The End of Our Infertility Journey

***note: I originally drafted this post in January of 2023, when the emotions were still very fresh. I have done a lot of healing over the past few months, but it has not been a quick or easy process. A lot of ugly parts of me have been revealed during this process – anger, bitterness, resentment – for the people who have stuck by my side during some of my worst seasons, thank you. Thank you all for giving me grace as I try to become a better, healthier version of myself.

This is the third, and what I believe will be the final, update on our infertility journey. In May of 2020, my husband and I started trying for a second child. In January of 2023, we stopped trying. After 2 and a half years of this emotional roller coaster from hell, we finally decided to quit.

There’s a lot more to the story, but if you just want the cliff notes, that’s about it. I suppose it’s not really the end of the journey, because now it’s time to take a detour on the path called grief. I wish that the journey was just over and I could go back to my life before. I wish I could feel like who I was before we started trying to have another baby, but I don’t know how to do that. We will be forever changed by this experience, and I’m just looking forward to the day when it doesn’t hurt so much.

Because I’m weird, or perhaps a bit obsessive, I tracked how many cycles I’d had since we began this process and figured out how many times we ended up trying (and failing) to get pregnant. So here are the stats below:

31 months total
35 cycles total
30 = # of times we tried to get pregnant
5 = # of cycles we took a break from trying
17 = Longest consecutive stretch trying for a baby

Over a period of 31 months, I had 35 cycles.
Out of those 35, we made an effort to get pregnant 30 different times.
There were 5 cycles that I purposely opted out of trying because I needed an emotional breather every once and a while.
Our longest consecutive stretch of intentionally trying was 17 cycles in a row.

I don’t know if it’s helpful or not for me to see these numbers, but in a way I feel like it validates my experience. I can look at the numbers and understand a little more why it has been so hard. 30 is a lot of times to feel emotionally shattered.

So what happened? Why did we decide to quit trying?

In the last update I gave in October of 2022, I had just talked about how we had recently seen a reproductive endocrinologist and that potentially we could try one of the less-invasive treatments: intrauterine insemination (IUI).

After thinking about it, we came to the decision that starting in January of 2023, we would give IUI a try, up to three times. If it didn’t work, then we would plan to call it quits.

But not every couple is eligible for IUI. There’s a lot of factors at play – sperm count, number of healthy eggs left, fallopian tubes being open/blocked, etc.

When we last went to the doctor back in August, it looked like we were good candidates for this procedure. But before going through all the trouble of attempting IUI in January, we wanted to double check that everything still looked promising, so we did a few tests again. This time, the test results were not good. What our results showed is that things had changed, and we were now ineligible for IUI.

“Let us know if you’re interested in pursuing IVF.”

That was the last message we got from our doctor’s office.

But I had already decided that I was not going to pursue in vitro.

I’ll pause here for a moment because I just know someone out there wants to ask, “if you want another baby so badly, why aren’t you going to try in vitro?”

Infertility and the journey of trying to have a child is a very personal, not to mention difficult, journey. What’s right for one person may not be right for another person. And that’s okay. And when a couple decides their journey is over, it’s important to validate that decision.

For me, the mental and emotional toll of not getting pregnant every month is something I can’t continue doing. The past year I found myself struggling with depression often. At times, I found it hard to find the energy to get out of bed.

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flowers in the shape of a uterus

The Appointment that Finally Happened: Seeing a Reproductive Endocrinologist

One year ago I shared about my husband’s and my struggle with secondary infertility. At that point, we had been trying to have another child for about a year and a half.

Today we’re past the two year mark, right at 28 months.

28 months.

Also in my previous post, I had shared that we had been referred to see fertility specialists, but that the doctor I was needing to see had about a year-long waiting list.

Well, the year passed and the appointment finally happened – on August 26th of this year I had my initial appointment with a reproductive endocrinologist at The Center for Fertility and Reproductive Surgery at Texas Tech.

Entrance to Center for Fertility and Reproductive Surgery at Texas Tech

I had really been hoping that it wouldn’t come to this, that I would find myself pregnant before the dreaded appointment arrived. We had tried one intervention that we were hopeful would give us a better shot at getting pregnant, (a prescription medication), but still nothing had happened so far.

Usually at any kind of fertility appointment, I find myself very jittery and emotionally fragile overall. Also adding stress to the day was the fact that this appointment was three hours away (because there are no fertility specialists in Abilene, TX) and I was by myself (because the logistics of work and picking up our son from school didn’t really warrant both my husband and I being gone all day).

I didn’t really know what to expect at the appointment. I had Googled about initial fertility specialist appointments, but the not-knowing also added to the levels of anxiety I had that day.

The appointment started with me paying a $125 copay up front, which was not covered by insurance. (From what I’ve heard, most fertility services are not covered by insurance at all. So you’re potentially paying hundreds to thousands of dollars all out of pocket.)

After waiting a long time, I was finally called back so I could wait some more in the much smaller waiting room. At every appointment I always bring a book with me to read, and I never end up reading it. When I’m anxious, I find that I can’t concentrate enough to read. So I end up just staring at random objects in the room, like counting the ceiling tiles or reading the informational pamphlet about IUDs.

The two biggest concerns I had for my doctor at this appointment were:

1) the pharmacy we had previously been getting the medication from stopped providing it (and it had seemed like it was potentially increasing our odds of getting pregnant) so I wondered if they could figure out another way to get it?

2) I had major reservations about IVF, and was assuming the doctor was going to tell me that it was really the only feasible option I had left.

When my doctor finally arrived, she was great – she was so warm and kind, and it was obvious that she understood the toll that infertility takes on the patients she sees. (I had read great reviews about her, so I wasn’t surprised, and that was also why I decided to wait a year to see her – I figured if I was going to go to a reproductive endocrinologist, I wanted it to be a highly-recommended one.)

She reviewed my chart, and then proceeded to do a vaginal ultrasound (which was a new thing for me!) Honestly though, it was kind of amazing how much information the doctor could get via ultrasound. She measured how thick my uterine lining was (in millimeters) and was even able to see which ovary I had ovulated from (the ultrasound literally showed a little hole where the egg had come from!)

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