I’m 7 dpo, and the antsiness is setting in hardcore. I keep opening up my ovu-tracker app or looking at the kitchen calendar wondering if by some miracle another few days have passed while I wasn’t looking. I was doing so well being patient during the tww the past few months, and all that appears to be out the window this month.
The problem is I’ve put a lot of pressure on this month. The longest it’s taken me to get pregnant in the past is 5 months, and this is our 5th month of trying this go-around. I remember very clearly that by the 5th month last time, I was going totally crazy, positive that my reproductive organs had crapped-out completely. So, the only way I’ve been maintaining some form of sanity (a meager one) this time is by reminding myself it’s taken this long before and still happened. If it doesn’t happen this time though, we’ve moved into entirely new territory. The territory of ‘oh shit, there’s something else wrong here’.
5 months has become an important landmark to me because of this, but when I started doing some reading it turns out its not completely arbitrary. From everything I’ve read, if you’re putting all the things in the right places at the right times so to speak, it should happen within 4-6 months. I’ve done everything I could possibly do this month, bbt and CM charting, minimal caffeine, extra folic acid (on top of a normal prenatal), acupuncture, full-fat dairy, I even started eating fish once a week or so for the omega-3s, despite being vegetarian for 15 years (yup, apparently I’m even willing to bend my principles a little if it will get me a baby). The stars aligned and we tried 3 whole times during my fertile period, and my CM did its grossly fertile thing. If it doesn’t work with all of that, things are just not looking good.
Rather than being totally depressed or anxious about what it will mean if this month fails, I’ve actually been pretty darn optimistic for most of the month. I even went so far as to promise G I’d be pregnant by his birthday (in December). I know, what was I thinking putting that kind of pressure on myself? It happened when we were laying in bed after our last ‘attempt’, knowing we’d done all we could. The topic turned to his birthday, and what he might want as a gift, and I, apparently in a post-sex high said “I know, I’ll get you a baby for your birthday!”. Dumbass. Well, at the time we both thought it was funny, but he’s brought it up a few times since, as if he believes it’ll happen. I had to put a stop to it eventually, explaining that it just feels like a lot of pressure for something I can’t control at all.
In the middle of all this, a friend from a local support group sent me a link to an article about a way to investigate miscarriages. I’d never heard of it, and immediately gears started turning in my head. Basically, what they do is after you’ve had a missed miscarriage (I suppose you’re sort of out of luck if it happens suddenly), they go in with a camera and actually cut through the sac and look at the embryo itself. I’m sure there’s a lot of factors that go in to whether you can do this or not, and whether or not it will work, but this article made it sound like a very simple procedure that theoretically any doc could do.
And what they see is whether the embryo looks essentially normal or not. If it looks normal, you’d assume that the problem was something external, like an implantation problem, or an immune issue of some sort. If the embryo has clear malformations, then you’d assume that the problem is probably genetic or developmental. Now, I’m not sure you’d know exactly what to do with this information, because it doesn’t really tell you much about how to treat it, but I would DEFINITELY want to know at least this much information if I could. It would make an enormous difference in my mind to have some clue about even what type of problem we have. For example, it would suddenly open the possibility of donor embryos or surrogacy. Not that I’m saying I would necessarily jump to doing either of those, but they’ve always been off the table in my mind because we have no idea if my problem is me or the embryos, so how do you know which one to even consider?? This would open doors to start considering if they should even be on the table at all.
Another reason to do this type of procedure is that you can be sure to get cells from the actual embryo for karyotyping, without having to worry about maternal contamination (ie, when you accidentally get the mother’s cells instead and the test comes back normal female, but it isn’t representative of the embryo). In my case, both of my embryos that have been tested came back normal male, so whatever our problems were, they weren’t chromosomal. What they found in this article though is that only something like 40% of the time when they observed a malformation in the embryo that was likely caused by a genetic problem it was picked up by karyotyping! This shouldn’t be shocking because there are just so many things that could go wrong genetically, and aneuploidy (the wrong number of chromosomes) is just one. What was shocking to me is that no one ever talks about this! When my embryo’s karyotypes came back normal, my doctor was surprised, but then basically wrote off the possibility that we have a genetic problem. I’ve even asked before, couldn’t it be something genetic besides a chromosomal problem? His answer is always, well yes, that’s possible, but basically shrugging it off as unlikely. Well, if this data is correct, karyotyping only ever had a 40% chance of finding a genetic problem if there was one!
This has all been swirling around in my mind the past few days, and honestly there’s not much I can do with the information yet. I’ll either be pregnant this month or not. I’ll either have another miscarriage or I won’t. So, what we’ve decided is that if I am pregnant this month, then awesome, we’ll take that for what it is and try to be optimistic about it. We will hope that either the things that have changed since my last miscarriage (less stress, acupuncture, thyroid medication, higher dose of progesterone) will make a difference, or that for some unknown reason that has nothing to do with those things, it will go differently this time. If not, and I have another miscarriage, we will start to ask questions (and possibly be really pushy) about considering this procedure. If it gives us any sort of half answer that will be amazing.
And, if I’m not pregnant, we’ll call the doctor and see about figuring out why. I’m not sure if they will take me seriously since the standard is 6 months (or maybe I’ll just bend the truth and say it’s been 6 months), and I’ve been pregnant naturally so many times already, but I simply do not have the patience for another month of the same. Either way, things will be moving forward in one direction or another next month. So yeah, now I just have to manage to make it through the next few days….
***Update: In case anyone would like to read the article about embryoscopy, here it is. Also, there are other articles out there I’ve found today searching for ’embryoscopy’ and ‘miscarriage’ on google scholar ***