The Miscarriage – From Naivety to Reality: Part 3

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The two weeks following the misoprostol were difficult to say the least.  I smiled less, I cried often.  I did my best to put on a brave face at work, but on the inside I was broken.  My bleeding was a constant reminder of our loss.  I felt empty.  I was empty.

I had gotten up for work on a Friday morning, almost two weeks after the misoprostol, and felt like I was finally seeing a small light at the end of our hellish tunnel.  I had hardly bled at all the last two days, and I finally felt like I was getting back to “normal”.

That afternoon at work, I felt a sudden gush of blood into my underwear.  I had a diva cup inserted, so I was a little taken aback that I had filled all 30 mL of it and then some.  I carefully made my way to the bathroom to empty the cup and then carried on with my day.  I didn’t think much of it, until an hour later I felt another huge gush of blood.  What the hell was going on?!  I thought this nightmare was coming to an end.

I waddled my way to the bathroom and discovered I had filled my diva cup yet again and bled all the way through my panties and leggings.  I embarrassed and scared.

My clothes were too blood-soaked to put back on.  I still had to see another three patients that day, there was no way I was going to sit at my desk with no panties and blood everywhere.  I tried to maintain my calm, as my mind flicked through the various outcomes and consequences of what was happening.  The nurses at the fertility clinic said that if I soaked a pad an hour, for two consecutive hours, then that was cause for concern.  Maybe the bleeding would slow down and everything would be fine.  I didn’t want to jump to conclusions.  I put my diva cup in and found a bag for my bloody clothes.  I talked to my manager and explained the embarrassing situation.  As I explained to her what happened I started crying and she told me to do whatever I had to do.

I grabbed my purse and walked to my car.  The second I stepped foot out the front door, I felt blood running down both of my legs.

Oh my god.  I couldn’t believe that my miscarriage wasn’t over.  It was only getting worse.  I didn’t think that was even possible.

I sat in my car and broke down.  I had no idea what to do.  I couldn’t go anywhere because I had no panties and blood streaming down my legs.  I didn’t know if I should go to the hospital, but even still I had blood leaking down my legs under my dress.  I would have left a trail of blood behind me and who knows how long I would have to wait.

I called one of my co-workers from inside my car.  I don’t even remember what I said to her, I was just crying and hyperventilating.  She got me an extra pad she had in her purse and a garbage bag to sit on.  I called my wife and she talked to me in the kind and calm voice that she uses when I’m freaking out.  I started to breathe and get my head straight again.  I felt physically fine and I knew I could drive home safely.  I just needed some goddamn panties and a pad and then I could figure out what to do next.

I drove the hour from Regina back to Moose Jaw trying to convince myself that everything was going to be okay.  I pulled into my driveway an as soon as I got up out of the car, blood was leaking out from the pad and running down my legs.  I ran inside to my bathroom and took my diva cup out.  I had filled the diva cup again, completely soaked the pad I was sitting on and there was blood everywhere.  I went into full panic mode, sobbing and shaking uncontrollably on the toilet.  I knew I was bleeding too much.

My poor wife started cleaning up around me and asked if we should go to emergency.  I still couldn’t think straight.  Deep down,  I knew I had lost too much blood that afternoon, but I wanted to check with the fertility clinic before I went into emergency.  Being a nurse, I didn’t want to go to emergency without a good reason.  I got into the shower to wash the blood off my legs.

I called the clinic and the nurse confirmed that I should go to emergency.  I heard some worry in her voice as I told her about how much blood I had lost that afternoon.  We gathered our things and headed to the hospital for my first emergency trip ever.

The emergency room was like everything else in Moose Jaw: small and quiet.  I was thankful for that because as we sat there I started to feel dizzy. A nurse took my vital signs before admitting me.  My pulse was 134.

I had never been a patient before.  After being assigned a room in emergency, I sat at the edge of the bed, adjusting to my surroundings.  Somehow, laying down on the stretcher would have been admitting there was really something wrong.  I was feeling better now that we were at the hospital.  My wife and I talked lightheartedly, to distract ourselves.  My bleeding had slowed quite a bit in the last couple of hours, which was encouraging.  I felt a bit silly for even being there.  Maybe I wouldn’t need a D&C after all.

The doctor on call was actually my family doctor.  It was a relief to see a friendly face.  He said that we would do some blood work and a speculum exam and the decide what to do from there.  My blood work was drawn by an awkward lab tech and we continued to wait, listening to the buzz of the emergency department around us.

My doctor came back in to the room a while later for the speculum exam.  Ugh.  I knew it had to be done, but I was not looking forward to it.  I laid back and scooched to the edge of the bed, with a wedge pillow under my butt.  I made a joke about how many people had been up in my private bits lately that I really didn’t care anymore.  But that was a lie.  I did care.  It was invasive and awful.  I hated it.

The doctor saw what he thought could be blood clots or products of pregnancy, but he wasn’t sure.  He wanted to do an ultrasound to confirm what was going on.

I walked down the hall to the ultrasound room.  The tech did an abdominal ultrasound first.  She said I still had a bit of urine in my bladder and that I should empty it in order to do a transvaginal ultrasound.  Oh great.  My favourite.

I went to the bathroom that was attached to the room and peed.  I stood up to wipe and gushed blood all over the floor.  How much blood could I possibly have left in me?!  I tried my best to wipe up the floor.  I told the tech what happened and apologized profusely.  I was overcome with embarrassment.

The transvaginal ultrasound was bloody and awful.  I felt so exposed and there was nothing I could do about my bleeding.  I just laid there and stared at the ceiling wondering what I did to deserve this.  The tech was very kind and said that it wasn’t my fault when I kept apologizing for bleeding everywhere.  She said she couldn’t tell me anything she saw on the screen and I would have to wait for my doctor to tell me the results.

As I walked back to my room, I felt another gush of blood.  That continued for the next couple of hours as we waited for the results to come back.  I finally resigned myself to laying down on the stretcher.  I felt tired and defeated.  I just wanted some answers.  I just wanted this nightmare to be over.

The doctor came back into the room and shut the doors.  He told me that the ultrasound had shown some retained tissues from the pregnancy.  He said that though my condition was not emergent, it was urgent and that I would need a D&C the next day.  My worst fear was coming true.  I immediately asked if I would be under a general anesthetic and he said that likely I would be.  That made me feel marginally better.  I started to cry for the first time since being admitted.  I had done so well putting on a brave face.  But that all came crashing down when I knew that a D&C was inevitable.

Somehow we managed to sleep a little bit that night and then we headed to the hospital bright and early the next day.  After checking in, I put on a hospital gown.  It was then that I really felt like a patient.  I sensed all of my autonomy and confidence slowly drain out.  I suddenly had so much empathy and respect for patients I had looked after in the past.  I never truly realized how powerless and frustrating it was to be a patient, especially in a hospital setting.  In the whirlwind of crap that I was dealing with, I felt a small pang of gratitude to have had that experience.  The nurse in me knew that this experience would probably make me a better nurse down the road.  Maybe it’s strange to have felt that just from the folds of an uncomfortable, snowflake-patterned hospital gown, but that’s what I felt.

As an aside, who decided that snowflakes were a good pattern for like every hospital gown ever?  Ew.

The gynecologist who was going to do my D&C came in to speak with us regarding the surgery.  His smile was nice, but his eyes and body language said that he didn’t really care all that much.  He wanted to do another ultrasound, as I had bled a considerable amount last night, just to make sure the D&C was still necessary.

Sure enough, the abdominal ultrasound showed small patches of white in my uterus, indicating that there were still tissues present.

As I began to ask him questions about the procedure, I quickly discovered that he had no interest in informed consent.  I asked him when my period could be expected to come back and about the risks of the procedure.  He said he didn’t know when my period would come back and that there were no risks to a D&C.  I asked about Asherman’s Syndrome, which is a rare complication leading to infertility, and he just waved his hand at me dismissively at me saying that it was nothing to worry about.  He also said that I could just as easily take another dose of the pill and not have the D&C at all and that it was up to me.  He left the room for a few minutes to let us decide.

Well, great.

For the umpteenth time in this whole process, I was glad to be a nurse.  I was already decently informed of the risks of a general anesthetic and had done my own research on the D&C procedure.  But I kind of wanted to discuss it with a real live doctor who specialized in gynecology to make sure that I was making a good decision.  Apparently that wasn’t going to happen today.  It’s no wonder people regularly turn to “Dr. Google” and message boards on the internet.  If you get stuck with a doctor who doesn’t care about you, unfortunately you don’t have anywhere else to turn.

My wife and I talked about what we were going to do.  I was really scared of the D&C.. Though it was irrational, I kept having horrible thoughts of never waking up from anesthesia.  Any surgery is risky and I wanted to avoid those risks, if possible.  Still, but clearly the pill did not work for me the first time and I really did not want to go through all of that again.  Again, I was stuck choosing the lesser of two evils.

The gynecologist came back into the room and asked if we had decided because the anesthesiologist was on her way and if we weren’t going with the D&C then she wouldn’t bother coming.  His tone made it very clear that we were at the bottom of his priority list.  Apparently the schedule of the anesthesiologist was more important than this critical decision to have surgery or not.  I looked at my wife and then told him that I would have the surgery.

After an hour and a half wait, I was wheeled to the operating room.  The bright white lights and air of sterility greeted me, reminding me of my scrub nurse days.  All of the staff were women, which made me feel slightly more comfortable.  I walked to the operating room table and laid down as the anesthesiologist started asking me questions.  Through a veil of numbness, I felt the hustle and bustle of nurses attaching cardiac and vital signs monitoring to me.  I thought of all the times I had prepped a patient for surgery and realized how nervous they must have been, as I put a blood pressure cuff and a warm blanket over them.

I looked up at the ceiling covered with fluorescent lights, a sight that was becoming all too familiar to me, and the anesthesiologists face came into view.  Her eyes looked kind and I imagined what her face looked like underneath her mask.  She asked me if this was my first baby.  Hearing the word “baby” made me burst into tears.  Since the miscarriage everyone had referred to the “products of pregnancy”, which while medically useful, is a very dehumanizing term.  It was like everyone just wanted to pretend that my baby was never there.

I hurriedly explained through my tears that I really wanted this baby and that I was a nurse and that this was not how I ever imagined things would turn out.  The anesthesiologist wiped tears from my eyes with the flannel blanket and said that everything was going to be okay.  This happens to a lot of women.  You’ll have another baby, she told me.  I felt so ashamed of how my body had failed.

She announced that she was giving me a dose of midazolam, which I was so grateful for.  Everything got fuzzy and I felt wonderful.  All of my worries were suspended temporarily as I unknowingly drifted off…

The next thing I knew, I was flicking my eyes open in the recovery room.  The lights were dim and I felt the pressure of the cuff on my arm, as my nurse took my vital signs.  She said that my wife was waiting for me at the end of the hall.  I was so thankful to have woken up.  I felt relaxed and a little dizzy.

I dozed off and woke up to my wife coming in to the room.  I was so happy to see her face.  She read to me a little bit, as I slowly had some apple juice and the most amazing piece of toast with peanut butter on it.  Seriously, guys.  That toast was out of this world.

I walked slowly to the bathroom for the obligatory pee before I was able to go home.  I got my discharge instructions and felt like a princess as a porter wheeled me down to the front door.  I hoped that all of the kind staff I encountered was some sort of nursing karma for the compassion and care I’ve shown my patients over the years.  Either way, I was grateful to step into the sunshine and go home.

The next two days were full of sleep, tears, Netflix, cuddles and comfort food.  I was anxious about taking too much time off because I wanted to save my sick time for future fertility appointments.  I wish I could have taken more time off to really process what happened to me.

I let life whisk me away and I kind of left my emotional health in the dust.  I’m dealing with it as best I can now, with meditation and exercise.  Everyday is a little bit better, but if I’m being honest with myself I’m far from being in the clear.  I put on a smile because I’m pretty good at faking being happy, but I know deep down I have some healing to do.  I’ve been more gentle and compassionate towards myself than I ever have been in my life, which is an area in which I’ve been wanting to grow for some time.

People have said to me that everything happens for a reason and that this experience will make me a stronger person.  I’ve been told that it will happen when it’s meant to happen.  I’ve been told to focus on the positive.  I’ve been told that everything has a silver lining if you look hard enough.  But you know what?

Fuck that.

There is nothing good about my baby dying.  There is no positive thinking that will take away the pain of losing her.  I did not need this traumatic experience to become a stronger person.  I was already strong to begin with.

-K

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The Miscarriage – From Naivety to Reality: Part 2

After finding out about the miscarriage I sat in the doctor’s office crying, overwhelmed and at a complete loss of what to do.  My initial instinct was to get as far away from any medical technology as possible.  I could not even fathom any type of abortion procedure at that time; it made me sick.  After we had adjusted to our new normal, I realized that I couldn’t wait for the miscarriage to happen naturally.  Being as far along as I was, with my hCG levels as high as they were, it could take weeks for my body to miscarry naturally.  The extra cruelty of a missed miscarriage (as if it could be any more cruel), is that my body thought it was still pregnant.  The pregnancy symptoms I had been experiencing were still in full force.  Morning sickness and exhaustion would be well worth it, if it was for the benefit of my little one growing inside me.  To experience those symptoms knowing that I would never hold my baby was just pure torture.  I had to do something.

After doing some research online and speaking with the nurses at the fertility clinic, we scheduled another ultrasound to be done one week after we had received the terrible news.  If there was no heartbeat and no development at the second ultrasound, we could be sure that the pregnancy was not viable.  As a secondary confirmation, I would also have my hCG levels measured again.  If my hCG had dropped from previous testing then we could be sure of the miscarriage.  There was no way I was ending my pregnancy without full confirmation that it was no longer viable.  I couldn’t live with myself without knowing for sure.

Every time the fertility clinic called to check in, I told them I still felt as pregnant as ever.  I felt so betrayed by my body.  I never had any spotting or bleeding or cramping.  No signs whatsoever of the death that took place.  My baby just slipped quietly away, without me even knowing.

The fertility clinic was such an amazing source of support for me during this time.  Suddenly, the hundreds of dollars of clinic fees seemed totally worth it.  A few days after we found out about the miscarriage I called the nurses to get some more guidance.  I was sitting in my car during my lunch break, as our office walls don’t provide much privacy, and started asking about my options.  I soon broke down into tears.  The nurse was so sweet and understanding.  She listened to me cry and said that it was a terrible thing that was happening to me.  It was the first time someone had said that to me and it felt so validating.  She didn’t try to tell me that everything was okay or that I’d have better luch next time.  It was a terrible thing.

A couple days before the second confirmation ultrasound, I knew I had to figure out what I was going to do if we found out for sure that the pregnancy was not progressing.  We had three options: (1) expectant management (wait and see); (2) medical management with misoprostol to induce abortion; or (3) surgical management with dilation and curettage (D&C).

Each option sounded worst that the last.  I never dreamed that after working so hard to get pregnant, I would have to work even harder to end my pregnancy.

Before I go into how we made our decision, let me say that there is no one-size-fits-all choice for everyone.  Unless there is a medical emergency, there is no “right” answer.  Each option comes with it’s own consequences and each person needs to make a choice that suits them in their circumstances, in conjunction with their health care provider.  I spent hours reading stories about all three options, all with extremely different outcomes.  Reading through the stories of people who have had to deal with miscarriages helped me determine what was important to me, which led me to make the decisions that I did.  My experiences that follow are in no way a substitute for medical advice, nor are they a guide for how every woman should handle a missed miscarriage.  This was just how my story unfolded for me.

Expectant management simply was not an option for me.  I could not imagine weeks of waiting for bleeding to start.  Many women opt for this choice, as they feel it is more natural and doesn’t involve any intervention.  I completely agree and that was my initial reaction to finding out about the miscarriage.  Perhaps if I wasn’t as far along I would have waited.  Based on my hCG levels, it would be weeks before my body figured out that I was no longer pregnant.  The other downside is that there was a risk of infection, as the remaining tissues from the pregnancy would be in my uterus until my body could expel them.  I guess didn’t have the courage to wait it out, and maybe that makes me weak.  I just couldn’t bear it.

The second option of medical management seemed to be the middle ground between an invasive D&C procedure and waiting for the pregnancy to pass naturally.  Using the misoprostol pill, I could have the miscarriage in the comfort of my home (not that there was going to be anything comfortable about it), in my own time and with the support of my wife.  There would have been a day or two of downtime following taking the pill and then we could move on.  The nurses at the fertility clinic said that when the pill works, it works very well for most women.  There is bleeding for 1-2 weeks and then it’s done.  The risks of this option included excessive bleeding, uterine rupture and not fully passing the products of the pregnancy.  If the pill didn’t work, then a D&C would be the next step.

The D&C would have been the fastest way to deal with the miscarriage, but the procedure sounded so awful.  I kept imagining myself, legs wide open on the operating table, vulnerable to the world on the operating table with a doctor digging around in my uterus, scraping out the remains of my pregnancy.  I had horrible visions of only being under conscious sedation (instead of being put totally under) and feeling the pressure and pain of the instrument inside me.  It filled me with such anxiety that it made me cry just to think about it.  I already felt so traumatized by the whole experience, that I wanted to handle the miscarriage quietly, on my own terms.  The risks of a D&C included the usual risks of any surgery (bleeding, infection, anesthetic etc), as well as scarring from the procedure, potentially leading to infertility.  This is known as Asherman’s syndrome, and it is extremely rare, but I didn’t want anything ruining my chances of getting pregnant in the future.

Medical management seemed to be the “best” option for me.

I called the fertility clinic on Friday to request a prescription for misoprostol and a pain killer, to ensure that it was ready for me on Monday after the ultrasound.  If we got the confirmation we were expecting, I couldn’t wait another day for the miscarriage.  I just wanted to move on.  The nurse I spoke to agreed with my decision with gentle encouragement.  The nurses never once told me what to do, but said that whatever I chose would be a good option.  She said that the pill works within a few hours and it was very effective for most women.  I hoped that I fell into that category.

On Monday, our nightmare was confirmed.  My wife and I handled the news in a matter-of-fact way, though our hearts were heavy with sadness.  We were much more prepared for the disappointment.  I don’t think it made anything easier, we just didn’t feel the shock that we had at the last appointment.  We knew the miscarriage had happened, but we wanted confirmation in order to move on.  In addition to the ultrasound showing no progress or heartbeat, my hCG levels had also dropped slightly.  Now we knew for sure.

We went straight to the pharmacy to pick up my prescription.  To make matters worse, the pharmacist could barely look me in the eye when he handed me the misoprostol.  He obviously knew that the medication was for an abortion.  He mumbled something about inserting the pill vaginally and that there would be no side effects because it was a local application.  He didn’t say anything else and awkwardly handed me the bag.  I felt so embarrassed and angry.  I wanted to tell him how much I wanted my baby.  I wanted to scream at him that I never wanted this to happen and that he should act like a professional and give me the information that I needed without judgement.  No side effects?!  How about bleeding excessively or uterine rupture?  How about intense nausea and diarrhea?!  He also told me only to take the T3s if I had pain, as if I was planning on going home and getting high on codeine. I was so upset.  After such a painstaking and devastating decision, to be treated with such disrespect was a slap in the face.

I tried to brush off the negative encounter and hoped that I was maybe just particularly sensitive given my present circumstances.  My wife and I picked up grapefruit juice, a McCain’s chocolate cake and some ice cream.  I knew emotionally eating is really counter-productive.  Given what I was about to go through, I really didn’t care.

At home, I nervously unpackaged the misoprostol and, like a good nurse, carefully read all of the instructions and side effects.  Contrary to what the incompetent pharmacist had said, there were side effects even when the pill was inserted vaginally.  I inserted the 800 mcg dose, which was 4 tablets total.  The tablets were uncoated and awkward to insert.  The medication is actually for stomach ulcers, with an off-label use for inducing abortion early in pregnancy and inducing labour.  The nurse at the fertility clinic told me sometimes it only takes an hour for the pills to work.  I put on a pad and anxiously awaited the effects.  My wife and I got into bed, and started watching Voyager (I may be a bit of a Trekkie) and had some cake.  I was so glad to have her there with me.  I couldn’t imagine going through it alone.

Five hours later I began cramping.  It was worse than any menstrual cramps I have had.  I read that the sensation is very similar to contractions, so I tried to breathe through them, imagining that they were practice for labour later on down the road.  I was glad I had taken a T3 and an ibuprofen earlier.  The cramps were so bad I was just moaning and breathing, lying on my side, hoping they would be over soon.  Then the cramps subsided a bit and I was slammed with a huge wave of nausea.  I jumped out of bed and almost missed the toilet.  I vomited violently five or six times while my wife rubbed my back and held my hair.  No side effects, my ass.

The nausea retreated as quickly as it had come on and I was back in bed dealing with the tail end of my cramps.  The cramps only lasted an hour, thank goodness, but I had not actually bled yet.  It was very late at night, since I was not expecting the misoprostol to take so long to work, and I ended up drifting off to sleep.  In retrospect, this was probably a little bit dangerous as I could have bleed excessively in my sleep.  I woke up in the middle of the night and went to the bathroom.  As soon as I stood up, blood was running down my legs.  I had completely soaked the pad I was wearing and could feel clots and blood passing as I sat on the toilet.

I was both relieved and totally heartbroken.  As I was getting back into bed, I remembered that some women had kept the tissues they passed to bury them.  I felt like I was a terrible mother for not showing more respect for the life inside me.  But I didn’t know what else to do.  I didn’t know what I was supposed to do.

I was so emotionally drained.  I hoped everything would seem better in the morning, but I knew it was probably going to be worse.

I rested for the next two days at home, which I felt guilty about because I needed to save my sick time for the next round of IUI.  But I was exhausted and depressed and still having frequent outbursts of tears.  I was also still bleeding quite a bit and I really didn’t feel like I could deal with that at work.  I watched Netflix and my wife brought me cake when I asked for it and we cuddled.  We did the best we could to grieve and comfort each other.

During those two days, we also received a lot of support from our close friends and family who knew about the pregnancy.  Every text, Facebook message and phone call was so very appreciated.  One of my amazing friends back home sent us a wonderful care package with a vegan cookbook and a kilogram of gummy bears.  You can bet I ate every single one of them in less than a week.  I understand why people want to keep pregnancy and miscarriage private.  At the same time, having all of the support of our friends and family made everything so much more bearable.  Every time someone asked me how I was doing, it allowed me to process and express my grief.  Don’t get me wrong, it hurt like hell.  But I think it was better than hiding all of that hurt in my heart.

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As I said in my last post, the misoprostol did not work for me and I ended up bleeding so much that I soaked through my clothes at work two weeks after taking it.  This resulted in a trip to emergency and a D&C procedure, the details of which will be in my next post.

Despite my initial pangs of regret for telling everyone that we were pregnant, I now am so thankful that we don’t have to hide the pain we are experiencing.  Countless friends and family members have reached out to us, offering condolences, compassion and care packages, for which we are so incredibly grateful.  Knowing that we are not alone has made this dark time in our lives a little bit brighter.  Thank you for reading and for being a part of our journey.

-K

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The Miscarriage – From Naivety to Reality: Part 1

Well, there’s no easy way to say this, so I’ll just say it.  We had a miscarriage.

I was diagnosed with a missed miscarriage at 8 weeks 5 days, and after confirming the diagnosis I had a medical abortion with misoprostol (brand name Cytotec) at 9 weeks 5 days.  After two weeks of bleeding from the medication, I started bleeding extremely heavily and was advised to go into emergency.  After some tests and an ultrasound it was determined that I had retained some products of the pregnancy and had to undergo a dilation and curettage procedure (D&C).

Needless to say, these last two weeks have been hell for me and my wife.  It’s hard to remember back to the days following that positive pregnancy test.  All of the joy and excitement we had when we found out we were pregnant is such a stark contrast to the devastation we feel now.  It feels like I was living a different life.

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I found out I was pregnant on my birthday and it was the best gift I could have received.  I could hardly believe that it had worked the first time!  It was a dream come true.  Sounds like the beginning of a picture perfect movie, right?  That’s what I thought too.

Truth be told, I actually had an inkling that I was pregnant the day before my birthday.  The two week wait was killing me and I really wanted to be prepared for the news from the fertility clinic.  At exactly two weeks, I was to go have blood work done to check my hCG levels (the pregnancy hormone) and then the fertility clinic would call me the same day with the results.  I decided to take a Clear Blue pregnancy test the night before the blood work, just to see what would happen.

I peed into a cup (much easier than trying to aim for the stick!), dipped the stick, sat on my bathroom floor, and started my timer.

The indicator window was blank for the first couple of minutes.  Of course.  It’s exactly what I thought.  It didn’t work, I’m broken, we’re gonna have to shell out another $2000 next month to do this all over again.  Ugh.  Nonetheless, I continued to stare and stare and stare at the stupid window right until my timer went off.  All of a sudden, the faintest, palest, shadow of a second blue line started to appear.  I stared at that silly pregnancy test from every angle, in every light, straining my eyes to make sure what I was seeing was correct.  I could hardly believe what was happening.

I was pregnant.

My cute Pinterest-y plans of telling my wife the good news quickly went out the window as I yelled her name from the bathroom and started freaking out.  When she came in, I was still sitting on the bathroom floor, next to my pee, waving the pregnancy test in the air like a crazy person and I kept asking her, “Is this real?!  What if this is REAL?!”.  It was all very romantic.

As an aside…who are these amazing women who set up adorable photo shoots and blindfolded taste tests to surprise their partners with their big news?!  I couldn’t imagine holding on to such exciting information long enough to plan something so delightfully elaborate.  My original plan was to give my wife a set of baby Converse shoes (so cute!) when I told her that we were pregnant (which I had wrapped and stored in my underwear drawer for the last couple months, because I’m a planner like that).  She loves Converse, it’s the only shoe she wears other than combat boots.  She even wore them at our wedding!  How cute would that have been?  I had imagined it all perfectly, and after I told her the precious news we would embrace and smile and be filled with joy.  Rainbows would shoot from the ceiling and doves would fly gracefully down from the heavens to mark our celebratory moment.

Yeah, that didn’t happen.  Like, at all.

The next day, after the blood test, I watched my phone obsessively waiting for the actual confirmation from the fertility clinic that the pregnancy test was positive.  I was secretly very excited, but I also wanted to make sure that it wasn’t a false positive.  I watched and waited, and watched and waited some more.  Unfortunately, despite leaving a voicemail for the clinic, no one got back to me with the results that day.  It was pretty frustrating, but I decided I would just take another pregnancy test (or two!) and get confirmation myself that evening.  I picked up a First Response dual pack (way better than Clear Blue, in my opinion) with a digital test and a line test.

The second I got home, my pants were off and I went straight to the bathroom with a cup.  I waited anxiously, but it didn’t take long for a very clear “Yes +” to show up on the digital strip and the brightest, clearest pink vertical lines to show up on the other strip.

Okay, I really am pregnant!!!

I could hardly contain my excitement and we immediately contacted our parents with the great news.  This was really happening.

I was just glowing for the next few days.  My heart was full and I felt incredibly blessed to have had our IUI work the first time around.  I think I was also equally shocked that it had actually worked the first time around.  I’m sure a lot of other couples weren’t so lucky.  I received a call from the clinic, that my hCG levels were excellent.  I had to go for a second set of blood work 2 days after, just to ensure that the levels were rising appropriately, as hCG should double every second day at the beginning of a pregnancy.

My second set of hCG levels were sky high and I was starting to feel all of the lovely first trimester symptoms.  My boobs were gigantic and I could smell EVERYTHING.  I felt like a superhero.  For anyone who knows me, I definitely do not need help in the bosom department, but it was nice to feel the changes in my body.  It made everything feel so real.

Around 5 weeks is when things really started to get fun.  I started having the worst morning sickness, that quickly upgraded to all day sickness.  I was exhausted and I hated all food.  Seriously.  I tried all the standard remedies for morning sickness like soda crackers and ginger ale, but nothing really helped.  I couldn’t imagine eating anything, but at the same time I was starving and having food in my stomach really settled the nausea.  As you can imagine, I was pretty miserable, but also knew that all of the symptoms were a constant reminder of the life growing inside me.

At 7 weeks and 1 day, we had our first ultrasound scheduled.  We had the familiar drive up to Saskatoon, but I was over the moon that we were about to see our little (very little) baby.  My wife and I chatted about the future and continued our plans that had been brewing for our little family since we received the news.  I was so excited to see our baby and maybe even hear a heartbeat!

In the clinic, I laid down on the table for a transvaginal ultrasound.  That early in the pregnancy, a transvaginal ultrasound is much more accurate than an abdominal ultrasound.  Within a few seconds our doctor found our little tiny baby.  He or she was really in there!  My heart just about burst with love for this tiny being that was only the size of a strawberry.  I asked if we could hear a heartbeat too, but the doctor said that she was having some difficulty finding it, but that it was probably nothing to worry about.

After the ultrasound, we had a brief consultation in her office.  Our doctor said all of the measurements looked excellent and right on track for how far along I was, but that the lack of a measurable heartbeat was “mildly concerning”.

My heart dropped.

Those were the last words we wanted to hear and though I was trying to focus on the positives, I was devastated.  What happened to our picture perfect movie?  I was supposed to see our little baby, hear their precious little heartbeat, smile loving into my wife’s eyes, glistening with tears and feel a deep sense of joy at the life being created inside me.

Instead, I felt scared and disappointed and cheated.

All of the wind was taken from my sails and we had a pretty quiet drive back home.  We had another ultrasound booked in a week, to confirm that everything was okay.  It was slightly early to hear a heartbeat, so I clung on to the fact that the measurements were good and we saw little flutters of movement on the ultrasound screen.  Maybe everything will be okay after all.

With the Easter weekend quickly approaching, we decided that we would go ahead with our plans to tell our family.  We don’t see everyone back home very often and we really wanted the chance to tell our loved ones in person.  Even though I knew miscarriage was a possibility, I just couldn’t believe that it would ever happen to me.

Miscarriage is one of those things that happens to other women.  Friends of friends.  The fertility nurse who did my IUI just had to look at me and I got pregnant.  Clearly, my body was ready to make a baby.  I wasn’t in a high risk group.  I was only 29 years old.  I had taken my pre-natal vitamin for three months before trying.  I slept well, exercised, went to yoga regularly.  We had minimal processed foods, tons of fruits and veggies.  I had cut out caffeine and alcohol long before our first IUI.  I had switched all of my cleaning and personal products to brands that did not contain phthalates and all of those other nasty chemicals that aren’t recommended during pregnancy.  I made my own deodorant, for god’s sake.

I had done everything right.  But I guess it wasn’t enough.

On Easter Monday, we drove back from Edmonton and stopped in Saskatoon for our follow-up ultrasound.  We were cautiously optimistic.

I laid down on the table for the trans-vaginal ultrasound and immediately my eyes were glued to the ultrasound screen for any sign of our little baby.  I still felt so very pregnant.  The doctor scanned and scanned and kept doing sweeps of my uterus.  The doctor was very quiet.  Deep down I knew that something was wrong. I felt my wife’s hand on my shoulder.

“I’m sorry.  I don’t see anything.”

“What do you mean?” I said, knowing what she meant, but refusing to believe it.

“I just don’t see anything.  Last time there was a fetal pole and now I can’t see anything.  I’m so sorry.”

She removed the ultrasound wand and I sat up.  She said she would meet us in her office down the hall.  I turned to my wife and said, “I guess this is why people don’t tell early” and burst into tears.

I felt ill. I could hear the blood pumping through my ears.  My throat hurt so much from holding back a flood of tears.  I just wanted to break down, but there were other patients around in the office, so I tried to keep my composure.

As we sat down in the doctor’s office, the first thing she said was that it wasn’t my fault.  That should have made me feel better, but it didn’t.  I was devastated.  I felt like everything was my fault.  How could it not be?

She presented our options.  I felt bad for her.  I’m sure this was one of the worst parts of her job.  I was only half listening, trying to process how our lives and future plans had just shattered all around us.  In that moment, I couldn’t imagine any sort of abortion procedure.  I said we would just wait for the miscarriage to happen naturally.  She said it may take a week or two.  I couldn’t think.

My wife drove home and I cried.  I couldn’t think of what to do except to start telling my close friends and family that we had miscarried.  I couldn’t speak.  I didn’t want to call anyone or answer the phone.  I just texted through my tears.

I miscarried.

I found out I had a miscarriage.

I just found out I miscarried.

Every time I typed that word, it looked more strange, as words do when you stare at them too long.  I think it helped me accept what was happening, in some small way.  With every person I delivered the news to, I felt another piece of my heart break.

I felt a deep shame and embarrassment.  Like I had let everyone down.  Everyone was so excited for us.  We had a trunk full of baby gifts already.  A bassinet, blankets, little toys, a diaper bag.  I felt stupid for having those things.  How foolish to start planning so early, when I knew full well this was a possibility.  I still haven’t taken those things out of my trunk.  I can’t.

I immediately understood why people choose not to tell anyone they are pregnant until the first trimester is over.  In that moment, I wished we had done the same.

When we finally got home, my wife and I collapsed onto our bed a cried together for a while.  I was upset that she hadn’t shown much emotion, as she was trying to hold it together for us, but as soon as she started crying I wished she would stop.  Her tears made this nightmare real.  Her sadness broke my heart almost as much as losing our baby did.  We held each other for a while and eventually the tears stopped.

__________

The following week was a confusing mess of hope and devastation.  As I regained my critical thinking and started to adjust to our new circumstances, I explored the options for handling the miscarriage.  My initial idea of allowing the miscarriage to happen naturally, was seeming more traumatic by the day.  With my hCG levels as high as they were and the pregnancy as far along as it was, it could take weeks to miscarry naturally.  I’m pretty tough, but I’m not that tough.  I couldn’t imagine dealing with all the pregnancy symptoms (which were still in full force at this time) and just waiting day after day for bleeding to start.

My other options were to take a pill to induce the miscarriage or to elect for a surgical dilation and curettage procedure where they remove the pregnancy products and lining of the uterus.  Both options sounded awful, but not as awful as waiting for endless weeks for the miscarriage to happen naturally.

In my next post, I will write about the next steps we took with our miscarriage.  There are no easy decisions and no “one size fits all” approach when it comes to a miscarriage.  I will go into detail about how we came to our decision and the resulting events, but I don’t think I can handle much more crying today.

My hope is that my writing here may provide some comfort for women and couples who are dealing with the same experience.  I personally found a lot of comfort in reading the various miscarriage discussion pages and threads out there, so I hope to return the favour.  I have found that it helps knowing that you are not alone.

I also hope that reading my experiences here will be a reminder that although pregnancy can be a very joyous time, it can also be very traumatic.  I think it’s important to remember that everyone has a story.

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This was our first ultrasound.  The little blip between the green crosses was our baby at 7 weeks 1 day.  At the appointment, I remember making the ultrasound joke from that Friend’s episode, when Rachel couldn’t see her baby on the ultrasound screen.  But I definitely saw her.  And I loved her.  And I was already imagining a life with her.  I know she was very small and brand new, but for a few weeks I was her mom.

-K

 

 

 

The Other Other Mommy – An Interview with my Wife

This week we have a special guest blogger: my lovely wife!  I thought I had shared (over-shared?) a lot from my perspective, and that it would be interesting to hear from my other half!  Without further ado, here’s Larissa’s thoughts on our fertility journey thus far.  Enjoy!

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The process of waiting to find out if Katie was pregnant, or if we would go through the whole process again, and worrying if we should invest in another couple units of sperm so that they would arrive in time for a third cycle…was not fun. But a necessary part of any fertility journey. I think I was being more patient than Katie. While we waited, thoughts meandered around my mind that I have had many times before. What will our baby be like? Will they be more like me or more like my wife? Will the baby look enough like me or will people know right away that I have no biological connection to the kid? Will people think I’m the Auntie or the Nanny? … These thoughts stubbornly hummed in my mind while we waited to two long weeks to discover what our future held.

Being a same-sex couple offered a unique opportunity that few couples have; we got to choose which one of us would carry the child. This was an easy decision for us and the obvious choice was Katie. We briefly considered the interruption that pregnancy would have on our respective careers and salaries, as well as potential for fertility complications. In the end those factors didn’t make much difference for us. What mattered more was our personalities. My motivation to experience pregnancy and childbirth is pretty low (a rare miss for evolution). I am so much more excited about raising the kid. Luckily, Katie is ecstatic about the idea of growing a human. She shows her excitement heart-on-her-sleeve style though is often concerned that I am not excited about our potential baby because I don’t do the same. But I am excited. I am excited about all the moments we will get to experience together. I am excited about all the things that I get to teach him or her and all the things that he or she will teach me. I am also confident that, although I won’t have an instant connection to the kid as strong as my wife, my connection will grow over time. My confidence is tempered with quiet fear and doubt. I am sure most new parents have these types of worries . Though, unlike  most parents, my uncertainties primarily stem from me being the other-other-mommy: the fact that I am not the bio-mom.

Otherness is not new to me. I have always been interested in activities and fields that don’t attract many women (like engineering and flying planes). Also, as one of four girls in my family, I often strayed from the beaten path by having drastically different interests, hobbies, and jobs than my sisters. Being the “other” doesn’t regularly bother me (I would have had a hard time being the sole woman a lot of engineering classes if it did). But I am finding that it is cropping up in some interesting ways on our journey.

The first time that I felt like the “other parent” was when we asked how I would become the child’s legal parent. This is something that most couples do not have to think about. And to be fair, our process will be basically the same as any other couple who has a kid. There is just something that irks me about having to fill out the “Father/ Co-Parent” portion of the birth certificate. It makes me feel like I am lying on the form because I am not the father. Or it makes me feel like I am not a valid parent by myself; I can only be a co-parent. Why can’t there be two “Mother” parts on the birth certificate? Okay, maybe that would cause more confusion than it would be worth. But I am sure that this won’t be the last time a form presents this problem and we will continue to adapt to a world that is catching up to change.

Speaking of breaking the mold, eventually our kid will realize that having two moms is not the norm. They may start to wonder who their biological dad is. They may be satisfied with a quick answer about a nice guy who decided to donate some sperm or they might want to know more about who the person is. The logical part of my mind understands this fundamental drive to find one’s origins. The emotional part of my mind lashes back with the thought that my child’s questions of their father will only be present if I am inadequate as a parent. I know from my relationship with my own father that biological connection means very little without presence and time spent. Therefore, I know how ridiculous my insecurity is, and yet it persists. I imagine this is how step-parents or adoptive parents may feel.

The last major thing I was concerned about was what our kid would call each of us. Obviously this was the most important, very urgent matter and MUST be decided months before the kid is born…right? It may seem like a silly thing to worry about, but once again, I felt as though I was the leftover. As the biological mom, everyone would know Katie was The Mom. The doctors and nurses at appointments, anyone who sees her baby bump, everyone at the delivery, anyone who notices Katie feeding the baby, will all know that she is MOM. Who will they think I am? Unlike Katie, society doesn’t automatically label me. After some discussion we decided that I will be known as “Mama”. The name that is far enough from Mom that we will be able to understand who our kid is asking for even as they are learning to speak, but close enough to fulfill my need for normalcy.

Otherness and normalcy are neither good nor bad unto themselves. Being traditional and “normal” allows us to follow the unspoken etiquette of society and allows for easier information processing through assumptions. Otherness creates conditions that can spark creativity and can grow empathy. Katie has and will describe the exciting and fulfilling parts of our shared journey. This post described the part of my experience that differs from Katie’s. I know that these doubts are not totally founded, and they are probably parallel to the challenges faced by many other step-parents and non-birthing parents (read: Dads). At the end of the day, I know that what really makes a parent, is time, attention, and above all, love. We may be somewhat “other” but it doesn’t change the immense love we have for our kid.

-L


 

The Pregnancy Test Wait – The Longest 14 Days Ever

I took it easy for the first couple of days after our insemination.  I really wasn’t sure how to feel.  Part of me wanted to be so sure that it had worked and that positive thinking could only increase my chances of pregnancy.  Another part of me wanted to assume that it had not worked and start getting ready for my next cycle to try again, to avoid a massive disappointment.  To the world, I was calm and cautious.  I was constantly telling my wife that it probably didn’t work, but really, truly, deep down I knew I was fooling myself and that every fibre of my being wanted to believe that it had worked.  It was a confusing time, to say the least.

Every time I was hungry or tired, I would think that it was an early sign of pregnancy and get a boost of excitement and joy.  And then I would immediately get a wave of sadness because I knew I was just trying to convince myself desperately that it had worked.  And then the next minute, I was telling myself that it HAD to have worked, I was so healthy and everything was so perfectly timed.  One of those 40 million sperm just had to have found their way around my uterus.  They just had to.  I wanted to try and get off the fertility emotional roller coaster as much as possible, but unfortunately it was pretty unavoidable.

Distraction became an excellent tool for me during these two weeks, and I focussed on the things that I could control: taking my pre-natal vitamins, eating healthily, going to yoga and trying to decrease the harmful chemicals in my environment in preparation for a potential pregnancy.

I had been taking my pre-natal vitamin (along with vitamin D, vitamin C, magnesium and evening primrose)  pretty religiously since Christmas, as I have read that it’s a lot more effective if you start before you’re actually pregnant.  A baby develops it’s neural tube during the first four weeks of pregnancy!  It is so amazing to me that something so critical is being formed so early in life..  This little ball of cells that is the size of a poppy seed is just laying the foundation for a human brain and spinal cord.  No big deal.

In addition to my pre-natal vitamin, I also decided to adopt a plant-based diet for my pregnancy.  I have been vegetarian for a long time now, but I have been noticing sensitivities to dairy products and I have been hearing that dairy isn’t all that great for us in large quantities anyway.  Of course, diet is something that is very personal, so I’m not advocating one way or the other, but for me switching to a plant-based diet just made sense.  It’s made me add in even more fruit and veggie options and I feel really great.  We’ll see how everything works out with potential pregnancy cravings and such, but pickles are vegan and I’ve found some really amazing vegan ice cream substitutions already, so I think I’m set.

Yoga has been an amazing addition to my life.  I have practiced on and off for many years now and getting back into it recently, has been awesome.  I feel more calm and grounded, not to mention I have killer triceps (well, I think so anyway) from all of those downward facing dogs I have to do.  I am aiming to stay as active as possible throughout my pregnancy, not only for myself, but for the baby as well.  There’s lots of great evidence that exercising while pregnant is not only good for moms, but it’s good for babies as well!

The number of crazy chemicals in our environment is a bit scary.  I hate to use that general term (and I am also aware of the naturalistic fallacy when it comes to “natural”and “organic” products), because there are a lot of chemicals that are completely safe and very useful.  But one need look no further than the BPA madness from a few years ago to see that there are not a lot of safety regulations in place for many home and personal products.  Without being too obsessive (which is definitely easy to do when you start reading product labels) I started to cut down on the obviously harmful cleaning and personal products in my life.  We started purchasing unscented products and made more use of our Norwex cleaning cloths that just use water to clean.  I ditched my deodorant and found an amazing homemade recipe (I told you I’m a huge hippy!) that actually works very well (full disclosure: I sweat a lot, so I can tell you that with a high degree of confidence).  I also have only been purchasing shampoos, lotions and make-up products that are paraben and phthalate free.  In general, as I run out of a product, I just don’t replace it with anything.  I have cut down all of my personal products quite significantly (my wife can gladly attest to this) and just try to use less of everything!  I know that I can’t get rid of every harmful chemical in my environment, but I figure it’s my due diligence to make sure everything is a safe as possible.

I’ve been listening to a great pregnancy and birth podcast (check it out here, if you’re interested) lately that had an expert in pre-natal psychology on for an interview.  Yep, pre-natal psychology.  As in, the psychology of babies still in the womb.  Well, that totally blew my mind.  Of course, I know that babies had brains and some level of consciousness before they emerge into this crazy world, but I never thought that there was an entire field of psychology dedicated to it!  This expert brought up the very interesting point that parenting really starts from the moment you’re pregnant.  He spoke about how important it is to sing to and talk to your baby in the womb, and even mentioned some “games” that you can play with baby when they start really being active.  This really resonated with me and reinforced my efforts to foster a happy, healthy body for my future baby to share.  It was so motivating to think in a small way I was already a mama!  Well, maybe a mama.  I started brainstorming ideas for how to connect with my child before he or she was born and started daydreaming about my wife and I singing our baby to sleep every night.

Aaaand, just like that I was back on the fertility roller coaster.  The two weeks just dragged on and on.  I mentally crossed off each day, counting down until I could go for my blood test and find out if our dream was coming true, or if I should start getting ready for my next cycle.

-K

P.S.-I do not receive any compensation for the above recommendations (let’s face it, I’m not that cool), they are just experiences that I wanted to share from my heart to yours! 🙂

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The Appointment – What it Feels Like to be Inseminated

I woke up the day of our big appointment full of excitement, but also full of disbelief that we were actually going to do this.  Today.  Like, for real.  At the same time, I was hesitant to let myself get too excited, so I brushed off those feelings and tried to just focus on getting ready for our big trip.

I had been pretty calm, cool and collected (maybe my wife’s personality is rubbing off on me) for the past couple of days, and my current excitement was definitely at odds with my desire to be calm and level-headed about the whole thing.  Over the past few days I had received so many well wishes and questions about how I was doing, and I was never really sure how to respond.  I suppose most people would have expected me to be incredibly excited, but I was feeling more reserved and almost apprehensive about the situation because the outcome was so variable.  Believe it or not, IUI only has about a 20% chance of working the first try (which is about the same success rate as the old fashioned way), which to me meant that there was an 80% chance that it wouldn’t work.  I saw this appointment as yet another stepping stone in our journey.  A stepping stone that could easily disappear or just continue to move further and further away, if things didn’t go according to our plan.

I know, I’m a big downer.  But if you prepare for the worst, then nothing can disappoint you, right?

We jumped into the car and got my last coffee from Starbucks (a delicious latte with almond milk!) and made the familiar 2 hour trip to Saskatoon.  My feelings cycled between nervousness and excitement during the whole trip, as I tried to wrap my mind around what was happening.  I could tell my wife was also excited and nervous, because she was acting just a bit sillier than normal.  Upon arrival at the clinic, we paid our $350 clinic fee (cha ching!) and our $100 storage/admin fee (cha ching!) and sat in the waiting room.  The nurse let us know that our sperm was being thawed, which would take about half an hour, and that we would be taken into the office shortly.  Tired from my erratic feelings, I rested my head on my wife’s shoulder and watched some TV while we waited.

As I was just getting into “The View”, the woman sitting next to us in the waiting room started talking to us.  She was very pleasant, about our age, and just casually offered us her brother’s sperm.  Yep, you read that right.

Seriously.  I could not make this stuff up.

We were initially a little taken aback (you know, with her being a complete stranger and all), but to be fair, it’s not the first time that we have received an offer like that.  When some of our male friends found out we were trying, we got offered sperm by the bucketful (usually as a joke, but not all the time).  But we’ve never received an offer from someone we didn’t even know!  She was very friendly (if clearly a little nosey) and also prefaced her offer by saying she could just mind her own business, if we found her request insulting in some way.  We just chuckled, thanked her sincerely for her offer and let her know we had already picked a donor.  We continued a bit of polite conversation and my wife mused on how that conversation with her brother might go.

Some people may have found this offer offensive, but I actually found it rather encouraging.  I’m sure it took a lot of courage for her to even strike up a conversation with us, let alone make the offer that she did.  So to us, a total stranger offering to help us (a clearly gay couple) start a family was a beautiful sign of support and compassion.  It really warmed my ovaries to see such a genuine gesture from a complete stranger.

We were called into the office by a nurse, who instructed me to take off my clothes from the waist down and lay on the table.  As I was getting ready, my anxiety and excitement came flooding through my calm and collected barricade and everything started to feel very real .  What if this actually works?!  What if it doesn’t work?

The nurse came back into the room and started up the pleasant type of conversation that medical professionals start when they are about to touch you in a very private area.  She was asking us about our jobs, as she told me to scooch my butt to the edge of the bed and put my legs up into the stirrups (a la Pap test, for those familiar with that lovely procedure).  She continued making small talk as she drew the sperm sample up into a pipette with a long cannula (thin tube) attached to it.  She warmed the speculum under the tap, lubed it up and let me know she was going to insert it.  Seeing my discomfort, my wife came to my side and put her hand on my shoulder.  I heard the familiar clicking of the speculum as she expanded it to access my cervix.  She then inserted the cannula into my uterus, squeezed in the sperm, removed the speculum and we were done.

That’s it?!  We drove 2 hours for that?!  As my sister-in-law so eloquently put it, “What were you expecting?  Streamers!?”

The nurse told me to lay flat for 15 minutes, then I could put my clothes on and we were free to go.  Our fertility doctor popped in a couple of minutes later and let us know that the thaw went well, there were 40 million sperm in the sample and that everything looked great.  It was hard to believe there were 40 million of those little swimmers, just paddling their way through my uterus.  Surely that would be enough.  While we waited, my wife and I debated whether we should have a little nookie.  We had heard anecdotally that orgasm can really help draw the sperm up into the uterus and fallopian tubes, and we wanted to increase our chances of conceiving as much as possible.  It appears that the research is split on whether it actually increases pregnancy rates or not, but it can’t hurt, right?  Anyway, I was far too shy, so unfortunately you guys won’t get to hear the titillating details of a medical office romp.  According to this interesting article, there is a little bit of research to support higher sperm retention and motility towards the ovary following female orgasm.  If there is a next time, we may have to give it a try…for scientific purposes of course.

I was given a requisition for blood work to check my hCG levels two weeks from that day.  The lab would deliver the results that same day to the clinic, and the clinic would then call me with some very good news or some very disappointing news.  If it was good news, then I would go for one more blood test 2-4 days after, just to ensure hCG levels were progressing normally.  And if it was the news I was dreading, I would just call them on day 1 of my cycle and start this whole process all over again.

I put my clothes back on and waddled my way carefully out of the clinic down to the car.  I know it’s silly, but I really felt like the sperm were going to fall right out!  We spent good money on those babies, so I wasn’t about to let them get away!  I spent the next few hours moving cautiously, raising my hips when I could and crossing my legs with much more force than was necessary.  My wife just laughed at me, and rightly so, I’m sure I looked ridiculous.  When we got home, we relaxed in bed (with my hips up on a pillow, of course) and cheered on my left ovary to do it’s thing.

Over the next few days, I was hyper-aware of anything going on “down there”.  Any little flutter in my lower abdomen or tiny cramp convinced me that it was the beginnings of a baby…until I realized it was actually just gas.  I knew that it was too early for anything to really be happening, but my anticipation really got the better of me.  I was torn between wanting this so badly, and knowing that it probably wasn’t going to work the first round.

The next step was just to wait.  We had to wait 14 long, grueling days until we could find out if we had made a baby or not.  We’re pretty good at waiting by now, but it felt like there was a constant battle between my mind and my heart, optimism and negativity, hope and reality.  During the next couple of weeks, I found myself frequently putting my hands on my lower belly and just sending as much love as I could to everything that was going on down there, hoping that it would be enough.

-K

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The First Day 1 – Follicular Tracking and an hCG Injection

After putting in our order for sperm (which ended up being $1667.75 for two vials, by the way!), the next step was just to wait!  Unfortunately, we had a little longer to wait that we would have liked, as we went to Mexico over the Christmas holidays for our honeymoon.  Due to the risk of Zika virus, our doctor recommended we wait until 2 months after our return date to try to get pregnant, just in case.  That was a little bit discouraging, as we had already waited three months for the consult and have been wanting to have a family basically forever.  But, better safe than sorry, I suppose.  So, by my calculations (I had been tracking my cycle for the last 5 months) we could “start trying” the first week in March.

This gave me quite a bit of time (or at least it felt that way) to get everything ready.  And by everything, I mean my body.  I began a pretty rigorous schedule of yoga, weight training and healthy eating, to try and give us the best chances of conceiving.  I figured, if I’m healthy and my hormones are normal and my cycle is consistent, how could IUI not work the first time, right?  I wanted to use this time to really get in the mind frame of having a baby, and also try to set myself up for the best pregnancy possible.  Have I mentioned that I’m a planner?  At the same time, I was trying to live in the present and not get ahead of myself with the endless questions that lurked in the corners of my mind.  What if it doesn’t work the first time?  Or the second time? What if it never works?  What if my body isn’t good enough?

Not wanting to go down that road (because stress definitely does not help increase fertility), I buried myself in reading pregnancy books and working out.  I tried to look at this extra waiting time as a gift instead of a drawback.

The next step in the IUI process was to call the fertility clinic on day 1 of my cycle (the first day of my period), upon which they would give me an ultrasound appointment for follicle tracking.  As a woman who normally dreads her period, I was so excited when Aunt Flo came to visit!  I nervously called the nurses at the fertility clinic and they gave me my first ultrasound appointment scheduled for day 10 of my cycle.  Yay!  The purpose of these ultrasounds is to see if you have a follicle (which is the part of the ovary that holds an egg) that is developing appropriately.  This allows the IUI procedure to be scheduled naturally and very accurately.  No point in tossing a bunch of sperm in my uterus, if there is no egg to be seen, amirite?

On day 10 of my cycle, I showed up at the ultrasound clinic very early and very excited to start what felt like the first real step towards IUI!  Once again, it was my favourite transvaginal ultrasound.  The tech was very nice and had me insert the ultrasound wand myself and was very discrete about everything, but it was not the most wonderful start to a day.

Later that day, I received a call from the clinic which I anxiously answered and heard the rivetting news that I would need yet another ultrasound.  To be honest, I wasn’t completely surprised because I do have a longer than normal cycle, about 30-33 days.  The first ultrasound had not shown enough follicular development, so I was scheduled to come back in on Monday after the weekend.

Apparently, my left ovary had gotten it’s crap together over the weekend because after my ultrasound on Monday I had a date for my IUI appointment!  March 2, 2017.  My left ovary had a follicle that was developing nicely.  I was so nervous when I got the call from the clinic and I just repeated what the nurse said to me a million times to make sure I heard it correctly.  I probably sounded like a rambling idiot, but I just couldn’t believe we actually had a date!  I might be pregnant in a couple of weeks!!!  Tears welled up in my eyes and I called my wife right away to tell her the news.  If a phone call for an appointment can make me cry, can you imagine the effect pregnancy hormones will have on me?  I’m sure lucky my wife thinks I’m cute.

The final step before the IUI appointment was not something I was particularly excited about: an injection of hCG (human chorionic gonadotropin).  This injection induces ovulation within 24-36 hours, so the idea is that you take it 36 hours before the insemination so that the sperm is waiting in the fallopian tubes for the egg to arrive.  An egg can survive for about 24-48 hours, whereas sperm can live up to 5 days!  So gross, right?  I like to think of hCG as a little kick for the egg to jump out of it’s follicular home and find a sperm friend!

I can’t even count the number of injections I’ve given to patients over the years, but I have never injected myself with anything and it was kind of freaking me out.  I went to the pharmacy on my way home from work and picked up the medication.  The brand name was Ovidrel and it was $96 for one dose (cha ching!).  For that price, this stuff had better work.  I was pleasantly surprised to find it in a pre-filled syringe pen, which meant I didn’t have to use my cool nursing skills drawing it out of a multi-dose vial.  The injection was to be done at 10:30pm on Tuesday, as our IUI appointment was for 10:30 am on Thursday.  The Ovidrel is supposed to induce ovulation within 24-36 hours, which is why the IUI procedure is scheduled for 36 hours after the injection.  My wife and I are basically grandmas already, because 10:30 pm is waaay past our bedtime, but of course we made an exception for something so important.

At 10:25, I began preparing the syringe, which just required a little flicking and clicking of the dial to ensure the correct dosage.  It was a subcutaneous injection (which means it goes below the skin, in some fatty tissue) and I didn’t have any trouble finding a pudgy bit on my tummy.  I cleansed the area with an alcohol swab, took a deep breath and plunged the needle in.  Seeing how freaked out I was, my sweet wife offered to give me the injection for me, but I figured it might hurt less if I did it myself.  I slowly injected the Ovidrel and held the needle in place for a full 10 seconds after finishing, just to make sure the entire dose was delivered.  It wasn’t nearly as bad as I thought it was going to be, thank goodness, but it wasn’t high up on my list of things to do on a Tuesday night.

On top of all of this, I had to rearrange my work schedule around all of these various appointments, which again isn’t a big deal in the grand scheme of things, but also increases the stress of the process.  I’m lucky that I have a decently flexible job with vacation days and a supportive manager and staff, otherwise I’m not sure how we would have been able to do it.  Our big appointment on March 2, meant we both had to take an entire day off of work, as the clinic is 2 hours away.  But we really didn’t care too much about that, as it meant we were one more little step closer to starting a family.

-K

P.S. – If you’re enjoying reading our journey so far, you should follow me  because it’s gonna get juicy soon!  If you scroll up, you should see a box show up in the bottom right hand corner where you can enter your email address.  Thanks for the support!   ♥

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The Pick – Finding Our Dream Sperm Donor

Now that we knew the direction we were headed, it was time for the fun part: sperm shopping!  To be honest, we weren’t really sure what to expect from the whole experience.  Was it just like a big Sears catalog or something?

Actually, yeah, that’s pretty much exactly what it’s like.

There were three sperm banks that were recommended to us by our fertility doctor: Repromed, Fairfax and Outreach Health Services.  Our doctor had said that all the sperm banks have fairly comparable prices (higher prices were for extended genetic testing and “open” donors who were willing to be contacted in the future) and the quality and testing of the sperm is all federally regulated. So, we just started browsing through the different catalogs to see what exactly this process was about.  Everyone I talk to about this always wants to know: what do you get to know about the donors?  Are there pictures?!

You get to know pretty much everything you could know about a person, without actually meeting them.  And yes, we get to see some pictures too!

The Repromed sperm bank, for example, shows the race, maternal and paternal ethnic ancestry, blood type, hair colour, eye colour, skin tone, height, weight, bone size, education, occupation, interests, CMV status, if the donor is open to future contact (or not) and donor portfolio (which includes more details on family history, personality and some pictures of the donor’s eyes/ears/hair/lips/body type and a blurred out photo of the donor, to protect privacy).  And then, if that’s not enough, there is the option to upgrade (for an extra fee, of course) to see extended donor profiles that include a temperament report, donor essay explaining why they wanted to donate, audio recording of an interview, donor likeness photographs and staff impressions.  The other sperm banks had a similar set-up with the bulk of the donor information available on their website (sometimes you needed to create a login to view the profiles) and then additional information available at an extra cost.  The American sperm banks even let us see pictures of the donor from childhood into adulthood!  It was just like Facebook!

We began this whole process knowing very generally what we were looking for in a donor: some post-secondary education (both my wife and I have a couple of degrees and we value education very highly), overall good health, good family history, creative and somewhat talented in the arts (both of us love music!), intelligent and active.  So, basically the perfect man.  Should be easy enough to find, right?

I sometimes get overwhelmed picking a movie on Netflix (that’s now my wife’s job, thank goodness), so to preserve my sanity we started with some criteria that were easy to narrow down.  After coming up with a “short list” of donors, we could then move on to the other aspects of the donor.  As we quickly discovered, it didn’t take much time to get bogged down in the various personality traits and specifics of each donor.  To us, the easiest criteria to narrow down was the Rh factor and CMV status (more on this below!), since they were a simple “positive” or “negative”.  Making a baby never sounded so romantic, right?  Rh and CMV aren’t often considered when a straight couple decides to start trying to have a baby.  In fact, I know lots of people that don’t even know their own blood type, let alone the blood type of their partner that they are trying to get pregnant with!  At around $800 (or more) a pop, we figured we would go for perfection and pick our dream donor.

Rh factor (short for “Rhesus factor”) is a protein present on the surface of red blood cells.  This protein can be present or absent in people, which is where the “positive” and “negative” comes from when talking about blood type.  I have O negative blood, which means I have O type blood and no Rh factor present on my red blood cells.  According to Canadian Blood Services, only about 15% of Canadians are Rh negative (with similar statistics around the world).  This means that our choices for an Rh negative donor will be quite significantly limited.

So, what’s the big deal?  Why does that matter when picking a sperm donor?

Well, that’s where it gets a bit complicated.  Obviously, an Rh positive and Rh negative couple can still have a baby (otherwise our population would be a whole lot smaller!), but the complications come when the baby is Rh positive and the mother is Rh negative.  This is called an Rh incompatibility.  If the mother is exposed to the fetal blood (normally the placenta prevents mixing of maternal and fetal blood) through trauma, amniocentesis or bleeding during pregnancy, then the mother will create Rh antibodies.  These antibodies are designed to damage Rh proteins and can cause problems in future pregnancies, if future babies are also Rh positive.  The maternal antibodies can damage the baby’s red blood cells and result in severe anemia (very low hemoglobin).  Confused yet?  If you’re nerdy like me, this is a nice FAQ page from the American College of Obstetricians and  Gynecologists about Rh incompatibility.  There is treatment in the form of an injection that mothers can receive to prevent formation of these Rh antibodies that is given in the seventh month of pregnancy and after delivery.  Our fertility doctor told us that it’s not the end of the world if our dream donor happens to be Rh positive, but it would just mean having those injections and slightly higher risk than finding an Rh negative donor.

I promise we’ll stop with the biology lesson soon, but one more thing!  CMV status.  Cytomegalovirus (CMV) is a fairly common virus that does not present with symptoms in people with healthy immune systems.  It can be problematic in people with weakened immune systems, as well as babies who are infected before they are born (this is called congenital CMV).  Congenital CMV can cause premature birth, lung/liver/spleen problems, small size at birth, among other symptoms.  There is a very, very low chance of transmitting CMV through a sperm sample, but the risk is not zero.  Therefore, it is worth considering when selecting a donor.

Now that we had our short list of Rh negative and CMV negative donors, we narrowed down based on our other criteria.  We were left with about 5 donors.  All had good education, good family history and positive personality traits like confidence and creativity.  On paper, they were all perfect men with glowing DNA.  So, where do we go from here?

After some discussion, we decided that we wanted to find a donor that was very similar to my wife.  It was important to both of us that she feel connected with the baby, so finding a donor that shared some of her key personality traits and interests seemed like a good place to start.  My wife is delightfully dorky (in a Battlestar Galactica kind of way) and she is very talented with all things math related.  Her intelligence makes me swoon and her nerdy comments make me roll my eyes on a regular basis.  Picking a donor that was similar to her, would be as close as we could get to have a baby that shared both of our DNA.

With this in mind, we narrowed our short list down to our dream donor.  He had a bachelor’s degree and works with computers (nerd factor: check!), blonde hair and blue eyes (just like my wife!), he enjoys theatre and acting (artsy factor: check!) and was open to the child contacting him in the future.  On that note, we had some debate around whether we wanted an open donor or not.  I felt very strongly that we should give our child the oppourtunity to reach out and contact him in the future.  We can’t predict what will be important to our child, and I wouldn’t want to regret having closed that door forever.

At the end of the weekend (we spent two days making our decision) we came to the realization that as much as we try and control the variables, the nature of creating a child is that DNA is all random anyway!  We can’t predict if our kid is going to end up with my brown eyes or our donor’s blue eyes.  But any way our child turns out, he or she will be so, so loved.  And that is what’s really important.

-K

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The Decision – Known Donor versus Anonymous Donor

My head was still spinning from the consultation that we had that morning, as my wife and I settled into bed (where we do most of our important things) and cracked open our respective laptops.  For the next few hours we researched and read and hypothesized and discussed and freaked out (well, I did anyway, thank goodness my other half is always cool as a cucumber) about how we were going to get a baby in my belly.

Now, we didn’t want to ignore the recommendation of our fertility doctor, but we did want to see what other options were out there before deciding to spend $2000 a month on IUI treatments (cha ching!).  Also, being the modern day hippy that I am, conceiving in a sterile clinic environment seemed very…sterile.  Not really a thought that gets my uterus going, ya know?  We had always jokingly tossed around the idea of finding a friend and just getting them to, you know…ahem…and then letting a turkey baster do the rest!  We weren’t really sure about the viability of this option (or why everyone insists on using a turkey baster), given the obvious legal issues, but we still wanted to explore options fully before we committed.

It seemed to us that we had two options to get pregnant: (1) a known sperm donor (and turkey baster); or (2) IUI with an anonymous sperm donor at the clinic.

Now, before we dive into the legalities of known donors and turkey basters (seriously, has anyone ever actually used a turkey baster?!), there is a really important question to be answered: how do you tactfully ask for a dude’s sperm?  Well, if you’re like me, you just have a couple of beers and bring it up jokingly in a conversation with your guy of choice and just see what happens!  That way if things get awkward you can just laugh it off and not make your friendship weird forever.  Chandler and Monica had a slightly different approach to this situation.  Despite my lack of conversational grace, we did receive a couple of offers from male friends who were happy to help us become parents.  This made us really hopeful that we could make this more natural and economical method of baby-making work for us.  That was until we saw the other side of having a known donor.

We started delving more into this topic by simply Googling “known sperm donor” and every variation of that phrase that we could think of.  Surely lots of lesbian couples before us have considered this option and there would be plenty of resources for us to follow in their footsteps, right?

Wrong.

The lack of information out there about known sperm donor law was pretty disappointing.  Actually, the deeper we searched, the less we felt sure of anything regarding both LGBT and fertility law.  Our main concerns were: (1) ensuring equal parental rights for my wife; and (2) ensuring that the known donor could not try to claim parentage in the future.  As we sifted through news stories and blogs, we found quite a few alarming stories of lesbian couples who had their known donor change their mind and try to claim parentage of the child after the birth.  I couldn’t imagine a more devastating situation.  Unfortunately, in most of the circumstances, these couples had not done their due diligence and had a known donor agreement (here is an example contract) in place and also had not consulted a lawyer.  My heart broke for these families who had trusted a friend, only to be betrayed in the worst way.  Clearly, the birth of a child can have a profound and unpredictable impact on everyone involved and not always for the better.

So, as long as we had a known donor contract and a legal consultation, we were good to go, right?

Wrong again.

Apparently, there is very little legal precedent for cases of lesbian couples using known sperm donors in Canada, though there are a few cases that have come up in the States.  That means that even with the legalities in place, it still may be possible for a known donor to try and claim parentage.  Regulations on parentage are by province.  Alberta and BC have made some laws that prevent sperm donors from trying to be parents, but the rest of the country is really falling behind in LGBT parentage legislation (this is a decent article from June 2016 with more details).  Ontario updated legislation (for the first time since 1978!) in November of 2016, to be enforced starting January 1, 2017 that ensures equal parentage rights for LGBTQ2+ and straight couples alike (a quick overview on this law is here).  I guess late progress is better than no progress?  Regardless, we weren’t confident in our rights here in Saskatchewan and didn’t really know where to go to clarify the law.  We did email a fertility lawyer in Regina, but never got a response.

A billion articles and websites later, our eyes slowly began to glaze over and our hearts sank a little as we realized that either way we went, this was not going to be a simple process.  From what we could surmise from the piecemeal information on parental rights for LGBT couples in Canada, it appeared that we would need a known sperm donor contract drawn up with a fertility lawyer.  Following birth, my wife would need to declare parentage either through a legal declaration or a second parent adoption.  Both of these options would come with decent lawyer’s fees, though we weren’t sure how much.  Given the lack of precedent, there was still a slim chance that there could be legal complications down the road.  We really did not want to take that chance, never mind that the lawyers fees could potentially be far more than the price of IUI.

Whew…ya’ll still with me here?

That leaves us with the intrauterine insemination procedure recommended by the fertility clinic.  The pros of this option include: full parental rights (with no chance of the donor changing his mind and trying to claim parental rights of our child in the future) and safe sperm that had been washed of any STIs and genetically tested.   An added bonus of this option was also the opportunity to choose exactly the donor we wanted, from blood type to eye colour to whether or not the donor allowed contact with children in the future.  The cons of this option include: conceiving in a clinic environment, paying approximately $2000 per cycle (cha ching!) and having to do a bunch of travelling and taking time off work for various appointments (which is peanuts in the grand scheme of things, but still not ideal for us).  Overall, this was the most straight forward and legal option.  We seemed to be leaning in this direction, but our only hesitation was the price and inconvenience.  We were hoping that the cost would be a bit lower, or that there may be a home option.  Turns out there is an at-home IUI option (through the Repromed Sperm Bank…more on this later!), but it’s twice as expensive as in-clinic IUI because you have to use two vials of sperm each cycle!  Ain’t nobody got money for that…well, at least we don’t.

Needless to say, we were overwhelmed at the reality of the situation.  The other day, I had a patient ask if I had children and I told him cheerfully that I didn’t have kids yet, but we were planning to have one soon.  He told me that trying was the fun part.  If only he knew.

After watching too many episodes of Friends and eating some pizza in bed, we finally made our decision: we were going to go the IUI route.

This option afforded us the most security and parental rights, which was very important to us.  It was a relief to finally have decided that going through the fertility clinic would be the best option for us.  I think every couple is unique in what is important to them, and for us the biggest deciding factor was guaranteeing our parental rights and ensuring the safety of the sperm sample.  Fortunately for us, we have been saving for a couple of years knowing that we weren’t going to be able to have babies the “old fashioned way”, so the cost is not as big of a burden as it may be for other couples.  That being said, we don’t have an endless supply of cash, so if IUI doesn’t work within a few cycles then we may be back to the drawing board again.

Now on to the next step: picking a sperm donor.

As a side note, I could not imagine navigating this process with anyone other than my lovely wife.  She makes me laugh and reminds me to not take anything in life too seriously.  I’m so lucky that I will get to raise a child with this woman.

-K

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The Consult – Our First Fertility Clinic Visit

 

Who would have thought that not having a penis would be such a hassle?

After a three month wait, my wife and I finally had our first consult at the fertility clinic in early January.  We were so excited to finally get this process underway!  I could barely sleep the night before and my mind was racing with questions.  Are my hormones okay?  Are my fallopian tubes blocked?  Are we going to need to sell all of our earthly possessions to pay for treatment?  Wouldn’t it just be easier to have a one night stand with a random guy at a bar?

My wife didn’t seem too keen on that last option, so the morning of our appointment we jumped in the car and drove 2 hours to the clinic.  We checked in and filled out the standard paperwork and then…I had my weight taken.  Ugh.  All of a sudden, every single delicious Christmas cookie and beach cocktail from our honeymoon was staring me straight in the face!  Seeing that number on the scale was the last thing I needed that day.  How could I have let this happen!?

I’d like to say that my following thought pattern was one of body positivity, full of heart warming thoughts about how strong and wonderful my body was, but that would be a lie.  My brain was a familiar jumble of negativity and put-downs, that never really got me anywhere and made me feel like I should just curl up into a ball with my heated blanket and eat a bowl of Chicago mix.  I have struggled with my weight for most of my life and hating my body was a familiar feeling.  Strangely, so was hating myself for hating my body.  I think that is the part that bothers me most because my body is so capable, and yet I can’t help but berate myself for not looking like the cover of a Cosmo.  I am capable of breathing and walking and yoga and weight lifting and hugging and healing and, maybe one day, creating a human being.  So why do I curse my curves?  Why do I lament my waistline?  I am so much more than that, and in spite of my imperfections I can do amazing things!  And yet standing on that scale, it was so easy to forget all of that and just simply hate my body.

Shaking off my insecurities and trying to focus on the appointment ahead, I went back to the waiting room to meet my wife.  I distracted myself from my mini-breakdown with some pamphlets and started to feel my excitement growing as we were called into the office.  Okay guys, this is it!  The appointment we’ve all been waiting for!!!

It was actually pretty standard.

The soft-spoken doctor had a very calming presence (thank goodness) and introduced herself and the specialties of the clinic.  She went through a basic health history with both of us and launched into the various fertility options.  Given our relatively straightforward situation of being in a same-sex relationship (in the grand scheme of fertility issues), she recommended intrauterine insemination, or IUI.  Basically, we would select a donor from an online catalogue, have it shipped to the clinic and at the next appointment it would be inserted into my uterus with a cannula (small tube).  Easy peasy!  Well, not actually, but I definitely was not fully processing the situation at this point…more on this later!  My blood work looked great, so next up was to check my fallopian tubes and make sure everything down there was in tip-top shape.  I was directed to a change room to undress from the waist down for a procedure called a sonohysterogram.  Say that five times fast.

I always forget how vulnerable it is being a patient.  As a nurse, it’s part of my job to ask a patient to undress for an assessment or expose a private part of their body.  It’s definitely a reality check when another health care professional asks you to take your clothes off, hoist your feet into some stirrups and open your legs for everyone to see, under the blazing fluorescent office lights.  Of course, I realize that this doctor has probably seen a million vaginas that day, and mine isn’t anything to write home about.  As I’m casually laying back on the exam table, the lovely assistant is striking up a conversation to make everything less awkward.  The doctor gels up the speculum and inserts it into my vagina, giving it a few clicks until I feel some pressure.  Definitely my favourite part of any doctors appointment!  She then warns me that I will feel a little bit of cramping as she injects some saline into my uterus.  Normally she has patients take some ibuprofen a couple hours before, but apparently I looked tough.  I felt some pressure in my uterus, which very quickly turned into a painful cramp just like Aunt Flo brings once a month.  Deep breathing, I turned my attention to the ultrasound screen and tried to distract myself.

Next up was the very intrusive transvaginal ultrasound, which is basically a big ultrasound wand that goes in…you guessed it…your vagina!  It was cold and covered in gooey gel, so thank goodness it only took her a few minutes to snap some pics of my bits.  She said everything looked great and there was no blockages.  What a relief!  I hustled out of there to the bathroom to change, hoping I didn’t flash anyone from under my paper gown wrap on the way out or leak leftover saline down my leg.  Feeling much more comfortable in my clothes, I rejoined my wife in the waiting room and headed out for some Indian food.  Nothing like a good transvaginal ultrasound to really give you a hankering for some curry.

All in all, it was a good clinic experience.  A little nerve wracking at times, simply because of my own anxieties and insecurities, but I was very impressed with the professionalism and courtesy of all of the staff.  As we drove the two hours back home, I alternated between processing the reality of the appointment and napping (because of the emotional fatigue of processing the reality of the appointment).  Okay, so we have to pick out a sperm donor, taking into account my blood type and my CMV status, which means I’ll need to get my blood work done to get my CMV status and then we need to figure out some criteria for picking a donor and pick which donor bank we want to use and I wonder if we get to see their pictures and wait…how much did she say a vial of sperm was?  Oh right…eight hundred dollars.  Each.  Not including shipping.  And of course there is the clinic fee and the admin fee and the storage fee and the fee fee.  Not to mention getting time off of work and driving to Saskatoon once a month and potentially forever if I’m really secretly infertile and holycrapohmygodwhatishappening.

That guy at the bar was starting to look pretty good.

-K

P.S.- Mad photo cred to my wife. xo

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