Endocrinology, Take Me Away!

Friday night I returned home from work just before 9:00 p.m. I realize that for many of you, this is not an unusual occurrence. However, I start work at 6:30 in the morning, so, for me…it is.
I was there at the behest of the attorney on my tiny jurisdictional team, who gets into the office at 9:30 a.m. It was her fondest hope to build and send to manufacturing two books–not due to manufacturing until the middle of next week–by the end of Friday. This was primarily as a “surprise” treat for the other editor, who is in St. K!ts and will be returning Monday, {I think a Carr!bean vacation is enough of a treat, don’t you?} but also because the attorney will be taking an Out Of Office day for Halloween. My birthday. For which I cannot take an Out Of Office day, because I am using my one remaining vacation, sick, or personal day next Tuesday, the day of many tests.
I have not taken more than one consecutive day off this year. I have not taken a vacation. I have used my vacation time hour by hour to cover Doctor’s appointments and Lab tests. The closest I have come to “vacation” is leaving at noon once on a Friday in order to drive four hours to visit my Nearly In-laws. While the rest of the office will be largely absent at the end of December, I will be there, except for the paid company holidays of Christmas and New Year’s Day.
Luckily, I have an active imagination. After all, I will not be at work on Tuesday–it’s not exactly a spa vacation, but it’s still a vacation, in a way, is it not?
Here is my itinerary:

Monday: Get in touch with your monastic side with an evening of fasting! Wise men believe the practice of depriving the body of food brings one closer to God. If you get close enough, feel free to ask Him why His Plan for Britney Spears includes children yet His Plan for you includes only strangers with specula.

Tuesday: Arise early and enjoy a leisurely drive through rush hour traffic to The Lab. Here, you will be treated to a luxurious Two-Hour Glucose Tolerance Test, balanced by a brisk thyroid workup. Allow yourself to be soothed as one of our charmingly surly lab technicians draws half-a-dozen vials of blood for baseline glucose and insulin levels, as well as free T4 and thyroid antibodies tests. As you will no doubt be parched after the vigorous blood-letting, we offer you a drink of the purest, orangest Glucose, prepared by squeezing the sweetness from the last six people to urge you to try Positive Thinking as a method of curing anovulation. Then, relax in our lavishly appointed waiting room with a book—may we suggest “Diabetes and You,” “Thyroid: Why?” or, if you are in the mood for something lighter, perhaps a biography of Andre the Giant!
Your morning may be punctuated by bouts of hyper- and then hypo- glycemia, but our plush carpets provide a soft cushion should you lose consciousness and fall from your chair. Trips back and forth from the lab to the waiting area for repeat glucose and insulin blood draws are a pleasant and diverting way to exercise those leg muscles!
Later, challenge your mind by attempting to secure from the Nurse a date by which your test results will be available. According to the AMA, puzzles and games such as these can help to stave off Alzheimers!
In the afternoon, Treat Yourself …To a 90-minute therapy session with a trained mental health professional.

Thursday: Place a call to the clinic to request the results of Tuesday’s tests. Relax and listen as the strains of “Careless Whispers,” played by a breathy flute, ease you into a sort of fugue state for the 20 minutes during which you are on hold.
Your remaining schedule will be flexible. Will the Nurse return to the line to issue a chipper yet vague “Everything looks Great!” before promptly hanging up, leading you to repeat the entire process in an attempt to discover the actual numbers that look so “Great?”
Probably.
But after that—who knows? Perhaps you will return for another round of pampering blood tests. Perhaps you will relax and put your feet up in one of our exam rooms as a hygienically gloved Wand Technician massages the interior of your abdominal cavity. Perhaps you will merely return home for a good cry.
Whichever way things go, we hope you will remember your vacation with us fondly, and carry the experience with you in the moist recesses of your battered, beating heart…always

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Dr. Doctor (Give Me The News).

I made my deadline—pages have been mailed to the state for revision and approval. I am not sure how, exactly, but 1:00 yesterday afternoon found me carrying a stack of 1,511 pieces of paper (I was sure they were going to fall in a huge rustling sheaf, but they didn’t) down two flights of stairs and a jog of hallway to the shipping dock. I raced back up the steps convinced that the fifteen minutes it took me to complete this errand would be the fifteen minutes during which Dr. Doctor attempted to call me, but I returned to no blinking lights on my phone, no new messages.
I spend my Wednesday lunch hours volunteering with a third-grader from a nearby elementary school, listening to her read, so I was sure that Dr. Doctor would call then, too, but she didn’t.
Eventually I stopped panicking every time I left my desk long enough to pee that Dr. Doctor was going to call right then…and started panicking that she wasn’t going to call at all. Then, on my way back from a vending machine, I heard my phone ringing a few offices away and sprinted back to it, my Fresca extended like a baton.
It was Dr. Doctor. My 24-hour urinary cortisol was normal. Not even close to the border of normal.
However, last night as she was doing some research about my case (I swooned a little when she said this) she discovered that this particular test has a high probability of false negatives, as cortisol is excreted intermittently—i.e. you may excrete a slew of it on Wednesday, and none at all on Thursday.

“Have you had a chance to do any reading about Cushing’s?” asked Dr. Doctor.
I barely suppressed an unattractive guffaw and answered:
“Yes, a little.”
“What do you think?” she asked, (again, the swooning) “There are many clinical signs you don’t exhibit, such as high—“
“—blood pressure,” I finished, “In fact, my blood pressure is consistently very—”
“—low,” agreed Dr. Doctor.
We went on like this for a while, and I idly considered what sort of flowers we would have at our commitment ceremony, when after a whirlwind courtship I pulled a ring from beneath my paper gown and she agreed to be my wife.
“I was putting all of your symptoms into this medical database I have…”
{I wiped a delicate strand of drool from my chin at the thought of such a database.}“…and it wasn’t coming up with much, except diabetes. So, just to be safe, I’d like to do a two-hour—”
“Glucose Tolerance Test,” I said, nodding.
“Yes, but I really don’t think that would explain the sudden weight gain—40 pounds in 18 months…”
“…is more like a metabolic shift,” I mused.
And that is how we started talking about thyroid.

For all my Googling skills, I was so focused on PCOS after seeing my lab results from the H&IBOML (That high LH! That Insulin) that I really didn’t think much about my TSH result of 2.12, because, after all, it was under three, which means normal, nothing to see here, move along.
Or does it?
Dr. Doctor looked at the reference range for the lab where the test was run, and it was .34-2.50. So, my 2.12 is on the high end. And TSH, apparently, does not tell the whole story. She would like to have a Free T4 drawn, a test that–for all of my virtual medical expertise, and despite my thyroid-indicating symptomology (which could also be explained by PCOS)–I have never requested.

All of this to say that next week, on November 1st (the day after my birthday, thank you very much) I will be reporting to the lab (again) for a Free T4 level, Thyroid antibodies, and a two-hour Glucose Tolerance Test. If those come back negative, we will consider further testing for Cushing’s and reevaluate for the 800th time.

So…what do you know about thyroid testing? Thyroid problems are very treatable, are they not? And Dr. Doctor made it clear that a pregnancy with untreated thyroid problems was most likely doomed, so if I do have a thyroid issue, it might explain the miscarrying. But that, really, is the extent of my knowledge. If anyone knows anything about thyroid-y things, feel free to enlighten me.
And cross your fingers that my tests next Tuesday show something definitive, and I can climb off this diagnostic Tilt-A-Whirl once and for all.
Ha! BwahahahaHAhaHA!
Ahem.

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CAT MASSACRE!!

Each morning, I dress in the dark, so as not to wake The Nearly. This morning, after shuffling about looking for socks and smacking my shin into things, I stumbled out into the living room and turned on the light. There, before me, was what looked like the scene of a tiny horror movie. Drops of blood everywhere, small smears of it, miniature pools that could be analyzed by miniature forensic scientists for miniature evidence. This was an unsettling thing to come upon at 6:07 in the morning. The source, I eventually discovered, was Willie, one of our three cats, who was hobbling rapidly around the apartment licking at one upraised back paw. She wouldn’t let me near her, so I dragged The Nearly out of bed (I think I have blogged before about their unnaturally close relationship) and he cradled her and rushed to the bathroom to the assess the damage. We got her cleaned up, ascertained that it was merely a gash to one of the toe pads of her paw, and devised a brilliant first-aid plan that involved toilet paper, duct tape, and a birth-control cozy (yes, I knit myself a birth-control cozy—those little plastic pouches are not very attractive) fitted over the whole thing like a sock. We had no sooner affixed our brilliant invention to our cat and let her loose than she jumped cleanly out of the whole contraption and commenced hobbling madly around, bleeding for all she was worth.

This is the kind of week it has been, for me.

I have to ship pages of the bound volume I am working on to The State (a small, eastern state, which asks that you Live Free, or, you know, not at all) by Wednesday—a deadline that seemed so unattainable I was sure my director had simply pulled it from a tree, like a peach.
So, last Saturday, I was in my office.
And Sunday, the day The Lord set aside specifically for rest, that day I went into work, too. When I turned on my computer, however, it said “Press F1 to retry Boot or F2 for System Utility,” and that is all it would say. And our tech support department was at home—day of rest and all.
Monday morning they took away my computer, from which they were unable to recover anything, to replace the hard drive, promising to return it “By noon Tuesday.”

Today, calling my clinic for the results of my 24-hour cortisol test, I reached Nurse Hard of Hearing, or Nurse-Deaf-as-a-Goddamned-Post, for short.
“I’m calling for some test results,” I said, after giving my name.
“What?” she replied.
“TEST RESULTS?” I queried.
“Eh?” she said, cleverly.
“I am CALLING for my TEST RESULTS!!!” I boomed, strident.
“Are these ultrasound results?”
“NO!!!” I shrieked, “A Blood Test!!!”

Several people chatting in the next office quieted all of a sudden, no doubt to speculate as to what I was being tested for—Syphilis maybe?

I was eventually able to give her a phone number to call with the results, and returned to my desk during a five-minute break from running about like an escaped (and very, very, busy) asylum resident to find a message on my voicemail from the same nurse assuring me that the cortisol results “Look OK,” (I’ll be the judge of that, I thought bitterly) and that Dr. Doctor will call me in the morning.

IF I manage to meet my deadline tomorrow–and speak with Dr. Doctor, and avoid any more feline carnage–I will try to pry myself away from my celebratory wine bottle (bottles?) long enough to update you.

p.s. The date for the Great Midwestern Infertility Mojito-a-thon has been set, by the way, so mark your calendars for December 3rd

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Enjoy a Mojito on the Barren Midwestern Plain!

Walking to my car in the morning, I tend to look fearfully over my shoulder and clutch my wrap about me. It is, after all, before sunrise, and the darkness, combined with living in what is known as a “transitional neighborhood” (meaning precariously perched between areas of impossible affluence and impassible poverty) brings out the coward in me.
But not today. This morning I ambled toward the rayless parking lot secure in the knowledge that in my hand I held the perfect weapon: a full liter of my own urine.
The hand-off at the clinic was uneventful, and not in a good way. Remember how I sternly requested a Repeat Pregnancy Loss Panel? Well, when I requested it, Nurse CC seemed not to know what I meant at first. I thought I explained it to her properly, but today a different nurse showed me the note Nurse CC had written on my chart, and all it said was “antiphospholipid antibody test?” which is only a part of the RPL, and really I am more concerned with the thrombophila panel, because women with PCOS/high insulin tend to produce elevated levels of PAI-1, which can lead to all kinds of unpleasantness.
This all seems to be moot at the moment, though, because according to the nurse, Dr. Doctor is not sure RPL testing is warranted in my case. She will further review my charts and get back to me. When she does get back to me, I shall remind her that the American College of Obstetricians and Gynecologists now recommends testing after only two miscarriages, and surely they have their reasons.

Now on to a pleasanter topic. The bloggers whose acquaintances I have made over fiber optic lines have made my hours happier ones. They have provided amusement, enlightenment, and support. They have allowed me to be a part of a community that has provided sustenance where before there was none. Still, as wonderful as my Internets are, it is lonely in the real world, sometimes.
I wish so badly that I could meet some of you in person—and not merely because of your infertility histories, but because how often does one come across women as whip-smart and hilarious and kind as my fellow bloggers? Probably you, my chickens, feel the same way. Unfortunately, if you live in Tallahassee or Kalamazoo, I cannot help you, because the only way I could afford to get there would be by postcard, as someone once said.
If, however, you live in the Midwest—and I know some of you do—I highly encourage you to attend the delightful dinner Molly and I are planning. Well, Molly is doing most of the planning, and I am mainly, as you can see, doing the groveling. Please come! There will be drinks, and food, and more drinks, and the very best company.
We are thinking sometime between Thanksgiving and Christmas, in Minneapolis. If you have a schlep to get to the Twin Cities from wherever you are, and would rather not drive home after the dinner, I humbly offer up my apartment couch, provided you are not allergic to cats or The Nearly. Or we could rent a hotel room and decimate the minibar. The point is, you should come—why should the bloggers clustered on the coasts, who seem to have genial soirees every fortnight, have all the fun?

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Are You There, God? It’s Me, Moon Face.

Wednesday morning my favorite nurse, Nurse Compassionate Concern, called me at work. The supplies for my 24-hour Pee-a-thon had arrived, and could be picked up anytime before 4:00. I enquired about the results of Monday’s test.
“Err…about that,” said Nurse CC.
It seems that Monday’s test, the one with the fasting and the vial of platinum and the blood draws one-hour apart, was ordered in error. They were very sorry. No, they couldn’t tell me the results anyway, “just for fun.” They hadn’t sent the blood out at all. Well, they disposed of it. The clinic manager would arrange to have me reimbursed for the injection. Yes, they still really wanted me to do the pee test. No, they wouldn’t “dispose of that too.”
So, Wednesday afternoon I picked up my “supplies” at the clinic—One orange vat, shaped like a gas-can, sporting a skull and crossbones on the side labeled “POISON!” and warning that it contained a boric acid capsule for “urine preservation.” Small print entreated me not to fish it out and swallow it. Nurse Compassionate Concern handed me my vat in a crinkly plastic bag from The Dairy Queen.
Class, that’s what that is.
Thanks to T’s excellent advice in my comments and via email, I took the opportunity to sternly request an RPL (Repeat Pregnancy Loss) panel to find out if I am a MoTHeRFucking Mutant, or whatnot. Nurse Compassionate Concern promised to speak to Dr. Doctor and hopefully I will have the blood for the panel drawn tomorrow when I return my urine. Yes, that’s right, I am now in hour nine of my pee-a-thon. Luckily when my Laparoscopied Boss–in the course of her inquiries about my latest round of tests–heard I would be performing my pee-a-thon today, she saved me from having to do it at work (I have eaten up all of my sick and vacation time save one day, while still managing never to have taken more than one day off consecutively) by giving me a project to do at home and letting me make up the rest of the time Saturday morning.
So, I shall collect all of my urine in a paper cup, pour it into the poisonous vat, and bring it to the clinic at 7:00 tomorrow morning so they can test it for Cortisol. I wonder when the results will be back—Monday? Tuesday? I hope the technicians will not be disconcerted to find that my urine is about 3/5 Verdejo. Mmmm. (I am off the clock now, you twits).
I quite enjoyed today’s flashback to my freelancing days—writing important email whilst wearing housepants, flagging citations whilst shimmying to “Superstitious” and eating wasabi peas. And tonight I go to see Joan Didion—I hope I don’t have to pee during the reading, because I will not have my vat with me (it does not go with my dress).

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Don’t Call Me Moon Face.

After Wednesday’s appointment I walked to my car thinking that I was Capital-D-Done.
Done.
Done before I had even started, actually. I know you are probably all laughing at me, but it really seemed like too much, and I was tired of working so hard towards something and hearing again and again “We don’t know what is wrong with you, and we can’t do anything about it.”
I have had two miscarriages–and I know that many of you have been through years of treatment, scads of miscarriages, but truly, truly I say unto you: I am petrified of going through another one. And without medical intervention, I feel sure that I will.
And I am frustrated by the proposed timing—30 days until a new testosterone draw, then a monitored cycle to prove that I don’t ovulate, then reevaluation and planning and “What shall we do?” so basically 2 cycles—70 days at least–that lead us in a circle, right back to…here.
I got home from the appointment, and The Nearly was all expansive arm gestures and support. “We will do whatever it takes!” he said, flinging his arm sideways as if what it would take was somewhere West of us. “It will be worth it, it will all be worth it!”
I grumbled and snuffled unattractively. I whined about the money—just that afternoon I had received a $500 bill for tests, and I wasn’t even diagnosed yet. I started listing the costs of various procedures that might be in our future, and when I got to “An IVF cycle at our clinic could cost as much as fifteen thousand dollars.” The Nearly chuckled and said “You mean fifteen hundred.”
And oh, the LAUGHTER!

Anyway, the upshot of that afternoon was that I wasn’t going to do this anymore–repeat testosterone level be damned, I would go off the Yasmin but go straight back on the mini-pill, take a month to regroup, and then…well my plan was to think about that later.

Two days later, I was at my desk at work, idly counting how many paper clips I could fit into an Altoids Cinnamon Gum Tin, when the phone rang:

PHONE: Brrrring! Brrrrring!
ME: This is Alexa.
DR. DOCTOR: Hi Alexa, this is Dr. Doctor.
ME: Oh…Hello. (Thinking: Not a nurse or an assistant or a receptionist calling?)
DR. DOCTOR: I was just sitting here looking over your charts and thinking about your case.
ME: Silence.
ME: Really?
DR. DOCTOR: Yes, and I am still concerned about your insulin. And looking at some of your other symptoms—the fatigue, stretch marks, anovulation–it occurred to me that you may have Cushing’s Disease.
ME: You were just looking at my charts?
DR. DOCTOR: Yes, I have them right here. Anyway, it is very rare, and you lack some of the observable clinical symptoms, but it could be of recent onset. It’s a long shot, but I’d like to do some tests.
ME: Of course…(Flipping through calendar several weeks ahead) When did you have in mind?
DR. DOCTOR: As soon as possible—a nurse will call you within an hour to schedule the tests, and luckily the results come back really fast for these, so you and I will talk next week.
ME: Really? I mean, yes, splendid, next week.

Before I go any further with this story, I would like to make one thing perfectly clear.
I DO NOT HAVE A MOON FACE.
Nor do I have anything at all resembling a “buffalo hump” (she said distastefully). So when you Google Cushing’s Disease (like I know you will, you googlewhores) don’t go getting any ideas. I have a lovely face—a little too long, perhaps, but fine. And as for buffalo humps—well, if anyone knows buffalo, and their humps, it is I, having been on many a childhood vacation to the badlands of North Dakota. I could not possibly resemble a buffalo less, I assure you.

So, to return to the story—Saturday I picked up two little vials of injectible something for Monday’s test, two little vials, I assume, of liquid platinum, as it cost me $77 (after insurance!) to procure them.
Monday, fasting, I reported for my test. A phlebotomist drew two vials—one for Cortisol levels and one for 17-OHP. Next they injected me with the priceless nectar from the aforementioned vials (Cortosyn, or something), and left me alone to read P.G. Wodehouse for an hour. Then they returned and drew two more vials of my life’sblood—again, one Cortisol, one 17-OHP.

In the middle of all of this, they had the nerve to give me a pregnancy test.
You see, after the nurse gave me my injection, I turned a pretty mauve and mumbled something about asking her a question, and proceeded to tell her that the previous night (day 2 of my cycle, such as it is) I had two very large clots—much bigger than a quarter—about the size and shape of a club cracker. Also, they were tough and fibrous, rather than easily dissolvable. The nurse asked if I could have been pregnant, and I laughed gaily and said no, and if she didn’t believe me she could look at my ultrasound report from six days prior. She couldn’t find said report, and insisted I pee in a cup, which I did, and which was negative, and eventually I heard Dr. Doctor outside saying “Pregnant?—there is no earthly way she is pregnant, I just gave her an ultrasound a week ago and she was clearly pre-ovulatory.” So I was told to watch my bleeding and that was that.

My blood tests will be back tomorrowish, and I shall return to the clinic to collect the equipment for my next test, which involves me collecting ALL OF MY URINE for 24 hours.
They would like me to do this on Thursday.
I told them I would wear a peasant skirt before I would bring a giant pee vat to work, and we reached an impasse.
So we shall see.

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“Cooter Schooled Me To The Game*”

Once upon a time, last Wednesday, in a pair of stirrups far, far away, I had my first appointment with my spry and youthful RE.
My new RE doesn’t get a snarky nickname. I would call her Dr. Where Have You Been All My Life, but Pru has already taken that one, so I will just call her Dr. Doctor. Why, you ask? Because (unlike the H&IBOML) my new RE is precisely what a doctor is supposed to be—a learned medical professional who genuinely cares about her patients. And she is amusing, to boot. She didn’t have all of the answers, and nothing definitive came out of my appointment, but she spent more time with me than a doctor ever has, listened to my every suggestion and question, and seemed more invested in finding out what is wrong with me than in being right. And she obviously knew her LH from her FSH, if you know what I mean. So in that respect—the finding a doctor I like and trust respect—the appointment was a success. But in the finding-out-what-is-wrong-with-Alexa-and-fixing-it-respect…oh well. She was so sweet and smart. And did I mention how amusing she was? Can’t that be enough?
I am too tired to go into exhaustive detail, my ducklings, and also I am in the process of finishing a bottle of wine I got on sale for $7 called “4 Emus” (for days when 3 Emus simply are not enough) and my sentence writing faculties are a bit impaired. But here are the highlights:
1. Dr. Doctor sided with all of my doctors previous to the H&IBOML—she thinks that I very likely do have endometriosis
2. And PCOS
3. Though she is not comfortable diagnosing me with PCOS definitively because my testosterone level was lower than she would expect to see
4. My elevated LH is bad for egg quality, but no longer used as a PCOS diagnostic criteria
5. My elevated insulin was “Very Troubling”
6. But my elevated insulin could be due to my family tree, the branches of which hang heavy with diabetics
7. My previous ultrasound report was the only ultrasound report Dr. Doctor had seen in her career (although, she is young enough that had she been less admirable her nickname would be “Doogie Howser, RE,” so perhaps she hasn’t seen that many ultrasound reports) that mentioned PCOS by name, rather than simply nattering on about my multiple follicles and increased stromal echogenicity
8. The ultrasound performed by Dr. Doctor prompted more comments about the bizarre, tilty angle of my cervix and uterus
9. Dr. Doctor was surprised I could have sex without yelping in pain
10. My right ovary had a cabal of immature follicles loitering along its edges
11. But my ovarian stroma was not as thickened (the thickening is a function of testosterone) as she would expect
12. My left ovary was hard to find because it had moved behind my uterus
13. Probably it was hiding, and I don’t blame it one bit
14. It was exceedingly unattractive
15. Nearly twice as long as a normal ovary (or, indeed, my own right one), it had so many follicles ringing its periphery that they ran together in a hideous black channel
16. We had an exasperating circular conversation much like the one Akeeyu had with Dr. Debate Team—my polycystic ovaries could be caused by anovulation, which could be caused by polycystic ovaries which could be caused by anovulation…
17. In Europe, these ultrasound findings would be considered indicative of Polycystic Ovarian Syndrome
18. In America, Polycystic Ovaries are not a consideration for diagnosis of Polycystic Ovarian Syndrome
19. So, somewhere over the Atlantic Ocean I transform from just another wonky, anovulatory girl into a PCOS patient
20. Dr. Doctor looked at my BBT charts, which were, apparently, a waste of time
21. Out of 10 charted months, I ovulated twice, both months coming off the pill
22. Twice. That is how many times I ovulated
21. Even if I had ovulated other months, on my shortest, most regular cycles (35 days), it would be considered Late Ovulation
23. Tardy eggs are sullen, uncooperative, and not “quality”
24. Still, the only way to be certain I am not ovulating would be a monitored cycle with progesterone draws
25.Which we will do, along with a New! Improved! Testsosterone level
26. But not for at least 30 days, because the H&IBOML put me on Yasmin, and it must be out of my system for a month

Here is my favorite part: Let me pause for a sip of my Four Emus (when five Emus are one too many)
27. The last time I got pregnant, it during a cycle I was taking the pill
28. So we were delighted, but surprised, especially as we knew I had ovulation problems
29. Dr. Doctor confirmed what others had suggested:
30. I most likely got pregnant because of the pill—the hormones regulated my cycle/cystiness, but I either missed one, or it was metabolized differently due to the meds I took after my colposcopy and endocervical curettage that month, and I managed to ovulate
31. Had I been on no birth control, I almost certainly would not have ovulated
32. For 11 years I have been paying 10-30 dollars a month for something my own pixilated endocrinological system does for free

I left the appointment without any action plan, except to immediately stop taking the Yasmin and make an appointment for 30 days hence.

And then, on Friday, things got a spot more complicated…

TO BE CONTINUED

*Copyright Biggie Smalls

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Shadows.

I have an anxiety disorder. I have panic attacks during which each minute feels tortuous and impossible, and I am not sure how I will last the hour. During these spells, I want to claw my way out of my skin, and am certain that I will feel that way forever, which I know I could not bear. I fear that I will never be able to handle normal, adult life.
Until last night, it had been a very long time since I had one. To be fair, it is possible that the fact that I consumed nearly my weight in pasta an hour or so before the attack (I know, I know, High Insulin, I will never, ever do it again) contributed. Probably my excruciating menstrual cramps didn’t improve matters. But the fact remains that I went to bed and started feeling…nervous. Then I got that restless feeling, that excruciating need to stretch your legs, arch your back, something–though doing so does not help. Then the panic started, and within 15 minutes I was having terrible intestinal cramps and shaking so violently I could not support myself. I crouched on the couch, my mouth dry, knees knocking together, teeth chattering, and feeling helpless to stop what was happening yet unable to bear another moment of it. I stayed like this, popping benzodiazepenes and trying to concentrate on the The Learning Channel, until 3:00 in the morning, when the third dose of Klonopin calmed me enough to sleep. When I awoke this morning, I felt rational again, and so, so relieved. For about an hour. Then–that jarring, breathless nervousness. More Klonopin, a hard boiled egg, and my nerves uncoiled themselves for a few more hours, and I did the laundry feeling normal.
But now it is there again, just behind my ribcage, and upwards, clenching my jaw–that swirling, terrible unreason.
I have never had the severe intestinal distress and shaking of last night–not trembling, mind you, that I have had, this was more of a joltingchatteringshaking–with a panic attack before, so I am hoping, really hoping, that it could have been blood sugar related and I am not losing my mind. Also, at first I was certain that my panic reaction was due to the Alluna (natural valerian) I took before bed (for sleep/anxiety–HA), which I had never taken before.
But I don’t know. I once lost it completely, as in hospital completely, and I am haunted by the spectre of that experience.

At least this has completely overshadowed the fact that I am going in for yet more (and stranger) tests tomorrow morning. Fasting, no less. I will tell you all about it if I survive the night (she said tremulously).

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Too Tired For Puns.

Yesterday I encountered, for the first time, promotional stirrup covers. Are you familiar with these? Little mittens that slip over the stirrups in an exam room, little mittens advertising pharmaceutical products?
I found them peculiar. Have pharmaceutical companies found these to be effective? Do women nestling themselves in for a wanding see these promotional stirrup mittens through the frame of their thighs and think “Hmm. Trivoril. I should Ask My Doctor about Trivoril—as soon as she removes her fingers from my vagina.”

Really, I am too tired to write about the appointment—I feel flattened. I would like very much to crawl into a hole in the wall, pulling a bottle of wine and an electric blanket after me, and not emerging until…well, do I have to emerge at all? Couldn’t I just stay in here?

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Commitment Hearing.

I want to talk about Mare’s recent post. One thing that seems to thread through many women’s experiences with infertility is the accusation of “obsession.” Sometimes it comes from a husband or a Nearly—benignly, as in “Can’t we have a nice dinner without talking about your recent wanding or the impending beta of some blogger I’ve never met?” or not-so-benignly, as in “The girl I fell for wasn’t this angry or sad—when did your biology become your destiny?”
Just as often the accusation comes from others, in the form of uncomfortable silences or reminders of the power of “Positive Thinking”, or how there is “Always Adoption.” The subtext of these comments is that if you weren’t so focused, so desperate, so obsessed (if you would only relax!) the mess of your infertility would work itself out. Why, they seem to say, are you putting yourself through this? Isn’t there something unseemly in striving so hard towards a future that, perhaps, wasn’t meant to be?
I have written before about people’s alarming willingness to judge women’s choices about having children. I can’t think of another part of my life that people feel so free to criticize.
“Obsession” is a dangerously fraught word. And one, to be honest, that I don’t think is appropriate to most situations. I am certain that there are situations where it applies—the woman who sabotages her birth control (and her relationship) in her drive to have a child, etc. But, as Mare says, “Embarking on medical treatment costing huge sums of money, with uncertain outcomes and no guarantee of success?…I think it’s safe to say that most people would become a little preoccupied during that time.”
And that’s not obsession. If you were a painter diagnosed with a disease that would progressively rob you of your eyesight, it would be expected that you might become a smidge…concerned…with the subject of blindness. You might read books about it, join a support group, research treatments, and yes, rail about it to the people close to you. I know it’s not a perfect analogy, but I think some of the emotions would be the same—the sense of racing against time to accomplish something you want for your life, something that has ceased to be within your control. I think part of the “preoccupation” stems from something very serious: the betrayal by the body of the mind’s plans for life.
The difference between the painter scenario and infertility is the bizarre Que Sera Sera Witch Doctor-y attitude towards having children that seems to be prevalent. I’m not saying that children aren’t miraculous, only that consigning the pursuit of them (not that kind of “pursuit,” you dirty thing) to the realm of superstition– “Waiting to be blessed by God/Fate”–is not helpful to someone like…say, Polly McCysty, who has a documented endocrinological disorder that causes her not to ovulate. No one says cancer is “fate.” Cancer is a disease. And so is PCOS.
Complicating things further is that while artistic endeavor qualifies as a “goal,” childbearing, for some reason, does not. As I said in a previous post: “A boyfriend once told me he was glad I was so committed to my writing because he could never be with someone who “only” wanted to have kids…isn’t comparing women’s choices against some invisible standard what we (feminists) were all so riled up against in the first place?”
But the following excerpt from Mare’s post says it best:
“The irony is that if there was something else I wanted to pursue in life, such as running a marathon, starting a business, learning a language, writing a novel- E. would be applauding my focus. He would commend my goal-oriented behaviour. In all other endevours, he would support single-minded determination. But when we start talking about something with emotional undertones, something where he feels like the riptide of my desire might suck him in and drag him down, then it becomes a bad thing. Dangerous. Worrisome. An obsession.”
The Nearly skews much the same way. I think he still sees my quest to get (and stay) pregnant as a step away from the ambitious, driven, confident woman he met years ago. There is supposedly something retiring and backwards about a woman now, in Modern Times, who is “preoccupied” with a desire to become a mother. As I have said before, ad nauseum, the two things I want out of my life are to write a book and to raise a child–why does my active pursuit of the one make me committed and my pursuit of the other make me committable?

Comments (2)

When You’re Here, You’re Family.

So, the other night, The Nearly was watching an episode of Real Time With Bill Maher as I sat across the room chuckling at my site stats, which had just informed me that some fine person had happened across my blog by searching for the word “Slutbitch” (you’ve come to the right place, my friend). Bill Maher was making jokes about Harriet Miers, and I wasn’t paying him any mind, until the focus of his jokes shifted from her politics to the fact that she is “unmarried and childless.” Specifically, there was a bit about how once when Harriet bent over it was thought that she was ‘showing some thong,’ but it turned out to be a cobweb. And next came the quip that probably the only balls Ms. Miers handled had numbers on them (a reference to her tenure with the Lottery Commission—haha!) It was about this time that I got well and truly pissed right off.
Now, I am not a fan of Ms. Miers—both for political reasons and because of her lack of credentials…if you’re the producer of a theatrical production and you need a leading lady, you don’t cast the coat-check girl just because she’s right down the hall (although our President wasn’t in any way qualified for his job, so perhaps he does not view Ms. Miers’ dearth of judicial experience as a stumbling block).
But none of that is the point.
The point is that I am sick to death of the emphasis on the marital state of a Supreme Court nominee. I have had my fill of the Old Maid jokes and of the images of her as a crone-y crony. If said nominee were a man, the standup riffs of talk-show hosts would not center on how long it had been since his last sexual encounter. Justice Souter is also “unmarried and childless,” but he gets the rakish term “bachelor,” a term that implies a sort of playboy-ish quality, a sort of nudge-and-a-wink rapscallionism, while the intimation is that Ms. Miers hasn’t been touched since the Carter administration, if ever. A Google search for “Harriet Miers Unmarried Childless” turns up a scad of documents musing on her status as a single non-mother, while a search for “Souter Unmarried Childless” only turns up articles about Harriet Miers.
I started in on a tirade about this to The Nearly, fuming that a 60-year-old unmarried and childless man nominated to a position of power would not have his personal life caricatured in this way—I don’t remember hearing anything about whether John Bolton is married. There were jokes about his mustache and the fact that he looks like a cross between Captain Kangaroo and some mad sea captain, but nothing that approached the pointed scorn that Miers’ unmarried state has drawn.
The Nearly responded that these jokes are partly due to the way Miers looks: like the woman on the Old Maid cards, so powerfully frumpy that she appears in some recent photos to be a time-traveler from the late 1980s (although, in her defense, her frumpiness is no greater than that of most other female Republican politicians). If she looked like Arianna Huffington, or even Hilary Clinton, argued The Nearly, Bill Maher wouldn’t be making jokes like the one about ‘cobwebs.’
I agree. In that case, Harriet Miers would be portrayed as a ruthless, ambitious man-hater who garnishes her morning cereal with the testicles of her frightened male underlings. And god, the Lesbian jokes! An attractive, unmarried 60-year old woman? She must like pussy!
As it is, her frumpiness keeps the jokes in the “can’t get a man” category.
Perhaps equally disturbing is the tendency of the media to “marry off” prominent unmarried women to the men they work for—as if to underscore that their power is actually negligible, that they are merely the pawns of powerful men. Condoleeza Rice is the example that comes to mind. Also “unmarried and childless,” she is portrayed as a fawning syncophantic devotee of the president, unhealthily attached to him, in a way that is a little pathetic, like a schoolgirl with an inappropriate crush on a teacher. Miers is already being characterized this way. And again, my problem with this is that it undermines the seriousness of the cronyism charges that have been leveled against her.
As a Democrat, I am embarrassed by this behavior. I want my party to focus on the real issues surrounding her appointment, not snipe ineffectually about her singleton status.

I know, I know: End of Rant—others do that sort of thing much more skillfully than I. This isn’t a political blog, after all (it’s all about Me! Me! Me!).
So here is something more on-topic–a scene from my weekend that only you lovely infertiles will properly appreciate:
Yesterday I went to a wedding. It was lovely—the groom is Italian, and so the service was done in both languages for the benefit of the dozens of Italian relatives who had flown over for the occasion. During the reception there was much hand gesturing and cries of “Bella!” and pinching of cheeks—the whole thing was so reminiscent of an Olive Garden commercial that, suspicious me, I couldn’t help but wonder if the Italian relatives coordinated their performance on the plane over, merely to confound the stupid Americans.
There were over 200 people at the reception, including one, and only one, pregnant woman. Vastly, vastly pregnant—due, in fact, the day before. Guess where she was seated for the dinner?
Oh, no, I haven’t concocted this simply for your amusement!
She was seated at my table.
At the other end of the table, you ask?
No. There were 250-plus chairs at that dinner, and she spent the evening in the one directly across from me.

Buon Appetito!

Comments (5)

Odorous but Delicious!

I have an appointment with the young associate of the Fancy RE next Wednesday. I am anticipating that she will start me on Metformin, and, as it is my understanding that the…er…unpleasant…side effects of said drug are greatly exacerbated by rich or carbohydrate-laden foods, I am trying to have my fill of them while I still can. Looking through my recipes I have realized that most of my favorite meals fall into this soon-to-be-Verboten category. I am not entirely sure what I will eat after I remove my favorite food groups (the cream, salt, and pasta groups) from my diet. Lentils? Mock Duck? It puzzles and saddens me.
I thought I would start posting some of the recipes for my favorite things, so that someone, at least, can enjoy them.

Here is a recipe for Risotto with Taleggio and Red Pepper, from a scribbly notecard in my kitchen, remembered from a cookbook by Judith Barret and Norma Wasserman that I lost long ago.

I should warn you that Tallegio is quite a powerful cheese—when I first made this, in college, my roommates were annoyed because it made our tiny apartment smell strongly of…well, Taleggio. Once they tasted it, however, their protestations were silenced, and they frequently begged me to make “The Smelly Cheese-Rice” after that.

You will need:
3 tablespoons Butter
2/3 cup sweet Red Bell Pepper, diced
4 ounces Taleggio, rind removed, cut into pieces
5 cups Weak Broth (I have frozen cubes of broth I made with veal bones and the carcass from a roast chicken, carrots, celery, onion, etc., but I have used a mix of vegetable/chicken boullion which works well too.) brought to a simmer—leave on a back burner.
½ cup dry White Wine, plus the rest of the bottle
1 tablespoon Olive Oil
½ cup Onion, finely chopped
1 ½ cups Arborio/Carnaroli Rice
Some Red Pepper Flakes
Some fresh Parsley, finely chopped

1. Melt 1 tablespoon of the butter in a small skillet over moderate heat until foamy. Add the Red Bell Pepper and cook until soft and roasty-smelling, about 5 minutes. Set aside.
2. In a large casserole or deep skillet over medium-high heat, heat the remaining Butter and the Olive Oil, then add the Onion and cook for a minute or two until softened—Do Not Brown.
3. Add the Rice and stir for one minute to coat with the butter.
4. Add the ½ cup Wine, stir until absorbed.
5. Begin to add the Broth ½ cup at a time, stirring frequently. Wait until each ½ cup is absorbed before adding the next.
6. Repeat the above for about 20 minutes, or until the rice is like a good parent—tender but firm. Stir, stir, stir.
7. Add the sautéed Bell Pepper, the Taleggio, the Parsley, and a pinch of Red Pepper Flakes, stirring ferociously to melt the cheese.
8. Serve immediately with glasses of the remaining wine.

Comments (2)

Assess This.

I am sure you have all read about this on the websites of other bloggers much cleverer and more articulate than myself.
To clarify who would be affected by the bill:
“The bill does not apply to assisted reproduction in which the child is the genetic child of both of the intended parents”
So if you are doing IUI, IVF etc. without any donor sperm/eggs you would be allowed to reproduce (oh, thank you!) without completing the assessment,
Except:
“An unmarried person may not be an intended parent.”
So The Nearly and I would not even qualify to apply to be parents via assisted reproduction, even using his sperm and my eggs.

Reading the questions required for the assessment, I couldn’t help but think of some of the people whose qualifications for parenthood are not in dispute by the esteemed Legislature of Indiana. Those able to reproduce without medical assistance, whether Countess or Crack Whore, are not required to answer the questions in Section 12 of the bill. If they were, perhaps we would see an assessment like this…

“Sec. 12. (a) Before intended parents may commence assisted reproduction, the intended parents shall obtain an assessment from a licensed child placing agency in the intended parents’ state of residence.
(b) The assessment must follow the normal practice for assessments in a domestic infant adoption procedure and must include the following information:
(1) The intended parents’ purpose for the assisted reproduction.

Y’all, are you kidding? To have a baby!!!!!
(2) The fertility history of the intended parents, including the pregnancy history and response to pregnancy losses of the woman.
I don’t know what that first part means but I have never been pregnant except I thought I was that one time in high school when I let Jimmy Cooter put his you-know-what in my mouth and he didn’t take it out in time and I was worried some of his sperms might have made it down my throat into my lady parts but it turns out you can’t get pregnant that way if you use some Scope after.
I do not believe in abortion, and if I was pregnant and Lost the Baby my response would be to trust in God because He works in mysterious ways.

(3) An acknowledgment by the intended parents that the child may not be the biological child of at least one (1) of the intended parents depending on the type of artificial reproduction procedure used.
Well, I would just never do that to Billy. It will be his baby one hundred and 10 percent and if you are talking about that time last winter when I let his cousin kiss me I don’t think that is very polite of you to bring that up and anyway he was drunk.
(4) A list of the intended parents’ family and friend support system.
My sisters Laura and JennyLynn and my brother Jamie and JennyLynn has had kids since she was 17 so she has lots of experience. Jamie has a son who is 12 but we didn’t find out about that until last Christmas which was such a surprise because we all thought that girl just moved away because her Daddy got a job in Mobile.
(5) A plan for sharing any known genetic information with the child.
Genetic? Do you mean like if the baby looks like me or its Daddy? Because I think it will be able to see that for itself.
(6) Personal information about each intended parent, including the
following:
(A) Family of origin.

Well, my Daddy was Irish, before he died, but I don’t know about Momma and Billy says he is 100% American.
(B) Values.
I believe in Good Christian values and I have always said to Do Unto others like you want them to Do Unto Y’all.
(C) Relationships.
I think that is a very personal question and I am just not going to answer that.
(D) Education.
I went to High School all four years and so did Billy, and I was going to go to college to study Communication Studies, or maybe be a vet because I love animals, but then I met Billy and we had to get married.
(E) Employment and income.
I don’t believe a Mother should work outside the Home, but Billy has a roofing company and it is doing real good and he is always having to work nights. I don’t know how you can work on a roof in the dark but Billy says I don’t have a head for business.
(F) Hobbies and talents.
I have a lot of hobbies like entering contests and shopping and in the summer I like to swim. I do not have any talents but Billy is double jointed, and I think being able to work on a roof late at night takes a lot of talent.
(G) Physical description, including the general health of the individual.
Momma says my hair is brown but I think it is more of a dark blond and it gets real light when I use Sun-In. I think I look a little like that Heather Locklear and Momma always laughs when I say that I guess because I am so perceptive. Billy has brown hair and blue eyes and I think he looks just like that man in the ad for Stetson perfume.
(H) Birth verification.
Y’all. How could I be writing this if I hadn’t been born?
(I) Personality description, including the strengths and weaknesses of each intended parent.
I think I am fun loving and a good friend and my weakness is that I am Inpatient and that I do not always stick to my diet, but usually I make up for it later by how I do not have lunch. Billy is strong and silent and he loves God and his weakness is that he can never remember to put his clothes in the hamper.
(7) Description of any children residing in the intended parents’ home.
Well of course there are no children living in our home because I haven’t even finished this form, silly.
(8) A verification and evaluation of the intended parents’ marital relationship, including:
(A) the shared values and interests between the individuals;

Billy and me both go to the same church and we both believe in the Bible and we both even smoke Salem cigarettes although I will have to cut down when I am pregnant with the Baby.
(B) the manner in which conflict between the individuals is resolved;
We don’t have any conflict except when Billy found out about his cousin kissing me and that was more of a misunderstanding. And one time I found condoms in his truck when it was impounded because he was driving while under the influence, which means he was drunk, and I had to get the truck from the impound lot but it turned out Billy said those condoms belonged to his partner, who is Black and who is a very nice man.
(C) a history of the intended parents’ relationship.
Well, me and Billy met after Jimmy Cooter broke my heart and I was so mad at Jimmy because he said if I would let him do that with his you-know-what we would be together forever and then he broke up with me anyway. Well, Billy was working on my Momma’s roof and one day when I was so mad at Jimmy Billy came in and he was thirsty and I said I have some Pepsi up in my bedroom and the next thing you know we were married.
(9) Documentation of the dissolution of any prior marriage and an assessment of the impact of the prior marriage on the intended parents’ relationship.
So far I am only married to Billy and he is only married to me.
(10) A description of the family lifestyle of the intended parents, include a description of individual participation in faith-based or church activities, hobbies, and other interests.
Well Billy and me go to church every Sunday except he stays home sometimes when he was working real late the night before.
(11) The intended parents’ child rearing expectations and values.
Well if it is a girl I will watch her real close when she gets to High School because I don’t want her to make any mistakes like I did with Jimmy Cooter and Billy and I both agree that we don’t believe in Sex education because Sex is not for children except sometimes a boy cannot help himself because he has urges.
(12) A description of the home and community, including verification of the safety and security of the home.
We live in a Christian community and we don’t have a security system or anything but I always lock both the doors except when Billy is working late because sometimes he forgets his key and has to stay out all night.
(13) Child care plans.
I will take care of the Baby myself unless I am busy and then I will take it to JennyLynn’s house because she has so many kids anyway she won’t mind one more.
(14) Statement of the assets, liabilities, investments, and ability of the intended parents to manage finances, including the most recently filed tax forms.
Well. Y’all will have to ask Billy about that.
(15) A review of the local police records, the state and violent offender directory, and a criminal history check as set forth in subsection (c).
Well except for that time I told you about when Billy was drunk and he crashed the truck we don’t have a Criminal History and Billy is not violent unless he is really, really mad like when he hit his cousin with a bat after our Misunderstanding last winter.
(16) A letter of reference by a friend or family member.
Probably for a letter of Reverence you should ask my Pastor who has known me since I was born.
(17) A written consent from each donor, if known, to use of the donation in the assisted reproduction medical procedure.
????
(18) The recommendation for participation in assisted reproduction.
I think I should reproduce because it is natural and I think I will be a good mother. I am very loving and my cat Garth Brooks lived to be 22 which is old for a cat and I think I will do just as good of a job with a baby. He was the nicest cat you have ever seen and I used to feed him the fat-parts of bacon at breakfast because I hate the fat-parts and Garth Brooks loved them. Also I won’t be a mean mother who won’t let her daughter get her ears pierced just because she is only six even though Cindy got her ears pierced when she was five years old and they never even got infected except for the left one. Also since Billy works so much when I have the Baby I will have someone to talk to! “

I encourage you to write to these people and tell them exactly what you think of State Senator Patricia Miller’s brilliant idea.

UPDATE: Senator Miller has withdrawn the bill, as the issue proved “more complex than anticipated.” And besides, her publicist wouldn’t stop screaming at her, and she was worried about his blood pressure.

Comments (1)

Resistance is Futile.

I remember learning, in the third grade, about voluntary and involuntary muscle responses, and how the mind controls the functions of the body. The leg bone is connected to the hip bone is connected to the next bone and so on, all the way up the chain of command to my brain, my clever, capable brain pulling the strings. I’ve written before about my lack of trust in my body—I have always considered it a bit of a loose cannon, the Roger Clinton to my gray matter’s Bill. But I was, in a way, comfortable with that. It wasn’t like it was in charge, after all, my body. Occasionally it would make a foolish attempt to wrest control from my neurons—there would be a skirmish, a sickness, a panic attack, an overthrow of logic by my roiling chemistry, but my brain always regained the upper hand. Until now.
It’s like this:
You know how sometimes, at a dinner party, there will be one loud guy at the table, talking so much and so loudly you can’t squeeze in even a syllable yourself? Eventually you lean back in your chair, away from the conversation, and drink your wine, maybe twirl the glass in the light. You give up. You let Rob or Mark or Eric run roughshod over the discussion, because he will anyway.
Or, like this:
When I was in elementary school and junior high, every time my father returned from a stay in the hospital, his memory wobbly from shock treatments and his handwriting newly unrecognizable, I believed him cured. He was jubilant and full of plans—not his usual manic plans, nothing that involved spending hundreds of dollars on office supplies to start a business or removing 3000 books from his shelves to cross-reference them. These were calmer plans—therapy, job, food, sleep. And then a week or a month later, when I was back at my mother’s house, the phone would ring at 2 or 3 or 4 in the morning and it would be him, babbling and sobbing, and Here We Go Again. By the time I was 15 I listened to his rehabilitation schemes with inward raised eyebrows and no expectations. I didn’t worry, or watch him for signs of collapse. When my phone rang in the middle of the night I simply unplugged it from the wall.
Some things are just bigger than you are. And to struggle against them amounts to nothing more than running in place.

This weekend, The Nearly broached the subject of my appearance, or rather my lack of concern for it. Now, before anyone starts growling at him, he wasn’t saying Why don’t you dress up for me anymore? but rather is worried that my rumpled slept-on hair and omnipresent house pants were a symptom of something darker. And he is right, they are, though I only now understand what that something darker is. I think it began over a year ago, when I started gaining weight so fast that my lower body exploded in stretch marks. From behind, my naked ass looked as though I had been mauled by a tiger. In 18 months I went from the 98 pounds I had been since puberty to 145, and from an A cup to a D. I know now that this was PCOS related, but at the time it felt as sudden and inexplicable as if I had eaten some magical, Alice-in-Wonderland growth crumpet. I stopped buying new clothes because I simply couldn’t keep up. And then, once my weight stabilized, I still didn’t buy them, because surely, soon I would lose some weight, enough that I wasn’t embarrassed to run into people I knew, enough that I could find a pair of jeans that didn’t leave angry red marks on my belly. Regular clothes felt uncomfortable by then, anyway. They cut into me in new places, bound me up and pulled at my edges. I returned home from work and my bra was off before I set my purse down, I stepped out of my trousers on my way to the bedroom to put on my soft, forgiving house clothes.
And my plans for my life—formerly the province of my mind—were under a temperamental new regime as well. My fresh, powerful desire for a child left me confused and breathless. I went from thinking idly I want to have children to feeling that want thrumming behind my ears. The discovery of this yearning was followed speedily by the discovery of my fertility problems. I got knocked up and my body slapped me back down—my second miscarriage. My dictatorial, unstoppable hormones simultaneously made me crave motherhood and endeavored to make it impossible. I pleaded with my body to be logical, to listen to reason, but I’m sure you all know how well that works.
And so eventually my brain withdrew from the conversation, unplugged the phone, gave up. I know when I’m licked. Some things are just bigger than you are.
This is what I told The Nearly—that my mismatched clothes and bare, pale face are the uniform of a ruler in exile. If my tyrannical body demands a rasher of bacon with a pint of cream for a chaser, fine. If I wake up too exhausted to wash my hair, who cares, really? I’m not a pretty spectacle, I know, but I don’t have the strength to revolt.

Comments (1)

I’m It.

Well, I have been tagged.

THE RULES:
1. Go into your archive.
2. Find your 23rd post.
3. Find the fifth sentence.
4. Post the text of the sentence in your blog along with these instructions.
5. Tag five people to do the same.

Here is the 5th sentence of my 23rd post:

“This is useful in providing some context for future rants about doctors, cycles, etc.—it gives readers a jumping off point, a way to connect present fury with past disappointments, present symptoms with past diagnoses.”

Not very interesting, is it?
But…here are the first and last sentences of my 23rd post:

“As a student at Sarah Mawr, I once had the great misfortune of sitting through a film that consisted entirely of shots of the student filmmaker’s vagina.”

And

“Stay tuned for Part Two–-Not Without My Uterus: The College Years”

Much better, no?
As for tagging others, well So Help Me God, it seems like everyone has already been tagged, so if you haven’t…
You’re It.

I saw my Nearly In-laws this weekend, and talked to my Nearly MIL (who is a former L&D nurse) about PCOS and my fertility situation. She was so much more empathetic than my own mother that it would have been comical if it weren’t so…not comical.
My Nearly MIL told me that my Nearly SIL (who is a few years younger than me) has confidently divulged her own childrearing plans—down to the month she and her husband will get pregnant, timed to dovetail with their law school graduations. My Nearly MIL sighed and said “I don’t think they realize it’s not always that simple.”
But I was instantly possessed with a certainty that it probably will be, that my Nearly SIL will be pregnant before I am—which shouldn’t matter one whit, I keep telling myself sternly. And I hope it is easy for her, that she sees the double pink lines and is able to be instantly ecstatic, thinking What will we name it? instead of When will I miscarry? She is a smart, kind, funny girl, and I wish her well. But I cannot imagine going to her baby shower, or opening the inevitable birth announcement, without feeling weak, truly weak, with misery.

I was going to write a lengthy post about something else, but I haven’t the energy just yet. It is too sad and complicated, and I am exceedingly lazy. I will do it tomorrow, (‘fiddle-dee-dee!’ said Scarlett) I swear on a stack of thesauri.

Comments (1)
  • 11 days until publication.
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