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Thursday, December 31, 2009

Reflecting on New Years Past

I remember around this time last year, saying goodbye to 2008 and wondering what 2009 would bring to us. I wasn't very fond of 2008 to begin with and was very much wanting to be rid of it.

2008 just brought memories of the ectopic, the trauma of emergency surgery, the grief of our first miscarriage, the confusion of coming to terms with the loss and more disappointment from failed infertility treatments. In December 2008 our RE gave us the "other options" talk. Informing us that the IUIs were the best treatment that Kaiser could provide, but maybe not the best treatment for us.

January 2009, we went on a break from treatments for four months. Michael commented that I seemed happier when we weren't doing treatments. And maybe I was happier, but I had something to look forward to, something to keep me focused - one more IUI. One more chance for it to go right.

March 2009, I exercised my right to say 'No' to an invitation to a baby shower. It crushed me to say no, but I had to decline. It would have been too painful to go, and to make matters worse it was to be on the Saturday before Mother's Day. Talk about a crushing blow to the gut.

June 2009, In between waiting to see if our third IUI worked (it didn't) God put it in my heart that He just wants what is best for us. I didn't quite understand what that meant.

August 2009, our last IUI worked but not enough to sustain the pregnancy. I miscarried early and officially hated 2009. No more treatments, no more trying to get pregnant, no more dreaming.

It was another quick early miscarriage. I remember thinking in the midst of the pain and grief how great God's mercy was toward us. In a way it was a blessing that we didn't get too attached to the baby.

2009 marked the end of a dream for us and in the midst of coming to terms with the end of that dream I remember thinking "This is all going to get better, right God? It can't get any worse, can it? We're going to find a new dream, aren't we?"

It took a while, but things started to get better. God has been really good to us. Through counselling the last two months of 2009 haven't been that bad. I can actually say that I've been content and have been able to find joy. Not in our situation, but in our God.

I don't have any real expectations for 2010. Is that bad? Its not that I'm not expecting God to do anything or looking forward to the New Year. I am looking forward to it, especially now that we have decided to move forward with adoption. I do hope this new year is better. I'm sure the adoption will keep my mind and my year occupied.

Monday, December 21, 2009

Baby Steps

Baby Step #1: A couple of weeks ago my work decided to do an Angel Tree thing with the local girls and boys home. I took a look at the names on the tree and among the other boys and girls there was one 6 month old baby. Without really thinking about it I grabbed the one with baby's wish list. I felt so drawn to help this baby. I also felt proud of myself that I didn't cop out of it and get someone else.

But getting the items on the baby's wish list meant having to walk through the dreaded Baby section at Target. Usually when I'm at Target and I want to get to the Electronics/Book section I know I could easily cut through the baby section to get there, but I could never bring myself to do it. So I would take the long way keeping my head straight and holding my breath the whole time.

Baby Step #2: It took a couple trips to Target to get me to venture to the baby section, but I finally did it last Friday night. I didn't really take my time or pay attention to everything that was there. I just focused on what I needed to buy and left.

Baby Step #3: It use to be really hard for me to look at babies in their natural habitat (in their mother's arms, or looking cute in their stroller). I use to avoid eye contact with all babies mostly so I wouldn't start crying. But, lately everywhere we go all these babies see us and just smile, wave and say "Hi", so I smile back, wave and say "Hi". One little girl at Applebee's stopped us as we were walking out and said "Look at my color," and showed me her crayon. Its the weirdest thing, its not something that usually happens to us...ever.

Baby Step #4: We went to Barnes and Noble to do some shopping and looking around. I was curious to see what books they had on adoption and parenting. I was shocked and a little embarrassed that I had no clue what section to look for such books. Not surprising I knew where all the Infertility books were located (between Women's Health and Diseases). I finally found the section with the help of an annoyed, over-worked salesperson. I was very disappointed that out of the entire section of Pregnancy/Childbirth, Family/Child-rearing there were about 5 books on adoption.

Baby Step #5: I sent for an information packet from Bethany and we will be looking into maybe going to one of their informational meetings after the New Year.

I keep asking myself if we're moving too fast into adoption. I don't feel like we are. Counselling has really helped us work through the grief. It just seems odd to me that nearly 5 months ago it felt like I would never be able to recover from the pain of our shattered dream of being able to have children of our own. I was in no fit state to talk about adoption without bursting into tears, much less walk through the Baby section in Target without having an anxiety attack. God is so good. I can honestly say that and beleive it in my heart to be true.

Although, the pain is not completely gone. I'd be naive to think it would completely go away, but its not as intense or crippling as it use to be. Again, God is so good.

Friday, December 4, 2009

The Poetic Side of Me

Here is a poem that I wrote four months ago that morning our lives changed. I'm glad I was able to write it. I love writing poetry. Its a great way for me to express the raw emotions that come with living with infertility.


Nothing ever seems easy
For the two of us.
Everyday challenges
Feel like a soft reprimand
For fear that we should take things for granted.
In between the trials and heartache,
The tears and the anger,
A small reprieve finds us,
But only for a little while.
There is a constant struggle for peace,
As we fight our way toward a happiness
That never seems to find us.

He says we’re being shaped
For something.
So why does it feel
Like we’re being punished?
He says He has a perfect plan
For us.
So why won’t He tell us,
What is going on?
He says there is a miracle
For us.
So why does it feel
Like the death of a dream?

Four Months Ago Today

We learned that our last IUI worked, but not well enough. The day before, I had requested a blood test to see if I was pregnant because I was spotting and feared I was having another ectoptic pregnancy. My HCG results came back at 5, but according to Kaiser's website 5 it meant I was pregnant. It was hard not to be excited, and it was 14 days post IUI and I had never made it that far without AF coming at 12 days post IUI, so I really believed I was pregnant.

I woke up early the next morning cramping and bleeding...I was miscarrying. I remember at the time I wasn't angry. I was just sad and very numb and I didn't know what to do, so I cried. The anger came later on.

The hardest part about that day was that we didn't just lose a baby, we lost the dream of having children of our own.

We agreed not to do anymore treatments. It was expensive and we were tired of the highs and lows that came with each procedure. It was over. No more trying to get pregnant. What was I going to do now?

I told Michael that if this IUI didn't work, or if it did work and I miscarried, I was going to need counseling. There were too many emotions to have to work through before we could move onto adoption.

We've been in grief counselling for 3 months and I'm thankful to say what a difference its made for us. I no longer have anxiety attacks (or that many), and the depression isn't as bad as it once was, and I'm sleeping better. We are even in the beginning stages of researching adoption agencies. I can actually say that I am content and a little excited about adoption.

There is still one thing I do, and I know it isn't healthy. I count on the calendar how many weeks pregnant I would have been had I not miscarried. This week I would have been 21 weeks pregnant. We would've been able to see if we were having a boy or a girl. I'll probably still do this until April comes.

I still have my bad days, but they aren't as often or nearly as horrible as they used to be.

Wednesday, December 2, 2009

And The Research Begins

Michael and I have started the research process into Adoption agencies, and I have to be honest - its a bit overwhelming. There is so much information out there its hard to know where to start.

Like where do you go to have a Home Study done? Do you go through your own county? If you adopt from an agency in another state will your county still do a Home Study for you? Which agency is the best one? How do we find out which agency is the best one for us?

I understand that there is a lot involved in domestic infant adoption. I'd be naive if I thought it was an easy process. I just wish the research part was a little easier, but I guess it wouldn't be called research if it was easy.

I'm the type of person that likes to know everything about something before I do it, so this process will definitely be about showing me patience and reminding me that in everything God is in control.

Monday, November 23, 2009

How could I have forgotten...

Michael and I were watching Bones last Thursday night and one of the interns was commending Agent Booth for taking care of his Grandpa. Edison, the intern, continued to explain that he loved his own Grandfather and that his Grandfather never got to see what he became (a forensic anthropalogist). Dr Sayoran told him that his Grandfather would be proud of him.

I began to wonder if my Grandmother would be proud of me, of who I am today. She died when I was 17 and she never got to see me graduate from High School or College or meet Michael. Would she be okay with us adopting?

Yes. A voice answered immediately.

And then I remembered, my Grandmother spent a good portion of her life in an orphanage. When her mother died, her father sent her to an orphanage and kept her two younger brothers, because he couldn't be bothered raising a girl. She was only 3 years old and was never adopted. She aged out and became a nanny. She eventually got married and raised a family of her own.

How could I have forgotten she was in an orphanage?

I started crying, right there in the middle of watching Bones. And a strange peace came over me. Thanks God, and thank you Grama. The tears were happy tears and it helped in bringing me closer to the adoption process. I actually felt excited about it, which is certainly a breakthough.

I know I still have a long way to go, but its a start in the right direction.

Monday, November 16, 2009

The Beginning: A Brief Outline

You are probably wondering how we got to the middle of our journey, so I will start from the beginning. By nature I'm a storyteller and I like detail. I can't just give a brief overview, but for the sake of keeping my reader's attention I will use "The Infertility Resume method.

March 2001
Michael and I get married. We decide that for the first two years I will be on birth control pills.

October 2002
Michael and I move to Oxford, England so he can get his D.Phil in Theology.

September 2003
I throw away my birth control pills and we are ready to make a baby. WOO HOO!!!

September 2004
Still not pregnant, charting shows cycles are all over the place. My GP (General Practitioner) orders some blood tests and refers me to an OB/GYN doc for an ultrasound (the referral takes up to 3 to 6 months - one of the reasons I HATE the National Health Care system).

March 2005
I have my appt with the OB/GYN doc and I'm diagnosed with "Mild Borderline Polycystic Ovarian Syndrome". Sounds made up, yes? We are offered to have a full fertility work up, however we would have to wait another 6 months to have it done.

July 2005
Michael finishes he's thesis and we move back to California. Both of us are looking for jobs and now have no health insurance. Three months later Michael gets a job and we have health insurance.

November 2006
My cycles are getting longer and longer, so I decide to go to the doctors. I get referred to Kaiser's Infertility Program by my Primary Care Physician.

May 2007
Our paperwork is in and we take the appropriate blood tests and Michael gives a Semen Analysis. Michael's SA comes back normal with great numbers. There are no issues with him. My blood work shows that I have Polycystic Ovarian Syndrome. I'm not ovulating on my own so the RE (Reproductive Endocrinologist) suggests a couple of cycles of Clomid.

October 2007
We start Clomid at 50 mg. I didn't think it would work the first time, but I'd be lying if I said I wasn't hopeful. After all, the only problem we are facing is an ovulation problem, so the Clomid is bound to work, right? Wrong.

November 2007
Clomid increased to 100mg, now getting uncomfortable hot flashes at night. But the discomfort will all be worth it if this cycle works. It doesn't work.

December 2007
Clomid increased to 150mg, now getting visual disturbances and insomnia along with the uncomfortable hot flashes. The discomfort does not pay off either in this cycle.

January 2008
Clomid increased to 200mg. We get our first positive OPK (Ovulation Predictor Kit) and seal the deal. Two weeks later at our RE appt we take a pregnancy test and its negative. We are sad, but because the visual disturbances got worse with the increase in Clomid dosage the RE suggest moving straight to injections. But first I have to have an HSG (hysterosalipingogram, say that 5 times fast) to check that my fallopian tubes are clear.

February 2008
I don't exactly start my period, but I have spotting. One morning at work I get this sharp pain in my lower abdomen. The pain feels like cramps, but no amount of medicine works to take the pain away. Later that evening my dad takes me to the ER as Michael is gone teaching a night class.

After waiting for nearly 12 hours in the waiting room we are finally admitted and learn that we are pregnant. The elation is short lived as none of the doctors know why I'm in pain. An ultrasound shows I have "fluid" in my uterus.

I am transferred to a Kaiser hospital where we are told that the "fluid" in my uterus is blood. I am then rushed for emergency surgery for either a suspected ruptured cyst or ruptured tube due to an ectopic pregnancy.

Its an ectopic pregnancy and my right tube is removed. Our chances of getting pregnant just got more complicated.

May 2008
I have my scheduled HSG and the test shows the remaining tube is clear. I'm told that the other tube must have had some kind of damage to cause the ectopic. We are cleared to continue treatment with injections and IUI (Intrauterine Insemination). Now all I have to do is learn how to give myself shots.

July 2008
I learn how to give myself shots and overcome my fear of needles.

August 2008
Our first injection cycle with IUI begins, but an ultrasound shows the right ovary (a.k.a the wrong ovary) is responding and the left ovary (a.k.a the correct ovary) is quiet, so the cycle is cancelled.

September and November 2008
We have our first and second IUI, but sadly both are not successful.

December 2008
We decide to take a break a much needed break from fertility treatments.

May 2009
We prepare for our third IUI and learn that we no longer have 100% coverage. It is now reduced to 50%, which means dipping into the savings. The IUI is not successful. Our RE offers us a 4th cycle since I have a history of responding well to the meds. We decide to do one more cycle, one last time.

July 2009
We prepare for our fourth and last IUI and it is by far the best cycle we've had since starting injections. The left ovary produces 3 follicles and the right ovary is completely quiet. Everything goes by smoothly.

August 2009
14 days post IUI (August 3) I take a pregnancy test and its negative. I have a blood test taken that same day and my HCG is at 5. I'm pregnant, but not pregnant enough for it to be a viable pregnancy. The next morning I wake up cramping and bleeding. Because the HCG number is so low, the RE calls it a chemical pregnancy and offers another cycle.

September 2009
We decide to stop further fertility treatments, and instead redirect our focus on other ways of building a family. However, before I can come to terms with our new "plan" I will need to work through some issues with the help of a counselor.

May 2010
We picked an Adoption agency and our application has been approved. We are now getting on to various tasks on our to-do list (clean out spare room, make LifeBook of us, scheduling Home Study).

August 2010
Our LifeBook is complete and turned into the agency. We have found an agency here to do our Homestudy and have begun the Homestudy process. Operation Clean Apartment has begun. Also we "graduate" out of Grief Counseling.

December 2010
Our Home Study is officially complete! We are now waiting to be matched with a birthmother.


August 2011
Surprising match with a birthmother through a mutual friend. Things look really promising as both birthparents are supportive of the match. Contact local agency to help with birthparent services and reliquishment. We are excited.


September 2011
Two weeks before the baby is due, birthfather changes his mind, birthmother doesn't feel confident about adoption anymore. Adoption is off. We are devastated.

Sunday, November 15, 2009

I figured it was about time...

...I started a blog. I'm not really going to say much in this post as its close to 11pm and I wasted a good 6 hours thinking of a blog description.

Anyway, I'm excited and a little scared to be posting my infertility journey on here, but I figured if it helps just one person out there, then I've done my job. And if it gets turned into a movie then I would like Kate Beckinsale to play me :) and Cary Elwes to play Michael.

I should probably use this post to explain the title of my blog "In The Middle With You". Its kind of where Michael (my husband) and I are in regards to our infertility journey.

After six years of trying to conceive our first child with no success using conventional or medical methods, we felt that it was time to move onto other ways to build a family. However, before we move onto adoption there are certain issues that we must deal with first, so for right now we are 'somewhere in the middle.'

I like that title. I feel it fits where we are and that is the purpose of this blog. But for some reason the song "The Middle" from Jimmy Eat World gets in my head.

Anyway, thanks for reading :)