Showing posts with label fertility clinic. Show all posts
Showing posts with label fertility clinic. Show all posts

Tuesday, 12 May 2009

An egg but no soldiers

When I got home from work today, hubby announced that his sister had given birth to her second son this afternoon.

I accepted the news relatively graciously (I bit back "Oh fucking DID she"), and was and remain glad that mother and baby are both healthy and doing well. However, it has obviously been difficult to digest, not least because I went to the clinic this morning for my day 21 tests and have been feeling gloomy ever since.

The nurse rang with the results at 4.30 this afternoon and it turns out I have ovulated again, as I knew I had from the pain two Sundays ago. My progesterone levels are apparently really good. But the clinic has said that if my period comes - and let there be no mistake, it will - they want me to come in to discuss where we go next before embarking on my next course of clomiphene.

It was the nurse who vampirised me this morning who said this. I asked her why I couldn't just have my third go before the next-steps consultation, and she said if clomiphene is going to work it usually does quickly. Just dandy.

So then I come home to the news that fecundity abounds north of the border in hubby's family, and pardon me for not being over the fucking moon. Hubby has been impatient with me all evening and eventually pulled me up on my "mood". I asked him whether he would like me to jump up and down about how happy I am that his sister has two babies and I have none. At this point his phone beeped with the latest of the 870 slideshows and videos she - and she should NOT be using a mobile phone in a hospital - has decided we would like to see.

A fight ensued, mainly about my frustrations with him being unable to perform at the critical point in the month, which if I am honest is driving me to despair. He has approached his doctor about it and has been offered a prescription for a well-known erectile stimulant to help matters along, but he refuses to take it because of - get this, it's good - potential side effects.

Yes, that's right. It's fine for me to pump myself full of hormones and chemicals like a frigging brood mare, to have a headache and feel sick most days as a result, and to have stabby, jabby pains during the forced ovulation of however many fucking eggs this drug is making me produce, but will he take one little blue pill a couple of nights a month so he can get it up? Will he fuck.

Eagle-eyed readers will notice I am somewhat less chipper than I was in my last post. That's because right after those four days of fun, the entire world started to go wrong. My grandmother had a stroke. My beloved eighteen-year-old cat had a fit and was diagnosed with kidney failure; he has since stabilised but the condition will ultimately and shortly cause his demise. And a whole heap of other shit happened that has just left me exhausted and faintly curious to see what happens next.

I guess I should be hopeful after being told today that I've ovulated. But that happened on the Sunday and I just don't think we had enough sex. We did it on the Wednesday night, then on the Saturday afternoon, and that's it. We attempted it several more times but he couldn't deliver. The Saturday shag does stand us in reasonably good stead as I've read it's best the day before the egg pops out, but if it had been up to me - and I say this purely out of the urge to get as much sperm into me as possible, rather than any joy or desire for the act itself - we'd have done it Thursday, Friday and Sunday too.

Add to that the stress I've been under in the past fortnight and you do not have a scenario conducive to conception. I'm certain, absolutely certain, that it hasn't worked. A small part of me dares not hope after the utter wracking devastation my last period caused. But the majority of me already knows this cycle is a doomed deal.

Monday, 23 March 2009

Clomid and criminal incompetence

What has happened to me today beggars belief.

My period came, as you know, on Saturday. I attended the fertility clinic this morning and explained I was on day three and had come for my first course of Clomid. The nurse took blood, because it'd be rude not to; after all, I donate several vials of the stuff every time I cross the threshold - it's almost like visiting a vampire.

She said she'd call later with the results but that they were basically checking my FSH levels (again) and I should be fine to start my Clomid tonight. She then gave me the prescription and told me I had to go to the hospital pharmacy to collect the drug, as the fertility clinic don't (for reasons that baffle me) keep it on the premises.

The hospital is a good long walk from where I work and it was already gone nine, so I called my mum and she offered to pop by my office, collect the prescription, fill it at the pharmacy and drop the pills off at my house ready for me to take the first one on arriving home from work.

This afternoon at work, I missed a call from the clinic when I was in a meeting with my boss. The nurse who'd foraged for my blood (in both arms, it's worth saying, as she couldn't find a vein - just another fun fact that contributes to the nightmarish whole of this day) said to call her but that it was nothing to worry about.

I rang the clinic but they'd closed for the day. After much soul-searching I decided she'd have said so or tried again to call me if something about my bloodwork indicated that I shouldn't proceed with the drug, so I planned on taking the first pill on getting home. After all, I didn't (and don't) want to have to wait another cycle.

I had it all ready with my glass of water but decided to read through the leaflet first to get a feel for the side effects, as well as any info on activities I should avoid, like alcohol.

Thank fuck I did that. For I hadn't been given the clomiphene I was prescribed by the hospital pharmacy. Oh no. I had been given a drug called clomipramene instead. It is an anti-psychotic, anti-depressant used to treat severe phobias, narcolepsy and obsessive conditions.

As soon as I saw the name I thought something was wrong, but when I read on and it listed the conditions the drug was used to treat, I knew for sure. Hubby was infuriating during this, piping up with fatuous little comments like "Maybe it's got a dual purpose" - the stupidity of which defies belief; I mean we all know infertility can induce psychotic episodes but let's be realistic here - and "The pharmacy knows what it's doing".

Oh no it doesn't. Right now there is probably some psychotic dude somewhere in the city, crouching in the corner eating his own faeces and wondering why he is ovulating.

I rang my mum and together we rang the pharmacy and the on-call doctor at the clinic, and raised a level of hell previously unseen outside the scarier parts of the Bible. I mean, I know I am reporting this in a slightly wry and facetious way but this could actually have been very serious had I taken the drug. I could have had any manner of adverse reaction. And worst of all, I might have persisted with it, believing any ill feeling simply to be a side effect.

Anyway, the upshot is the pharmacy - fearing, I think, being sued - were extremely horrifed and apologetic, and offered to exchange clomi-psych for the correct drug this evening. Cue a trip for my mum and I to the hospital where we exchanged white paper bags with a very sheepish gentleman in the foyer in a scene reminiscent of a film - except for the fact that the plot would be too preposterous to believe.

It being dark in the car, it was only when I got home just now that I realised there were no instructions in the box and that clomiphene was spelled clomifene. With absolutely no faith whatsoever that the drug was correct, I was forced to put in another call to the on-call doctor, who just so happened to be my favourite dice-rolling professor.

She was actually very nice - again probably due to her horror at what had, and could have, happened - and she assured me that the 'f' spelling was just the US name for the drug. She talked me through the dosage instructions and the side effects, and advised me that since this was day three, I should go for it.

I have just taken the pill. It felt somewhat momentous, a bit like the red pill/blue pill scene in The Matrix. I am now going to run a bath and contemplate the prospect of my ovaries rupturing, which my old friend the internet tells me can be a very rare reaction.

I have said it before, and I will say it again: you couldn't make this up.

Sunday, 1 March 2009

A helpful chat with the doctor (no, really)

I visited my GP this week for the first time in a year or so. The reason was a sore and weepy eye which turned out to be a blocked and infected tear duct - I knew all that crying would catch up with me one day - but after he'd diagnosed and prescribed treatment for that, he asked how fertility stuff was going.

"It's an unending nightmare," I said frankly. He said he'd just heard about a couple he'd referred having success on their first IVF cycle ("Oh fucking DID they," thought I, reflexively bitter as per) and had hoped it was us. It made me happy to think that he cares, as the production-line impersonal nature of the clinic has been one of the things bothering me.

I described our diagnostic procedures and consultations to date, and admitted that I wasn't especially happy with the clinic, and particularly with the head professor, who I cannot forgive for her "Don't expect to get a six every time you roll a dice" inanity.

My doctor laughed when I told him what she'd said - not in a nasty way, but in a way that belied incredulity that a fellow medical professional could be so insensitive. "It's OK for her," he said, "she's got four kids!"

"She's in the wrong job, then," I replied, mentally placing another dark mark (indeed, four of them) against her. It's not that I'm opposed to being treated by a woman with children - on the contrary, there's an element of "I'll have what she's having" hope associated with that - but her fecundity certainly explains her inability to empathise with her desperate, infertile patients.

Anyway, I talked through my current concerns - which are that we're being railroaded into Clomid when my periods have actually regulated over the past four or five months. Temperature monitoring and symptom spotting indicate that actually I am ovulating - as did a home ovulation tester kit six weeks or so ago - and I don't believe Clomid is necessarily the answer for us if the issue is not ovulation.

I really want to have the post-coital test to determine whether I'm murdering hubby's swimmers before they even infiltrate my cervix. I have visions of a war movie happening in my vagina every time we have sex, with his sperm gasping their agonised last to the strains of Barber's 'Adagio for Strings'.

(When I say I "really want" to have this test, I obviously don't mean that in the every-girl's-dream sense. Nobody wants to hotfoot it to the clinic with their legs clenched to allow a team of strangers to peer up their hole at the aftermath of what should be a private act of love. I mean that I want the test in the sense that I want to explore every possibility before we identify the most suitable treatment.)

The professor at the clinic had refused me the pleasure, citing the fact that the condition was "very rare" and so their protocol was not to deem it necessary. At the time I argued the toss with her, saying that surely rare meant still a possibility, but she was not for turning. My GP explained things to me in slightly clearer terms. Evidently the test is pretty unreliable - the number of sperm that ooze out or die of natural causes during your post-shag journey to the hospital can skew the result negatively. If only the professor had bothered her arse to explain this to me, I wouldn't have spent the past six months wondering. Ho hum.

My GP also said Clomid was worth a shot. He agreed that my periods regulating was a good sign, but he said I may still be ovulating infrequently and that Clomid may be a chance to right things and conceive naturally - or as near naturally as damn it - with "a minimum" of adverse side effects (those triplets again). He said if I was worried about side effects, I had a lot more to fear from IVF than from a course of Clomid, and that I could try it for a cycle and if I hated it, not do it again.

In short, a twenty-minute chat with a GP who has throughout this ordeal professed that fertility is not his area of specialism has proved more useful to me than countless sessions at that bloody clinic, however many awards it has won.

I discussed the conversation with hubby and we've decided that if we have no success this cycle, we'll give Clomid a bash next. I'm currently just past halfway. Watch this space.

Monday, 15 December 2008

One step up and two steps back

It's been a long time. And I have a lot to tell you. I'm sorry I've been away so long - I have not been able to deal with writing about any of this, for many reasons that are too complicated and dull to go into here.

My health is really suffering from all this now. I've lost over a stone since this time last year, and I just feel really rundown and old a lot of the time. I suspect I'm now caught in a vicious circle where my low body mass index, and general drawn and pinched demeanour, are actually contributing to my fucked up menstrual cycle. How in the name of all that's holy does one break such a circle?

Anyway. The update. Firstly, the appointment at the clinic. It went better than I expected, in that it was much better to go with my mum than with hubby - on whom, more later - but it happened on a day when I was really poorly with a horrid gastric 'flu that had me chucking up in the ladies' outside the clinic reception before I ventured in. I thought I may have to excuse myself to be sick halfway through my consultation, but managed to last until we were on our way out.

We saw the same consultant I saw in January - the one who told me I had PCOS, which was then discounted by the professor we saw in May. And herein lies the first confusion: she reiterated my PCOS. I said I'd been told I didn't have PCOS. She looked perplexed and thumbed through my notes, then said my symptoms in fact WERE consistent with PCOS, and that the ovarian scan she'd conducted herself - an aside which gave me a pleasant reminder that she has stared at the inside of my reproductive system - showed an ovary that was, in layman's terms, screwed up. (She didn't say that. She said it looked polycystic.)

I asked why I didn't have any of the other symptoms of the condition. She said it varied. I asked why my periods had been normal for years and then gone daft at the age of 27. She said these things happen. I started to feel the angry worm crawling up my spine. My mum intervened.

After we'd agreed to disagree, I summarised my reason for requesting a new appointment ahead of the one-year sentence imposed on me by Professor Fuckwit - namely, that I had not had a period since July, and it was now November. Annoyingly, some of the wind was removed from my sails of self-righteous indignation by the fact that I was in fact menstruating as I sat there - and I had to admit as much, but I concluded by saying my period had "done this on purpose because it knew I had the appointment coming up". (She looked worried. Note to self: try to appear more sane in future.)

We went over the dates of the paltry few periods I have had in 2008, and I reiterated my concern that of the five or so there have been, only one - the one I had in Florida, weirdly - has been what I'd consider "normal" based on my previous, pre-Pill history. She made a lot of notes. She then weighed me and had a massive go at me for being underweight, which - quite rightly - she said wouldn't be doing my cycle any favours. I countered by observing that weight GAIN and difficulty losing weight were typical symptoms of PCOS. She looked somewhat abashed and moved on.

I then asked what we do next and said I was not prepared to hang about in limbo until next summer. I pointed out that my 30th - and with it, fertility that will dwindle at an alarming rate - was impending. And then she said the magic words: that I don't have enough periods to give me a decent chance of conceiving naturally, and that she was prepared to prescribe clomiphene.

In order to progress this, I now have to present myself back at the clinic on day two of my next period. They'll give me the drug, which I take for five days, and then I go back for regular blood tests and scans to determine my ovulation pattern, if any. If any because they start you on a low dose and up it depending on how you respond.

She then listed the side effects. Mother of God. In no particular order: depression, irritability (ha! got you beat on that one), spots, nausea, migraines, hot flushes, night sweats, vaginal dryness (and let's face it, after nearly three years of TTC it's hardly Angel Falls in there already), dizziness. Slightly more serious side effects include a 25% chance of twins and a 10% chance of triplets per cycle on the drug. Oh and if you believe the papers, an increased risk of womb, ovarian, breast and stomach cancer. Let's be clear: this drug is no fucking walk in the park.

Because it's not a cakewalk, she then asked about my support network. She explained Professor Prat had last time noted that I "seemed unduly anxious" (let's pause for OUTRAGE at the use of that particular adverb) and was concerned at my ability to cope, although my "record showed I'd dealt well with the HSG".

My mum - sensing, I think, apoplexy on my part - stepped in and smoothly explained that I had a devoted support network in herself, my dad, my stepdad, my grandparents and friends, all of whom know about my plight. She glossed over hubby but that's because my mum is pissed off with him at present - again, of which more later.

Here's the thing. It's currently, as I type, day two of my next period. And I haven't been to the clinic to get my clomiphene.

Partly it's that I'm scared. I'm just a great, big wimp. The side effects are not to be sniffed at - and as much as I want a family, twins are in the "oh my god that would be amazing" camp but triplets are very firmly in the "now, hang on a second" one.

Partly it's timing. It's nearly Christmas; I'm really busy at work, which is good as it gives me a lot to focus on to distract me from babies, but also means I'd struggle with daily migraines and/or any one of the other side effects you care to mention. So part of me thinks, what's one or two more months in the grand scheme of the 30 we've been trying?

But mostly it's because I actually do doubt my support network - and not my family or friends, but hubby. As this has gone on, he has grown more and more distant from me. He refuses - point blank refuses - to discuss his feelings. He wants nothing to do with this blog, which in some respects is a good thing as it's personal and I'm not always complimentary towards him (though I'd argue that when I'm not, it's warranted). But he has equally pooh-poohed the concept of couples' infertility counselling, which I'm keen on, and even of just discussing it between the two of us.

And we're fighting a lot. They're nastier and nastier each time. We had a humdinger a couple of weekends ago which culminated in me throwing him out of the bedroom for saying to me that I would "die alone and childless". Yes, he really did say that.

And we're not having sex. An increasingly insistent voice in my head keeps saying that if we were dutifully doing the bad thing three times a week, I'd be pregnant by now. Once or twice a month does not constitute dedicated TTC, and I actually have started to feel that by implying we ARE having regular sex - or at the very least, by not admitting we're not - is tantamount to lying to the clinic.

And another thing. His sister's pregnant. With her second. This news was hurled rather spitefully at me during the aforementioned fucker of a fight. He's known for a while but apparently there was "never a right time" to tell me. (To which, I am ashamed to say, I responded: "Oh, grow a pair!")

We're meant to be going to see her for a pre-Christmas visit very shortly, and as much of an arse as I know this makes me, I really don't want to go. She's far enough along that she will be starting to show and I just don't want to deal with that, not a few days before my third Christmas of this.

So there you have it. My big update. I've got the prescription I wanted, but am too scared to take it. I don't know whether infertility has damaged my marriage beyond repair. I don't know if there genuinely is something wrong with me or whether our dwindling sex life is to blame.

In short, I'm the very definition of the Bruce Springsteen song 'One Step Up', which I quote here (slightly paraphased in order to assign myself the correct gender) to end this post:

"Woke up this morning, the house was cold,
Checked the furnace, she wasn't burning.
Went out and hopped in my old Ford,
Checked the engine but she ain't turning.
Given each other some hard lessons lately,
But we ain't learning.
Same sad story, that's a fact,
We're one step up and two steps back.

It's the same thing night on night,
Who's wrong, baby who's right?
Another fight and I slam the door on
Another battle in our dirty little war.
When I look at myself I don't see
The girl I wanted to be.
Somewhere along the line I stepped off track,
Going one step up and two steps back."

Monday, 20 October 2008

Another autumn waiting game

I managed to get an appointment on 13 November which, given previous lead times, is not that bad.

I intend to take my mum with me this time. Her support during the HSG was invaluable, and she's just better than hubby at times like this. Mum asks good questions and keeps me calm, whereas hubby sits there like a mute and then fucks off to get his watch fixed afterwards.

The main reason I want her moral support is that I don't want to leave this appointment having achieved nothing. Whether it's a Clomid prescription, a laparoscopy referral or even the number of a sympathetic counsellor, I want something tangible and real to come out of it. And if I get too upset to articulate as much - my throat usually starts aching with the urge to cry the minute I walk through the doors - I want my mum there to voice these thoughts for me.

My bizarre three-week cycle has not resolved itself. I bled for two days last week, then it tapered off again but - this is new - hasn't yet vanished altogether. I now spend my daily trips to the ladies' staring in dismay at what isn't actually period but can only be described as Unpleasantness.

I amused myself a few minutes ago. I was listening to my iTunes library, contemplating writing this blog post, and 'Glorybox' by Portishead came on. It's one of my favourite songs - I always used to think, in the days when I had such thoughts, that it'd be a good song to have sex to - and it contains a sentiment close to my heart at present with the refrain "I just want to be a woman".

Anyway, with this in mind, I suddenly thought: the song should be renamed in my honour. 'Gorybox'.

Thursday, 29 May 2008

Twilight descends on my baby dream

I'm sorry I haven't posted for so long.

I feel that I've completely run out of inspiration, and of things to say. The doomy feeling of apathy that had - if I'm honest - sort of descended even before the showdown at the clinic last week has just deepened and I don't feel able to deal with fertility stuff on any level.

It's just impossible to get my head around another year of waiting. What I really should be doing is picking myself up and being proactive, the way I usually am: getting my bloodwork done, maybe seeking second and third opinions.

But I'm not, and haven't. I was supposed to go this week for another blood test but I haven't. After the butcher's job made of my arm last week, when I ended up with a huge purply bruise that made me resemble a heroin addict, I felt my vein needed a rest. I plan to go in the morning but it's a bugger having blood taken repeatedly in summer when one wants to wear short sleeves!

At the core of me, I just now feel that it is never, ever going to happen, and that if I am to have any semblance of a life, I need to start dealing with that.

I feel like the medical profession has turned its back on us. I feel like nobody will help us. And I feel like we are barely coping with this anymore, as a couple and as individuals.

I think Blackadder said it best: "I think the phrase rhymes with 'clucking bell'"!

Tuesday, 20 May 2008

Second consultation at the fertility clinic

Well, that was a waste of time.

I was initially heartened when I realised we'd bagged a session with the head honcho consultant - the one who's a renowned authority on reproductive medicine in our area, and whose name is on all the plaques that adorn the clinic's reception. But we might as well have seen Tinky Winky the Teletubby for all the help she gave us.

She said there's nothing obviously wrong with us - his sperm's fine, my tubes are fine, and apparently all my bloodwork was fine. This, it would seem, indicates that I DO ovulate and DON'T have PCOS. The consultant last time who thought my right ovary looked polycystic was apparently wrong. (I suspected all along I didn't have PCOS.)

She then said IVF would be the next step as a solution for the dreaded "unexplained" infertility. However, she's reluctant to do something so invasive at the moment - because, get this, "time is still on our side".

So Professor Winky then told us to come back in a year.

Yes, you read right - a year. Another year of this - of hope and disappointment every month, of life being on hold, of limbo, of misery, of money wasted on pregnancy tests that are never positive.

I asked about the fertility drugs I'd been so sure I'd be given today, and she said I don't need them. She says Clomid comes with risks, there's a 10% chance every cycle of twins and more side effects than you can shake a stick at. I'm not stupid and completely understand why she doesn't want me to go down this route if I don't need to. But a YEAR?

We were offered counselling because the prof said she was "concerned at the level of anxiety" - probably as a result of my smacked-arse expression when she uttered the words "a year". And maybe it's something to look into because I fear for my sanity, I really do. A year.

They also took blood (more? why?) and said I now have to have a blood test every week until they can establish a detailed ovulation pattern. And here they threw me a bone: if it does turn out, after a couple of months of monitoring, that my ovulation is erratic, we can try Clomid later in the year.

I'm rambling a bit here but it's because I'm still trying to get my head around the fact that the experience I thought would bring an end to our limbo has actually intensified the sense of helplessness. Of course, I'm glad there's nothing deal-breakingly wrong with either of us. But equally, for it to be "unexplained" seems doubly frustrating.

And I have to say, the prof did come out with a surprising array of pointless comments and platitudes. The spine-curlingly annoying words "try and put it out of your mind" were used, as well as the truly infuriating "you can't expect to get a six every time you throw a dice". What does that even mean? I never asked to be Rainman, I just want a fucking baby after two years of trying!

Hubby, as usual, sat there like a mute throughout and refused to comment or react to anything. She even pulled him up on it - she said "You're very quiet - is there anything you want to say or ask?" and he just said no.

Afterwards, he was more concerned with heading off to get a replacement for his watch battery before the jeweller's shut than with seeing how I was doing. I actually think he's pissed off that there has turned out to be nothing wrong with me, because previously he was coasting along on a sea of relief at it all being my fault.

The big question is, where do we go from here? Can we make it through another year of this without killing/hating/leaving each other? Will our already clinical and somewhat dull sex life dwindle to nothing again against a backdrop of mounting pressure and frustration? Will I resort to mothering dolls and small ornaments?

Find out in the next exciting instalment of "How The Fuck Did This Become My Life?"

Monday, 19 May 2008

The fertility clinic looms (again)

So, tomorrow looms and I am not feeling like I expected to.

I assumed I'd feel similar to last time: hope, trepidation, anxiety, excitement, nervousness.

I don't. If I'm being completely honest, which I said I'd always be in this blog, I feel like I am past caring. I feel like I could not give the remotest shit about what happens tomorrow. Give the appointment to someone else, for all I care. I don't even want to go. I'm so SICK of all this that I seem to have reached some sort of impasse where I have accepted my infertility and it can go fuck itself.

Obviously, this is some sort of bollocks reaction to stress and frustration. Of course I care - after everything we've been through it'd be a nonsense to say I suddenly don't. But it's certainly true that I am bored, bored, bored of all this. It wasn't supposed to be like this.

Still, it is what it is and we are where we are. (Hark at me with the platitudes.) I think that perhaps I'm inexplicably angry with it being here after waiting so long for it since the HSG.

Or maybe it's not so inexplicable: maybe the fact it's finally here has reminded me that the past six weeks of my life have been a pointless blur in which nothing has mattered or even registered except for this one appointment. And now the time has come to deal with that appointment, to get through the minutes of it and learn whatever it is that we will learn, my brain has suddenly said, "You know what? I'm done coping with this."

It's weird how people behave in the waiting rooms for various fertility stuff. I may have made this point before - apologies if I have - but you know how in dentists' and doctors' waiting rooms, there are always magazines and people always thumb through them, however idly?

Well, in fertility clinic receptions there are also magazines but they just sit in the centre of a table in a stack so neat that you know it's never been dislodged. Nobody reads. Nobody talks - the couples who are there together just sit in silence, contemplating. Wondering how the hell they ended up on the road that got them there, I guess.

Time for bed. Tomorrow's a big day.

Monday, 12 May 2008

We all go a little crazy sometimes

I haven't been posting much lately, and it's kind of because we're in a state of utter limbo between now and the fertility clinic a week tomorrow. I just feel there's not an awful lot more to say that doesn't just echo what I've said already - that is, being unhappy that I'm not yet pregnant.

Hubby and I are going through another bad patch. Last night we had sex for the first time this cycle and I have to say it was tedious. Throughout, the only thought in my head - I mean, literally, the ONLY one - was "I wonder if that truffly-coloured paint is too dark for the bedroom". This is not the type of thought sequence a 29-year-old woman who used to enjoy a good seeing to should be having.

I also made the mistake of losing patience during foreplay. (By foreplay, of course, I mean the vague pawings hubby attempts - and bless him for trying, but it doesn't mean much when executed with the enthusiasm of a baked worm.) "Can't you just fuck me," I said, the unspoken conclusion to that sentence being "so I can get on with my book".

"I just want to touch you," he replied somewhat forlornly. To anyone other than a bitch whose heart has been hardened by two years of fertility misery, that'd be quite sweet. It just annoyed me. And I'm sad to say my patience evaporated at that point and I started the unforgivably nasty sentence, "But it'd be over much faster if..." before realising my crime and catching myself, ashamed.

The above is exhibit A of me at my worst, but hubby is not blameless in this either. On Saturday night, after quite a nice evening together drinking wine and watching a film, he totally lost his temper after we got into bed. He accused me of "stealing the covers".

Now, I imagine this is a common theme between long-term partners. It's an old chestnut for us, too, in that hubby prefers to fall asleep cool and unencumbered by duvet but then - and here's the rub - gets cold in the wee hours and wants the OPTION of covers to be available to him. I, on the other hand, furl myself up in blankets and curl into the foetal position - let's all pause for an ironic chuckle at THAT one - and stay that way all night. So, inevitably, there comes a point where hubby is grasping for covers that have been clamped to me in the vicelike grip of a corpse. It's just a basic sleep-incompatibility. It's not either of our faults - it just is what it is. Sounds familiar.

On Saturday, however, hubby flipped in a style much more reminiscent of me. He actually hauled the duvet off the bed and attempted to abscond down the stairs with it wrapped around him like a toga at one point. This should have been funny, and indeed I did let loose a rogue giggle at the sight of him, and that caused him to REALLY wig out. He hurled a glass of water over me (and his side of the bed, the daft twat) and was on the verge of frustrated tears.

It scares me, what this situation is driving us to. I know he's desperately sick of it too, and I know that we should be kinder to each other to help ourselves through this. But it's hard when it feels like you're the only two people in it - it's inevitable that you, surviving in your way, clash against the other person trying to cope in theirs.

I had my own hissy fit this evening. After sitting down to dinner I discovered hubby had accidentally (he claims; I suspect spite as his inherent Scottish frugality means he won't willingly dispose of anything that hasn't provided at least two decades of faithful service) thrown out my lime pickle. I am OBSESSED with lime pickle - it's unthinkable that I could consume curry or chilli without it.

Well, I went berserk. Just mad. I ranted and raved like one demented about how I couldn't believe he had done this heinous thing to me. All the while he sat there chewing his chilli in a deliberately irritating fashion, and occasionally wincing when my voice reached glass-shattering proportions. Eventually I stormed out, dressed like a clown in the first outerwear I pulled out of the cupboard, which happened to be unseasonably furry boots and an oversized fleece. I pulled up, tyres steaming, at the supermarket where I discovered that they were out of the one brand of lime pickle I really like. I very nearly cried.

I'm calmer now but wondering just how on earth hubby and I are going to fare if things get worse before they get better.

One thing's for sure. That truffly-coloured paint is definitely too dark for the bedroom. Glad I got that sorted.

Monday, 5 May 2008

A Bank Holiday visit from the witch

My period came today.

I know I mentioned symptoms last time, but I wasn't 100% expecting it. Sure, it was due on Saturday, if we're going by the crazy notion of my old pre-Pill 28-day cycle, but since it hasn't done that for two years I wasn't expecting it to this month. Plus with all the kitty-related stress I half thought it wouldn't show at all. The other half of me, as always and against my better judgment, held onto a sliver of hope.

Wrong. I was sitting having a sunny Bank Holiday tapas lunch when a familiar wrenching pain made itself known in my lower tummy. I crept to the toilet and sure enough, a horror movie make-up kit had exploded in my (new) pants.

I tried not to let it bother me. I continue to be trying that right now, as I sit here typing and nursing a glass of wine. After all, with all the stress and chaos, I expected this month to be a write-off. That and the fact hubby and I have barely seen each other, let alone screwed each other, was pretty indicative of an unlikely pregnancy month.

But then.

I so wanted to be one of the people who got pregnant right before my HSG. I then wanted to be one of the people who got pregnant right after my HSG. Now, a fortnight from the Clomid summit at the fertility clinic, it's getting ever more certain that it will be only with the help of drugs that we will conceive.

Oh well. What's another month, really, when we're into our twenty-fifth? And it's not like this month hasn't given me lots of other things to appreciate, from the big stuff of my baby kitty coming through his surgery, to little stuff like having a huge amount of fun staying up playing silly games till 5.30am on Saturday night with friends.

The frustration still makes me want to go and yell in a field, though. But not now - got to go and deal with these nasty cramps.

Monday, 31 March 2008

A sucky situation gets suckier

I phoned the fertility clinic this afternoon. They'd told me to reschedule my April follow-up appointment if I hadn't had the HSG, as there was no point discussing treatments and next steps until they've determined whether my tubes are OK.

The follow-up was booked for next Tuesday. This morning when I got up to no period again, I finally accepted that there isn't physically enough time between now and then for me to get my period, finish it and also have the HSG, so I called them to explain as much.

It turns out the next available appointment isn't until 20 May. I'm so upset we're going to have to wait another six weeks. I know six weeks doesn't seem like much in the context of two years, but it's just so frustrating. The receptionist implied that if I'd wanted an earlier appointment, I should have cancelled earlier. I pointed out that unfortunately, since I have no more been blessed with the powers of clairvoyance than I have with a fertile womb, I was unable to do this. Anyway, the stupid hospital didn't even send me the HSG summons till a week or so ago.

It's just - argh - May?! I fear at this rate I'll be menopausal before I actually get any treatment. After our January consultation I felt a stab of disappointment when we were told our next appointment would be April - it seemed like months away. (Nothing gets past me.)

Now there's just more waiting. My stupid, evil, twisted bitch of a period still hasn't turned up and until it does I have the spectre of the HSG hanging over me. When it eventually DOES turn up, I will not only have the usual despair to deal with but also the terror of the imminence of the HSG. And then another interminable wait to progress any further.

To top it all, hubby went berserk when I arrived home tonight and broke the news to him. He started ranting about how the system is unfair on us because of my useless cycles - we have no way of predicting when I'll menstruate, but the NHS seems to want us to plan procedures months in advance based on exact period maths.

He then started bellowing about letters of complaint - about what?! They haven't done anything wrong - it's just bureaucracy, and the fact that there's a very long queue. All in all he behaved like a little boy who'd been told he couldn't have the sweets he wanted. I can understand his frustration - Christ, 'Frustrated' is my middle name - but I could have done with some comfort rather than a big rant. After all, it's MY useless system that's screwing us over.

Of course, this degenerated quickly into a fight which featured lines such as "It's me lying there in stirrups while they erect scaffolding up my fud - I don't want to complain about them yet!" He kept moaning about how "unfair" it is. Ha! He's a fool if he hasn't yet got to grips with the fact that this entire situation is UNFAIR.

In fact, I'd go so far as to say that this sucks more than I ever thought it was possible for a sucky situation to suck.

Bollocks to everything.

Monday, 25 February 2008

Living in limbo-land

The dreaded bug is much improved by a day of rest, thankfully. Having eaten little since Saturday night, my appetite has been restored by some magic ginger biscuits and I've just indulged in tuna with salsa verde and spinach, which hubby (bless him) made when he got back from work to cheer me up.

However, my [insert suitably enraged expletive] period has retreated into the hills once again, after nearly breaking my heart when it arrived unexpectedly this morning. It's been an odd one all round as I've had no major cramps - usually on cycle day one I'd be doubled up. I suspect it's executing the trick where it comes, disappears and then returns with a "this time it's personal" vengeance three days later, bringing with it extra-strong cramps just so I realise what a lucky, lucky lady I am.

Earlier, while it was still in full flow, I thought I'd take the opportunity of being off work to ring the fertility clinic. I'd been instructed to do so on the first day of my next cycle so we can get the infernal HSG booked once and for all.

After being put on hold for a small eternity listening to the fucking score from The Piano (I mean honestly, do they REALLY think that's going to calm women in my position? The way I am feeling right now could NOT be addressed by soothing Michael bloody Nyman music!), I was told that my referral letter had only gone off to the local hospital's X-ray department on 14 February, as they had to wait for the results of my epic collection of swabs and bloods to come back first.

I learned it can now take up to six weeks for the X-ray department to pull their fingers out (no doubt of some other poor bitch's bits) and get in touch. Evidently I have to wait for them - I did ask if I could ring and see if they could fit me in since my cycles are so unreliable, but "it doesn't work like that". I asked the nurse point blank if it was likely to be this cycle and she said no. She said I'd probably get the letter with the instructions in "a few weeks" and should then make contact on the first day of my NEXT period.

Quite apart from the fact that we have our follow-up appointment at the clinic scheduled for 8 April, and will have to cancel it if by that date I have not yet had the HSG, which is now extremely likely given the nuances of my cycle, have I mentioned that I am FUCKING PETRIFIED of having this test? Having it dangling in front of me like some sort of perverse speculum-carrot, and getting psyched up for it only to be told it'll be at least another month, is like a form of torture in itself.

I just feel I can't go through this again. We tried so hard this month, and hoped so much. I wept and wept this morning when my period came - but then, as usual, I picked myself up and got on the phone to sort next steps, only to be told I have to do it all again.

It's like climbing a mountain and giving it your all, only to reach what you thought was the summit and see an infinite line of ever-larger peaks that you have to surmount. At which point you'd be sorely tempted to swig the last of your hipflask of gin and chuck yourself off the precipice.