{Infertile Me} Silent Endo

A part of me wants to be mad at the first three fertility clinics I went to. Like someone along the way should have picked up on the fact that I might possibly have endometriosis plus a side of adenomyosis. Yet no one did and so they shoved me into their one size fits all protocol box. In which in their defense my numbers always looked great so their one size fits all approach worked.

It worked until it didn’t. In Iowa I cycled two times and both were canceled prior to our retrieval date. Dr. Young’s last words to me were “if anyone can get you pregnant, it’s Mayo.” He’s words soaked into me like water to a sponge. Yet I never picked up the phone to make an appointment with Mayo. Instead we explored our options such as foster to adopt and donor embryos.

By the fall of 2019 I had my heart set on donor embryos. I was ok with carrying someone else’s genetic material to term and calling that baby my own. But my heart she still whispered “let’s try one last time. One last time.” My gut gave me the courage to call Mayo for a consult. And on an icy February morning I drove down to Rochester and never looked back.

Mayo takes a team approach to infertility treatments and therefore you need enough of the team to believe in your case in order to proceed. The day of my consult the majority of the team was at a conference and I wouldn’t find out if I was accepted until I got back from my cruise. We did everything on the cruise to keep my mind of Mayo and it worked. Sherri and I had a blast aboard the Carnival Victory. And we soaked in the sites of Key West and Cozumel. It was a trip that I will always treasure.

When I got back the Doc from Mayo called me early Monday morning to tell me that I had been accepted. As fate would have it the university of Iowa called a couple hours later to tell me that we were next on the donor embryo list. That night jay and I weighed the pros and cons. We prayed and my gut told me that Mayo was the answer.

Enter Covid and all of our appointments got postponed. Which was fine by me, people needed the PPE and doctors more than I did. In May I had a pelvic MRI done and was at that time diagnosed with endometriosis and adenomyosis. Dr. Khan could also see plain as day my complicated anatomy on the screen. He explained that we could do surgery now or wait. Wait because if my ovaries had to be cut open I’d loose what little egg reserve I had left.

I chose to wait. In July we did one last Hail Mary retrieval cycle and ended up with two high grade embryos. Which I am still trying to wrap my head around the fact that I have two embryos in the freezer. The team at Mayo was just as excited as we were and they were so glad that we were able to freeze embryos.

Anyways back to the endo, I had my surgical consult at the end of August. During my consult Dr. Khan was once again very thorough and he explained everything to me. He laid out the options and the plan and like before he gave me choices. Hard choices like “if your Fallopian tubes are diseased is it ok for me to remove them? If removed you will be infertile.” Well according to medicine I am already infertile so I said yes to that option. I walked out of his office knowing that we had a solid plan and that one day soon my body would feel so much better.

Surgery day came sooner then I thought it would. The date it just sneaks up on you and before you know it you are in the shower with antibacterial soap that makes your skin itch. My surgery was delayed by 6 hours due to the case prior to me needing more time. I was fine up until hour 5, my hunger and thirst set in and I’d do anything for water. Thankfully a nurse took pity on me and gave me a little bit of water. Soon it was my turn to go down to pre-op. Where when I saw Dr.Khan I asked “did you forget about me!?” He said “how could I forget about you AJ. You are one of a kind.” He once again went over the plan and even the changes he made. He decided it was best to leave the adenomyosis alone because cutting it out of my uterus could cause more harm than good.

Five some odd hours later I was backup stairs in recovery. I do want to add that the post op recovery unit closed at 9PM. Two nurses whose names I did not catch stayed late so I could go home to my own bed. The nurses I had were incredible. They made sure I was able to walk on my own. One nurse helped me get dressed and made sure we had a barf buffet cup (it’s a bucket filled with wipes and Kleenex) to go home with. The nurses wheeled me down to the pickup zone and waited for Jay to bring the car over. On our way down I kept apologizing to them and they both looked at me and told me it was ok. “This is our job. We love our job. We’ll go home tonight and do the exact same thing again tomorrow.” They both gave me a hug and helped me into car and we waved goodbye as we drove off.

There is something about a Mayo Clinic nurse. They truly have a servants heart and away with people. I was always amazed by my Dad’s nursing staff and now to experience it on my own, he’s right when he says “they are the best of the best.” It’s true they are and I am so thankful for the care I received from my recovery nurses.

Rochester is 75 bumpy miles from Burnsville. And I felt every bump HWY 52 had and I’d never been happier to turn into our little street. We got home after midnight and that first night was pretty rough. French fries were a bad idea…..(I’ll leave that for your imagination). But butter toast saved my tummy along with some oxycodone and a little bit of sleep. You don’t realize how much you use your core and pelvic muscles until they are cut open.

Speaking of cutting, Dr. Khan diagnosed me with stage IV endometriosis and an ASRM score of 76, which in normal human terms means, really bad. He told Jay I had one of the worse cases he’s ever seen. Which is strange because I never showed symptoms, my endometriosis was the silent yet naughty kind. He removed endo from my pelvic cavity, abdominal cavity, colon, rectum, ligaments, ovaries, uterus, and a whole lot of other spots too. It’s crazy to me how much damage was done to my body every month and that this had gone undetected for years.

When I think back to the first three clinics, two out of the three saw dollar signs. Especially CCRM Minneapolis, Dr. B claimed to be an expert, yet she missed a lot of fucking red flags. And her arrogance didn’t allow her to seek outside advice on my case. Her kicking me out of the clinic lead me to Iowa. In Iowa Dr. Young did his best to help me, but at the end of the day I was to complicated for him. And I respect his walking away from my case and sending me off to Mayo.

If it weren’t for Dr. Young’s words I’d never would have gone to Mayo. Mayo’s tag line is “when you are ready for answers.” It’s perfect, I was ready for answers and I got answers and explanations to everything I’ve gone through in the past five years. One MRI sealed my fate and now knock on wood I will be living endo free for a long ass time. And with just a little luck and a whole lot of faith I will get to carry our embryos to term.

The lesson I learned in all of this is…. listen to your body. Do not give up on her and keep searching until you find a doctor that will really listen to you and not throw you into the one size fits all box. You are unique and you deserve the very best care. Everyone deserves that. So if you feel you might have endo, go talk to your doctor. And if your doctor doesn’t listen go find one who will. Because living with endometriosis shouldn’t be a death sentence, it should be a piece of your story.

{Infertile Me} Hail Mary

Every IVF cycle I started was filled with hope until the seams started to rip and disappointment seeped it’s way in. Positives were met with negative outcomes. Yet somehow in the darkest moments I still clung to the tiniest shred of hope that my turn would come. That I too would get to carry a child. That I too would finally get to be called “mom.”

As the months rolled on it looked less and less likely that motherhood would be in my cards. I racked up a list of failures no one wants to have. One still birth. Two miscarriages. Three failed IUIs. Three IVF cycles, two of which were canceled due to poor response. The words “gestational carrier” were uttered last spring and I began to look at door eggs/embryos and adoption as my options for motherhood. Yet my gut thought otherwise and she made a Hail Mary appointment at Mayo.

My heart wasn’t ready for Mayo. She had her mind set on donor embryos in Iowa. Yet she entertained her gut and heard her out, because it doesn’t hurt to just see. To just see what Mayo had to say about their fertility. Turns out, I still have viable eggs and all of my hormone levels are on point for a 37 year old woman. Though the odds are terribly stacked against me, Mayo still approved me for treatment.

Unlike the other clinics, Mayo left no stone unturned for they understand this is my last shot at motherhood. For the first time on my journey a pelvic MRI was ordered and the results spoke volumes. I always felt like I might have endometriosis and/or an underlying issue with my uterus due to a 2010 perforation. The other docs dismissed my concerns and told me “research doesn’t support an impact on fertility, you will be fine.” But I wasn’t fine, my body was silently screaming for help and no one listened to her.

I met with Dr. K who specializes in endometriosis removal to go over my MRI results. He first showed me what my fucked up cervical canal looks like and then asked “are you ready to see yourself light up like a Christmas tree!?” He was way more excited about it than I was. He clicked to the next imagine and said “all that is glowing is endometriosis, you have one of the most severe cases I have ever seen.” The endometriosis is wide spread as it is in my abdominal & pelvic cavities. He went on to explain that if it was just the endometriosis he would be in support of me going through with IVF. My heart sank and I was thankful for the mask so he couldn’t see my expression.

The endometriosis wasn’t the worst of my problems. Adenomyosis was my new enemy. Adenomyosis is where the uterine lining growing deep into the muscle tissue of the uterus. It turns the tissue into a cork like consistency and makes it harder for an embryo to properly implant. He went on to explain that embryos that implant in a uterus with Adenomyosis tend to have smaller placentas and poor blood flow to the placenta. My heart sank again, our sweet Emmett’s demise was due to a smaller than normal placenta for his gestational age. The poor kid never had a chance, the embryo most likely landed on a spot of Adenomyosis.

I asked if the Adenomyosis was something new. My heart had to ask that, it needed to be reassured that this wasn’t the cause behind Emmett’s demise. Dr. K said “no this isn’t new, it most likely resulted from the 2010 uterine perforation. I died inside, The previous clinic had transferred our embryos into a toxic environment. Dr. K went on to explain that I was lucky because the Adenomyosis was localized and the bad spots can be cut out. This was good news to me, all be it risky, it was good.

Dr. K was extremely detailed when he explained both the Adenomyosis and endometriosis surgeries and what my odds of a successful pregnancy are. Dr. K explained that I should consider doing a retrieval cycle fist as I have diminished ovarian reserve and during the surgery he will need to cut open my left ovary to remove a few endiotomas which will cause my follicle count to plummet. After he gave me the bad news, he did something no other doctor has done before, he said “now it’s time for AJ to call the shots. People have made choices for you in the past. We are not going to do that here. You dear are in the drivers seat and we are here to help you get to your destination.”

I about cried. It’s true I’ve never had a say in my IVF treatments before. It’s always been “you will do this and that’s it.” In my gut I knew there was only one option so I uttered, I want to try with my own eggs. Can I do a retrieval first, freeze whatever embryos we get, and then do the removal surgeries? “YES! That is a wonderful plan AJ, I like how you think.”

I left that day with a renewed sense of hope and a tiny ping of anger in my heart. Mostly I’m angry at CCRM. Angry because they noted in my chart “suspected endometriosis” and did nothing to investigate it. All of this could have been taken care of in 2017, who knows maybe I’d have my mini me by now. I cannot hold on to anger for long, as anger harbors stress. I let myself feel the anger and then I let it go. Emmett would want his mama to do that, to let that shit go. I don’t have time for grudges. I have no hard feelings about Iowa, at the end of the day I was to complicate for Dr. Young and the last words he said to me were “if anyone can get you pregnant it’s Mayo.”

Mayo is our fourth clinic and I finally feel at ease with the care I am about to receive. Knowing that I have a hand in the treatment makes a big difference. This is our Hail Mary, we have a lot riding on this retrieval cycle and I pray to everything holy that we end up with viable day 5 embryos that lead to a baby in our arms.

{Lucia} Happy 9th Birthday

It’s hard for me to believe that you would be nine this year. It doesn’t seem like nine years have past since you’ve left this earth. My heart sings your song daily and I forever wonder who you’d be today.

My love for you has never ceased, my son you will always be. You Lucia made me a mother. A mother to a child I never got to hold. A child I never got to raise. I’ve been cheated out of hearing the sound of your laughter, your first words or watching you take your first steps. I wonder if you would have loved dinosaurs as much as I do or if you’d be reserved like your father. If you would have my curls or your dad’s dark brown eyes. These things will always be a mystery to me. Your life although short changed mine forever. You may be gone form this earth but your light shines bright. Your spirit is strong and you my son are with me always.

Your death consumed more than just me and your dad, it includes your big brother too. You Luica made Nylan a big brother. He was so excited for you and he desperately wanted to name you Kevin. My heart broke into a thousand pieces on the day that I told him you died. Watching the hope and love drain from Nylan’s little body cut through me like a knife. No child should have to learn that not all babies come home. He was yours and you are his. His little brother you will always be.

You had the role of little brother for five years until Baby E promoted you to big brother. I can only imagine what that day looked like in heaven. I bet you are an amazing big brother who looks out for his siblings. That you my sweet son showed Baby E the way and that the two of you welcomed Emmett. That the three of you are as thick as thieves causing shenanigans in Heaven. You will always be my first, my first son who gave me the strength to try over and over again for a living child. You are and will always be the hope that carries me for all of my days.

You my son grew my heart so big that I was able to give three pieces of it back to God. One day I will give the last final piece to Instant kid. Lucia your death did not make me weak, it made me strong. Your death did not break my heart, it made it grow ten sizes to big. Because of you Lucia I live this life. For I know you did not get to live an earthly life. Instead you got eternity before your feet even hit the ground.

Happy 9th Birthday my sweet son❤️

Alucious Gregory Beaulieu Cohen

Born sleeping 5/13/2010

{Infertile Me} Instant Kid

Last Sunday I left for Iowa full of hope. Hope that our mini IVF cycle was going to be our ticket to parenthood. My first scan on Monday revealed six mighty follicles and I was excited. A phone call that afternoon took the wind out of my sails. My estrogen only went from 32 to 41 which means the follicles were most likely empty. Dr. Y gave me the choice to throw in the towel or continue on.

I choose to continue my cycle with a recheck on Wednesday. Cullen and I made the best of our stay in Iowa and enjoyed the warm weather. Wednesday came and I walked in to the scan so full of hope. Hope that somehow some way this was going to work out. My six mighty follicles were still growing and I had one lead at 20mm. I left the office with a mix of hope and fear.

Winter sent her last bast to the Midwest and my 3.5 hour drive turned into 6. The clinic called with my results, my estrogen only went up to 101 and Dr. Y canceled my cycle. I was heart broken. I wanted to give this cycle everything I had and I begged for them to let me go to retrieval. The answer was no. No because my estrogen should be in the thousands and not at 101. The likelihood of us actually getting any eggs was slim to none. In less than two years my egg quality went from great to poor. Poor eggs do not grow to healthy embryos that lead to take home babies.

In my heart I knew it was time to move on to frozen donor eggs. I called the clinic asking about cycle pricing and what it would all entail. Dr. Y recommended that we use a surrogate and denied my request to transfer the embryos to me. He said that with my age and medical history a surrogate was the best way to get our baby. I was heart broken. This man was willing to transfer my own embryos back to me, but when it came to donor egg embryos he said surrogate only. Dr. Banfield laid everything on the table (strain on my body, age, history of repeat loss, and clotting history) and second Dr. Y’s recommendation. In that moment I felt defeated.

All of the hope I had left my body and all I wanted to do was shrivel up and wish the world away. My heart was broken. My body failed me and because of that my chance at motherhood of a living child slipped through my fingers. Sure, I could search for another clinic and go forward with donor eggs. But deep down in my gut I knew I was done. I have exhausted all avenues with my own body and it’s time to move on.

Move on to an instant kid. I have always felt called to adoption. To raise a child that wasn’t of my own flesh and blood. A child that needs a home filled with love and adventure. When I was little I was obsessed with cabbage patch dolls. I loved that they came with names and adoption certificates. Edith May and Thelma Louise are safely tucked on a shelf in my childhood closet. My parents kept them for me. They had hope that one day I would hand them down to my daughter. That hope is still there and in my heart I know that our child is out there just waiting for us to bring him or her home. Jay and I are moving forward with foster to adopt.

{Survivorhood} Year Nine

Nine.

I can still remember exactly what I was wearing on the day my world broke. Gray cardigan, white button down peasant top, jeans, and cranberry ballet flats. The shoes, I still have them. They are worn and raggedy, I just can’t let them go. Those shoes carried me in the ER and they walked me out days later. Those shoes are a symbol that I survived the worst day possible.

Every day I am reminded that four had to die so I could be the one out of five who walked away. I live each day for those who no longer can. I live each day for the women who lost their lives to the Nuvaring. Those women are my battle cry and I will not rest until there are none. Those women have given me more strength than I ever thought possible.

I survived because God, he wasn’t done with me. God knew my strength before I did. God gave me a second chance and I have cherished each day to the fullest. Fate, she’s a funny one and I know that everything I have lived through was apart of her plan. That this plan isn’t mine and only Fate knows where I am going. I cling to every drop of borrowed time and thank God for every day I rise. For I know this second life of mine is an incredible gift.

On October 22, 2009 I made a choice. A choice to not be a victim. A choice to thrive and live a life worth telling. I want a life filled with incredible experiences and stories that will keep me company when I’m old. I made a choice to stand up and be a voice against the darkness. A voice to bring awareness to a cause and educate those around me about the side effects of hormonal contraceptives. My voice will not be silenced until there are none. I have work to do and I will not rest until there are none. One day there will be none and on that day I will take off my white hat and rest.

This past year was filled with heartache and joy. I became a mama to my 3rd sleeping son. Emmett James left this world before his feet ever touched my hands. I am grateful for the experience and I am thankful to be his mom. When sadness fades to joy life begins. I got to watch Sophia and Jack turn one year older. There faces bring joy to the darkness of the night. I am grateful that I survived and get to hear their little voices say “Auntie! Auntie! Auntie!” They are my world and I am there’s.

I spent my weekends traveling form place to place with my dad at my side. No matter the destination he was game. We went to Michigan’s Upper Peninsula; Mackinac Island; The Badlands; Mount Rushmore; Crazy Horse; Wyoming; Jeffer’s Petroglyphs; Milwaukee; Racine; Hayward; Effigy Mounds National Monument; Crowing Wing State Park; Door County; Washington Island; and the North Shore. This summer we traveled more than most people do in a lifetime. Much wine and booze was bought and we have memories to last us until the end of time.

My dad isn’t the only one who got in on the road trip fun. I traded my dad in for Jay! We made our usual pilgrimage to WI Dells and we ventured west to South Dakota and Wyoming. This year was the year of travel and my heart is happy. I am the trip planner in our family. I plan and Jay just comes along for the ride. That is what I love about him, he’s up for anything as long as I’m involved.

My heart she is thankful. Thankful that I got a second chance at this thing called life. This second chance taught me to live in the moment. Fate has taught me to let the little things slide and stand up for the big things. I have more hope and faith than most people. For I’ve seen God work. Long ago I stopped asking “why me,” instead I stand up and ask “why not me.” I am a firm believer that everything happens for a reason and God knows what he’s doing. Research, saved my life and it will continue to save the lives of others. We need to believe in research and fund research so that others can have my outcome. So that they too can have a chance at living in a beautiful disaster.

YEAR #9:

For the past nine years I’ve asked for motherhood. This year I am just asking to be HAPPY. Happy with myself. Happy with my work and life. I want to feel joy and give joy. I want to be that person whose happiness is addictive and strengthening. That beacon we flock to on a bad day and the one we laugh with on a good day. I simply want to be happy.

{Emmett} Walk Boldly with Answers

Over the past couple of months I have been checking the boxes in preparation for our upcoming transfer. I saw the hematologist, she was very informative and shared that Lovenox does in deed cross the placenta. That information was both a blessing and a curse. A curse because it could mean that Emmett’s demise was due to Lovenox. We will of course never know for sure why Emmett died, everything is in theory.

On Tuesday I met with a new perinatologist and the first question she asked me was “why were you on 80 units a day?” I honestly didn’t know. I did what the previous doctor told me to do. Although I did question the 80 units, again I was told because of my history 80 was the dose I needed. Turns out AJ doesn’t need 80 units…….she only needs 40. 40 fucking units is all I need. 80 units was to high for someone with my history and my weight. An 80 unit dose is for someone who has a clotting disorder or a BMI of 50.

Two weeks before Emmett’s heart stopped I increased the dose to 80 units. Emmett most likely bled to death, his little body couldn’t handle the Lovenox. Only Emmett knows how he died. I only know that he was genetically perfect and there is no reason for his leaving. In this moment I wish I had fought harder to change the dose. Then again I went along with what the doctor said to do and in the end it didn’t save Emmett nor did it help me.

Am I angry!? Of course I am angry. I am angry that no one would listen to me. That the doctor didn’t take a moment to really look into my history to see what and why my blood clot happened. I am angry that she shoved me into a box and pounded me until I fit the mold. In my gut I knew 80 units was to high. I should have just nodded my head and continued on with 40 instead of 80 units. If I did, maybe Emmett would still be here and I’d be seven months pregnant. I cannot go backwards, I cannot weigh the what if’s, I can only go forward, forward with a broken heart.

My heart she is broken. Yet she is relieved that someone with MD behind their name finally listened to her. We have a plan, a very good plan and with a little luck we will bring a baby home. The new Lovenox dose is 40 units a day with no increase along with a side of prednisone, baby aspirin, and anti-biotics. With a little luck this protocol will be our ticket to a take home baby.

Emmett taught me to continue to advocate for myself and to fight for what my gut knows. Just because a doctor is a doctor doesn’t mean they know everything. I am a walking talking example of “fuck, we messed up her care!” I of all people know what it’s like to be discounted and unheard. I know what it’s like to hear the words “um Im sorry but your pulmonary embolism and stroke didn’t need to happen.” I know what it’s like to be misdiagnosed and have forged a path in the aftermath. And I will not be silent, I will walk boldly with answers and I am not going to dwell on what might have been, I can only carry hope for what could be.

{Hearts on 22} National Stroke Awareness Month

On October 22, 2009 I almost died five days before my 27th Birthday. I found myself in the ER unable to breath with unbearable chest pain. A CT scan revealed a clot the size of a ten cent gum ball lodged in the valve that connects my left lung to my heart. My oxygen level was below 50%, my heart was in sinus tachycardia and I was fighting for my life. To make matters worse my blood pressure kept rising and suddenly I lost my words, the staff sprung into action, TPA was administered and my life was saved. I had survived a massive pulmonary embolism with infection and a stroke due to the third generation progesterone in my birth control, the Nuvaring.

At 26 Stroke wasn’t on my radar and until that day I had no clue what a pulmonary embolism was. Strokes happened to old people not young professionals. That day taught me that strokes can happen at any age and your risk is higher if you are taking hormonal contraceptives. My OBGYN never once mentioned that my birth control could possibly kill me, she just wrote the script, shoved it in my hand and went on her merry way.

I could have spent the past almost nine years in hiding. As in not telling a soul I had a stroke because well on the outside I look perfectly normal. I was lucky, I got the clot busters in time and I walked away unscathed. Many of my survivor counterparts are not so lucky, they have physical and mental impairments. Impairments that could have been prevented if they had received treatment in time. This haunts me, some days I wonder why I was the lucky one and on other days I say “why not me!?”

This life I lead is borrowed. I wish I could say it was perfect, but it’s not. I am living a perfectly imperfect life. This second chance is mine and mine alone to live. I made the choice to live my Stroke out loud. My story and willingness to fight this battle has landed me on billboards, fashion shows, tv commercials, news paper articles, magazine articles, and in DC. Oh the places your stroke will take you. Even I have to pause for a moment and think “holy shit AJ you’ve like made a difference!” A difference I have made, because what happened to me is 100% preventable.

That’s right what happened to me was 100% preventable. I had gone to the doctor a week prior with symptoms of a blood clot in my leg. The doctor told me to “drink more water and walk more.” One week later to the day I found myself in the ER fighting for my life. If only my doctor had listened to me. All the doctor had to do was order a d-dimer test. If that test had been ordered the doctor would have caught the blood clot before it found its way to my lung and brain. It’s been almost nine years and that still gets me the most, that this, pulmonary embolism and stroke of mine was 100% preventable.

{Infertile Me} Emmet James

As the blizzard poured down around me I looked out the window and remembered that the doctor said Snow Pea’s results would be in on Friday. Friday went without word, so I logged in to my online chart, “1 new message” it said. I held my breath, my heart raced, I knew what the message was. It was the answer, the answer that Jay and I had been waiting for. It took a while for the words to sink in, “normal (46 chromosomes) XY.”

In the moment I couldn’t remember if XY was a boy or girl, Dr. Google told me XY = boy. Jay and I had a perfectly normal boy. Snow Pea was a boy. There is no how behind the why, and the why has yet to be answered. It’s a blessing and a curse. My baby, our baby was a healthy little boy whose heart just stopped. The placenta was perfect and Jay & I are genetically normal, it doesn’t add up, but in the end we still had to give a healthy baby back to God.

Emmet James was called home before his feet even touched this earth. Emmet James was born sleeping on March 5, 2018. This little boy was loved beyond measure, deeply wanted, and is desperately missed. Emmet was courageous, he was the little beta that could, he proved that low betas can grow into healthy heart beats. I carried his little heart for 11 weeks 1 day. He was ours and we were his. Emmet James, my baby you will always be.

Emmet James is my second and Jay’s first son. A son that we had to give back before our hearts were ready. I have to believe that Emmet found his siblings in heaven. That Lucia was waiting for him with Baby E at his side, welcoming Emmet to the other side of the rainbow. I am a little jealous because Lucia and Baby E got to meet Emmet before we did.

Emmet James was cheated out of a lifetime. He will never get to go finishing with his Papa and he will never get to play tic tac toe with his Nana. Emmet will never get to take a plane to California to visit his Nana and Papa, Jay’s parents they got cheated too. I will never get to teach him how to ride a bike, tie his shoes, or take him on a road trip. Jay will never get to teach Emmet about World of Warcraft, computers, and Back to the Future. Yes, Emmet’s name comes from Back to the Future, Doctor Emmet Brown. Emmet deserved a life time, to feel the grass on his feet, to laugh, and to love beyond measure. His life was cut far to short and we sent him off with more love than one soul could ever handle. Our baby, he will always be. Emmet James you dear, will always be ours.

{Infertile Me} Take a seat, let’s get real

I know what you are wondering “did snow pea’s results come back?” Umm nope, the wait still continues. Right now the lab is taking 3 to 6 weeks to complete the testing and provide the results. Trust me I ask the doctor at least once a week if he’s heard anything and it’s been a big fat nope. So we wait.

I am really good at waiting and waiting some more. During this wait, I’ve decided to leave no stone unturned and to go into our final transfer with as much knowledge as humanly possible. I will be meeting with a hematologist in early May to discuss my old friend Lovenox. I personally don’t think I need it, but people with medical degrees feel that I do. I am in an odd spot, I don’t fit in a box, and the doctor just shoved me in one with a Lovenox prescription. The dose is a major question and issue. Just like with Lucia, snow pea’s heart stopped a week after I increased the dose. The manufacture says Lovenox is safe for pregnant women and that it doesn’t cross the placenta. But let’s be real, anything a woman consumes can possibly cross that magical thing called a placenta. I also know one shouldn’t leak like a sieve after injecting themselves or have the injection sites randomly bleed through out the day. White shirts and I were no longer on speaking terms, hello darkness my old friend. I don’t want to be shoved in a box, I want a protocol that is tailored to me and my weird ass body. Why? Because I have no clotting factors, my blood clot was a total fluke, I drew the short straw and my life hasn’t been the same.

IVF is much the same as Lovenox protocols. It’s a one size fits all approach and if you don’t fit, they will make you fit. Very few reproductive endocrinologists are willing to reinvent the wheel. They prescribe the same protocols over and over again. I have no complaints here, we got 3 embryos from our protocol and we did get pregnant. It’s just Snow Pea’s heart stopped without notice or known reason. It just stopped and I have yet to carry a baby to term. At the moment we are tossing around first trimester bed rest, reduced Lovenox dose, and an antihistamine protocol to keep my inflammation down. Will it work? Who knows. I’ve got one last shot at a bio child and I am not willing to blow it on junk science and voodoo.

Speaking of fit, if I fit, I sits. Dexter the cat taught me that and right now this mama doesn’t fit in any boxes…. This mama has fallen off of the healthy wagon and needs to chase that fucking thing down and jump back on. A few years ago I had success on weight watchers. I had lost about 20 pounds before I found out I was pregnant with baby E and then shit just went down hill from there. Losing babies is hard and cupcakes and carbs were my friends. We got along a little to well and mama’s waistline expanded a little to much. This morning I put in my card info and signed my ass back up. I am officially on the wagon and I am not getting off until I am pregnant again.

I am starting this journey at 241 pounds (yup I just wrote that number out loud). This is the biggest I have ever been. I’m not happy, I feel sluggish and I wish I could blame my now juicy ass (juicy as in plump, not, get your head out of the gutter) on the IVF meds. But I can’t, because this mama loves cupcakes, cookies, fancy coffee, carbs, yes give me all the carbs and I despise vegetables and anything that screams “I’m HEALTHY!” This has got to change because I want my body back. I am not aiming to be thin, I just want to be me, a healthy me. If I can get to 200 by the time transfer day arrives, awesome, if I’m still pushing 230 to 220 that’s cool too, because at least I know I’m working darn hard to get there.

{Infertile Me} “IVF Got This”

A couple days ago I stood in front of the fridge looking for available magnets to pin up Christmas cards. I knew on the side four magnets held our “operation embryo” calendar. September is when we started this journey. It seems like a life time ago where we spent part of our mornings carefully mixing injections and trying to find the least bruised spot on my belly. Five times. For a week I was getting five different shots a day. Three in the morning and two at night. Every prick was in hope that my follicles were growing strong eggs that would turn into our embryos.

IVF is not for everyone. It’s overwhelming and there are to many variables to count. It’s stressful. It’s painful. It’s emotional and though the bruises will fade your body will never really be the same. Fear sits with hope as you struggle to come to terms with all available outcomes. I was afraid that I wouldn’t get any or many eggs. They don’t really tell you how many eggs you have while you are stiming. They just cheerfully say “everything looks good.” I told myself “if we get five eggs I will be happy.” Anything more than five would just be a blessing.

Fifteen follicles lead to eight mature eggs. Eight. We got eight, eight incredible and non-edible eggs. Seven of the eight fertilized and three of the seven made it to blast. We have three embryos waiting for us and my heart is full. The big three leads to a new set of fears. What if they don’t take? How many should we put back? Oh god what if we put two in and get four? These questions seep in at night and I am reminded to follow my heart. Because of my age and the fact I am only doing this once we are transferring two back to me.

Two. December wasn’t meant to be our month. My anatomy proved to challenging for a proper transfer so our embryos were lulled back into a frozen state. It should be noted that the doctor almost put the big two in the wrong place. Thank God the embryologist checked the catheter and saw that we had hitch hikers. Otherwise the big two wouldn’t have had a proper chance at taking hold and growing into our baby(ies). That part scared me and the clinic has reassured me over and over again the big two are frozen with their sibling, embryo #3. No one was lost, my embryos are safe and sound.

January. January is a month of what could have been. Baby E was due in January, a winter baby you were meant to be. But Baby E was never meant to be ours and we are left with a lifetime of wonder. As the snow softly falls and temperatures drop I will be prepping my body for the big two. The big two who will lead to our take home baby(ies).

If you would have asked me three years ago “AJ would you do IVF?” I would have most likely said no. I didn’t think I was strong enough to go through it nor did I think I truly deserved a real chance at motherhood. Some days survivor’s guilt gets the better of me. Both of my children were unplanned, yet they were very much wanted. Our road to parenthood compared to others is very short. Some women try for years and spend thousands of dollars trying for a baby with no luck. Those women are the true warriors for they never give up instead they search for the next thing that will increase their chances at motherhood.

IVF, its a game really. IVF is about stacking the deck and letting God take care of the rest. Our deck is stacked. I grow a beautiful lining, my hormone levels are on point and our embryos are both 5ABs, which translate to “science did everything it could and now it’s up to fate.” Fate and I have a love hate relationship. Without her I am nothing and with her I am everything. She has left me broken, yet she healed me within the same breath. I pray with all of my heart that Fate evens the score, that some how some way the universe will let us be parents to a take home baby(ies).

IVF got this! Faith, Science, and love will get me through the next phase. Our turn, our rainbow, our take home baby(ies) is just one embryo transfer away and Fate will lead us every step of the way.