Tuesday, February 17, 2015

Infertility, Pregnancy, and Identity

**Before I get started here, please note that this is a personal post. I don't mind sharing but some of you (especially family) may not want to read all the gory details. The TL:DR is this: not being able to get pregnant when you want to sucks, getting pregnant is terrifying, the assumption of female identity should not be defined by the ability to procreate. Also, as of writing this addition, we are 12 weeks pregnant so hopefully we're in this for the long haul.**

                This blog post has been a long time in coming. While I want to shout our joyous news from the rooftops, I recognize that there may be people on here who are suffering in silence and this post may hurt them. You see, up until recently, I was one of those people. While I was happy and excited for my friends and family, I also felt heartbreak, shame, anger, frustration, resentment, and jealousy. So yes, our news is exciting, but we are not the only people who have gone through this. 

Here’s the news: We’re pregnant. As I’m writing this, I’m about 5 weeks along. The embryo (not even a fetus yet) looks somewhere between a hollow tube of cells and a tadpole. We are so excited and thrilled – I’m also terrified of miscarriage risks but so far so good – and we can’t wait to meet our little one at the end of August/beginning of September.

                Our journey began in October 2013 when we decided that we were ready to not actively try to get pregnant but not prevent pregnancy either (for anyone who is thinking about trying this method this is actually called trying to conceive, whether you intend for it to or not). I had been on birth control pills for about 10 years so I knew my body would need a while to reset itself. While Lance was more reserved and wanted to wait longer, I was ready to jump in with both feet. I knew that on average it took “normal”, healthy couples 4-6 months to conceive and, even you did EVERYTHING right, you only had about 20% chance of conception each month. Lance thought we’d get pregnant right away so he wanted to push it back a few months. In November 2013 we had decided that we were going to actually start trying to conceive.

                I started taking my temperature at the exact same time every morning, which sucked on weekends because it meant that I was waking up early, I took prenatal vitamins, I started working out, eating healthier, etc. Everything the internet and baby books told me to do, I tried. As most of you know, Lance works out of town a lot. His work schedule would often take him out of town during the optimum time each month which was insanely frustrating for both of us. Months went by and every month there was only one lonely line on the pregnancy test.

                I’m going to pause here for a minute because I want people to understand that every month our hopes would get so high and come crashing down around us. When you’re trying to conceive there is a time before you ovulate (the follicular phase) where nothing you do will change the outcome unless you are receiving additional care from a reproductive endocrinologist or obgyn, then you ovulate (this is the optimum time), then you enter the luteal phase. The luteal phase is AWFUL, it consists of two weeks of wondering and hoping. For two weeks some women act as if they were pregnant, no stinky cheeses or wine, I was one of those women for the first six months. Implantation usually occurs 7-9 days after ovulation if you’ve conceived. HCG, the hormone that is detected on pregnancy tests, will usually start to register a few days later. Obviously, these are averages not everyone woman will experience the same thing. Every month I would test until my period showed up. Some months, I would keep testing anyways *just in case*. This is the kind of insanity that trying to conceive can bring you to.

                Finally, in July 2014 we got our positive pregnancy test! We were elated. Two days later I started spotting. I woke up one morning and knew that I wasn’t pregnant anymore. We went to the doctor who couldn’t see anything on the ultrasound and sent us to the hospital for beta-HCG tests. Betas are blood tests to determine how much HCG is in your system. My first beta result: 8. Now, the interesting thing about betas are that all betas have to start somewhere and they will almost always do a follow-up beta a few days later. HCG is supposed to double every 48 hours or so. The wait between the first beta test and the second was less excruciating than I thought it would be, probably because my initial number was so low. The second beta came back at a 2, we knew we lost the embryo.

                Most early miscarriages are the result of chromosomal disorders. However, since I was tracking my cycle through temperature and other various extreme measures, I knew that my luteal phase was on the short side. I also tended to spot before my period. Both of these are signs of progesterone issues. Progesterone is necessary to support the uterine lining to keep the implanted embryo in place. Because of my age, 25 at the time, no doctor was willing to touch me for additional tests until we had be actively trying to conceive for over a year. This was one of the most frustrating aspects of trying to conceive. I was tracking my cycle, I had identified the problem, I had had a failed pregnancy, what the hell were they waiting for?! We were told to wait one cycle and then start trying again.

                Finally, after another few more months of failed attempts, I got a double line again in December. The ironic part is that we had been trying to conceive for over a year at this point so we could go to the doctor for additional testing, which we had planned on doing in January. I’ve had positive tests for 5 days in a row now and I still can’t stop peeing on everything just to make sure that this is a sticky baby. We’ve opted to wait until January for my first appointment so I’m not worried about betas. I’m trying to enjoy this time while I can, just in case we lose another one. Luckily, my at-home tests are progressing nicely, so that is some comfort.

                It’s hard to describe the feelings that go into trying to conceive because it is such a rollercoaster of emotion. For most people, trying to conceive is a private event which makes matters worse if it takes a while. Trying to conceive can be a lonely time in many people’s lives because it’s not something that is talked about. Miscarriage isn’t talked about openly. This is usually exacerbated by the incessant asking of others, who don’t know your situation, about when you’re going to have kids or why you haven’t yet. My excuse was always that it takes two to make a baby and one of us was always out of town at the wrong time. This usually made people uncomfortable enough to not ask again or press the issue. My overall point is that we shouldn’t feel uncomfortable to share our feelings. Miscarriage shouldn’t have a stigma, a woman’s worth shouldn’t depend on whether or not she gives half her DNA to an offspring that she carries for 9 months. I really struggled with my identity as a woman when I thought about how much trouble we were having to conceive. It’s easier now, but I really shouldn’t have been so hard on myself. My identity is not correlated to whether or not I can I house and birth a parasite. We got lucky, some people struggle for years to conceive and have to go through rounds of medical intervention. I am so thankful that we were able to get pregnant when we did because this was the next step for us. 

                One of the things that helped keep me sane was online forums. I could go and share my fears or my anger or my hopes and someone would understanding. Talking about it helps. If you are reading this and you want to talk, please send me an email or call or text or Facebook message me. Bottom line: Yes, we are extremely excited to have this opportunity to be parents and we can’t wait to share all of this with all of you!