I'm a little late in starting this new pregnancy blog so I'll try to catch up on the details. I didn't want to start this too soon just in case the ending would not turn out as I planned. The reality is that one out of every four pregnancies ends in a miscarriage so I wanted to make sure I was on my way before I got this new blog started. I want this blog to serve as a journey for the road I've taken and the miracle of life that is yet to come.
It's been a long road to get to this point. Four years of trying (over a year of actively trying including temping, drugs, needles, blood draws weekly and testing all while being diagnosed with hypothyroidism.
In 2011, I finally mentioned to my OB that we were trying to conceive but nothing was happening. She immediately suggested preconception bloodwork to check all the basic hormones essential for reproduction. I was a little hesitant at first but after realizing that at 34, my time was running out. I did the blood tests and received a phone call at 7:30 am on a Friday morning. Immediately I knew something was wrong. My OB told me that my TSH (thyroid stimulating hormone) was at 153! The normal range is somewhere around 2-3. She told me that this was a danger level and my body could shut down at any time. She said it was also a miracle that I was functioning at all. I was immediately put on medication to bring my levels to optimal TTC range. It was a frustrating year of trying to stabilize my levels but I knew it wasn't going to be easy with a level that high. In February of 2012, I was finally referred to a my reproductive endocrinology (RE - fertility specialist) to get me closer to my dream of motherhood.
I underwent numerous tests including 12 vials of blood to check for any STD's and genetic abnormalities, a hysterosalphingogram (HSG), and a hysteroscopy. The tests came back that I had no underlying issues besides my thyroid.
I will be the first to admit that I was very fortunate to have some fertility coverage through my insurance. Many women have to go through this process with no coverage and are forced to pay for these treatments out-of-pocket. The World Health Organization declared infertility a disease in November of 2009 yet society and insurance companies are still reluctant to view this as a medical disease. The ignorance of many think that this disease is not one of a physical disability but one that is mental. I could go off on this for days, but I digress. My insurance covered most of my treatments except injectable medication and ART (advanced reproductive therapy such as IVF, ICSI, GIFT, etc.). IUI was covered though and I had an unlimited amount of attempts (some insurance companies put a max on the number of procedures).
Rather than go through the details of each month, here is brief summary of the hell I endured to get to this point:
5/11 - Diagnosed with Hypothyroidism: TSH of 153!
2/12 - Referred to RE
3/12 - HSG & Hysteroscopy all clear
3/12 - Clomid 100 mg
4/12 - Clomid 100 mg w/Ovidrel
5/12 - Femara 5 mg w/Ovidrel
6/12 - TSH level FINALLY normal at 0.60
6/12 - Femara 5 mg w/Ovidrel, Promertrium. IUI #1 CP
7/12 - Femara 5 mg w/Ovidrel, Crinone. IUI #2
8/12 - Sanity Break (natural cycle)
9/12 - Sanity Break continued
10/12 - TSH regulated at 0.60, AMH 3.28 & FSH 5.21
10/12 - Femara 5 mg w/Ovidrel, Crinone & Prometrium. IUI #3
11/12 - Femara 5 mg, Follistim 300 iu, Bravelle 150 iu, Low Dose HCG 50 iu w/Ovidrel, Crinone. IUI #4 - BFP
I cannot give enough thanks to my RE for their willingness to work with me even though they knew my funds were limited for my out-of-pocket expenses. In November, I was able to do a combo cycle of Femara and injectables while paying NOTHING for my shots. They gave me ALL of my shots from leftover donated IVF patients that no longer needed their medication. If it wasn't for those meds, I would not be here today writing about my pregnancy. They saved me in excess of $1,000 for a one month cycle.
It was on a Saturday morning that I woke up to see the two pink lines I've been longing to see. By Sunday morning, I was able to see the one word that left tears streaming down my face while shaking uncontrollably. It was only at this point that Bryan FINALLY believed me.