapevine.

So the plan is to wait until my next cycle, do one more medicated cycle but with Femara, and see what happens before exploring IUI's etc. The doctor says we're "boring" (in a good way) and that because of the PCOS we may just need a little extra nudge in the direction of getting knocked up.

And now we wait.

Oh waiting. It's not for the faint of heart or the patient. Ha.

Well, I got the lab results from my blood test to check for ovulation and I measured at 16. The nurse said that they like anything above an 11 to indicate ovulation, so I hope this is good sign. The great thing is that even if this cycle doesn't result in pregnancy, I feel 110% confident in my new doctor to help us.

Here we are...cycle day 37.

I have to wait until at least CD 42 or 45 before testing...I know I could test...but I'm so pragmatic I don't want to waste them! Haha.