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Fertility Treatment – Phase One

So, with the HSG gone and done with we waited. Again.

My Prince and I sat at Dr. O’s desk, just waiting for whatever news he had to give us this time. The results were in and he opened with a stinger: As a couple, and after reviewing both your files, I have determined that you have less then a 5% chance of conception without fertility assistance. Your diagnosis, ‘Unexplained Infertility.’

What the crap is ‘unexplained infertility?’ I thought we were here to figure out why we cannot conceive, not so you could tell us what we already figured out! I removed myself from an instinctual daydream in which I jumped over Dr. O’s desk, placed my hands around his neck and shook him violently as I yelled. Yoga breath in……….infertility sucks

He continued, “I suggest starting with a drug called Clomid. This is a very commonly used drug to treat female-related infertility and will help us in verifying that you are ovulating. There is about an 80% success rate in female ovulation with this treatment. We would also use an IUI or Intra-uterine insemination along side this treatment to increase your chances of conception.” He took a breath as he realized my Prince and I were silently staring at him…likely with fire balls coming out of our eyes. “Without treatment, you have less then a 5% chance of getting pregnant. A couple without any fertility issues has about 20% of conception every month and Clomid will give you about 10% chance. We have found that pairing the IUI with the Clomid increases those chances by about 5% more so you would be at about a 15% chance. “Clomid Stats

I didn’t know if I wanted to hear any more. I wanted a 100% chance….a guarantee for a baby. I wanted to go home and forget this every happened, and wake up one day to two little lines and react with ‘oops’ instead of being in awe at a miracle. I wanted simplicity in life. Wanted my ducks in a row with no bumps in the road. I hate being a statistic.

I felt my Prince’s hand squeeze mine a little tighter then before in order to bring me back from my daydream sob-story. It did.

I wanted a baby; no matter how we got there.

We nodded at the Doctor, don’t remember uttering a single word actually. Got our papers, prescriptions and a cute little red folder from the office to keep all of our ‘fertility’ stuff in. Guess we are in it for the long haul now…..We picked up our little white pill the next day and reviewed the schedule of Day 3, 5, 7 internal ultrasounds and blood work, seman samples and impromptu HCG injections and ovulation testing. We began treatment as soon as we were allowed.infertility_sucks_sticker-rd06312c70e844f93a230a1806e28d191_v9waf_8byvr_324

My husband and I didn’t tell anyone we were going through fertility treatments. We were still in the ‘ashamed’ stage of the process and I frankly didn’t want the continued questioning. It was bad enough I had family members who made assumptions of a pregnancy anytime I said ‘guess what.’ I wanted to protect our privacy from gossip, from conversation and from rehashing what we were going through as word spread. It was no one’s business – no matter what role you played in our family.

Just an aside – If You are going through a fertility process of any kind, please remember that you don’t owe ANYONE an explanation! Don’t be afraid to say ‘back off’ or ‘it is personal’ or ‘it is none of your freekin business.’ Sometimes people believe that because you have their last name, that everything you go through requires public disclosure. It does not. Do what is right for You and stop worrying about the consequences.

Tangent complete.

So let’s talk facts; the most common dosage of Clomid is 50 mg, taken for five days, on days 3 through 7 of your cycle, or days 5 through 9 of your cycle. (With day one of your cycle being the first day of real menstrual bleeding, and not just spotting.) The drug, though useful in treating some fertility issues does come with a LIST of side-effects:

Possible side effects of Clomid include:

  • Enlarged and tender ovaries (14%)

  • Hot flashes (11%)

  • Abdominal tenderness, due to enlarged and tender ovaries (7.4%)

  • Bloating (5.5%)

  • Breast tenderness (2.1%)

  • Vaginal dryness or thicker cervical mucus

  • Nausea and vomiting (2.2%)

  • Anxiety and insomnia (1.9%)

  • Vision disturbances (1.6%)

  • Headache (1.3%)

  • Abnormal uterine bleeding (spotting) (0.5%)

  • Mood swings and fatigue (0.3%)

    Mood Swings

Lets focus on the last one…MOOD SWINGS. Yup – they aint kidding! My poor Husband was living with Dr. Jekyll and Mr. Hyde all over again – poor guy. I would cry when he stepped on and killed ants and laugh when he had a bad day at work….terrible……but a little hysterical looking back.

Well worth is all in the end I guess.

Month 1 – Clomid with IUI. Here goes nothing.

(Source on CLOMID – www.infertility.about.com “Clomid Treatment 101”)

Next Blog: Clomid Cycle in Detail

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