Making a baby is not always as easy as people make it sound when you're in junior high school sex ed. Things are WAY more complicated than anything I was ever taught in school... even in my college level sex ed class! Anyhow, this was not my attitude when my husband and I decided to start trying to conceive a baby in July of 2007. I stopped taking birth control and we thought for sure that we'd just have lots of sex for a couple of months and wind up with a bun in the oven. Well... no such luck.
After a couple of months of trying, I read
Taking Charge of Your Fertility by Toni Weschler and began using the Ovusoft software to chart my temperature and other fertility signs to see if and when ovulation was occuring. After several months of charting and realizing that our timing was definitely NOT off, I expressed my concern to both my primary care physician and my Ob-Gyn. Both of them told me that we should try for about a year before worrying too much, but I told them I'd been charting for months and something just felt wrong. My Ob-Gyn agreed to run blood tests on me and suggested a semen analysis for my husband, Paul. My blood work came back normal. However, my husband's analysis wasn't so promising. No sperm were detected. His urologist ordered another SA, this time through a Reproductive Endocrinologist's office. Turns out, this was the same RE that my PCP and my Ob-Gyn had recommended should we need one. This was also the doctor that a friend was seeing, but I didn't know it at the time. Anyhow... all signs were pointing to us needing to see this RE.
The second SA was no different than the first. Now the doctors wanted to find out WHY there was no sperm. He had to go for lots of blood work and we made a follow-up appointment with the urologist. We were taken into his office and sat in the chairs in front of his desk. I never thought I'd be in those chairs gearing up to hear more about a bad diagnosis. It was almost like it couldn't really be happening to us. The doctor said P has a chromosonal disorder and that is why there are no sperm. BUT, there are new procedures in which they essentially biopsy the testicles in order to see if any sperm are being produced, just not making it into the semen. If sperm is found, they can do IVF with ICSI (in vitro fertilization with intracytoplasmic sperm injection, essentially meaning: extract eggs from me, extract sperm from him, inject sperm directly into an egg and then transfer fertilized eggs back into me, hoping for implantation and a successful pregnancy). We thought this sounded like an excellent (albeit expensive!) option and left the office feeling shocked & sad, yet hopeful that we still had a chance. This was in June of 2008.
That hopeful feeling quickly dissipated as we were stuck in insurance limbo for months just trying to see if the testicular biopsy would be covered by insurance. I had trouble communicating with the RE's office, the urologist's office, and our insurance company. I felt like I was getting the run around. Everyone said that someone else had to do something, or provide something before the other could do anything. I was beyond frustrated and thinking that we'd never be able to make this happen because no way could we pay for it out of pocket!
I did have an ultrasound in July 2008 (the one year anniversary of this TTC journey) with our RE just to make sure that everything really was okay with me. The doctor said my uterus was beautiful (um... thanks?) and that things looked good with me. We just needed some sperm!
As the holidays approached, I got a call from the RE asking where we were in the planning stage and what our next step would be. I told her that we were having trouble with insurance issues and just didn't have the cash for the biopsy. She said they hate for money (or rather the lack thereof) to be what is preventing couples from continuing treatment. The RE's office and the urologist (who would preform the surgery) agreed to bill insurance first, then defer billing and/or set up payment plans with us. OMG... SUCH a relief. We could finally move forward. Surgery was set for January 15, 2009.
January 15th finally rolled around. I don't think P & I had ever been so apprehensive! It really sucked to sit in the waiting room wondering what was happening. As soon as I saw the doctor open the door and call me back, I knew it was bad news. He told me that he searched everywhere for some healthy tissue that might contain sperm, but he just couldn't find any. He said he's never been so confused by a diagnosis because P has NO other symptoms of this chromosonal disorder aside from the no sperm thing. I could tell he felt bad for getting our hopes up, but I know he really did all he could for us. He and our RE both said we'd be excellent candidates for donor sperm and thought that would be our best bet, if we chose to pursue it. We had discussed this months before after the initial SA findings, so we made an appointment to discuss donor sperm with the RE a couple of weeks later.
We met with the RE on February 4th. She explained the donor selection process, the initial blood work (yes, MORE blood work) that we'd have to do, recommended the cryobanks with which she's noticed the best results, and then said that I was at the perfect time in my cycle to go ahead with the first IUI (intrauterine insemination) that month. WHAT?! This month?! Seriously?! Wow... after 20 cycles and knowing that during all that time we really had no chance of conceiving, it was strange to hear "it could happen this month." I was a week or so away from starting my period, so she gave me a prescription for Clomid (I ovulate on my own, but the Clomid would increase our chances a bit), gave us the lab orders for bloodwork, and told us to work on picking a donor within the next 10 days. Holy crap! This was happening SO fast now!
We went home and immediately started checking out the cryobanks. We really liked the one that was the RE's top recommendation, so we decided to limit our search within that one. That made things a little less overwhelming. Over the next few days, we made a list of about 10 donors that were good matches. We were even able to see baby pictures of some of them. I spoke with a representative from the cryobank on the phone & he had me pick our top 6 choices and send him that info along with some pictures of P. Then he was able to tell me which donors looked the most like my husband. Recipients are not allowed to see adult pictures of donors, for anonymity's sake, so this service they provided just added some extra assurance that we'd made a good choice. We settled on our donor and placed the order. At this point, my period had ended, I was done with the Clomid pills, and we were on the lookout for ovulation!
I started using OPKs (ovulation predicition kit) on cycle day 10. On cycle day 13, February 22nd, I got a positive result and headed in to the RE's office for an ultrasound to check my ovaries and uterine lining. My doctor wasn't there, so I saw someone else. He also said that my uterus looked good! He even used the term "uterine perfection" for what they want to see prior to an IUI. Yay, uterus! He found one really big follicle on each side, which meant I had responded well to the Clomid. Also, increased chance of twins! Can you imagine? All this time just hoping for one baby, and now we could get TWO?! My nurse gave me and hCG trigger shot to help ensure that the ovaries would release the eggs. I was sent home and told the IUI would be at 2PM the next day. But wait... our donor specimen hadn't arrived yet. CRAP! What were we supposed to do without the sperm?! I called the cryobank as soon as I could and got tracking information for the package. Turns out, it was due to arrive the next morning. Whew! I still was freaking out and watching its progress online. It was delivered earlier than promised! I got a call from the RE's office saying that it arrived, everything was in place, and they'd see me at 2.
We arrived right on time for our appointment. I was so nervous! P seemed perfectly calm. I love that about him. I know he was likely freaking out too, but he doesn't show it and that helps keep me calm. They called back for our turn. We had to go pick up our vial from the lab. We got to meet our vial of little dudes & I had to hold it against my skin to keep it close to body temperature. They actually told me to stick it in my bra! So that's where the vial was for about 5-10 minutes before the procedure. When they were like "You might want to stick this in your bra." I thought, "Um... okay. Nice to meet you, little guys. So... this is my bra. Snuggle into my cleavage... You get to go somewhere else soon!" Ha! Oh, and the "This is my bra" part I totally felt like Phoebe on Friends when she's trying to seduce Chandler to get him to fess up to sleeping with Monica. Jeez... I can relate almost everything back to Friends! While at the lab, we also got a report of the sperm count. They like to see at least 5 million in thawed semen and we had 21.3 million motile count! The nurse practitioner came in and explained the IUI procedure. Then she turned off the lights & soft music started playing. P was like, "Oh, so I guess this will be intimate after all, huh?" Ha! She said it's better for me to relax as much as possible, so dimming the lights helps. The music was just a coincidence because I guess the people up front turned it on & it's the same music throughout the office. So then it was IUI time. There is a loooong catheter that is inserted into my cervix and up into my uterus. Then they inject in the semen. I felt more than I thought I would, which was good because I remember a friend saying she felt it more with her last IUI and that's the one that worked for her! It was over pretty quickly and then they had me lay there for about 20 minutes.
They told me to go back to normal activities for the next 2 weeks and go have my blood test on March 9. I knew it was going to be a looooong 2 weeks...
P and I spent the afternoon shopping and went out to dinner. We ended up using a coupon I had to make a teddy bear at Build A Bear. We felt a little silly being in there without a kid, but hey... we were working on one, right? After seeing some of the St. Patrick's Day accessories they had for the animals, we decided that this bear would be our lucky charm. We already knew exactly what we wanted to wish on the little satin heart that would be stuffed into the bear. ;o) We picked out a cute, hypoallergenic bear and some St. Patty's boxers. We named the little guy Lucky and have shared our bed with him every night. Here he is:

I added the bow myself. I already had the ribbon and it matched him better than the plain green one they gave me at the store. Isn't he cute?!
The next morning, I actually took a home pregnancy test because the trigger shot was still in my system would give me a positive result. I know that's cheating, but it was nice to see the positive for once. I kept it on my nightstand as kind of a good luck charm. I wonder if Build-a-Bear would put THAT into a bear?! Ha!
I have a good feeling about this. Everything finally seems to be going right. This is our first REAL chance at conceiving. It's not the ideal way or at all like we'd planned years ago when we'd talk about having kids, but this is our story... this is how we might be able to build a family... and so the wait continues...