The Great Follistim Shortage

I was finally able to start a cycle with my doctor's office!

After waiting for a cyst on my ovary to collapse and travel plans to pass, I was finally able to move forward with treatment.

This time around, my doctor had me go straight into injections with Follistim. I was really lucky to have a friend who had some Follistim leftover from another cycle that was not yet expired. However, when I tried to order more, I learned that there was a national Follistim shortage.

How the heck does that happen!?

Considering that Follistim is lab-derived, you'd think that it would be fairly straightforward to keep in stock. Right? Well, apparently not. 

When I used up my supply from my friend, and needed more the same night, I let the nurse know that I didn't have any. She sent out the prescription for GonalF, which was it's own adventure in fertility drugs. However, since I didn't have any on hand and needed to inject myself with a dose that night, I was lucky enough to get some Follistim from my doctor's office that had been donated back by another patient. 

I drove through rush hour traffic all the way across the city and back, and in the midst of it all, one of my tires was losing pressure and I was super paranoid driving back across town in the event that it might blow out or get flat. Talk about stressful...

It boggles my mind how a pharmaceutical company isn't able to accurately forecast med quantities. You'd think that a shortage would be unheard of...or if there was a shortage that the pharma rep would let the doctor's office know.

And let's now get started on the complete and utter racket that the pharmaceutical companies and insurance companies are. They are no doubt in cahoots with each other for profit. I feel like insurance companies should be a non-profit organization based on principle alone - in order to provide the best care for their customers, instead of gouging them, quoting ridiculous pricing for medications.

I'm not sure how it's possible, but the medication that I ended up ordering through a cash pharmacy was quote to me at almost THREE times the cash price, and that was supposedly the "co-pay". In my experience, co-pays shouldn't cost more than the CASH price of a drug. Maybe I'm wrong, but something just seems terribly fishy there. 

As of this writing, Follistim is still in a state of national shortage, and hopefully should be back to normal stock by July. 

Our Infertility Journey

Going through infertility is probably one of the hardest things I've had to deal with in my adult life. It's kind of weird because it's not a life-threatening condition, per se, but it is a disease. One that people often suffer in silence with. 

However, infertility has also proved to be a great blessing. How? If it wasn't for being on this journey through the waters of infertility, I would have never met the amazing community of ladies who are going through the same thing. We all belong to a club that we wish we weren't a part of, and each wait for the day when our membership is revoked. We can't wait to be kicked out of the club.

I don't think I've shared our own infertility journey, and if anything, it needs a little updating. 

We got married in July 2009 and because we dated long distance for three years, we wanted to spend the first couple of years of marriage as a couple. We knew we wanted children, but we wanted to savor the time just the two of us. 

In 2012, during my annual well woman exam at my OBGYN's office, I was officially diagnosed with PCOS - polycystic ovarian syndrome. I had the symptoms: trouble losing weight, craving carbs, unwanted facial hair, thinning hair, irregular periods... All "manageable" symptoms through nutrition and exercise, but annoying nonetheless. Since we were not yet trying to start a family, I continued on the pill to regulate my cycles.

In 2013, we were ready to start trying for a family. I came off the pill and knew that it could take a couple of months for my hormones to regulate. We made it to the end of 2013 with no success.

In 2014, after about a year of trying, we saw my OBGYN to try some medicated, timed intercourse cycles. We did Femara/Letrozole and also tried Clomid. I seemed to respond decently to the medication, but no pregnancies. 

In June 2014, my OBGYN referred me to a reproductive endocrinologist - the office whose Letrozole and Clomid protocols she was following. I made the appointment and went to my first RE consultation.

I went to the consultation by myself and walked away overwhelmed and unimpressed. The doctor I met with didn't take any time to get any of my history (which I thought was important) and quickly launched into a standard protocol of Clomid and trigger shot.

At the time I wasn't as familiar with medicated cycle protocols as I am now, and I felt like the doctor was not listening to me. My OBGYN had suggested that I had a uterine lining issue (it was thinner than ideal), and told me to tell the RE. Well, he didn't even listen to that. I felt like I was wasting my time if he was just suggesting the same thing I had already done at my OBGYN's office.

I was annoyed. I didn't like that he didn't get to know me at all. I felt like a number and he was just giving me the standard plan of care. I felt like if I was going to have to pay out of pocket for this anyway, I needed to like my healthcare provider.

Needless to say, I did not return to his office ever again. 

At the end of 2014, I did return to my OBGYN's office for two more medicated cycle attempts. When our final attempt had no progress, we decided to take a break from medicated cycles. Around the same time, I also started seeing the nutrition testing specialist through my chiropractor. We started supplementing what I was deficient in to help rebalance my hormones.

I continued to see the nutrition testing specialist through the beginning of 2015. I was a lot of vitamins and supplements, and I felt like if I could help my issues in a natural way, that would be great. 

After about a six month break, I started to look into a new reproductive endocrinologist. There were a few top offices in our area that I found.

I had a couple important criteria I wanted in a doctor:

• female doctor
• experience with PCOS
• compassionate, empathetic, kind

While I know that male doctors are probably just as qualified as female doctors, I believe that female doctors understand these issues on a level that a man cannot. I feel way more comfortable with a female doctor and it helps when she can empathize (NOT sympathize) with me.

In July 2015, I made an appointment with an RE at a new practice. Based on her online profile, she seemed to fit most of my criteria. The personality component would be determined at our consultation.

Well, long story short, I LOVE our RE! She fits all the criteria and really appreciated that she spent about an hour with us going over our family histories, our personal medical histories, and personally did my first baseline ultrasound. I was impressed. She was kind and carefully reviewed our case to give us her honest suggested plan of care.

In August 2015, while waiting for my cycle to start before we could move forward with the plan of care with our RE, I was on cycle day 40...and I took a pregnancy test. It was positive! I had never seen a positive test before! Coincidentally, the RE's office called that same day to have me come in for routine bloodwork. I told them that I had a positive home pregnancy test and they said they'd do a beta Hcg test as well.

Later that day, it was confirmed that I was indeed pregnant, with an hCG level of over 9,000! (If you're new to beta numbers, that's super high! I didn't really know at the time how high that was). The following week, we went in for our first ultrasound and we got to see the gestational sacs...there were two! But only one looked to be growing. However...based on the date of my last period, it looked like the size was a little bit behind, so they had me come in the following week to check again.

The following week, there was no progress in growth. The doctor seemed to be cautiously optimistic about it, and had me come in the following week. She said that if there were no changes or heartbeat the next week, then we'd have to discuss options.

Well, in September 2015, I miscarried. Our baby stopped growing at about 5 weeks. We never got an accurate reading/measurement and never saw a heartbeat. I opted to take the medication to help move the miscarriage along after waiting two weeks to miscarry naturally. You can read about that here.

After the miscarriage, I had to wait for my cycle to return. My first period post-miscarriage was insanely heavy. Like...crazy heavy. The second cycle was a little bit more normal.

In November 2015 after my cycle started, I had my original testing done (that didn't happen because we took a detour with a positive pregnancy test), and that included an HSG and hysteroscopy. My doctor found a polyp during the hysteroscopy and my tubes were clear following the HSG. I experienced minimal pain with both, but I have a higher tolerance for pain.

In December 2015, I had a hysteroscopic polypectomy to remove the polyp. It was pretty easy. I was nervous about the anesthesia, but it turned out to be an amazing nap. I went home that morning and had another great nap. I felt pretty good the next day.

At the end of December, we tried a Letrozole cycle with trigger, except during my Day 12 soon, I had already ovulated.

We did a Letrozole + Ovidrel trigger at the end of January 2016.

In February 2016, we did Letrozole + Follistim + Ovidrel trigger + IUI.

In March 2016, when I went in for my baseline, they found a cyst lingering on my ovary, after having a super light period.

About two and a half weeks later when I thought my cycle started again, they saw the same cyst, but it was smaller. So I had to wait until it cleared.

My normal cycle started at the end of April 2016, however, because I was going to be out of town and unable to come in for monitoring, we have to wait until the next cycle.

I feel like waiting is the story of my life lately!

So here we are...waiting....waiting...waiting.

I'm a professional at waiting!

Tired of Failing

My cycle started last Wednesday.

And I took it harder than I expected.

My RE's office told me that I could take an HPT on Monday 2/8, but me, being ever the pragmatist, waited. I knew I should wait a few extra days, instead of "wasting" an HPT on a negative result. I think I need to get some of those cheap tests off Amazon.

According to my period tracking app, Glow, it said that my period was due on Wednesday 2/10. That morning, I had no signs of it starting. I don't generally experience very many PMS symptoms (I know, I'm lucky), and there were no physical signs. Throughout the day, there was some light spotting, and of course I tried to tell myself that it was implantation spotting...anything but my period starting.

By that evening, it started. And I was mad. I was sad. I was disappointed. I was frustrated.

I keep going back to thinking about how pregnancy is totally not an accident...it truly is a miracle. I know there are women out who blink and get pregnant, but for the rest of us, we pray, we plead, we beg...

So instead of calling my RE's office to report a positive HPT on Thursday, I got to call them to report a new cycle. We talked about getting a little more aggressive in treatment since I had just completed two cycles of Letrozole. One without a trigger shot and one with. They brought me in for a baseline ultrasound that next day and taught me how to inject myself with Follistim.

My doctor prescribed two days of Follistim alongside of taking Letrozole. I go in for a follow up sonogram on Wednesday to see if we can trigger and do an IUI.

I think the hardest part of this journey is that every month you feel like you're putting all your eggs in one basket (no pun with "eggs" intended) and hold on to hope that this will be it.

One the one hand, you don't want to lose hope. On the other, it's exhausting and frustrating and disappointing when you don't get your desired result. I know that I have to remain confident in the path that we are taking and to NOT compare my journey with anyone else. I will just get upset if I think about all the "OOPS" babies that have been conceived and may be terminated. Knowing what a freakin' miracle conception is, I don't take it for granted for one second.

Starting Again

I never expected that we'd have to wait so long to get started trying again after the miscarriage. Now, having experienced one, I know so much more and have so much more empathy for all the women who have had one or multiple miscarriages.

Any miscarriage is heartbreaking.

I think it's because you have that glimmer of hope. If you had a positive pregnancy test, there's a special kind of exhilaration you experience when you've been trying for years for this one thing to finally happen.

And then it's all taken away.

In addition to the emotional toll that it takes, there's also a physical toll.

I experienced our miscarriage in September 2015.

My RE then told me to wait until my next two regular cycles.

My first cycle post-miscarriage was the heaviest, longest period I've ever experienced. It felt like a mini-miscarriage minus the cramps.

My second cycle post-miscarriage was still on the heavier than normal side (for me), but a lot more normal than that first cycle post-miscarriage.

So that brought us to November, at which point, my RE had us come in for the remainder of the testing that we never had done when we first met with her because I had a positive pregnancy test...all kinds of crazy.

I had a hysterosalpingogram (HSG) and a hysteroscopy.

The hysterosalpingogram is where they set you up underneath an x-ray machine, inject dye to see if your fallopian tubes are clear. For me, the experience was mostly painless - there was some pressure from injecting the dye, but my doctor talked me through it as she completed the procedure. I felt some cramping, but nothing major, and nothing in comparison to the miscarriage. I have heard from other women, however, who have said that when they had the HSG done, it was a very painful experience. I think it really depends on you, your doctor, and your pain threshold.

As far as the hysteroscopy, you're lying down on a exam table, and the doctor will insert a scope with a small/tiny camera to check out your insides. It takes all of about 2-3 minutes and it's similar pressure and I'd say less painful than the HSG. My doctor did find evidence of a polyp on the back wall of my uterus as well as the site of where implantation had occurred. They call it "products of conception."

Because of the polyp, my RE recommended to have it removed as she suspected that it could have contributed to the cause of the miscarriage. We'll never fully know, but for me, it makes me feel a little better knowing there was some kind of "reason" for it happening.

In December, at the start of my next cycle, I had the surgery. It was a hysteroscopic polypectomy, which is a fancy way of saying that the polyp was removed with a hysteroscope. Thankfully that meant that no incisions were made on me. I was put under general anesthesia for the first time ever, and while I was a little apprehensive about it, it was the best sleep that I can remember.

For me, the surgery was easy. I had surgery on Friday, napped most of Friday afternoon, and felt pretty back to normal by Saturday afternoon. I had to take a week off of exercise/activity until my post-op appointment, but otherwise, everything was back to normal.

So that brings us back to now. At my post-op appointment, my RE told me that the surgery was a success and that she removed the polyp and "products of conception". She asked me what we wanted to do and if we were ready to try again. I said that we were ready. I went in for a baseline ultrasound right before Christmas and started Letrozole. I had a Day 11 ultrasound and it looked like I had already ovulated. They drew blood for a progesterone test, and later that day confirmed that ovulation had occurred. At that point we just had to wait to see what the two week wait might present.

Two days before I expected my period, and on the day that the RE's nurse had told me I could take a HPT, my cycle started.

Sometimes I just want to tell my body to stop being so rude.

So I called my RE's office to let them know that my cycle started again, and I went back in for a baseline ultrasound this past Monday on Day 4. I started Letrozole on Day 4, and I'll go in for a follow up ultrasound on Day 8 - a few days earlier than typical with the hope that we don't miss the ovulation window...because the plan is to trigger ovulation with Ovidrel.

It was weird that I ovulated so early last cycle, but after asking in my support groups, it sounds like other ladies who also took Letrozole experienced some early ovulation as well.

So we'll see what happens this cycle.

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.

Day 31: Hello July...still waiting

I, for one, cannot believe that it's already July.

This marks the official halfway point of the year. It's an understatement to say this year has flown by for me.

It's been an interesting year, for sure.

At the end of last year I left my terrible full-time job. Honestly, I could have stayed, but it was a toxic environment and I just couldn't take it for my own sanity. My boss was not cut out to ever be a boss, and that's tough when he is the owner of the company too. Our work ethics just did not align. And maybe I just needed to put my head down, focus, and work.

But sometimes, all that stress, aggravation, discontent is just not worth the paycheck.

I thought I had a miserable job before, but this one definitely takes the crown and glory for worst job ever. It probably would have been better for me if I could relate on a cultural level. But I'm not making excuses for that place anymore.

I'm convinced that we were not able to get pregnant while I was working there because of the stress. Hormonal issues too, but I think the stress played a huge part of it. I almost tried to go on stress leave. Get a note from a doctor to take a couple weeks off. Seriously. Makes me crazy thinking about it.

After leaving that job, I decided to focus 100% of my time on my portrait photography business. I'm a high school senior photographer, specializing in portraits for smart, shy girls. And you know what? I'm haven't replaced my previous income with it yet, although I'm getting closer, but I'm 100% happier than when I was working at what I lovingly refer to as "The Sweat Shop" (not too far from the truth, haha).

So here we are. 6 months into 2015. Starting the 7th month.

Still nothing yet as far as knowing if we put a bun in the over or not. Which is good so far. I'm counting my blessings instead of stressing out over it.

Although, yeah, I'm a little stressed. But I know that's bad, so I'm going to go do some deep breathing.

I'm planning to take a test this weekend. I go to my OBGYN on Tuesday for my annual well woman exam, so hopefully my doc will be able to tell me what to expect....either way.

Day 28: Still Waiting

Yesterday marked Day 28 of this cycle.

It's crazy how aware you become of what day it is when you're keeping track of your cycles.

To most people that probably means nothing.

To a woman who is trying to conceive (TTC) or struggling with infertility it means a whole lot more.

So technically speaking the two week wait is over. I could theoretically take a pregnancy test if I wanted to.

AF did not arrive yesterday, so that's definitely a good sign.

Yet, I don't want to put all my hopeful eggs in one basket, if that metaphor makes sense.

Logically, I know I should at least wait until when my period is due and wait for that to be officially "late". And then I should probably wait another seven days after that.

Such a waiting game.

And I don't want to freak out or stress out about this because I know that's not good either. Maybe I'll go meditate. My favorite part of meditation? Falling asleep in corpse pose...that's what it's called, right yoga aficionados?

Well, we bought a set of pregnancy tests this weekend, but I'm definitely waiting to test because in the words of my pragmatic brain, I don't want to "waste" them. But it's true.

I know that I could purchase cheapie tests on Amazon, but again, I don't want to be wasteful...and let's face it, I also don't want to know the answer yet.

I do.

But I don't.

And I know that it won't be the end of the world if we are not pregnant this cycle. Just another month ahead of waiting and seeking.

On the other hand, I might go out of my mind if it is positive.

I'm trying not to wrap up my emotions in the outcome of the test. Clearly, I'm not doing that great of a job.

I will be fine either way (one more fine than the other, obviously). I trust the plan that is being carved out for us. I trust the big guy upstairs. Although, I'll admit, it's a constant reminder to myself that it's his timing, not my own. His plans, not my own. It's not easy.

I'm also really excited. Cautiously so, of course. And on the same note, I'm also really nervous.

So maybe I should get back to that idea of meditation to clear my fears and worries and focus on the positive.

And of course, the other logical thing is that I could just find out now...theoretically. I could test and just see what happens. But I decided that I would at least wait until AF is projected to arrive, which is Friday, July 3.

Considering that my cycles for the majority of 2014 and early 2015 have been about 31-33 days, I think it makes sense to wait at least until then to see what happens.

This journey is so crazy. I'm sure it's worth it, but gosh, the emotional roller coaster is not for the faint of heart.

Day 14: Ovidrel Injection

I went to my Ultrasound appointment and my doctor decided to proceed with the Ovidrel injection to be administered on Day 14, which was yesterday. 

Sometimes, this journey just drives me crazy due to the lack of empathy of some people. 

So what had happened was...

My doctor prescribed the Ovidrel to induce ovulation.

I visit my local pharmacy, Walgreens, to see if they can fulfill the prescription.

They tell me that they don't keep it in stock, but if I can find a Walgreens that has it in stock, then they can access my prescription through their system.

I call a couple of different Walgreens and they don't have it in stock. They would have to special order it and it would not be available until at least Monday because it usually takes a business day for it to come in. And it was Friday.

So I called my Doctor's office to tell them of my situation. And man, I'm not sure if I spoke to a nurse or a medical assistant (but I'm leaning towards medical assistant) and wow, she did not listen very well.

To make a long story short, about four phone calls later, they finally got their butts in gear and found somewhere I could pick up the Ovidrel. While I was super annoyed at first, I was thankful that they were able to help me eventually. 

While stabbing yourself in the stomach isn't the most fun activity, it actually wasn't too bad. I had my husband pinch my skin and I injected the syringe. It didn't even hurt. Just a little prick. 

So now we wait. Well, you know, get busy and wait. The injection point doesn't hurt at all, which I'm thankful for. I do also have to use Estradiol suppositories, joy. 

I've decided that instead of lamenting over the infertility we've been going through, I'm going to focus on the possibility. I am able to get pregnant. I release the need to control when I get pregnant and I know that I will be pregnant when the time is right.

Yes, those are positive affirmations. And even if I sound silly, I want to focus on what I want instead of what I don't have. I want to spread gratitude. I want to spread abundance. 

We'll see!

Day 12: Ultrasound Day

After finally going back to my OBGYN after about a 6 month break from fertility medications, taking a course of Clomid and estrogen supplements, today is the day. Today I will have an ultrasound to see if Clomid worked and if it's viable to trigger ovulation.

The biggest things I struggle with is the probability. Even if the Clomid stimulated follicles to mature and the estrogen supplements helped to thicken the uterine lining, that doesn't guarantee anything.

It's definitely a journey of both science and faith.

Which makes it really difficult to see all the people who it "just happens" for. Because really, there are a whole lot of people out there who it doesn't just "happen" for. 

And I know that by comparing myself to other women, I'm only going to drive myself bananas. It's something that I struggle with on the daily and every time I see an announcement, I feel like it's another dig of what I haven't been able to do yet.

I also know that I need to stay faithful. To believe that it is possible. To know that we can become parents someday.

It's truly like fighting an enemy daily to tell him to shut up and go away. 

The doubt. 

The fear.

The negative, fatalistic thinking.

I have to be positive and go in with the best attitude.

In the last six months, I have lost 15lbs (which I'm hoping helps with the PCOS symptoms) and I'm exercising 5 days a week and eating a generally clean diet. It's hard to know what else I could be doing more of or better at, without making crazy drastic changes (what else is there left to do?)

All in all, I'm excited to go back to the doctor's office today to at least see what's next and what lies ahead. I want to be positive even if the outcome isn't what I'm hoping for. That's the hardest part, and yet the key....

Natural Healing and All Things Woo-Woo

In our quest to get pregnant, I've been researching all kinds of things. And while I know it's more common to go the Western route and find a good reproductive endocrinologist (RE), there's just something about all the drugs and chemicals that makes me wary.

My period tracking app, Glow, tells me that I should get my next period on October 2. This has me thinking about several things. First, what if the Ovidrel and Clomid works and we get pregnant?! Second, what if the Ovidrel and Clomid didn't work, and yet another month "wasted". Third, what can I be doing to help myself that doesn't involve medication? Fourth, could this nutrition testing thing really work?

The "What-If's" are killer. I know I shouldn't dwell in them. It'll make me crazy.

So, I don't even know the actual "correct" term of the appointments I'm going to. But it's through my chiropractors office and they call it "Nutrition". I think the tech is a naturopath, trained in nutrition testing. Basically, she checks my nervous system for pulses and can find my deficiencies and areas that need supplementation.

Yeah, it looks and seems totally woo-woo.

I'm like, I could totally fake that. How do I know what she's doing is even real? How does she "feel" these things? It's really weird. But every time that I see her, and she gives me a new supplement, I Google it, and it seems to line up. On my first visit, she asked me if I ever had trouble with my thyroid. And I know that I'm probably a good candidate for hypothyroidism, but it's never come up with my doctor.

Anyway, I take so many supplements these days it's comical. I take Advocare's MNS 3 packets. I also take a whole host of different whole food supplements from my chiropractor. On top of that I have my Metformin prescription for the PCOS and prenatal vitamins. I imagine I have some really expensive pee.

Too far?

And then this cycle we did the Clomid and Ovidrel. Gosh, this waiting period is long, yet short. It's one of those situations where I just want to know! So that I can move to the next step, depending on what that is. I know that I shouldn't live in anticipation of what's next, but rather savor where I am now. I do. I try not to think about it too much, but when I walk my dog in the mornings, it's thoughts like this that tend to consume me.

I'm also wondering if at the end of the 12 nutrition appointments, if I should continue. It's OF COURSE not covered by insurance, so it's all out of pocket, and with the number of supplements I'm taking on a daily basis, it adds up quickly.

Thanks to good ol' Google, you can find a lot of information, and I have been reading up on Natural Fertility Info, and I think that may be next (if the Ovidrel didn't do it's thing). I've been reading about Femaprin and Maca Root, Vitex, Royal Jelly, and Evening Primrose Oil.

I told my husband that if we don't get pregnant, that I'd like to give the prescriptions a rest for the remainder of the year. Trying to get pregnant is hard work! (Yes, that's funny depending how you read it.) It's also way more difficult for us who have conditions like PCOS. Oh and I just learned that September is PCOS Awareness Month. If you want a comprehensive rundown of PCOS, check out Chelsea's post here.

I know it's in this period of waiting that I need to hold tight to my faith. And that's always the hardest time to do that. I know that He is able to exceed beyond what we could ever ask for or imagine. So I do, I hold tight to His promises and His will, especially during this time of waiting.

Adventures in Fertility

Dealing with infertility has been a roller coaster journey. There are ups and downs and days when you feel completely filled with hope and other days when you feel completely depleted. And it feels like a lonely journey because not many people talk about it. Or they talk about it after they've made it to the other side - after they successfully get pregnant.

It's crazy to me that the one thing I had avoided for several years is now the thing that I want so badly. It makes me wonder if being on birth control previously was even worth it. Well, due to the PCOS, I think it was a necessary evil.

Last cycle (August), we did a round of Clomid and I matured some follicles. Yay! However, my uterine lining was not thick enough. AGAIN. Womp womp. When stuff like this happens, besides feeling disappointed, I also feel like a month of my life was wasted and so was that money for the fertility drugs. Yet another month not pregnant. I know that's not really reality, but that's what it feels like.

This cycle, we did another round of Clomid, this time with Estradiol suppositories. Yeah, suppositories. It's about as glamorous as it sounds. Not at all. It's weird and awkward and there are side effects. Like hot flashes. (I'm too young for those!) The suppositories are supposed to help with the lining to thicken up. I had to go to a special compounding pharmacy to pick those bad boys up. For five days, starting on Day 3, I was taking the Clomid (100mg) and inserting the estrogen suppositories before bedtime.

On Day 11, I went back to my OBGYN for an ultrasound to see how the fertility drugs had worked. Well, I matured another two follicles. However, that lining? That lining is stubborn and did not take to the suppositories like it was supposed to. But since we've been working on getting me pregnant for months now, my OBGYN decided to make the executive decision to go for it anyway and trigger ovulation with the handy dandy pre-filled syringe - Ovidrel as well as some oral Estradiol tablets.

My doctor showed me how to pinch my stomach and administer the shot. It's a good thing I'm not scared of needles. She ordered the prescription and I gathered my courage for this next step.

I went to our local Walgreens to pick everything up, except it turns out that they don't have the Ovidrel in stock. So I asked if they could find it because it was important that I take it the next day. After waiting in the Walgreens sitting area for almost 45 minutes, the pharmacist was able to track down a syringe of the stuff about 30 minutes away. Considering that I didn't have much of a choice, we drove out there. Oh by the way, that was not a cheap prescription...since it's not covered by insurance. (Apparently I need to move to Massachusetts where good insurance exists!)

The next day, Day 12, we did the trigger shot. I asked my husband to hold my skin for me as I gave myself the shot. And it wasn't bad at all. The needle is so skinny that it pretty much just slides under the skin and you kind of feel a small pinch when you inject the fluid, but it was no big deal especially in comparison to say a blood draw or giving blood. The needle was way smaller.

And then, as they say on pregnancy forums, there was required BD time. It took some Googling to figure out that stands for "Baby Dance"...I'm so not current on pregnancy acronyms. It's slightly unnerving when you have to BD at a certain and time, but at least it's fun.

And now we wait. We wait to see if AF (Aunt Flo, more acronyms!) comes in two weeks. Even then if AF doesn't come, I feel like I need to wait at least another week in case it's off by a few days.

I'm feeling hopeful, but at the same time I don't want to get my hopes up too high, because the disappointment is going to be big.

The waiting feels like torture. Because I want to think about it. I want to make scenarios of "what ifs" and such. I obviously want it to be positive. Want more acronyms? I want a BFP (big fat positive).

(Side note: I've never participated in online pregnancy forums, partially because half the time I can't read what they are saying because of all the darn acronyms - I do see how they are handy though.)

Are you going through infertility? What is your story?