DEMOCRACY IN ACTION

I feel a bit shaky because I just got off the phone with the offices of Congressman Daniel Webster and senators Bill Nelson and Marco Rubio. It was my first time ever calling a government office to express support for a bill, and I was so nervous! Dumb. But very cool to play a small role in the workings of government, and I truly support the bills about which I was calling: the Family Act and the Making Adoption Affordable Act.

Big props to Keiko Zoll of The Infertility Voice for advocating for these bills and making it so easy to show my support. Click here to read her excellent summary of what these bills are and what they'll do if they pass. She also gives easy steps on how YOU TOO can voice your support. Many of you feel lost as to how to help me -- this is your chance to do something that could make a real difference in my fertility journey!

Via Keiko: Tuesday through Thursday of this week, RESOLVE: The National Infertility Association is hosting a Congressional Call Week. Helping to support The Family Act and saving the Adoption Tax Credit is as easy as picking up the phone.

It took me about 15 minutes to make my calls. (I emailed too. Gold star.) Many thanks!

FAQs

Q: How have you been? (Read: Are you secretly pregnant?!?)

A: I am not that great, but I try not to live my life like a giant sad sack all the time. I go to work, I run, I plan trips, I watch my favorite TV shows. Infertility is always there in the back of my mind, often the front. Pregnant bellies, cute babies and happy families are literally everywhere I go, constantly reminding me of my unfulfilled desires. Seeing them fills me with despair, which is twisted and makes me feel like and alien, like the sinister kind from Prometheus, not the cute kind from Toy Story. It seems like the easiest, most natural thing in the world for most people to conceive, but it’s something we can’t manage to do no matter what we try, which is heartbreaking and helpless-feeling and frustrating and very scary. But like I said, I just keep getting up and going about my day, and I try to make the best of my life.

And I assure you, I am not secretly pregnant. If Philip and I do manage to become pregnant by means of some expensive treatment, there is no way I will be able to keep it private for three months. I promise you, you will find out very soon after we find out — and you’ll get to follow me as I fret and agonize over the very real chance that the pregnancy won’t last.

Q: Have you been to a fertility specialist?

A: Yes, we are seeing Dr. DeVane at the Center forReproductive Medicine in Orlando. We liked him very much at our initial two-hour consultation. And we haven’t laid eyes on him since. That’s not entirely true — I did see him from a distance a couple times at the clinic, and I felt like I was seeing a mirage or an angel in a dream. Hopefully we’ll get to interact with him more once we start more aggressive treatments.

Q: Did they find anything wrong with you?

A: Not really. My ovarian reserve was too high, which suggests an ovulatory problem and made the doctor suspect PCOS. However, further testing showed I most likely do not have PCOS, as my insulin levels were normal. I have all the signs of ovulation every month — cervical fluid, elevated temperatures, normal progesterone levels and a regular period. The doctor suggested that although I may be ovulating, the eggs may not actually be rupturing out of the follicles. We don’t know for sure though, and the only way to find out would be to perform a series of ultrasounds. Ultrasounds run about $150 to $275 a pop (and our insurance doesn’t cover any fertility treatment), so I’m not really interested in doing that — especially since, whether my follicles are rupturing or not, the treatments are the same. P.S. My fallopian tubes are not blocked. Yay.

Q: Did they find anything wrong with Philip?

A: Not really. His morphology was a little out of normal range, but not enough to warrant him seeing a urologist or to start any medication.

Q: Are you doing any treatments?

A: We have done two cycles of medication plus “timed relations.” Both months, I took 2.5mg of Letrozole for five days. Letrozole is a breast-cancer drug that lowers estrogen levels, similar to Clomid. Philip also gave me an injection of Ovidrel in my stomach both months. Ovidrel stimulates ovulation. Fun fact: Its production process involves the expansion of genetically modified Chinese Hamster Ovary cells. Don’t be jealous. Then we had sex. This approach did not work for us.

Q: What’s the latest with fertility stuff?

A: We are taking a month off from treatment this month because of personal travel that conflicted with ovulation. Taking a month off has been a nice break, and I don’t miss going to get poked and prodded at the clinic every few days. It is also making me feel hella impatient and completely crazed, but I keep trying to remind myself that this was the decision we made, and we prioritized other things this month. The plan right now is to try our first IUI next month.

Q: Oh, I think my friend did that! Is that where they make the baby in like a … test tube or something?

A: No. IUI stands for Intrauterine Insemination. What you are thinking of is IVF (more on that in a moment). It used to be called “artificial insemination”; thank God they abandoned that moniker. Philip will create a semen sample, and then lab technicians will “wash” it, essentially weeding out the champs from the losers. Then they’ll put the little guys in a centrifuge and get them all wound up, then inject them directly into my uterus. This way, they won’t be subjected to the hostile, acidic environment of my big, bad vag, and they’ll be a lot closer to the end goal, so they don’t wimp out too soon. From what I’ve read, about 10 percent of IUI cycles result in a pregnancy. Those are not great odds. However, I ended up in the 10 percent of people who are infertile, so anything is possible.

Usually a fertility doctor recommends three cycles of IUI before moving on to IVF. That stands for In Vitro Fertilization, and that is when they’ll retrieve my eggs and mix them with Philip’s sperm in a Petri dish. After the eggs are fertilized, the doctor will take the one or two most promising-looking blastocysts and transfer them directly into my uterus, hoping they’ll implant. About half of all IVF cycles in my age group result in a pregnancy. These are much better odds, but as you can see, still not a guarantee by any means. Also, an IUI cycle costs about $1,000. An IFV cycle costs about $12-20K. So there’s that.

Q: Well, at least you know you WILL be a mother someday, even if it’s through adoption, right?

A: Actually, I don’t know that, which is largely what makes this so difficult. Statistically, 5 percent of women won’t be able to conceive, even with treatment. And to conceive with my own body is what I want. To be frank, I want to carry a baby in my own uterus that is made up of my egg and Philip’s sperm. I want to go through everything that pregnancy entails — the getting fatter, the throwing up, the feeling of the baby moving around inside, and the giving birth, no matter how painful it is. The thought of going through multiple cycles of IVF without success overwhelms me and brings me to tears, and we’re nowhere near IVF yet. When it comes to treatment, I don’t know how far is too far for us. I don’t know when we finally surrender and start looking at other options — and other options are just as emotionally grueling, uncertain, expensive and drawn out. If I KNEW we would be parents someday, and it was just a matter of waiting, it would be difficult, but it would be much more bearable. It’s the fear that after all of this — and so much more — we still may have to face the fact that we’ll forever be a family of two. People tell me all the time, “It’ll happen,” and I appreciate that they’re just trying to be reassuring. But I don’t know that it will happen. And that’s what’s so terrifying.

Q: What if you did IVF and ended up having twins?

A: I would be THRILLED!!!!!!!!

SO ... THIS EXISTS

Came across this little gem in my Facebook feed over the weekend. Pumpkin fetus — thoughts?

AN ODE TO (FUTILE) BABY-MAKING SEX

I know what you’ve all been missing — more sex talk. I wrote about sex a lot in the beginning, because that was the only baby-making tool we had at our disposal. Now we have a team of doctors and nurses all up in the mix, and they’re armed with syringes, medications and transvaginal wands.

I’m afraid baby-making sex is going the way of the buffalo. We’re surrendering to the reality that our reproductive organs, left to their own devices, aren’t going to produce a fetus for us. If we conceive, we’ll do it from separate rooms in the fertility clinic.

That said, I thought I’d write one more baby-making-sex post, for old time’s sake. And, though it was unsuccessful, we had the best baby-making sex of our lives last month.

It all began when Philip made fun of a pair of cotton underwear I was wearing. He was just being playful, but his teasing made me take stock of my collection: a pile of sensible cotton panties — a few A pairs, mostly Bs, and then the Cs I keep around for that time of the month. When it came to “sexy” panties, I had exactly four pairs, one of which had been a bridal-shower gift. I’ve been married for seven years, so do the math.

Then I turned to my bras, all five of them, stretched out, pilly and even more ill-fitting after months of use than they were when I originally purchased them. Not a single one qualified as sexy.

This was a sad state of affairs. Philip has said many times he’s not really into lingerie, and I can’t stand thongs. But it wouldn’t kill me to have a few bras and panties that have a shred of pizzazz.

So, off to Victoria’s Secret I trotted, with the intention of spending as much as it took to procure a handful of slinky underthings. I began canvassing the store, looking for sexy bras that didn’t have padding. I never in my life have owned a padded bra — I had never even tried on one. The idea seemed silly and false to me. But I wasn’t having any luck — all the cute bras were stuffed to the gills.

A sales associate asked if I needed help, and I explained my dilemma. She suggested I try one particular style that had gel. “It conforms to your body and doesn’t make you look bigger,” she assured me.

So into the dressing room I went, push-up bra in hand. I tried that sucker on, and people, I looked HOT. You know how you always want to murder the models in Victoria’s Secret ads because they’re so slim but yet so incredibly buxom? Well, they can take credit for their skinniness (though Photoshop helps, I’m sure), but the boob thing is ALL BRA. It was a revelation. No wonder women buy these things. They make your boobs 20 times bigger and squish the twins together in true porn-star fashion.

So, I bought it. Along with the matching panties. Plus another bra-and-panty set. All in all it was $150, a sum of money I knew would make Philip choke on his Coke Zero. “But,” I chirped to the sales associate, “this is what he gets for making fun of my underwear.”

When it was time to have our scheduled sex (literally it was on the calendar, doctor’s orders), I was ready. “Wait till you see this bra I bought,” I told Philip as I headed for the bathroom to change. “You’re not going to believe this.”

And then … we proceeded to have the best baby-making sex of our lives. Philip affirmed his membership in the fraternity of red-blooded heterosexual males who enjoy push-up bras, and I felt super-confident.

I’m thankful that baby-making sex went out on a good note. It usually wasn’t so pleasant. It often was forced, awkward and stressful. I often was confused about exactly when to have it, and we often felt so much pressure that we could barely perform. But now that baby-making sex is a thing of the past, now that we gave it one last college try and surprisingly had a blast doing so, I can think back on it with a bit of nostalgia.

Thank you, push-up bra. You won’t be the last one I ever buy. From now on, I plan to try harder to keep a few sexy undergarments in the rotation, not for baby-making sex, just for sex. It’s sad to think that most likely, we’ll never make a baby the old-fashioned way, but it’s also a relief that sex can go back to what it always was — just a way to be intimate and enjoy one another.