fertility treatment – Elizabeth LaFleur

April 11

April 11.

Four years ago today, Russ tied a dozen or so notes we’d written each other and strings of lights to the trees by the creek at my mom and dad’s farm and got down on one knee and asked me, in the sweetest way, to marry him. As obnoxious as it sounds, I’d say yes to that again every day.

—

Today, I’m leaning on that memory. Because today, April 11, four years after that night, was supposed to be the day we got to meet our first baby – a baby we affectionately call “speck”. If I’d known it was the only name our baby would have, I would’ve chosen better.

We’ve been open about this whole process since the early stages and will continue to do so, because there are a lot of people with stories similar to ours and we don’t think anyone should have to feel alone in this. It’s nothing to be ashamed of, but many people don’t feel they can speak about this kind of loss.

—

I’m frankly unwilling to be quiet about it. Today I don’t get to meet my baby, but that doesn’t change the feeling that I knew my baby and I love my baby. I know I always will. That may not make sense to some people, but if you’ve carried a baby or watched as your biggest dream shifted on a sonogram and heard its heart beating like nothing in the world could be wrong, you know.

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Today, I’m sad. Most days I’m at least a little sad, but today it’s bigger. I’m sad because I remember the week we saw that heartbeat wasn’t as strong and speck didn’t seem to be growing. I’m sad because it’s been more than six months since that day and we haven’t seen another heartbeat on a sonogram since. I’m sad because being a mom is my greatest dream in life and something I took for granted as something I would just get to do.

I have been fundamentally changed by this process, as anyone is by grief.

I’m not at work today. I took the day off to just let myself feel whatever needs to be felt. This is a process and I don’t know what the right way to handle it is, but this is mine.

—

If you got this far, I’m asking you for a favor, hopefully a simple one – be patient with people. Be kind. Honor the fact that so many people, maybe even you, are fighting really challenging battles while still facing whatever daily routine is required of them. Just spread some love for me today.

To you

This one is to you –

you who sent us flowers and gifts right after our procedures last summer

you who’ve made us warm meals on down days

you who brought over pizza and beer when we just needed time with friends

you who mailed us books about coping after miscarriage

you who didn’t ask because you knew we’d talk when we were ready

you who’ve sent us random text messages just checking in

you who emailed me at work to ask a question but also dropped in a reminder that you’re praying for us

you who hugged me this week and quietly said you just keep hoping for this to work out for us

you who sent me several sweet cards and shared that you have a phone alert set to remind you to say a prayer for us every afternoon

you four incredible women whom I haven’t seen in years who pitched in to send us a totally unexpected sweet card and the gift of a night out together

you who’s going through something similar at the same time with the same doctors

you who’ve reminded me we’re not alone

you who’ve sent me messages saying you wish you could be more open about going through something like this without realizing how brave you are for even sharing that wish with me

you, the ones who know us better than anyone else, who let us cry when we need to and change the subject when we don’t want to talk about any of this

you who visit

you who can’t visit but still make it known that we’re on your minds

every last one of you who’s made this past year bearable and reminded us there are many good reasons to keep hoping and trying for a family. thank you.

To 2019

I don’t have much positive to say about 2018, but my hope is that in the years ahead, we’ll look back and see the lessons we learned and they’ll be valuable.

One lesson I’m already learning is how important it is to take care of yourself. I’m not sure I fully understood self-care as a real concept instead of just a buzzword before this year.

February and March were tough. I thought the news we got then was the toughest we’d face. I realize now it was just preparing us for even tougher days ahead — rather than a triumphant and quick recovery.

As the year got worse, I learned the real value of taking care of myself and the one other person who truly understands what’s happening in my heart and home.

I can’t really offer advice on how to handle tough stuff. I’m not an expert — in part because my life has been really pretty easy prior to 2018.

I am just taking everything day by day and some of those days are, admittedly, better than others.

I don’t know what everyone else should do. I only know what is working for me right now and what has worked over the past 12ish months.

Therapy — I’ve only been a few times so far, but I understood the value from the first appointment. I walked out feeling lighter, if for no other reason than just being able to say everything I needed to say to a total stranger. If you find a therapist that is a decent fit for your situation, there is much to be learned about what you’re going through and how it is affecting you. If the first therapist you try doesn’t make you feel comfortable enough to share where you really are, keep looking. Find one who does. Therapy is not something to be afraid or ashamed of. Therapy is good.

Embracing anger — This year I’ve discovered anger as a dominant emotion. That doesn’t sound good, but I’ve always been someone who didn’t use anger to its full potential and there can be value in anger. I don’t mean there’s value in hurting others with your anger, of course, but understanding the need to express it and finding healthy ways to do so is very important. Sometimes anger looks like me screaming at the top of my lungs in my car by myself and that’s cool, because damn, it feels good.

That said, learning how to express anger in a healthy way is an ongoing effort and sometimes I find myself getting uncontrollably angry over tiny things. I assume this isn’t all that unusual. Usually, in these moments, I try to say aloud what I’m angry about. If it’s truly ridiculous, I’ve learned I can laugh about it and re-evaluate.

Anger isn’t bad, if you know how to manage it.

Backing off of social media — This is a new one for me — very new. Just this week I deactivated Instagram and Facebook. It might seem like an obvious move to some people, but social media is a huge part of my job, so it took some finagling. I have a work Facebook account that isn’t friends with much of anyone. I kept it activated so I can manage my work pages. Other than that, I’m done on Facebook for a bit.

Instagram was more of a challenge, not because of work, but because I love Instagram. It’s aesthetically pleasing and it’s the one social outlet where I feel like people aren’t always fighting. For most of this year, I’ve made a habit of watching everyone’s Instagram stories at least once a day.

But Instagram isn’t a happy place for me anymore. It is a window into the best side of everyone’s life and when you don’t feel like you can handle the best of everyone else’s life, it can be brutal.

The thing is, it’s not everyone else’s responsibility to temper what they share because of what I’m going through. It’s not anyone else’s responsibility to make adjustments to accommodate me. It’s my responsibility to protect myself. So I’ve stepped away.

I’ve done it on social media and I’m going to start doing it in person when it’s necessary.

I’ve never lived in a space where I need to protect myself like this. It’s not natural for me and I don’t like it, but I recognize it’s necessary and good.

I’d love to look ahead to 2019 and think everything will be different and better. It’d be incredible everything was suddenly better at 12 a.m. Tuesday, but I don’t expect that and I have no reason to.

So my wish for 2019 is that we keep finding ways to learn and grow through this process and that we continue to forgive ourselves when the growing pains are just too much.

We tried again and it didn’t work

When we bought our house, it came with a swing set. We didn’t expect the previous owners to leave it, but I found it kind of charming when I got to the house on closing day. We were, after all, already trying to start a family.

I could picture our kids swinging and sliding a few dozen feet from our back deck.

Now it hurts when I look in our backyard. I want to take a sledgehammer to it and turn it into firewood after what we’ve been through since that day 16 months ago.

We quietly tried another round of IVF in late November/early December and we found out Monday that it didn’t work.

We don’t know why and probably won’t ever know why. It just didn’t take.

We’re heartbroken, though grateful that we didn’t get to the point of seeing another heartbeat. The grief this time is for our dwindling chances, not for a baby we were already getting to know.

I can’t explain how it feels to want so badly to have children and not be able to do so.

For every person telling me it will work out one day, I have at least 15 thoughts of “what if it doesn’t?” and “why should I believe that?”

I used to be an optimist. Maybe I still am somewhere under there, just not right now.

We’ll always love our first baby.

Since the beginning of this process, I’ve committed to sharing the ups and downs right here. This is raw, real and may be tough to read.

There are two other drafts of blog posts I wish I was sharing with you. One about the day we found out I was pregnant. One of a miscarriage scare at about 6 weeks that ended well.

Instead it’s this one.

I was almost 10 weeks pregnant and things looked hopeful. Somehow this complicated and draining process was working out for us on the first try, and thank god, because I don’t know how on earth we could try again anytime soon.

But those weeks were all we got.

We’ve spent the last seven days in “cautious optimism” with me playing the role of cautious and Russ playing the role of optimism.

We were told not to panic and to be cautiously optimistic last week because the sac and baby were measuring four days behind, but there was a strong heartbeat.

I’d been feeling so good. Symptoms were minimal outside of the pain from my daily shots.

It all ended today.

I knew the moment we saw the first glimpse of our baby on the grainy black and white screen that the heartbeat we’d seen was gone.

A baby we’d affectionately called speck (no idea why) since the day we got its first photo.

We’ve fallen in love with this baby. I knew not to get too excited, but at almost 9 weeks and multiple ultrasounds showing heartbeats, I’d broken my own rule. I was starting to think about how we’d decorate a nursery and starting to argue about names (not Tom Brady). Speck was due on April 11.

Now I’m deciding when to schedule a procedure to have Speck, whom we’ve talked to and told we loved, removed from my body.

There is nothing anyone around us can say or do to make us feel better and I feel for those who have to try.

This is not a fixable situation.

My emotions are a wreck. Russ is devastated. People who’ve known about my pregnancy are lovingly checking in on me and I want to throw my phone at a wall and disappear – which is entirely unfair to the people who are reaching out because they love me, but dammit, that’s all I feel like I can handle right now.

Still, I can’t disappear. I have to go about my normal life and act like everything’s okay. I have to pretend like I’m not spending every second wondering why this is so damn hard for us – why we don’t get to live out the one thing we’ve both always dreamt of – and how we’re going to manage to do this again.

It’s a wildly expensive process, but it’s not about the money. We’ll move some funds around and make it work. I know there is a way we can make it happen.

Beyond the monetary costs, I don’t know how my body and mind can handle all of this again right now. I was supposed to do 67 intramuscular shots of progesterone. They’re painful – not every day. Sometimes they’re okay, but there are days when I can feel the pain radiating all the way down through my calf and I feel like I can’t use my entire leg because of it. I’ve taken unexpected days off from work because I simply couldn’t sit or stand for long periods of time.

I haven’t been able to run, despite being allowed to during pregnancy, because my body is too sore.

I was supposed to do 67 of those daily shots. I made it to 65 and then we learned the baby died.

My body isn’t ready to do it again.

My mind most certainly isn’t ready. I am in the depths of darkness. I can’t see anything positive around me except Russ and I want so badly to disappear. My biggest dream is to be a mom. My next biggest dream is to see Russ as a dad.

I need space. I need to know what I’ve done in life to not be able to have something that comes so easily to others.

I need to know why we only had a few weeks to live our dream.

We loved Speck. We will always love Speck. We’re just heartbroken.

And we love you all for walking with us through this and sending us love.

Real men

I recently saw a Facebook post that got me all kinds of riled up.

It shouldn’t have, because… well, it’s Facebook, but it did and I’m going to blame the meds and my emotionally charged state.

The post initially was about someone being annoyed when they see a woman pumping her gas while a man sits in the car.

I could’ve waved it right off as one of those “some people might be better off just staying in their own lane” type of posts, but I read the comments.

One of the sacred (I’m mostly kidding) rules of journalism is to never read the comments.

People were going off about men who do that not being real men. One person went so far as to say her dad walks over to men when he sees them doing that and preaches to them about it.

Y’all.

I have to admit something.

Russ doesn’t always pump my gas for me.

I also have to admit that I’ve been guilty in the past of wishing he would always offer.

But he doesn’t.

And really why does he have to? He always pumps gas when he drives. I never offer to do it for him. Like him, I’m a perfectly capable adult. Heck, thanks to South Carolina’s extremely lax license rules, we probably got our driver’s license in the same year, so I’m betting we’ve been pumping our own gas for the same amount of time.

He doesn’t always pump my gas for me and it really is fine, but those “not a real man” comments had me some kind of fired up.

For over six months we’ve been going through the toughest thing we’ve ever faced and that’s just since we enlisted the help of fertility specialists. In that time, well, I honestly can’t even tell you all of the awful stuff Russ has held my hand through. It’s just too personal.

He’s seen and learned things about a woman’s body that I would’ve expected to make him, at the very least, cringe. And even if he has internally cringed, he’s never once shown it to me.

There are things about womanhood that are pretty easy to keep to yourself when you’re going through the normal patterns of life. But when stuff hits the fan in the fertility department, a whole lot of that privacy goes away pretty quickly and embarrassment becomes a bit of a lost cause.

Still, he’s never made me feel like this whole process was anything less that worth it.

The man even let doctors open up his most delicate part of his body so we could find out if he would even be able to have kids.

On top of all of that, he’s picked up even more than his usual share of cleaning around the house and he’s started cooking more dinners.

He got over his own fear of needles and blood so he could give me the daily shots that I can’t easily give myself.

He constantly checks on me to see how I’m feeling and if I just need a break.

And he’s reminded me time and time again that we don’t have to do this if it’s too hard, that he’d be okay with using a donor if I want to go through the physically easier process of insemination rather than IVF.

If that’s not a real man, then I’m not even sure I want one.

And a fair warning to the preaching type: The first person who walks up to our car to preach to Russ for not pumping my gas is likely to be the first person I’ve ever punched.

Hormones, people. Ugh.

When I started the medications for the retrieval part of the IVF process my brother joked that I was going to be a bit of an emotional challenge.

It’s not an off-the-wall prediction to say that pumping extra hormones into your body might make your brain react in weird ways.

I actually braced myself for this in those first few weeks. I fully expected to be kind of an emotional handful for those around me. I was pleasantly surprised. Aside from what I believe to be very reasonable fears that the process might not work out, I actually felt pretty mentally stable. It was nice.

Of course, my brother didn’t necessarily believe me when I told him that I never really felt out of my norm. I believe his exact words were “I’ll see what Russ says about it”. That’s fair and it’s also not an unexpected response from a sarcastic brother.

As it turns out, this process I’m in now is ripe for the mental meltdown. I’m taking what feels like a boatload of estrogen – granted, I have no real concept of how much estrogen is normal and how what I’m adding compares – but this feels like a lot.

I’ve been on it for a few days now. It started with two pills a day. I’m now up to seven pills a day.

And I’m noticing.

This week has already been extremely emotional. We have some big changes coming over the next few days as our best buds move away followed by more great friends moving away a few days after that.

I’m not handling any of it well.

To put it lightly: I’m a wreck. I cried when I saw the U-Haul in our friends driveway three days before their actual move. I’ve cried because my body looks and feels different to me right now. I almost cried while Russ and I were running yesterday. I’m tearing up while writing this.

I said when I started sharing this stuff that I would be as honest as possible about the ups and downs. There’ve been a lot of ups. I have to believe that our experience so far has been about as good as it possibly could be. It’s funny how quickly we went from feeling this whole situation is wildly unfair to celebrating the little victories – perspective matters and ours has shifted like crazy over the past few months.

We’ve had a trend of getting better than expected news from each step of the process. It’s been great – kind of like winning the slowest heat in the 100m great – but still, pretty great.

There are downs. This week is quite clearly one of the low points. I feel physically great, but I’m overly emotional about everything and that’s hard on me and even tougher on Russ.

I’m currently trying to reel it in because the last thing an embryo needs is to try to make a home in a stressed out body. Running helps. Little things like Russ cleaning the kitchen and turning on Jeopardy without my prompting help. Messing around in our garden helps. The new baby birds who just hatched in our yard help. Unexpected text messages from friends who are just checking in help.

We’re getting really close to the end of the first attempt at this whole process. I felt like a superhero during the first part. Giving myself shots without much hesitation really boosted the ol’ ego.

Of course, if you know me well, you know the fact that my emotions are the biggest challenge of this journey makes absolutely perfect sense.

If you’re the praying type, prayers help. Prayers for staying calm and positive and, if it feels appropriate to you, prayers that this whole thing works out. We’re so ready to love on a baby.

I just found this in a drawer

I just found this in a drawer. I’d forgotten i bought it. Last July we briefly thought I was pregnant, thanks to either a faulty test or a chemical pregnancy. That week I went out and bought this book for our future son or daughter. I still can’t wait to introduce our kids to my hero someday.

Results (so far)

I can’t even tell you how many 400 meter hurdle races I’ve run in my life, but there’s a very distinct pattern to the emotion of my favorite race.

Like every track event it starts with the adrenaline at the starting line, a burst of energy or even a chill as you place your feet in the starting block and give your legs one last shake out. There’s the stillness before the gun goes off that seems far longer than it is.

Then you’re off and facing the first curve and the first hurdle.

You’re confident. At this point there’s no doubting you’ll easily clear all of the hurdles.

But it’s a brutal race. It’s a quarter mile at a full-blown sprint pace with 10 hurdles spread along the way.

When I coached track I always told the 400 runners “I love the 400 because it’s just long enough to make you want to quit and right about the time that feeling hits, you reach the finish line”.

For me, that desire to quit used to hit somewhere around the last straightaway of a hurdle race when I was far enough in to know what I’d already accomplished but tired enough to wonder if I might have trouble with the last hurdle or two.

I’ve never experienced anything like it.

Until IVF.

IVF is emotional whiplash. The process, if you’re lucky, is filled with highs, but each one is met with the almost-immediate realization that the next hurdle may take away everything you’ve worked through so far.

Right now, we’re somewhere in the final curve having cleared so many hurdles along the way.

Last week was huge. Russ had surgery on Wednesday and we learned, after months of wondering, that we might actually be able to have a kid (hopefully kids) of his own. I’ve never been so thrilled about anything, but it was followed by the very real fear that my Thursday egg retrieval wouldn’t pan out like it should.

Thursday went well too. They were able to get 19 eggs. 19 eggs! I was IV drunk after the procedure and I think I asked about that number about three times before I believed it.

But here’s the thing, numbers in this process change dramatically. We knew that. So, we reined in our excitement and waited for the Friday phone call about how many embryos we’d have.

16 eggs were mature enough to attempt fertilization. 14 were successfully fertilized.

We started with 14 embryos with the knowledge that the number would again be cut down and probably in a big way. The embryologist estimated five would continue to grow like they should until this week when they would freeze them for later transfer.

The embryologist was correct.

So here we are with a finite number. We have five chances. If you know anything about the statistics of pregnancy and IVF procedures specifically, you know that doesn’t mean five babies.

Though five used to be the number of children I always said I wanted, we’ll be thrilled to have just one and we’ll figure out the sibling thing later, ideally using leftover embryos, if everything works out.

Right now, we’re facing what’s ahead. I get to be normal for a few weeks until I start more shots ahead of the transfer process. I can run and enjoy some beer and just generally feel less like a pin cushion and more like myself.

Those last few hurdles are still there. We don’t know that the embryos will all survive the thawing process and we don’t know that any of them will lead to a successful pregnancy and I’m terrified that we have a maximum number of chances and it’s just five, but we’re also thrilled that it’s not the zero we thought was a very real possibility just 10 days ago.

If my over-the-top metaphor proves true, right about the time this process makes me want to quit, we’ll find some relief.

details

This is a look at my meds through phase one of the process.

One shot and three pills in the mornings.

Two shots and one pill at night.

The box full of meds still waiting for after the egg retrieval is daunting, but I’ll face that when it gets here.

The morning shot is the one I added on Friday and, to be perfectly honest, it sucks. It’s okay going in, though the needle is larger than the others, but it hurts after. Every morning so far I’ve found myself using google to try to determine if I’ve accidentally hit muscle or something.

It turns out I’m doing it right, it just sucks. That’s normal.

To be totally honest, I’m feeling the effects now. Sitting for a long time or riding in the car just aren’t comfortable. I’m also getting tired really easily. All of this is normal and still not as bad as it could be.

Also, missing running was a joke. I haven’t missed any activity this week. I’ve gone on a few two mile walks, but I’m maxed out by the end thanks to the heat and just general fatigue. So running can definitely wait and I’m cool with that.

I’ve had a lot of people ask me questions about the process. I’m fascinated and thrilled with what science can do for us, so I thought I’d share the basics:

The stimulation phase is for pumping up the ovaries so they mature way more than their usual one egg. Basically the ovaries are pumped up from the size of almonds to the size of two bunches of grapes – LOVELY.

In the meantime, there are several doctor visits for ultrasound and labwork.

At my last appointment some follicles were already the size they need to be to release a mature egg, so I started that new morning shot.

It’s meant to stop me from ovulating before the doctor has a chance to go in for the egg retrieval.

The day before my retrieval those shots will stop and they’ll be replaced by one final trigger shot that helps release the eggs for retrieval.

Something that’s been on the back-burner for both of us is Russ’s surgery. It’s a huge deal, but with so many different things to focus on that are happening *right now*, it’s been easy to just put that one out of our minds.

Russ has, to no one’s surprise, been going way out of his way to make sure I’m comfortable and supported and loved. And that probably has a lot to do with why I haven’t been feeling down throughout this process – that and my friends who’ve reached out by phone, text, snail mail and in person just to let me know they’re thinking of us.

Now Russ’s surgery is coming up on Wednesday. It’s a big day and not a small surgery. My retrieval may be the same day, but the recovery is supposed to be far easier for me. I’m looking forward to my chance to be the support for him. He’s looking forward to playing a lot of Xbox and really good pain meds.