“Papa can you hear meeeeee……..?!”
Those are the words that replayed through my head as we sat in the waiting room during our first specialist meeting. My heart was racing. My palms were sweating. It took everything in my power not to squeeze the last ounce of blood out of Chris’ hand as he signed every last bit of paperwork; which made me fear we might actually be so poor after this venture that we’ll have to sign away the rights to that very child we are trying to have.
Just as I was about to get up to pee for the 2nd time in ten minutes or have a coronary from nerves, whichever came first……there he emerged. It was like something biblical; a religious moment. He parted the partition doors the way Moses parted the Red Sea. People weep when they see the holy land, I wept when I laid eyes on him. I immediately saw his welcoming smile as I heard him call my name, but all I saw were heavenly white lights that surrounded him as if he was going to lead us to that very promised land……..I then was able to draw my first breath that morning.
We had hit the mother-load. There he was, in all his fertility specialist glory. An adorable, young, Jewish, yamaka wearing, Harvard educated miracle worker leading US into his 27th floor, all-city view office ready to check my eggs. MY eggs!! I was honored. I felt prouder than his Jewish mother probably did the day he told her he was becoming a doctor. More thoughts raced through my head from the short walk to his office than the 45 minutes it took me that morning to decide what to wear and how to do my hair so I might appear younger; hoping it would therefore lead him to give me better news about my eggs due to my youthful appearance. All I kept thinking was, “If this guy can’t get me pregnant. Nobody’s going to.” I will go so far as to say I was ready to break out into a rendition of “The Bottle Dance” from Fiddler to entertain him or bring him a beautiful brisket next time if it meant he was going to make this happen for us. Yes, I am not above bribery at this point. If I’m going to go down, I will go down swinging.
Within the first five minutes, I was in love. Within the first ten minutes, I think the blood returned to my body. Within the first fifteen minutes, I felt more reassured than I have in months and he hadn’t really said anything of consequence yet. An hour and a half in his office, he spoke to us like human beings. He was kind and thorough and funny and never once spoke down to us. He explained things in laymen’s terms so we understood everything and was honest about where we were at. He was confident and hopeful and his positive outlook……well, his positive outlook made us feel we could have a positive outlook too.
He stressed how he was not too concerned with my pesky FSH level of 12 and because my AMH was above the median for my age meant that there was a reserve there. Now, we don’t know what the viability of that egg reserve is yet, but he did stress nobody’s eggs are ever all bad, even women in their 40’s. As I’ve come to understand from my new best friend, in the last few years, a lot of doctors are now turning to the AMH level more than the FSH level because there is a chance for moderate fluctuation from cycle to cycle. The AMH is more constant and doesn’t really vary. That number is what it is. He was confident that if he repeated the blood work it might have even gone down to an 8 next time. So there we were……..OK….*“insert even bigger exhale.”
As he continued and told us he didn’t really expect too many surprises to surface from my impending HSG (aka tube & uterus check test) or Chris’ semen analysis (oh yes, get ready for that blog entry coming up soon……that will be a good one,) he confessed that with our history, the way things are looking on my lab report and the biggest prognostic factor being that I was just pregnant, he wouldn’t be surprised if we wound up doing this on our own if we gave it a few more months.
But…..first….the dreaded internal sonogram. Good times.
My poor husband should receive a medal for his bravery that day. As he anxiously watched me undress to get examined, he was like a helpless child trying to do something to help me, standing there, waiting to take my pants and underwear to lie neatly on the chair. (This really is no different when he wants to get lucky, though he is not as anal about folding them and laying them on a chair.)
Cut to the chase…..Dr. Mazel Tov showed us everything and in fact I not only had 1 or 2 follicles, I had 6 on the right and 5 on the left! Just one short of a dozen!! Go me!
But of course, because it’s me, I couldn’t just be left to bask in my follicle joyfulness as I stared and recounted each dark circle on the sono. That would not make for interesting reading folks. Of course there has to be a small, potential red-flag. Although preliminary, it is appearing that my uterus might be slightly misshapen. Not to be confused with a tipped uterus. This is different. Mine is appearing as a “partial bicornuate.” In other words, what is also called a “heart shaped uterus.” My uterus looks a bit like two devil horns coming out from either side. –(I could go to so many places with the devil horn thing right now, but I’ll leave it alone. I think those of you that know me are probably already chuckling at this.) So, while he appeared to not be overly concerned by it, my HSG will tell us more as to whether it is insignificant enough to just be left alone or whether I will need a surgical procedure to correct it. Either way, the doc said it is not something to stress over. (Yeah right……surgery on my uterus, sounds awesome. Sign me up.)
As we finished up and spoke about options we might consider after our tests and procedures are completed, he was quick to say that no matter what we choose to do, he would like us to wait until after our upcoming 2nd honeymoon to Italy. Because we “fit the profile” of couples who go through all the preliminary testing and then wind up calling him to say, “Never mind….we’re pregnant,” he is optimistic. But, he also does not want to start any kind of drug protocol until I’m home and can be monitored. Fair enough. Here’s hoping though. He said to go and enjoy vacation and we’ll take it from there upon our return. He said we can even choose to do nothing for a few months. So, who knows, we might be able to make-a-little-meat-a-ball or-a pizza-pie on our own….and if we don’t, we now have a plan to come back to and feel we are in the best, most capable hands. We might end up homeless after our insurance coverage runs out and we start paying out of pocket, but hey, one day at a time for now….it was a good first visit.
And there you have it. Chris and I walked into what we hoped would be a lucky gamble and we walked out hitting the proverbial fertility jackpot of doctors. Lucky 7’s , Triple Cherry’s across the board.
Thank you, Dr. for giving us some tikvah.
Yasher Koach.