It was Christmas morning, Day 14 Post IUI and I was determined to deliver good news to myself and my husband on this day. I knew that I could get a false + if I took an at Home Pregnancy Test, especially because we took the HCG (trigger shot) injection, but after a trusty ‘google search,’ I decided it was worth the risk. It was 6:00am and although I had to squint, I finally saw that vertical line. I remember distinctly, placing my left hand over my dropped jaw and my eyes welled with tears as my stomach turned and heart skipped a beat.
It was positive.
I cannot explain to you the innate feeling you get when you want something or have wanted something for so long and it is finally right in front of you. The physiological reaction is inexplicable other than through emotional correlations such as happy, excited, terrified, nervous, shocked, scared, and in awe.
I had told my husband after we exchanged gifts that morning and he walked around all of Christmas Day checking on me more often than usual. His protective instincts kicked in immediately at the thought of being a father.
As with any fertility process we still needed to go for blood work on Day 16 post IUI and we did to confirm our already confirmed news. The blood test was also positive and we started to ‘settle down’ with the thought of becoming parents.
When receiving a positive pregnancy test via blood work they look at 2 specific numbers (among others of less importance). They look at Human Chorionic Gonadotropin (HCG = the pregnancy hormone) as well as the Progesterone level (helps build and support lining of the uterus in order to sustain pregnancy after embryo attachment).
According to www.AmericanPregnancy.org there are a few important factors to keep in mind in regards to HCG levels in early pregnancy:
Key things to remember about hCG levels
- In 85% of normal pregnancies, the hCG level will double every 48 – 72 hours. As you get further along in pregnancy and the hCG level gets higher, the time it takes to double can increase to about every 96 hours. Caution must be used in making too much of hCG numbers. A normal pregnancy may have low hCG levels and result in a perfectly healthy baby. The results from an ultrasound after 5 -6 weeks gestation are much more accurate than using hCG numbers.
- An hCG level of less than 5mIU/ml is considered negative for pregnancy, and anything above 25mIU/ml is considered positive for pregnancy.
- The hCG hormone is measured in milli-international units per milliliter (mIU/ml).
- A transvaginal ultrasound should be able to show at least a gestational sac once the hCG levels have reached between 1,000 – 2,000mIU/ml. Because levels can differentiate so much and conception dating can be wrong, a diagnosis should not be made by ultrasound findings until the hCG level has reached at least 2,000.
- A single hCG reading is not enough information for most diagnoses. When there is a question regarding the health of the pregnancy, multiple testings of hCG done a couple of days apart give a more accurate assessment of the situation.
- The hCG levels should not be used to date a pregnancy, since these numbers can vary so widely.
- There are two common types of hCG tests. A qualitative hCG test detects if hCG is present in the blood. A quantitative hCG test (or beta hCG) measures the amount of hCG actually present in the blood.
Our first blood test revealed to have HCG levels within the normal range of 5 – 426 mIU/ml.We were roughly at 325 mIU/ml. It was December 27th.
As usual, we needed to return for More blood work in 4 days to confirm everything was going and growing normally. We wanted to see our HCG levels grow right along side our Progesterone levels. We had been directed by the Doctor to continue our ‘progesterone inserts’ as a precautionary measure, as there is no specific research to support or to disprove their ability to aid the progression of a pregnancy.
December 31 came quickly as we had company in town and were expecting about 40 people over that evening for a New Year’s Eve Party. I ran out of the house as early as possible as I didn’t want our family in town to question where I was headed. The last thing I needed was questions or gossip about a process no one knew we were going through.
A side note – with every listening ear, comes a running mouth. If you decide to be open about your fertility process then understand that you WILL be questioned. Even when you specifically ask family members to reserve conversation about it with you and only with you – you will discover that ‘they had questions’ and as a result went to people uninvolved in your life and rambled about your fertility problems to have them answered. Do not be fooled by the label of ‘family’ or ‘friend’ as with many of those that fall into this class there is NO respect for your privacy OR your pain. (Yes – I learned this lesson the hard way and am slighted because of this experience).
I went in as planned and expected a call later that day.
The lasagna was in the oven and my husband not yet home from work when the phone rang. I took the cell phone and ran into the garage, avoiding our house guests who were in the kitchen and TV room.
“I am afraid your numbers have dropped significantly since last week.”
Silence. You know that feeling when you know someone delivers bad news but you haven’t yet wrapped your brain around what it was they said. Sweaty palms, heart pounding, knees weak, vision blurry…..
“What does that even mean?” I was stunned at this awkward conversation and beginning to get angry at the poor Nurse Practitioner on the other line as if she was at fault for this in any way.
“It is not good news.” Pause. “We do not believe, at this time, that this is a viable pregnancy, due to where your levels have dropped too.” Pause. “We need you to come in for more blood work in 4 days.”
“Ok. Thank you.” I didn’t know what else to say….or what to do. So I hung up.
With my mind still racing and not knowing what to do, I called my mother who had struggled with fertility issues multiple times. When I relayed the news to her and she went momentarily silent and then started crying…..I knew all hope was gone.
Our baby was going to die. Before we get to meet her, see her or hear her heart beat she was going to die.
It was 3 hours before 40 guests showed up for New Years Eve and I had company upstairs that had no idea we were suffering from infertility or, at this point, miscarriage and I was more than overwhelmed. The level of emotional strain on my body was too much to handle all at once so I fell. I dropped onto the cold, damp, cement garage floor and I wept.
I wept for a time long enough for people to start wondering where I was. I wept till my stomach hurt and my eyes were puffy.
I watched the snow fall through the garage door window while I caught my breath and wept even more.
No one prepares you for what I was feeling. No one tells you that there was a higher chance of miscarriage when you use fertility drugs. No one tells you how bad it would hurt when you have the best news of your life taken back. No one tells you how bad it would hurt. No one tells you that you carry that lost baby with you emotionally forever. No one tells you that you would start to despise those around you who are pregnant.
What do they say? Everything you don’t want to hear; The Baby wasn’t strong enough. There was something wrong so your body got rid of it. It wasn’t meant to be. It will happen again. At least you know you CAN get pregnant.
I had, in my womb, a baby. Everything in my heart was telling me to protect my child and everything in my blood stream was telling doctors she was going to die. All we could do was wait.
Sometimes the path you have laid out for yourself is not the path He has chosen for you.