The fertility story unfolds

Yesterday afternoon was our appointment with the fertility doctor. I’ve already had the scans and blood tests, so this meeting was to review the results. Now just about a year ago, I received my AMH results by phone and the news was essentially devastating – so driving to this appointment yesterday, my nerves were on high alert.

All these scenarios were running through my mind as I moved light to light to light across Ottawa.  Zsolt all the while was assuring me everything was fine, and I should calm down. I told him, “I know everything is fine,” but that nevertheless I couldn’t calm down.

Your mind can say one thing, but your body may say another. The anxiety felt like a thinkness inside me.

We drive up, we park, we go in. . . we’re directed to a side waiting room and it gives flashbacks of the Southampton Princess Anne Hospital where all the baby-related cases are ushered to these tiny waiting rooms where people generally sit for an hour flipping through year-old magazines of Elle, Seventeen and Cosmo. Oh yeah, that’s also where they put the ladies who have cancer, right before breaking the news. So these stupid memories are clearly doing little for my composure.

However, Zsolt starts talking to me about his family and shopping for televisions, and in listening to his description of this debate between 3D television or 46 inch screens, somehow I’m calmed down. That’s husband-power right there.

The doctor calls us in, we go in. Her office is bright and comfortable. She has a computer that I’d love to own (those big screens on the desk).

And she basically dives in. It’s not so bad.  While my AMH test was abysmally low – other tests give reason to hope. My progesterone is tickity-boo;  my follicle count is low, but a high type of low;  some hormone is a bit higher than it should be (the hormone that tells the eggs to release, which causes ovulation), however not too high . . .

Essentially, yeah, my fertility has taken a hit. My eggs are low. I’m not where the average 30 year old woman would be in terms of baby-making goodies.

However, it’s not bad.

She says, “you’re nowhere near menopause.” And that is totally awesome, because I’ve had enough of hot flashes and anxiety attacks for a while.

But she cannot say how my fertility will be in a year, or two years, or five years . . . which is why I’m thinking of trying to extract some eggs sooner, and then actually have a baby later. However we’ll see. Before you’re allowed to do anything, they need to get permission from your oncologist – which kinda frustrates me simply because I hate people telling me what to do. Suggesting what to do is fine. But telling me? No. No. No. However, Dr Canada is excellent and understanding. If I keep an open mind to his suggestions, I’m sure he’ll keep an open mind to mine as well.

And that’s my baby story. Not too much to say. Zsolt is ship-shape. My uterus is looking lovely. And apart from all of this, I guess we’ll just have to wait and see. Hmm, that’s a concept that never seems to lose relevance. Wait and See. See and Wait. Wait See.

End of story.

Lint in your inbox

Just back from the Fertility Clinic . . . I felt soooo nervous driving to the appointment, numb inside and near panicked in my mind (so maybe I shouldn’t have been driving). Post coming soon, like tomorrow soon, about the results. And then there’s that question: what the heck comes next? But when does that question NOT sit upon our shoulders?

Okay – this isn’t really a post, it’s just an update. It’s a faux-post and I apolgize to email subscribers for this piece of lint in your inbox. 

More to come soon. Promise and cross my heart.

My American Idol eggs

“What a beautiful uterus,” says Shannon the technician. “All dressed up in her Sunday best.”

Yep, that’s my uterus – a real girly girl, getting all dolled up before trips to the fertility clinic. I tell her it’s no big deal, just wear sweat pants like me and my lulu’s – but no, she likes turning heads when she leaves the house.

So my uterus is on the display screen and looking good. Having established that ( and having taken a picture with her fancy machine) the technician takes a short break in her ultra sound scanning so I can go to the washroom. One hour before the appointment I drank about half a litre of water. Zsolt was pushing for the full litre, “Come on, drink more!” and I pushed back, saying, “I’m full! I can’t manage another drop!” What I didn’t mention was that I was mainly full because (only two minutes before) I’d stuffed two cookies down my throat in a bit of a ‘need a snack, oh, there’s a snack’ quick-fix indulgence. But nevertheless, I drank the minimum required amount of liquid one hour before my ultra sound, which meant by the time we arrived at the fertility clinic and were escorted in for the scan, I was bursting to use the washroom.

A minute later and I’m back in the scan room, relieved of holding it in, and with a sheet wrapped around my lower body (trousers and pants removed) as the technician has me sit back on the table.

Earlier, as Zsolt and I waited to be called for the test, Shannon (the technician) came out into the waiting lounge and asked, “Catherine?” To which I replied, “That’s me!” and hurried over to her side. She then asked, “aren’t you taking him with you?” So Zsolt, who is used to not accompanying me on my tests because generally speaking, nurses at the hospitals here in Ottawa are not keen on a second person in the room, put away the Playbook and joined us for the scanning. Today he was allowed to hold my hand as Shannon investigated the status of my ovaries, and I’m really thankful for that. It means we both know more about the situation.

(I’m strong in my belief that a patient ought to be allowed a source of support during tests and procedures. Even if they are sitting across the room, it so helps to have a loved one nearby during those challenging moments.)

So I’m on the table, and we’re getting down to the real stuff here. In goes the ultra sound wand. (In where? You guess.) After a few uncomfortable attempts to capture my left ovary, where she pushed down on my abdomen and prods upwards with the wand, we have a clear picture.

Basically, we are examining my ovaries today to learn about the eggs. Now, Shannon is not a doctor, so the results of my scan cannot be 100% confirmed until someone trained for years up on years in ultra sounding has examined the images, but she does explain what she sees.

“Basically your eggs are like contestants for American Idol. There are so many, that you can’t see the individual people (i.e. eggs) on a scan. But every month there are try outs, and the people who succeed for those try outs (i.e. eggs that try to ovulate) and get through to the competition are given costumes and makeovers – and then we can see them. (i.e. the follicles change in a way that makes them apparent in an ultra sound).”

So, looking at my left ovary . . . not too many contestants made it to the try outs. The blob that represents my ovary is small, and she counts only three follicles. That is a low number. (But better than zero, in my opinion.)

Onto Ms Right. Moving to the other side, with more compression and squeezing of my abdomen, she takes a picture of my right ovary and then explains what she sees.

“See how it’s so much larger?”

And it is – it’s like three times larger than my left ovary. Apparently, according to Shannon, the left ovary often takes the hit when it comes to declining fertility. Mine certainly has. But in my right there are seven follicles. That’s not horrible.

Apparently, the minimum number of follicles (eggs that made the competition) the doctors are happy to see in women when combining numbers from both left and right is eleven. Eleven. My combined number was ten. Ten.

Therefore, I have low fertility levels . . . but . . . well, ten is almost eleven, right?

“You might have to get on that earlier than other women,” she suggests. What Shannon means is, I ought to be trying for a baby now as opposed to later.

Which is more easily said than done, considering I’m only one year out of treatment. But Zsolt and I have a plan, and it involves waiting at least another year before trying. And in the meanwhile, I’m on tamoxifen and trying to keep this body healthy.

The truth is, there are more tests they could run, more scans they can take – because knowing the state of my eggs is really only a starting point. But I promised Dr Canada to abstain from the fertility yellow brick road . . . and though I agreed to have my eggs tested (because I WANT to know), there will be no further investigations for quite a while. Yes, I have to go back and get my blood taken on day “21” of my period, so we can know whether I’m actually ovulating those American Idol eggs . . . but that’ll be the end of things for now.

Fertility can become so confusing, so overwhelming, and so panic-inducing after having had chemotherapy. Last summer when I thought I couldn’t have children, that was totally crushing. This past Autumn when the doctor gave me some hope – that was relieving. But one way or another, things are going to work out, and I have faith in that eventuality. Chasing down this information is a good thing: I look forward to learning the results because then, finally, I can plan for the future with a clear picture of the options. But there are times to step back too, and after this upcoming consultation – that’ll be my time to step away from the babies and just focus on here and now.

Maybe you know what it’s like to run this fertility race? If you want to share, please do  – it will help others reading this post who are hoping to learn what comes next.

What was your experience?

And in the meanwhile, have yourself a lovely loved-filled day. See you next week.