Monday, June 29, 2009

In other news

BF Doctor went into labour on Friday at 34 weeks, and Dr F wasn't in town so she was admitted to hospital, they did a PV (internal) exam and found that she wasn't dilated yet, but the head was very very low, and the contractions were quite intense. So they started medication to stop the contractions and steroids to strengthen the lungs. We were supposed to have her Stork Tea at a restaurant in town on Saturday morning but it was moved to the maternity ward at Medi-Clinic. The party was held in the exact same labour theatre where I gave birth and it brought back so many memories. Not in a bad way, but it still made me think of Hayleigh for the rest of the weekend. Dr F is back today so hopefully he will have a plan, but I think it might be best for them to stop the labour for as long as possible. Hopefully little Thalita will be big and healthy enough to escape NICU.

Thursday, June 25, 2009

Dear Husband

Dear Husband

You have been in Malawi for 4 days now and normally I don't mind it if you go away, but this time I am really missing you.

I know you are working very hard and I am very proud of you.

I just miss your body next to mine in bed. And I miss talking to you about various things. And I miss eating together in the evenings. And I miss watching TV with you, laughing with you, joking around, lying in your arms, and arguing about the TV channels.

I also miss you at night when Sadie wants to go pee, and when Colby wants his food at 5:00 in the morning. I miss you when I need to lock all the gates and when I need someone to run my bath while I lie in for another 5 minutes. I miss you when I have to make hot chocolate for myself and when I have to carry all the groceries into the house by myself.

In short, I need you here, please come home soon!!

Love
Mandy

Tuesday, June 23, 2009

TMI: Prison Break

Okay, everyone who doesn't want to know how Prison Break FINALLY ends STOP READING NOW!!!

Nikki,

They steal Scilla from Michael's mom and she then shoots Lincoln in the chest. He is bleeding out and she demands Scilla back. Meanwhile the general has kidnapped Sarah and he wants Scilla within an hour. Michael has to decide who to save. He tricks them both and saves Sarah and Linc. Sarah kills Michael's mother when she tries to kill Michael. Paul (from the 2nd season who tried to drown Sarah once and was the Vice President's lapdog) contacts them through one of the first season's Fox river eight and they sell Scilla to the United Nations for immunity.
They are all safe and free. Then it skips forward 4 years and they all gather around Michael's grave. Sarah has Michael's 3 yr old son with her. They have a little reunion and it ends. So you are left to wonder if Michael died from the brain tumor. Then there is a Final Break episode which starts just after they were set free. During Michael and Sarah's wedding she is arrested for killing Christina and she is sent to prison. In short the General wants her dead and he is in the male prison organising her death. Michael breaks into the prison to help her escape and he is killed. She gets out safely. You cry your eyes out.

Monday, June 22, 2009

Hello there

Hi, sorry that I have been a bit absent lately, but I've been quite busy at work and over the weekend. DH is in Malawi for the week so I am home alone until Saturday. Which means that Colby, Sadie and I will be snuggling up together on the bed tonight while watching Greys and Survivor. We also finished the whole Prison Break series yesterday as well as the "Final Break" episode. In the final episode of the season you get to see what has happened to the characters 4 years later and you get to see them all gather around a grave, but in the "Final Break" episode (which will apparently not be on screened - dunno why???) you get to see what happened to lead up to the events and how that person died. All I can say is that I cried my eyes out. It ends on a very sad note.

Friday, June 19, 2009

I feel like taking a break


I feel like taking a break. A break from infertility. I want to go somewhere where infertility doesn't exist. I read through the forum and the blogs everyday and it just makes me exhausted. I feel a kind of numbness after I've been on the boards. So I think I am going to take a break. I will still be blogging but not about infertility and when I feel up to it I will look at the forum but for now I want my life to be like this:

- I want to live again, without planning for pregnancy in my head the whole time

- I want to go onto the pill, so that my mind can't decieve me with pregnancy symptoms

- I want to have normal cycles

- I want to loose weight

- I want to excercise more regularly

- I want to laugh

- I want to focus on something else

- I want to forget

So my plan is to still go see Dr Fourie, tell him about Dr V and Dr V's advice. Hear what he says.

Oh and I also phoned his receptionist and told her that I had been in contact with Dr V and that he recommends a medicated cycle with Letrazole & Menopur. I asked whether he would do such a cycle if I asked specifically for it and what the costs would be and she said he charges for a consultation, one scan and the the costs of the meds. Which will be R205 per ampule and I wil probably need 3 ampules and R290 for the Letrazole. So all in all if I do a cycle here in Welkom it would cost me R1900.

But, as I said I am a bit tired of infertility at the moment, so I think I'm going to put it at the back of my mind until the end of July.

Thursday, June 18, 2009

1+1 = 3 ??

First of all thanks to you all for your wonderful support. I know each one of you understands because you have all been through this before.

Paula, Dr V said that Clomid will probably work but it is an Androgen stimulator and because my Androgen levels will already be high due to the insulin resistance he doesn't want to make it any worse. He said that it might work but not in the way we hope for. He suggested that the injectibles will give much better results much faster. I tend to believe what he says because 3 doctors have said no to Clomid already.

I just spoke to Nurse A at Vitalab and she said he was probably speaking of Letrazol which is also a tablet and they cost R290 per cycle and then they would probably give injectables as well at R240 per half amp. (Is this right???) She said the average patient uses about 5 amps per cycle. Does this sound right to you? R240 for half an amp equals R480 per amp x 5 = R2400 per cycle.

So if I've got it right the costs would be:

R980 - First consultation
R1400 - HSG
R290 - Letrazol
R2400 - Injectables depending on which one he decides
R720 - Scans per cycle

R5790.00 - In total
R2370.47 - Bloods

Thus the total cost for this first cycle would be aproximetely R8160.47?

Thats not sooooo bad, but not the kind of money I have in my monthly budget at this point in time.

Eve, I believe you have done medicated cycles at VL before, can you perhaps assist me on working out the costs involved?

Wednesday, June 17, 2009

A's to your Q's

First of all Deidre don't feel crap! Thank You!!!! This is a POA even if we will have to save for it. DH is allergic to Debt so we are going to have to save.... He hates lending money and will never ever borrow from the bank of wherever for something like this.

The test he wants to do are:
FSH
LH
Oestradiol 17-B
Prolactin
TSH
Free T4
HIV
RPR Only
HEP B
Rubella
Bloodgroup + Rhesus
Inherited trombophilia screen
Phospholipid Antibodies
ANF Only
AMH

POA is to mail him again and ask whether all these are absolutely necesarry and tell him we will be waiting a while before we would like to go ahead. Also, what should I do in the meantime? Should I do what Dr F says and go on the Climen?

My Bubble just burst!

Okay lots to tell:

After Deidre's comment I sent Dr V a long e-mail. And guess what, he phoned me back five minutes later! We had a good long chat and I must say he impressed me heck of a lot.
We decided that I should have CD2 blood tests done and then come for a consultation and HSG.
He faxed the blood tests that are required through to me and I phoned the lab to inquire about the costs involved. R5670.47!!! My medical aid will pay for R3300 but the rest would have to come out of my savings account and I have a whopping R438 left in my savings account. And that ladies and gentleman are just the blood tests. Then I still have to pay for the consultation, HSG, and meds. Firstly let me say that I almost fell off my chair when Dr V called me. I couldn't believe that a FS would be calling me! Usually I phone the Doctors Office and get told that his receptionist will speak to him and call me back, so having a Dr call me was quite a surprise, and I am not even his patient (yet).

We spoke about waiting for AF, going for the bloods on day 2 and then making an appointment before CD13. All set. I was in tears when I put the phone down. Then it dawned on me, what about the costs? We haven't planned this. I was doing natural cycles till about a week ago, and now I am booked to see a FS. An expensive FS, but also one of the best FS. He said that Climen is not the answer to my problems and that I shouldn't even consider taking it. So I can't afford Dr V right now, I cannot go on the Climen, I have an appointment to see Dr F in July. What should I do???? I have been crying over this the whole afternoon, because for a brief second Dr V and I had a plan and we were sorting all this shit out, and then 5 minutes later my world came crashing down. I could do this in six months time. But not now. I need to save money first. But what should I do in the meantime. Do I fly solo and ignore Dr F and just hope and pray for regular cycles?

What would you do?

Edited to add:

He also said Clomid will not work for me but he suggested injectibles (cannot remember the name) and then a timed trigger and timed intercourse. Guess Clomid is officially off the list then.
Have I mentioned before how much infertility SUCKS????

Please excuse my french

But I really need to swear!!!!

Fuck
Fuck
Fuck
Fuck
Damn
Fuck

Okay, I feel better already.

I sent BF Doctor an e-mail last week pleading with her to speak to Dr F about a Clomid perscription. BF Doctor then said she would phone him this morning. BF Doctor did so, and Dr F told her he would never ever give me Clomid because of my miscarriage history and because I have ovulatory cycles. WTF??? Why am I on Provera then??? Anycase, she explained a lot of the workings of Clomid to me and I guess it's a no go then. Apparently Dr F says the chances of multiples and over stimulation is too big in my case....Blah blah blah. His answer to my problems are 3 months of Climen. Which is like The Pill, but it is a monocyclic pill which works by regulating my hormones and making me fertile again. I was on Climen for 6 months and fell pregnant the first time straight after going off it, so maybe he is right. But Fuck, 3 months!!!! My life is passing me by here!!

Appt with Dr D - cancelled.

Friday, June 12, 2009

Lord, Give me Strength...

Lord, Give me Strength...

--To keep my cool when another period starts.
--To keep my chin up when a co-worker announces her pregnancy.
--To have a good relationship with my friend in spite of her ability to conceive easily and not be jealous of her.
--To endure my sister-in-law's comments about toilet training.
--To keep from crying when I see children begging on the roads.
--To forgive my doctor when he keeps me waiting for two hours for a consultation - and then can't remember my name.
--To make the right decision about treatment.
--To maintain a good relationship with my husband in spite of all this.

Source: FertilityCommunity.com

I Give This Up to You

'Lord, help me to know that You are enough.
Take my eyes off of myself.
Take my eyes off of the child I desire.
Help me to delight myself in You.
Mold the desires of my heart to be in line with Your will.
I don't want to need to be a mother more than I need to be your humble, obedient child.
I don't want wanting to have a baby to be a stumbling block between You and me anymore.

Lord, I want to give this desire, this drive, this ache up to You.
Help me not to snatch it back as I so often do with the burdens I place in Your hands.
Help me to be truly content with Your will and Your timing.

Lord, You know that I still desire a baby - someone to mold, teach, train, shape, guide, and help to grow in You.
But until the day You give me that joyous blessing, help me to grow in You.
Let me reach out to those around me.
Let me witness and minister to the children You place in my path.

Lord, if adoption is the path You would have us take, prepare our hearts, and prepare the child who will share our home.
If adoption is not Your will for our lives, keep me from pushing ahead of Your plan.
Help me to stay submitted to my husband's will, and to Your will.
If we are headed in the wrong direction, change our hearts.

Thank You for lifting my burden.
Help me to keep You first!
Let me seek Your face daily, and let me know that You are enough!

Source: Hannah's Prayer Ministries

POA

I have a POA! Jippie!

Okay, I phoned Dr D and spoke to his receptionist who made an appointment for me next Thursday morning at 9am.

Dr D is a GP and not my first choice of course, but he has lots of experience in pregnancy, c/sections and deliveries and he has a sonar machine!!! Apparently he specialised in Gynaecology, but doesn't specialise AS a gynae??? Don't know if it's true?

I will explain to him my long soppy story and request a Clomid cycle (or 2 or 3) and then hopefully he will be able to scan me for follicles as well. I have never been to any other Dr except Dr F regarding my girl parts, but I intend to get pregnant and then go back to Dr F. I am after all a high risk preggo. I wonder what Dr F will say/think when he hears that I went elsewhere for Clomid?

There is also Dr S, who has a sonar and delivers lots of babies and is particularly fond of the ladies, but he is just not my type of caregiver, so he is my last option.

Thursday, June 11, 2009

A Question for Paula and all the Clomid-sista's

I have a few questions regarding Clomid?

You should start using 50mg from day 3/4/5 of your cycle for 5 days, right? Is it absolutely necesarry to have scans until ovulation and then do a trigger? Or can you predict ovulation accurately and just go mad in the fertile period?

The reason I ask this is because my gynae is so busy that he sees this as a waste of time.
We only have a Medi-clinic in town and he is the only gynae (1 of only 2) I would trust enough to go to. The other one is ancient and the rest are GP's delivering healthy babies. Some don't even have sonar machines!!

Also, if you had this dx would you also insist on a Clomid/Femara cycle:

Age: 29
TTC for 2 yrs 6 months
PCOS and Insulin Resistant
History of prolonged vaginal bleeding after stopping birth control
Treated with Cyclocapron and Provera and then 6 months of Climen
and Metformin 500mg 3 x per day.
First pg: (May 2008) Bleeding since 6 wks then m/c at 9 weeks
Second pg: (Sept 2008) Bleeding from 7 wks until 16wks then m/c at 24 wks (Jan 2009)
Prolonged use of Cyclogest and Utrogestan during both pregnancies.

History after 2nd miscarriage:
1st Period - 6 weeks after labour - lasted 4 days
1 official cycle - 34 days
2nd official cycle - 31 days
3rd Official cycle - 36 days
4 Official cycle - non existent - now at CD42

Do any of you see any reason why I cannot use Clomid or Femara?
And which is the best to use?

I have sent an e-mail to my friend who is a doctor, but I am not sure she will be able to help me.

Tuesday, June 9, 2009

Q on doing a Clomid cycle

Paula asked whether I have ever considered doing a Clomid cycle. The answer is YES YES YES!

I have asked my doc plenty of times but he always says no, without giving me a reason. He just states that it will not work for me, and that I should keep up with the Metformin. (I think he is just too busy with the pregnant gals than to be monitoring infertile patients and their follicles every second day, and so he hopes that nature will do it's own thing - or that I will get sick and tired and move onto a FS)

Well, I stayed on the Met, got pregnant, miscarried, got pregnant again, miscarried, and now I have no cycle!!!

Clomid is definitely on my list of questions. Hopefully he will give me some.

Just as I thought


I could have been a doctor. I just knew Dr. F was going to put me on ten days of Provera.
He perscribed 5mg three times per day for 10 days. After 10 days you stop the meds and the progesterone levels will drop rapidly and bring on your long awaited period. It's almost like sending a taxi to fetch aunt flo from wherever she is residing. The only thing that I hate about taking progesterone is the pimple outbursts and the sudden urges to eat everything in sight.


Oh well... bring it on.

Ps: did I mention how fucking hard it is to try and see your gynae when you are not pregnant?

The first appt available for me is on 27 July!!!!

Monday, June 8, 2009

CD39

IF you read my other blog you will know that we had a great time in Clarens. I took 2 HPT's with and tested both mornings because we were having lots of wine and unusual food, and AF still hasn't shown so I wanted to make sure. Well no prizes for guessing the result: NEGATIVE.

At this point I have abandoned all hopes of a BFP and I am totally fine with it. I just want AF to show up so that we can get going with the next cycle. Will probably wait till Thursday or Friday, to do a beta (to make 100% sure) and the start 10 days of Provera to bring AF on.

Other than that my TTC life has been pretty boring, but at least we had fun sex instead of baby making sex over the weekend.

Hope you all have a wonderful week, and may there be lots of BFP's all around for those of you testing this week.

Wednesday, June 3, 2009

CD34 - Flopped cycle, I guess.

I am beyond the point of hoping for a BFP, and I just wish AF would show up. I did another test yesterday which was negative again, so obviously if I was pregnant it would have showed some kind of positive by now?? The breast tenderness has also disappeared, so there aren't any symptoms to speak of anymore. I just hope AF is on her way so that I know my ovaries aren't giving up their normal functions. Missed periods and irregularly long cycles is what usually happens to PCOS sufferers , so I guess I shouldn't be surprised. I know I haven't been taking exactly 3 x 500 mg of Glucophage each and every day, but usually it wouldn't affect my cycle too badly.
So from today on I will start behaving and take my meds correctly. I am also going to go back to my old baby making recipe which includes:
- Femtron (2 per day)
- Staminogro (2 nightly)
- Glucophage (3 per day)
- Folic acid (1 per day)
- Ecotrin (1 per day)
- Cilift (1 per day)
- Dilinct Cough Syrup (3 times per day during my fertile period)
LOL, DH says since he has known me, not a day has gone by in which I didn't pop a pill.