7.07.2014

Creamsicle Stripes



shirt: Crown & Ivy
heels: similar

Hope you all had a fabulous holiday weekend. It's back to the grind today. This week I am definitely working for the weekend as we have plans for a mini-vacay to the gulf coast starting Thursday night. Here's hoping the week moves quickly. Happy Monday! 

7.04.2014

Happy 4th of July


Happy birthday, America! Hope y'all have a wonderful day and weekend celebrating the birth and independence of this country. See y'all next week - I promise! 

6.23.2014

Leopard + Yellow




dress: c/o Paperwhite
pumps: Nine West
belt: similar
clutch: similar
One of the best parts about having this blog is learning about new companies. Paperwhite reached out to me to review a few of their pieces - and I have to say, I'm pretty impressed. Their clothes are comfortable, functional, and versatile - three things I love and usually require of any items going into my closet. Lately, I've been sticking with pieces that are classic, so I feel like a bit of a daredevil wearing this leopard dress - and I love it. The dress is designed as a shift, but I've never been happy with how I look in a shift, so I belted it and it's perfect. 

Check out their site or find them in a store near you


After a few photos of just me, the girls insisted they get into a picture. 


6.18.2014

Journey to Baby: Blood Work Results


As I mentioned in the previous post, at our initial visit, I had several vials of blood work taken - I also had additional blood work done about a week later for a fasting panel. We had just about every test imaginable completed - and that was important to us because we knew any imbalance with hormones, any deficiency, or any other abnormality could play a role in the difficulty we've dealt with in the past year and a half.


Please do not take any of this information below as medical advice. I've basically just combined education I received from my doctor as well as my own research to make this post. 


Hypothyroidism
The results for my thyroid stimulating hormone (TSH) was was high - which means I have an under active thyroid. TSH is produced by the pituitary gland and then tells the thyroid glad to make and release it's hormones (T3 and T4). My TSH was high because it has to overcompensate for an under active thyroid. Why is this relevant to infertility? I'm glad you asked. Since my thyroid is under active, it's not producing all the hormones it should. Low levels of thyroid hormones interfere with the release of an egg during ovulation - becoming pregnant is impossible without the release an egg.

When we sat with the doctor, she threw out a diagnosis of PCOS because of some of my past medical history; however, my PCOS panel was negative and that doesn't seem to necessarily be my problem. Blood work seemed to indicate my problem with ovulation is more so related to the thyroid rather than PCOS.

I'm thinking this also probably explains the extra pounds I've put on since stopping birth control bills. Birth control pills, oh, the irony…

I'm taking levothyroxine for my hypothyroidism.

Methylenetetrahydrofolate reductase (MTHFR) gene mutation 
Yes, that abbreviation looks like profanity. Moving on. This is a pretty complicated one - and by pretty, I mean really. I'm still confused about it because there's a MTHFR gene that also makes a MTHFR enzyme. There are also multiple types and combinations of the gene mutation that all have different symptoms and cause different problems. As simply and briefly as I can put it: the mutation I have decreases my ability to absorb folic acid. Folic acid is crucial to the development of a healthy baby. 


I was prescribed FaBB (genetic Folgard) which is basically just a large, daily does of folic acid - along with the folic acid in my prenatal. However, I'm still trying to do some of my own research on this because even if I'm taking a large does, the bottom line is that I still can't absorb folic acid. Unless a larger does does help me absorb the folic acid. I'm not sure. If anyone has insight about this, I'd love to hear about it. This is a concern I will bring up next time I'm with my nurse or doctor. 


My blood clots
I'm still not extremely sure if this is secondary to the MTHFR gene or its related to anticardiolipin (which was a word the RN mentioned). I received all the information in this post during one phone call - so it all kind of ran together. The bottom line is that my blood has a tendency to clot and because of that I am taking a daily baby aspirin - and when I do get pregnant, I'll have to take daily injections of Heprin (a blood thinner). The danger is that a clot can form in the placenta and cut off blood flow to the baby. 

Vitamin D deficiency
Pretty self explanatory. My vitamin D was low and so was Chris's. From what I've read, this vitamin plays a key role in the production of hormones related to reproduction as well as regulating cell growth - both obviously crucial for fertility.

We're both taking a once a week vitamin D supplement for six weeks - then they'll retest our levels.

Thankfully, all others tests and blood work came back negative. So while I now am taking more medication that I've ever taken in my life, things could always be worse. I'm extremely grateful for the extensive testing that was completed and that anything that's going on is relatively easy to treat with medication. 



6.03.2014

Journey to Baby: First Visit with a Fertility Specialist

There are some situations in life where you think to yourself that will never happen to me.

Since starting our journey, I've learned anything is possible. You're not immune to something just because you can't image yourself in a particular situation or a certain way. I mean, let's be real, who images themselves as infertile? The answer: no one. So my point: thinking that will never happen to me is simply juvenile. With age comes wisdom; I've learned anything can happen.

Going to see a Reproductive Endocrinologist (RE) was something I never imaged we'd have to do. Never. But there we were - sitting in cozy waiting room, watching HGTV with five other couples. Anxiously waiting our name to be called.

While waiting, I zoned out of watching HGTV (which rarely happens) and I was thankful. Thankful that different situations within the last year and a half had led us to where we were sitting. Thankful that God works in ways that are beyond comprehension, but always on time and perfect. Thankful that we were about to sit down with a specialist that not only deals with infertility on a daily basis, but also dealt with it personally. Someone not only beyond knowledgeable about what we were going through, but understood it on an empathetic level - not something all doctors can offer. She possessed extensive knowledge and experience to pinpoint our individual issues and needs; she could lead us towards finally starting a family. I was sitting in that waiting room with a smile on my face. Though I had never imagined this scenario, I had faith that we were on the right track.

It was May 6th, 2014.

My name was called. Just like that, a new chapter of this journey had begun. We went back and immediately sat down with the RE. She didn't waste our time with frills or fluff or trying to be our best friend. She took her role seriously - which we greatly appreciated. She was informative and straight to the point, but threw in just enough dry humor to make us feel comfortable. We instantly loved her.

Our meeting with the RE was educational. She'd seen our papers and from that information, she was able to ask us additional questions regarding our failed attempts to conceive and sustain a pregnancy in the past. We sat and talked with her for about 45 minutes. She then loaded us up with information, recommendations, and a plan moving forward.

Even though we were just getting started, sitting and conversing with this doctor felt like the weight of two hundred tons being lifted from our shoulders. No we were't magically going to get pregnant that day and yes we still have a long road ahead of us, but now we have a plan. A doctor overseeing every move we make. We had medical intervention as needed at our fingertips. And extensive testing was going to be done so we could figure out and focus on our individual needs to move forward.

After our discussion with the RE, she diagnosed me with two things: polycystic ovarian syndrome (PCOS) and labeled me a habitual aborter (since I'd had two or more miscarriages in the past). Habitual aborter… geez. Could there be a worse term?

Following the sit-down with the doctor, we then met with a financial counselor. We discussed what we already knew… our insurance wasn't paying a dime for infertility treatment. We went over out of pocket costs and costs for IVF should we need to go that route in the future. We expressed that although insurance isn't paying, we still want to move forward with the necessary testing and procedures to start our family. Baby Chrinley (out celebrity name) would be worth every penny!

Following us signing over all finical responsibility, I got the privilege of then sitting in a tiny, cold room with nothing but a paper blanket and paper vest. That's right. It was the first visit and we were already getting real personal. The doctor ordered a Pap smear and an ultrasound. The pap was pretty self explanatory. The ultrasound was to see what my ovaries and uterus were looking like at this particular point in my cycle. All were looking fine and dandy.

I was then reunited with Chris and we sat down with the nurse. She basically reiterated most of what the doctor discussed and recommended - and then went a little more into detail about our plans moving forward into my next cycle.

Our last stop was with the phlebotomist. The nurse gave us snacks and Sprites prior to having our blood work done and I'm sure glad she did. The RE ordered several different blood panels and was very thorough with doing all the blood work necessary and possible. They took five vials of blood from Chris and they took… wait for it… 20 from me. Yeah, 20. Count 'em.



We ended up spending about four hours at the clinic - which sounds awful, but it really wasn't too bad. We were given a lot of information and a plan for moving forward. The staff was incredibly kind and very aware that they were dealing with patients and couples that fail on their own to conceive and they were sensitive to that. It was such a pleasant experience.

If you've been struggling to conceive for a significant amount of time and you're wondering if you should move forward with a specialist - my recommendation is DO IT! They specialize in exactly what you are going through. Like I said before, trying and failing to conceive is emotionally (and physically) exhausting and there's only so much you can do on your own when infertility is an issue. There comes a time where a decision has to be made and I'm so incredibly thankful we did. Do your research and find a clinic or group that works for your particular situation.