2nd Tri, NT scan, Still the happiest

Today I am 15 weeks pregnant with a healthy little peep and securely in my second trimester. While I am well aware that nothing is guaranteed, I'm feeling much more secure and positive and all I want to do is enjoy the last 5.5 months of my pregnancy to the fullest - There isn’t a Momma on Earth more happy than me. (And wow - can we really only have 5.5 months until we welcome this little one?

I know as I approach my 22/23rd week and beyond there is sure to be a little hesitation, watching in the mirror more, checking hands and feet, watching for weight increases and keeping an even closer eye on my BP - 22/23 weeks is when I developed Preeclampsia with Caden and began my 4 month stint on the couch. But I'm feeling good about things - Despite the PCOS and the +ANA and my already sluggish kidneys... I refuse to anticipate the same path. I haven't gained any weight yet (down 2 lbs) and while I'm sure to start gaining now, with Caden I was already packing on the pounds. I remember with my previous pregnancy my feet and lower legs would tingle if I stood too long... I can't remember when it started but so far so good. I do remember that by this point last time I couldn't wear both my engagement ring and wedding band comfortably at the same time, and by the end of the day it was very hard to get any ring I was wearing off. Currently I can wear both rings without issue. I just feel good, very good, and I am hoping that is an indication of the months to come. I do not want to be on bed rest for any length of time - We have so much planned for this fall - Apple picking and the pumpkin patch, Halloween parties and mommy and me classes, and hopefully a trip with Caden up to the Dells. I want to go out in public and show off my big round belly, I want a reason to wear cute maternity clothes and have fun with my son, and most of all I want no reason to sit up at 4am worrying... crying over a tiny sleeper in a soon to be nursery.

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Just about 2 weeks ago Steve and I found ourselves at the hospital in the office of our High Risk OBs for our NT scan. Despite the common reason of "I wouldn't abort so I don't get screenings"... We wouldn't abort so we DID get the screening - to prepare, to ensure our child the best possible outcome.... but thats a post for another day. Anyway...

Beyond the test it was nice to sit down and talk with one of my all time favorite Doctors, Dr. K. We saw him every month or so in addition to my regular doctors for the 2nd half of my pregnancy with Caden and he was awesome.

First up was the ultrasound portion and blood prick...
It was amazing to see our baby now, at 13 weeks... His/her tiny little arms and hands, swimming and kicking and flipping around. If it were up to me I would have laid there for hours watching him/her. At the end we did take a look between baby's legs and have an early guess, but it really is much too early to say for sure and we're trying not to get attached to the idea, though we kind of already have.
My risk for Downs Syndrome based on Age alone (I'm 26, 27 in August) was 1/898. After blood and ultrasound, that risk is now 1/2692. Age alone risk for Trisomy 13 & 18 was 1/1741. My risk is 1/34,801 - So, normal results - screen negative.

We sat down with Dr. K afterwards and talked mainly about my previous pregnancy, current diagnosis, and where that leads us now. He started me on Baby Aspirin again and now we just wait and see. We also talked about my baseline 24hr urine being a little high and coupled with the ANA it is something we need to start keeping an eye on. Dr. K gave me the name of a doctor he likes and about 3-4 months after I have the baby I need to start getting regular checkups. He said its nothing to be alarmed about right now, maybe it will develop into something, maybe not... maybe 5 years from now, maybe 10.... but this way we'll catch anything that may develop early and have a plan in place.
We'll also be going back to Dr. K on September 3rd (22 weeks) for a heart study - Nothing to indicated anything wrong with the baby (heart looked great) but my little brother has a heart condition and while I do not believe it is genetic, Dr. K wants to be on the safe side.

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Last week was another prenatal appointment with my main OBs. Again everything was normal - baby's HR in the 160s, down 2 lbs, urine and BP looked good, etc. We chatted a bit and set up my next round of appointments - Another routine OB appt on August 4th and the "big" ultrasound on August 18th.

We decided to go ahead and discontinue use of Metformin as we were now in the 2nd trimester. The benefit regarding miscarriage is no longer applicable and any further benefit to continue the drug is still unclear. My dr decided to further research continued use of the drug and I did my own - from the talk on boards I assumed I'd find undisputable evidence to continue the drug and I did not. I found many articles supporting continued use... but then I found many articles that showed no significant results. In the end we decided, and I agree, its best for me to go off the drug.

I'm excited about this... we're weaning off and now I'm down to my last week at 500mg (was at 1500). I'm excited not to have to remember pills, I'm excited at the prospect of being "normal" again, though I know that really isn't true. And I don't want to be putting drugs in my body if there is no reason to.

I was feeling calm and relaxed... Until I was told the story of so and so who stopped met and lost a baby in the 2nd tri which started the anxiety gears in motion. I know that is still a risk regardless, but there is no indication the metformin will prevent it. Even so I didn't want to risk another month of anxiety waiting for my next appt to know the baby is okay so Steve and I decided to rent a doppler. I have had my doppler 3 days now and outside of the urge to lay around listening to my baby all day, I love having it. I want to limit my use of the doppler and I plan on sending it back once I can feel the baby regularly (I figure a month or two)but its nice to know that if the anxiety starts to creep in, I can lay down and know things are okay. I love hearing that perfect sound.

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I suppose I really should update more - I doubt anyone has actually read to this point, but then again I want to document as much as possible for my sake (probably should update my organizer!).

I'm feeling great - "morning" sickness is gone which has me pleased as can be. Still have heartburn and still a bit more sleepy than normal, but even my energy is starting to return. I've felt a few flutters, but nothing too strong yet and I'm still very much anticipating that first big kick. We've started doing a little more shopping for the baby and I find myself daydreaming of him/her on a regular basis.

Caden is doing well and is so much fun... the fits still come but even those are less frequent and not quite the same intensity. We start toddler swim lessons tomorrow and Caden is so excited. He is such an amazing little man.

Right Side Up

I’m 12 weeks 3 days pregnant today.... And I feel pretty damn good. I’m happy - I’ve always been happy with my life, minus the infertility aspect, but now all the pieces seem to fit and I am just happy. With everything. I’m blessed to have a beautiful little boy who is just so funny - who loves to shower you with kisses and hugs and charms everyone he meets (ask his new girlfriend at the maternity store) - though he can still throw an impressive fit. I’m bless to have a supportive, caring husband who is a terrific father, to have a wonderful family, a home, a baby on the way... I think a new blog background is needed... My life, or any aspect of it, doesn’t feel quite so upside down.

Two weeks ago we had our 2nd OB appointment and at 10 weeks we were able to hear the baby’s heartbeat by Doppler. S/he was snuggled up behind one of my blood vessels so we were hearing both the baby and me at the same time - HR was in the 160s.

I’m feeling a lot better - The exhaustion still hits and the super laziness is still around, but the “morning” sickness seems to be getting better - it still comes and goes but not nearly as bad. I can’t really remember what my sickness was like during Caden’s pregnancy but I do think it was much worse this time, including several occasions of getting physically sick (never threw up with Caden). But its passing, the first trimester is passing, and it could have been much worse. The heartburn I could most definitely live without though, ugh. Other then a day or two very early on, and maybe an occasion or two toward the end, I don’t remember having any heartburn with Caden. This time even water gives me heartburn. But overall its a small price to pay.

On the 30th we have the NT scan - I debated and stressed over this just as I did with the quad result with Caden. In the end, I decided to go ahead with the testing. We aren’t doing it so we have the option to terminate - but I don’t think most people go into these screens thinking such. We’re doing this so we can be prepared mentally and medically for a special needs child if that is what is in our future. And by medically I mean check for other defects that are common with some chromosomal abnormalities, such as heart defects, and prepare for them. But most of all I’m doing this for piece of mind - and I so hope that is what we are left with in a week.
I thought about skipping the test... Skipping the anxiety... But really all that would do is delay the anxiety. I worried that as my due date drew closer or during delivery or those moments after birth would be tarnished by the thought of “is my baby okay”. But to be perfectly honest I wish this test was a decision never placed in my hands to make.

The day after our NT scan ,a week from today, July 1, 2009... I’ll enter the 2nd trimester. In so many ways I cannot believe how quickly this pregnancy is progressing.... But in so many more I can’t wait to make it there.

I find myself allowing my mind to drift to our future as a family of 4 more often these days. We talk about the baby, or “baby peep” (given the baby’s conception being the night before/day of Easter), regularly. Kid has become kids, and I look at Caden’s baby pics and smile a second time knowing that soon we’ll have another chubby cheeked little one cooing and giggling in our arms. We browse baby aisles and talk about what is needed and what is not. I pat my belly which has started to round out and pop a bit and smile. We toss out names in passing and day dream about winter, about next summer, about forever.

I still find myself holding my breath as I wait for July 1st... But on occasion, and happening more and more these days, I allow myself to breath and it is all just so perfect.

Long time, no blog...

When I started this blog I thought for sure I’d keep up with it more than I had in the past... I had a goal, something to work toward, and a lot on my mind. When that didn’t happen I thought for sure when I got pregnant that would be it... Now I would really be able to keep up... Again, that hasn’t quite happened.

I suppose a lot of this has to do with the time of year - I just haven’t been online much in general and I haven’t had much desire to be. On days that morning sickness is at its worst, the last thing I want to do is stare at a computer screen... And with all the beautiful weather we’ve been having on the days morning sickness isn’t too bad, the last thing I want to do is be stuck inside and stare at a computer screen.

The good news is that we have got a lot done. For a while now we have wanted to start a real veggie garden with a raised bed.. We finally got around to that. Thanks to the help of my awesome mom we got the bed done yesterday. Steve and I filled it with dirt last night and bought our plants and in a few minutes here Caden and I will head outside to get things planted. Beyond that I still need to plant flowers in one of the beds out front and mulch the other two. I also want to plant some flowers in containers out back and I want to make another bed along the back of the house. In addition to cleaning out the pond and getting that going, I think these things will be our focus this weekend.

In addition to our yard, there is so much I want to get done around the house, too. We need to work on cleaning out and organizing the basement so that I can start moving and setting up my craft space down there. We need to start Caden’s “big boy” room, too. We’ve started collecting some things and hope to shop for the rest of the furniture and big items in a few weeks. I want to change the closet and interior door’s in the baby’s room (and the rest of the house, one down so far) and I still need to trim the door we have replaced. Then there is normal cleaning and upkeep around here....

Add into that my desire to at least catch up on Caden’s scrapbook and work on a few other crafts and well.... Makes for a very busy me.

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As for my pregnancy - so far things are going great! For the most part I feel pretty good - Morning sickness seems to come in waves and some days are definitely worse than others. Staying active and up and about seems to really help with how sick I feel. I threw up a few times a week or so ago but nothing since... Just lots of nausea but I’ve also been on the go just about constantly. Of course when I’m feeling good I’m worried that it means there is something wrong and then when the nausea hits again I wonder why I was crazy for wishing it back... Its a vicious cycle but well worth it. I seem to feel the worst around meals - Perhaps its the food or that I let myself get too hungry.. But so far I haven’t found a way around this one. I definitely have no complaints though - everything could be much worse and I am just feeling so blessed to be here.

Before I got pregnant I was a little worried about exhaustion but it isn’t nearly as bad as it was with Caden. With him I was early to bed, early to rise and now its just the opposite. I think dealing with the exhaustion of PCOS in addition to having a toddler keeping me on my toes has helped. I can usually force myself to stay up until 11:30 if I must, but have been going to bed around 10:30pm on average. This was unheard of with Caden but I think this is a change in lifestyle... Post bed time is mommy time and I’m not ready to give that up! Afternoon naps are pretty common but then there are days, such as yesterday, I skip those too. It all depends on what I have to do. Things are definitely different this time around... And I think that has more to do with being responsible for an adorable little man more than anything.

Other symptoms include the usual - my breasts aren’t tender but they never were with Caden either. However, they have increased in size. Pregnancy dreams are in full force and they are pretty crazy - and constant bathroom breaks are common. I don’t usually notice them unless we’re out or I’m trying to watch a movie or something, and in the middle of the night which gets annoying. A little bit of heartburn here and there and a lot of food aversions.. Fun mood swings and a bit more emotional..... And thats about it.

I wish I could say the anxiety has gone but I still worry.. A lot. It has improved greatly, but I still have yet to fully settle into things. I still don’t *feel* pregnant but then I never really did with Caden, either. I keep saying that after the next appt I’ll feel better, and it helps, but not completely. My next appt isn’t until June 9th - I’ll be 10 weeks and hopefully we’ll hear the heartbeat by Doppler. I can’t wait.

I have calmed down a lot from weeks prior at least... Ever since our ultrasound. I immediately update my various preg groups but am a bit ashamed I never posted here...

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Our first ultrasound was last week on May 12th. I started this entry with a photo of our beautiful little baby because that was what was most important, even though I saved the best for last. Steve took the day off work since the appt was at 10:30am. We dropped Caden off at my Mom’s and headed in. I was so nervous - excited, but so very nervous.

Linda (the sonographer) greeted us with a big smile and mentioned how happy she was to see my name for an OB ultrasound. We went into the room and got situated and then she turned the machine on. I immediately asked if there was a baby and she said to just hold on and turned the screen to me...
“there is the gestational sac....” to which my mind flashed to there only being a gestational sac and I blurted out “is there no heartbeat?!” Linda was clearly interrupted and simply asked “Now didn’t you see that little flicker?” A flicker? There was a flicker? I knew what a flicker meant and immediately all was right in my world. Steve squeezed my hand and Linda zoomed in... And there it was, clear as day.. Our beautiful little baby’s heart beating strongly at 122 bpm. With the exception of method for viewing, I could have sat there watching that little heart beating away all day.

The baby measured right on track. I had a large-ish cyst on my left ovary which is suspected to be a corpus luteum cyst and the source of our little one. Before all was done we got to check in on him/her one more time. S/he might only have been a little blob on a computer screen, but I could help but fall in love.

After the ultrasound we sat down with my doctor. She went over my labs and everything looked great except my 24 hour urine collection... It was within normal range but a little higher (low 200s) than what is she wanted to see. She said it might be worth re-checking after I have the baby (it is not currently a pregnancy issue) and it might warrant a further look into my kidney function, but she doesn’t think there is really anything to be done right now since it is still in normal range.

After the appointment Steve and I headed to Borders to buy a pregnancy journal (ended up with 2!) and then we stopped off to buy the baby a gift as we did after Caden’s first appointment. This time we bought him/her 2 cute little sleepers and we bought big brother Caden some jammies, too. We then had a nice lunch before picking up the little man. It was a perfect day and we now have our little one’s first picture proudly displayed - I can’t wait to see (and meet!) him/her again.

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I think this entry has ended up long enough... I suppose that is what happens when you don’t update for a while. I want to make it a point to write more often as this is probably the best way I have to chronicle all of this right now, but at the same time I’m enjoying time away from the computer with my favorite two guys.... So we’ll see... ;)For now I have some veggies to plant...

Firsts for the second time

From 571 to 1226, doubling time of 39.91 hours. Everything is fine.

I asked if I should be concerned about that 571 number and my doctor assured me that I did not have to be. She said that it could have simply been one slow day - since we hadn’t checked betas in 6 days, who knows what happened. She seems to think the beta that tripled was off. She explained how the labs were done and how an error could be made... That no test is 100% and based on my first beta the 571 number was perfect. She emphasized over and over that the one single beta doesn’t matter, there is nothing she has seen to suggest a miscarriage, and that even though that 571 beta was lower than what I was expecting.. It was still within normal range and everything is progressing nicely.

Thats not to say that something couldn’t still happen... It could. And I’m still very guarded over this pregnancy... But I’m going to focus on being happy. I’m going to focus on enjoying this pregnancy. Steve and I worked hard to get here and I need to believe that we will be holding out second child on our arms in 35 short weeks. I cannot focus on the bad “what ifs”, I will not focus on them. I am pregnant and so very happy to be.
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My first OB appointment was on Wednesday. It was so exciting and I had written all about it, but when I thought all this was being ripped away from me I deleted it and simply prayed for it all to be okay.

Sitting in the waiting room that morning, waiting for my name to be called, if only for those minutes the reality that I was finally pregnant began to set in. The woman at the front desk (my favorite in the office) greeted me with a huge smile and a congratulations when I first stepped up to check in. I love that three years later everyone in my doctor’s office is still there. Everyone is so sweet and after my last pregnancy, probably since I was there so much (weekly at 23 wks, twice a week at 33), I kind of missed them - not going to the doctor just felt weird.... Well, for all of a day.
I smiled when I saw my chart was blue (for obstetrics) again.... I sat in my char and browsed through the pregnancy magazines and articles instead of looking to the ground. I was just so very happy.

My name was called and the routine was still so familiar... Weight, sample, blood pressure. Every time I go to my Obgyn my blood pressure is always high... White coat effect or whatever. At home and at every other doctor it is always fine. But sitting in that chair, remembering all those bad numbers, the fear... My heart would start to race and my BP would shoot up. Not terribly high, but higher than normal. But that day? The racing heart was gone and my BP was a beautiful 108/70.

I sat down with the nurse in the exam room and went over history, medications, etc. She gave me a huge bag filled with goodies and information on tests, pregnancy in general, breastfeeding, etc. We briefly went over each item - some of it was the same as with Caden, some was new.

My doctor came in next, excited as well. We talked and she answered any questions I had. Discussed my previous complications and what it meant for this pregnancy. I was reacquainted with my good friends little brown jug and pee hat - I need to do a 24 hour urine collection in order to establish baseline. Hopefully it will be the only one I need to do this pregnancy.

I signed the release form for my VBAC.. I will say that document makes VBAC sound pretty scary even to someone who has researched it. My doctor agreed that the wording was pretty harsh but assuming that I have a normal, healthy pregnancy and we don’t face the problems we did with Caden... It will be fine. Obviously if something goes wrong and I need to deliver early they won’t induce like they did last time, but otherwise she said they will monitor me during labor and things will be fine.

After my appointment it was off to the hospital for labs.. Up to 9 vials for this pregnancy. The standard tests were run and then my OB also did an eclampsia panel just for baseline again and everything was normal.

Our next appointment is set for May 12th at 10:30am. Steve took the entire day off and we are so excited - praying to see our baby’s heartbeat.

My Beautiful Boy

We took Caden for his 2 year pictures today - they turned out well all things considered. I gave up on trying to get a bruise free picture and I learned that taking professional portraits of an always on the go two year old is considerably more difficult than a baby. The boy just wouldn’t stay still. Even the photographer just kind of sat there and said “I’m shocked he doesn’t have more bruises”. But he was having fun playing with all the props and the big basket of toys so who could blame him? And we did get some cute pics so mission accomplished. The upside is that I also spent a lot less. During Caden’s first year we took him every 3 months for pictures and I must say - I grew a damn cute baby. The bad was I had to have all the poses and would always walk out spending hundreds. This time, while all of the photos were still adorable (My cute baby turned into a pretty adorable toddler if I do say so myself) it was much easier to narrow it down. The best part was that we walked out of there with $85 worth of photos (4 poses) for $35. How I’m still not sure. Well, I do know, but it was quite unexpected. I had my typical coupon for one free photo sheet and 20% off my order. My self imposed spending limit for this session was $80 so I was going to be fine with that. But then we got an extra $20 off even when I told her she didn’t have to for a promotion we joined when Caden was first born but never got to use. Either way I was expecting to spend at least $80, so it was a very welcome surprise.

While we waited for our photos to be ready and all that fun stuff we took care of a little shopping as well. I was most decidedly due for a new bra and figured now was as good a time as any - and let me just say I love Victoria Secret’s Ipex bras.
I look young for my age - I always have, and I really hope I always will (ha). Some people (but not all) treated us poorly while planning our wedding because they thought I was 16. The looks I got when I was pregnant with Caden? Fantastic. I’ve even been carded to buy scratch off lottery tickets.
Anyway... While hunting down the just right bra (they moved stuff around on me!) I mentioned to the sales associate that “they just aren’t the same after pregnancy and nursing”... And they aren’t. The 23 year old sales associate looked away and shuffled a bit. Finally she asked... “if you don’t mind.. How old are you?”. I’m 26. A sigh of relief and a little giggle “oh, because you mentioned you had a child and I thought you were 15 or 16”. Mmmm, I was happy. A new bra and I can still pass as 16 year old mother. Not bad.

Side note: I don’t think I still look that young. I get it from time to time, but not as much as I used to. Must depend on the day.... And how well Caden is behaving that week ;).

After all was said and done we took Caden on the carousel and headed home.

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My appointment this afternoon was fine. I wouldn’t say wonderful as there wasn’t much that happened and I honestly feel a little robbed of yet another $20 copay, but such is life. My lab results were fine - exactly what you’d want to see from someone about to start their period. We didn’t end up testing my LH after all, which is the one I was interested in, but everything else looked normal.

I’m starting Clomid again tomorrow (CD4-8) since AF didn’t fully come on until Wednesday night. Originally I was planning to take the pill at night as women on other boards suggested doing so that you sleep away any nasty side effects. When I told my mom this her eyes grew wide and she was quick to let me know that there was no way in hell I’d sleep though a hot flash. I know there are other side effects but I’ve decided to take my chances and I’m going to start in the morning. Perhaps I’ll regret that choice later, but for now we’ll see what happens. I just want to get started.

So now we sit and wait - cross our fingers and hope, and oh do I hope, that this works. I’m trying to be optimistic without getting my hopes up too high just to be dashed down again, but that is easier said than done. I am so very hopeful that if not a pregnancy, we’ll at least get one good egg. Please.

Tomorrow I have a few prescriptions to fill and errands to run, but otherwise it looks like a very relaxing weekend - something I need.

To end this post on an adorable note... A few more of my baby’s 2 year portraits...

Where to begin....

The past two days have been interesting and exciting and once we thought we had things figured out, my body found a way to throw one last wrench into our plans. And at this point all we can do is laugh... and we did.

My appointment yesterday went okay - I sat down and spouted off all the things I researched and ruled out leaving only low estrogen as the culprit. The first thing my doctor said was “you had a nice thick lining at your ultrasound last cycle....”. I did, which is why I was so upset about all of this. I’ve always bled at least a little bit, on my own or with provera, so how my estrogen decided to tank all of the sudden had me freaked. And I was right that without estrogen, clomid isn’t going to work. So, we drew labs (E2, FSH, LH, TSH) and made an appointment to go over everything on Friday. In the mean time my doctor mentioned she was going to get a consult with a specialist outside her practice.

I got home at 1pm and was surprised when the phone rang at 2:30...
“I talked to Dr. So and so and wanted to let you know what he said......”

My original hesitation as to how my estrogen all of the sudden dropped wasn’t unfounded it seems. My dr (and the consult) agreed that they wouldn’t suspect estrogen just to drop like that and that it was elevated testosterone levels causing me not to bleed, not lack of a lining. In cases such as mine Dr. So and so (who got my neighbor pregnant (ivf) when everyone else told her it wouldn’t work, so I do trust him) said he has his patients start clomid on day 6-8 after provera (I was 8) since even though there was no bleed, everything did reset. It doesn’t make sense when I say it but it did when my doctor explained it to me. It could still be an estrogen issue... But in the end... It appears they were right, even without the labs.

So.... Last night I started Clomid.....

And this morning........

My period arrived.

Go freaking figure.
Right now its pretty light, maybe a tiny bit more than spotting. The current plan in hopes for best success at this point is to stay on clomid. If its just spotting my Dr doesn’t think its enough to compromise the quality of the lining. However, if I start to have a real flow the we’ll have to stop the clomid and start over in a few days.

I swear.... I’m really hoping she just comes full force today because this maybe sorta kinda AF is really messing things up! And if not with my body at least with my head ;)

Unconventional Wisdom

I spoke with my doctor yesterday afternoon regarding the timing of my upcoming appointment and she said that she would like to see me do another cycle/month on Met before starting Clomid but if I was feeling anxious we could go ahead and begin next cycle. I agreed that it would be best to wait another cycle before starting Clomid - I know it can take some time for the drug to sort things out and seeing that time on Clomid is limited, I don’t want to rush anything and I want to give us the best chance possible of the meds working. It helps to know, too, that if something goes wonky and I do start getting anxious (well, more so than now) we can go ahead and start. So far I’m okay though, and I think that this will be best. Unless AF takes her sweet time showing up after the Provera - then I’ve decided we’re moving on.

So we wait. Wait to start Provera, Wait for AF, Waiting (and hoping) to ovulate or waiting for another cycle to end. Its the waiting that makes me so anxious, the waiting with no hope. At least if I was ovulating I’d be waiting for something but instead I wait for something that never comes. And if I was ovulating on the second half I’d have hope, a chance, a possibility of pregnancy... Instead my wait is empty with no hope, no possibility, and a bottle of pills in my hand instead of a pregnancy test. But at this point its all we can do, so we wait. While it doesn’t feel like it, I am doing what I can. Next cycle could be the cycle, the wait could finally pay off, and if not, we’ll move on.

Last night after I gave my son his bath and tucked him into bed I grabbed a book from the shelf and snuggled up next to him to read him is bedtime story. It was a book I’ve read so many times in the past and I grabbed it pretty much at random, not thinking or remembering much about it at all. I turned the pages and read the happy rhymes while Caden looked at the bright pictures and giggled and smiled... And then I found something I never quite expected to find... A little bit of wisdom in words and rhymes meant for my child, but that I needed to hear...

So I leave you with a few pages from the wise Dr. Seuss and his book, “Oh, the Places You’ll go!”

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You will come to a place where the streets are not marked.
Some windows are lighted. But mostly they’re darked.
A place you could sprain both your elbow and chin!
Do you dare to stay out? Do you dare to go in?
How much can you lose? How much can you win?

And IF you go in, should you turn left or right...
Or right-and-three-quarters? Or, maybe, not quite?
Or go around back and sneak in from behind?
Simple it’s not, I’m afraid you will find,
For a mind-maker-upper to make up his mind.

You can get so confused
That you’ll start in to race
Down long wiggled roads at a break-necking pace
And grind on for miles across weirdish wild space,
Headed, I fear, toward a most useless place.

The Waiting Place...

... For people just waiting.
Waiting for a train to go
Or the mail to come, or the rain to go,
Or the phone to ring, or the snow to snow
Or waiting for their hair to grow.
Everyone is just waiting.

Waiting for the fish to bite
Or waiting for the wind to fly a kite
Or waiting around for Friday night
Or waiting, perhaps, for their Uncle Jake
Or a pot to boil, or a Better Break
Or a string of pearls, or a pair of pants
Or a wig with curls, or Another Chance.
Everyone is just waiting...

NO! That’s not for you!
Somehow you’ll escape
All that waiting and staying.
You’ll find the bright places
Where Boom Bands are playing.

With banner flip-flapping
Once more you’ll ride high!
Ready for anything under the sky.
Ready because you’re that kind of guy!

.......................................

I’m afraid that some times
You’ll play lonely games too
Games you can’t win
‘cause you’ll play against you.

All Alone!
Whether you like it or not,
Alone will be something
You’ll be quite a lot.

And when you’re alone, there’s a very good chance
You’ll meet things that scare you right out of your pants.
There are some, down the road between hither and yon,
That can scare you so much you won’t want to go on.

But on you will go
Though the weather be foul
On you will go
Though your enemies prowl.
On you will go
Through Hakken-Kraks howl.
Onward up many
A frightening creek,
Though your arms may get sore
And your sneakers may leak.

On and on you will hike.
And I know you’ll hike far
And face up to your problems
Whatever they are.

You’ll get mixed up, of course,
As you already know.
You’ll get mixed up
With many strange birds as you go.
So be sure when you step.
Step with care and great tact
And remember that Life’s
A Great Balancing Act.
Just never forget to be dexterous and deft.
And never mix up your right foot with your left.

And will you succeed?
Yes! You will, indeed!
(98 and 3/4 percent guaranteed.)
Kid, you’ll move mountains.

So...
Be your name Buxbaum or Bixby or Bray
Or Mordecai Ali Van Allen O’Shea,
You’re off to great places!
Today is your day!
Your mountain is waiting.
So... Get on your way.

Moving Forward

My doctor’s appointment was, for the most part, uneventful... And that’s a good thing. We went over the rest of my labs and discussed the ultrasound... Basically we just went over everything I already knew.

The main goal of this appointment was to establish where to go next and to start on that path. I was given a prescription for Provera. Its up to me when to begin - I really don’t think I’ve ovulated so I doubt I’m pregnant. I’ll test to be sure but my chart, CM, CP, etc all point to having not ovulated. I’ll be on Provera for 10 days and I’d like to just get this cycle over with, so I’m tempted to just start tomorrow but I may wait until Sunday after Steve’s company Christmas party.

Beyond that I’ll be starting Metformin tonight. My dosage is set at 1500mg but I will work up to that over the course of the next 3 weeks, adding one pill each week. My doctor expects that we’ll see changes within the next two months and have scheduled my next appointment accordingly - February 4, 2009. If at that point my cycles haven’t regulated and I’m not ovulating then we’ll begin Clomid. In the mean time, I have a refill on my Provera prescription so that if my next cycle starts to hit the 40 day range I can end that. If/when I do ovulate prior to February 4th I need to go in at 7dpo to have my progesterone levels checked.

I left my doctor’s office feeling good... Better than I have in a while. The gears are in motion and we have a plan to move forward. I suppose it helps that my doctor looked at me, smiled, and said “I feel good about this”, too. And I think she’s right. If not, in 2 months we’ll reevaluate and begin Clomid.

After my appointment I headed to the pharmacy to fill my prescriptions. My insurance actually proved good for something in all of this and covered the Metformin 100%, so surprisingly that was free and the Provera was only $4.
While I waited for my prescription to be filled I browsed the aisles and found myself humming Christmas tunes... At one point embarrassingly loud but that’s okay - I felt great. I finally feel like we have hope, that we might actually be able to conceive our next child soon. That we actually have a chance at this.

I got into the car and about half way home I turned into the over emotional person that I tend to be and my eyes welled up with tears for a few seconds. Only this time it wasn’t because I was upset, hurt, or devastated... It was because I realized that I had a smile on my face for the first time in far too long, and it wasn’t going away. I know this will change from day to day, and I know I can’t expect the Metformin to work wonders right away and it very well might take months... But I honestly feel that I will be pregnant again soon, that we’re going to have another child. I’m excited, and most of all...I have hope.

Another Point of View

This morning I woke up bright and early to make sure I had plenty of time to shower and get dressed before C woke up as I had my ultrasound at 9:30am. I realize now that I really was holding onto hope that those lab results were just errors... That I was soon to find out nothing was wrong with me.

My name was called and I met up with the sonographer.. She introduced herself to me to which I responded “Do you remember me?” “Of course” she replied “but sometimes people don’t remember me so I didn’t want to put you on the spot”.

It was almost two years ago, but after all the time we spent together it would be hard to forget Linda. She performed all of my ultrasounds (outside if the high risk ones) when I was pregnant with C - and in the last months I required weekly AFIs so there were lots of them. I love her - she is great and so sweet. Quite often my ultrasound was the last of the day so we’d spend a little extra time after the fluid measurements were done and just spy in on my little guy, watch him yawn and move around, and I always left with lots of pictures.

I thought going into that room would be difficult, seeing how these were the exact opposite circumstances that first found me there. But it wasn’t. I thought the ultrasound would be much more uncomfortable, but it wasn’t either. Definitely not on my list of favorite things to do on a Tuesday morning, but not as bad as I imagined it might be.

I was starting to regret setting up the appointment for then, since my doctor wasn’t in this week and I’d have to wait until next Wednesday for the results. Legally Linda couldn’t tell me anything... But I already knew I had PCOS. She showed me my right ovary... And she showed me the line of cysts on it. She said she didn’t count all of them but there were five that she took measurements on. My left ovary decided to be more difficult, but three cysts were measured.
It was when I first saw those black circles on the screen was when I realized that despite knowing that they were most likely there, I was still so hopeful that they weren’t. Even if they were not there the diagnosis would still stand due to my labs... But I guess I was secretly hoping that the labs were flawed, errors made by someone. Seeing them on that screen hurt more than I thought it would.

It was after the ultrasound was over and I sat up that I lost my composure a little bit. I saw the string of ultrasound photos hanging from the printer and my mind flashed back to when those images depicted little toes and a baby’s profile. I cried a little. I had always imagined being back in that room because I was having a baby... Not because I couldn’t.

I’m glad that it was Linda - we talked about holiday plans and family and I think that’s what kept me from being over emotional most of the time. She asked when my next appointment was and she isn’t in that day but I’m sure we’ll see her again.

I just hope the next time the image on that screen is a tiny beating heart.