Sunday, May 12, 2013

Mother's Day

How do you deal with this dreaded holiday as an infertile? My husband and I decided years ago that we would not attend church on Mother's Day or Father's Day. Here's a sample of what we probably missed this morning: "Let's have all the mothers stand up for a flower. How about the mother with the most children. The oldest mother. The youngest mother. The mother with the youngest child. The pregnant mother.....blah, blah, blah" Funny how they never mention the mothers who lost their children in the womb or soon after birth or mothers who haven't ever conceived but are mothers at heart. Once again infertility and pregnancy loss remains taboo.

Mother's Day is always filled with baby dedications at church so that's an added bonus! Yuck. I think it's beautiful that families are standing up stating they are dedicating their babies to the Lord, to train them up in the way they should go. I just don't want to watch it. So instead we stay home and watch golf, The Players Championship. Surely you're safe watching golf. Nope.  Every 5 minutes they are showing mothers with their children (mostly babies) and plastering Happy Mother's Day all over the screen. I guess the only way to get away from it all would be to sit in your living room in silence but even that wouldn't work. The yearning of motherhood is always there and on Mother's Day it's magnified times 100.

But then I start to feel guilty about this day. I have a mother, a wonderful mother. There will be a day that she will be gone and I will regret throwing my pity party about not being a mother myself. It's very hard to navigate my feelings. I am so thankful for my mother. She is the reason I long to be one myself. She is loving, selfless and emulates every quality that I want for myself as a mother. I will go visit her in a couple of hours and instead of thinking of herself as she should on this day, she will think of me and how hard this day always is. And that is the reason I want to be a mother. To put my children ahead of myself the way my mother does. To know what it feels like to have a mother's love for her child.

Maybe next year I'll have a Happy Mother's Day.....I've been saying that for 6 years now.

Wednesday, April 3, 2013

35

Today is my 35th birthday. I have written before about reasons this day is so hard for me so if you already know about them, feel free to skip this post.

First of all, I'm 35. I don't mind aging. If I was a mother, 35 would just be a number to me like any other. But I do mind turning 35 without children. Everyone can say, "Oh you're still so young!" but they say this when they already have 3 kids by this age. I just never thought I would be here at 35. I always imagined myself with at least 2 if not 3 children by now. These things are so hard to understand.

Not only am I feeling sad about being 35 without becoming a mother of living children yet, I'M 35!!!! If you are in the infertility community, then you know what this number means. You know that once you hit this birthday, you are no longer considered "young." You are put into the advanced maternal age catergory at the clinics. Now I'm not suggesting that at 35 your eggs are finished but it definitely puts you at greater risk. After starting treatments 5 years ago, one of my goals was to be pregnant before this dreaded category. But once again I am reminded that God is in control, not me. I hate that. ;)

The worst part about my birthday is 6 years ago today I found out I was pregnant for the first time. I was ready to start a family about a year prior to this date so when Brad finally agreed I was ecstatic!  I stopped taking my birth control pills right in the middle of the pack (which I why I actually ovulated on time like a normal human being). When it was time for me to start, I didn't. Surely we didn't get pregnant the first month we tried. On the morning of my 29th birthday, I decided to take a test. I don't remember why I had hpts at home but I guess I was prepared, just in case. You can imagine the shock on my husband's face when I showed him that positive test. We were both in disbelief. Could it really be this easy?

I called my sister-in-law, Michelle, and she brought me several more tests to school early before my students arrived. She brought my niece along and when she saw the test she told her, "E's going to have a baby!" I was so excited! I couldn't wait to tell the rest of my family.

Because it was my birthday, we decided to tell my parents and Brad's parents and sister at a birthday dinner at our house for me. I know what you're thinking. Why would we tell people so soon? What if something happens and it doesn't work out? Back in the days before pregnancy loss, Brad and I really felt that when people got pregnant, they had a baby. Sure we knew sometimes it didn't work out but that wasn't going to happen to us.

After supper and cake, I opened my presents. I saved Brad's for last. He got me three onesies with some prenatal vitamins. Everyone just sat there for a few seconds, not really understanding what that meant. Suddenly Brad's sister, Julie, screams out, "She's pregnant!" It was one of the happiest moments of our lives.

Sadly, the happiness didn't last. We said goodbye to our first son, Grant Alexander Davis, on April 11 before we could even make it to an ultrasound. That day we also lost our innocence about what really happens when someone gets pregnant. We have had two more pregnancies since that first one. We still tell the day we find out but we no longer believe pregnancy ends with baby. I'm not really sure if it ever will for us. I know God will allow us to be parents one day but it may not be with a pregnancy of my own.

My birthday marks 6 years of this journey. We would try for a year on our own with no success. (Why isn't it happening? It was so simple the first time???) We tried rounds of Fremara, no success. Finally a pregnancy with a Clomid IUI. We lose Caleb Bradley after hearing a slow heartbeat several times. Four more years of 10 Clomid/Injectable IUIs and 3 IVFs later we get pregnant with Allyson Paige only to lose her as early as we did Grant. I think you can see why this birthday signifies the beginning of a lot of heartache for us both.

Although it is a sad day, I still have hope. I spent the first two days of my spring break getting blood work done to send to the reproductive immunologist in California. We had almost everything already done with our consultant so there were just a few tests left to do. Hopefully, they can figure out the mystery of me and why my body keeps attacking my embryos, some before they can even implant. Hopefully April 3, 2014 will actually be a happy birthday for me like it was 6 years ago. I still have faith that He will turn my mourning into dancing....In His time.

"I still believe in Your faithfulness. I still believe in Your truth. I still believe in Your Holy Word. Even when I don't see, I still believe." -Jeremy Camp

Monday, February 18, 2013

The Next Step in This Long Process!

Well we are finally there! All the test results are back. My recent thyroid tests came back normal so the endocrinologist is thinking thyroiditis yet again. He said he will keep a close watch on it and if I were to become pregnant and my thyroid problems rear their ugly heads again, there are ways to fix them safely. So with that we move on!

I filled out all of the online paperwork for the reproductive immunologist out of California, The Alan E. Beer Center. Our consultant gave us three options for immunology but recommended this center due to the nature of my issues. She also said that they are the most aggressive and that certainly appealed to us at this point in our journey. As soon as all of my records arrive, they should be contacting us to set up the first consultation about what the plan will be. I pray these steps are the ones that will lead us to our very first take-home baby. I am willing to do whatever it takes like most of you.



Saturday, January 12, 2013

Answers After Almost 6 Years


I'm back finally! Sorry it's been so long since my last post but the truth is there really wasn't a whole lot to tell. For those of you who didn't already know, we have been working with Karen Pace. She is an reproductive immunologist counselor (not doctor). She will tell you which autoimmune tests to have and interpret them for you. She will them recommend a treatment plan for you and get you set up with an actual reproductive immunologist who will work with you in conjunction with your RE. She is also available for you throughout the whole process, even up until delivery should you get pregnant with the treatments.

We started working with Karen in October. There were tons of blood work to get done at various places for various things so it has taken us this long to get it all done with the results. We had our 3 hour  Skype session with Karen Thursday night. Basically she knows exactly why we are experiencing infertility and why we are miscarrying!!!!!! After all these years and 3 losses, no one had ever said those words to me. I felt like screaming because I couldn't believe we could figure this whole thing out from blood tests all along but I also felt like screaming for joy. Guess I should stick with joy. :)

So here's the deal. First of all I have clotting problems which I found out about after my second miscarriage in 2008. Now they actually found one more that can be treated with a high dose of folic acid. We already knew about my clotting but what I didn't do with pregnancy #3 was take Lovenox appropriately. I took it the day I found out I was pregnant because that was the recommendation I was given. Sadly, I should have started my blood thinning shots before trying to conceive. This helps with clotting during implantation. I also have abnormalities with my antiphospholipid antibodies (APA) which is treated with Lovenox and baby aspirin as well. Oh and my thyroid is acting crazy so I have to go back to the regular endocrinologist to get that checked out. I had thyroiditis in 2009 so my guess is I'm having another flare up. The good news is that all of these issues are an easy fix. The rest of my abnormalities are a little more complex.

I also have elevated natural killer cells. We all have NK cells in our bodies to protect us from disease and infections. When they are elevated, they sense the embryo as a foreign object that needs to be destroyed. This can cause very early miscarriages but also can even prevent your embryo from ever implanting. The recommended treatment for this problem (in my case) is IVIG. This treatment is when a home health care nurse comes to your house and hooks you up to an IV with antibodies for at least 3 hours. That part doesn't bother me because at this point I would do absolutely ANYTHING for my baby but it is very expensive. You must do one prior to conception and one when you get pregnant for sure. After that they will test your blood to see how it's working then schedule the sessions as needed. Karen said some girls need only a few while others need it once a month throughout their entire pregnancy. There are some other options if we don't want to spend so much such as intralipids. Have any of you tried intralipids or IVIG? I would love to know about your experiences so we can make a decision. The part that worries me is that we will spend money on the intralipids and it won't work and we will have to do IVIG anyway. We aren't really sure what to do about this.

The last problem I have is a strange one! Apparently, Brad and I have genetically similar DNA. Gross. I promise we aren't cousins even though we are from Tennessee! Anyway, in the beginning of the conception process, the mother's body must recognize her pregnancy as being foreign in order for her body to stimulate the necessary immune reactions to sustain it. When a couple's make-up has similar DNA, the mother does not produce the required antibodies and the pregnancy either never implants or you miscarry early. Sounds about like me doesn't it? I am not producing the anti-paternal lymphocyte antibodies required to protect my babies. The treatment for this is Lymphcyte Immune Therapy (LIT).

LIT is when they draw blood from your husband and the lymphocytes are extracted and made into a serum. Then the serum is injected into the wife's forearm just under the skin. After 3 weeks the process is repeated. It's not that expensive and seems to raise pregnancy rates when this DNA thing is a problem. BUT  guess what? It's not available in the United States. In January 2002, the FDA suspended the use of LIT in the US until they can establish its effectiveness. The only way to get this treatment is to go out of the country and Mexico is the closest place. The immunologist in CA used to perform LIT before it was suspended by the FDA with good results. If Brad and I want to have our own genetic child, then it appears it's off to Mexico (at least twice) to do LIT.  If any of you have done this treatment, please share!!!

So there you have it. Answers. Answers after almost 6 years of pain. Answers after 3 miscarriages of babies who did not survive because of my body. Although I hate my stupid defective body, I did not cause these problems. My issues are medical. It wasn't due to my diet, because I wasn't relaxed enough or  because I did something or didn't do something. I didn't cause my miscarriages because I didn't eat well enough or because I lifted something I shouldn't. We will try these treatments and they may or may not work, but that's OK. It's nice knowing that it's really not my fault. Thank You Jesus for providing us with answers. I will keep you updated!

Saturday, October 27, 2012

Reproductive immunology


We are finally moving on to our next endeavor and I'm not talking about the donor embryos. We have decided to work with a reproductive science and immunology consultant. She's experieced infertility and recurrent pregnancy loss herself and has decided to help others determine explanations for their own unexplained infertility. It's not that we are against putting the adopted ones in. I just want to make sure my body wont kill them the way it has possibly killed my own. Have any of you worked with an RI? She's not an actual RI,  just a consultant that helps you find an RI. Since all of this will be long distance, we feel we could use her help and felt her fees were reasonable. Here is what she's helping us with:


"I consult in all areas of infertility and all stages of infertility, but the majority of my clients have "unexplained infertility" or recurrent miscarriages. They have tried IUI and even IVF and failed. I work with them to determine why they have been unable to conceive or carry a pregnancy to term or why their current treatment plan is not working for them.  In order to be thorough, I would like to have a copy of your current medical records. This will allow me to see the tests, results, and treatments that you have completed. I can see what is missing and what may need to be done. I can evaluate how treatments were given and determine reasons for why they may not have worked. Most importantly, based on your past medical history, we can come up with directions and plans for the future. We can also make sure that nothing important has been overlooked (even many things that are not immune related). I will go through your records very carefully and create a "consulting packet" for you. This will contain tests that you have had and an interpretation of them. It will contain tests that I recommend, and why I recommend these tests and what information they will provide us with. Many of the tests can be done through a local lab that is contracted with your insurance company (such as Quest, LabCorp). For the specialized immune tests, your (and your husbands) blood can be mailed to a lab in Chicago called the Clinical Immunology Labs at Rosalind Franklin University. They accept most major insurance plans, but we can email or call them directly to find out if they are contracted with your insurance. If they are, great! If not, we can order from a less expensive lab (that sends the blood to RFU anyway) or we can prioritize the tests to make sure that you are only having the most necessary and fewest tests possible. What I love about this is you can find answers without spending a ton of money (or any money at all).  I can also order blood tests from Rosalind Franklin (an immunology lab) or Reprosource, if that is necessary. I will mail the packet to you and then we will have a comprehensive consultation appointment where we can discuss the packet and I can answer questions about the packet or ANY other questions that you may have. The consultation can be done over the phone or via Skype since you are located in Tennessee. Providing you with the "consulting packet" before we talk makes our time very productive - it gives us plenty to talk about and will give you time to come up with any questions that I can answer during theconsultation appointment . My fee for the comprehensive consultation (reviewing medical records, the packet and the consultationappointment (this appointment usually lasts 2-3 hours) is $500.00. Following the “comprehensive consultation”, you may contact me anytime to ask specific questions about tests, treatments and results, plans or for emotional support during your infertility treatments or pregnancy. Following the comprehensive consultation, my fee is $75/hour (prorated)."


--
Karen E. Pace, Ph.D.
Conceivable Solutions, LLC.
Reproductive Science and Immunology Consulting
@end_infertility




--
Karen E. Pace, Ph.D.
Conceivable Solutions, LLC.
Reproductive Science and Immunology Consulting
@end_infertility


Monday, October 15, 2012

October 15th


Here we are again....October 15, Pregnancy and Infant Loss Awareness Day. A day to remember our lost babies. Unfortunately every year more candles are added because more babies are lost. This year I finally got pregnant again in July 2012. And this October I light a third candle. I really thought this pregnancy was going to be the one that stuck around. It was an IVF baby so she was hand-picked among all those other embryos to be our best chance for a take-home-rainbow baby. This year I add another candle for Allyson Paige to my other two candles for my babies Grant Alexander and Caleb Bradley. I will also add candles for:

M's triplets Mary Elizabeth, Thomas, Ryker,
Missy's twins Leah and Laci,
Lori's first pregnancy loss,
Diane's 2 losses,
Elisha's 2 losses,
Rachel's loss,
Carrie's sweet baby Alli,
Angie's 3 losses,
Tien's son Jhet and her other loss.

If you would like me to light a candle for your baby, please let me know and I will. It's the least we can do since several of us never got to have a proper funeral. I love you babies. See you in heaven one day.



Monday, October 8, 2012

Blood work

I am having blood work done on Tuesday to make sure my body isn't killing babies. I know a lot of you have had autoimmune testing done. Does anyone care to share what yor panel was like? I don't want to miss any tests before we put back adopted embryos. Also around how long did it take your results to get back? I am sooooo ready to move on to something new! Hope this is the answer we've been praying for.