January Blues

I'm starting to feel a little more like my old self after this latest blow. I've been through this now familiar cycle of being knocked down and then having to pick myself up again a few times recently and quite frankly it's draining, but I'm getting stronger. Some days are still really tough where I can't even look at a child without being sad, but there are definitely more positive days emerging. I've got so much support which I'm hugely thankful for, not only from family and friends, but from my fellow IVF ladies who have reached out to me and offered advice and love.

I'm a shy person and I sometimes struggle in unfamiliar social situations, some people even think I'm standoffish when they first meet me because I'm uncomfortable in new situations. One of my best friends even said she thought I was a 'complete bitch' when she first met me - a couple of days later (and a few drinks down) we were having the best time together during freshers week! Eighteen years down the line and my friendship with Zoe is one of my most treasured. Last weekend I pushed myself out of my comfort zone and I had lunch with a new friend I met at an Endometriosis group back in September. Tijen has also just gone through her first round of IVF and has low AMH levels too. It was good to discuss our health and fertility issues in a more comfortable and relaxed environment and get to know a little about her too, although the people on the next table probably didn't appreciate the specifics! The conclusion we came to was that introspectively we still feel young, a lot younger than our middle(ish) thirties. A couple of years ago we would never have believed we'd be in the situations we're in now, but similar to myself, she wasn't ready to have children in her twenties or maybe even five years ago. Like me, she's only recently been diagnosed with endometriosis, so she's still getting to grips with that side of things on top of tackling the repercussions. I still can't help but feel anger towards the doctors who have missed diagnosing me over the years; I can honestly say that if we'd been aware of my potential fertility issues a few years earlier, we most definitely would have started this journey sooner, now I just feel like it's getting too late.

I've recently found the strength to start looking into our next options and I've been thinking about egg donation a lot more. It's definitely something I'm slowly coming round to, though I would say I'm still not one hundred percent there yet. Some days I think it's the answer to all our problems, others I get really upset because I'm still clinging onto the hope that one day I'll have a biological child of my own. Last week, a colleague of mine told me completely out of the blue that she dreamt I was pregnant with twins! She knows nothing of our IVF escapades so hopefully it's a premonition and not a pipe dream.

This week, I've started to get back on the healthy living bandwagon. I've been back to the gym, kicked the caffeine, cut down on alcohol and started taking Ubiquinol supplements. These massive red capsules (according to 'It Starts with the Egg') are a more absorbable form of CoQ10 and are proven to help with egg quality if taken for at least three to four months - the time it takes for an egg to develop. I'm now taking quite a rainbow selection of supplements to improve my health; vitamin D, selenium, a prenatal, turmeric and now Ubiquinol. If we are to have another shot at IVF with my own eggs, I feel I need to be more prepared. Last time, I went into it completely blind.

Follow-up

Tuesday 9th January 2018
Kingston ACU
Kingston Hospital, London

It's been nearly three weeks since our BFN. I've been feeling a bit more positive about things over the last few days, I guess that's because the acute agony we suffered post IVF is becoming a lousy memory that we can now slowly move on from. I won't say it's been easy - I've had some really low days over Christmas and New Year - but it's definitely becoming less painful. Until today.

The day didn't start too well when we arrived at Kingston Hospital and the car park was rammed as usual. After driving round for 15 minutes and getting increasingly more stressed with the other frustrated drivers, I decided to head in to our appointment on my own. I hadn't been in the waiting room more than five minutes before I was called in, typically the one day I was hoping they were running late. Sitting there feeling extremely vulnerable, the consultant went through all my blood tests and scans over the past few months and told me the results were extremely disappointing for someone of my age (no shit!). She told me I was still young in terms of IVF years but my AMH levels were as low she'd expect to find in someone in their late 40's, someone 10 years older. She asked if there was a history of early menopause in my family, to which I replied there was; Mum was 45 when she went through 'le change'. Although it's been discussed between my mother and I, especially recently, I hadn't really considered that I might have already entered perimenopause. I had hoped unrealistically that it wasn't heritable.

My AMH and FSH levels have been fluctuating over the last few months so she advised that it might not be worth us spending thousands of pounds on another round of IVF, I could get another month like the last where there was pretty much zero response from my ovaries. By this point, I was close to tears so I was relieved when Jon interrupted the delicate conversation about my failing female bits and asked to join us on speaker phone (still no luck with the car park).

Because they had already given me the maximum allowed dose of stims (Menopur 450IU), the consultant said there's not a whole lot they could change if we were to try again with another round. They don't advise to inject that amount of hormones for longer than a few days; it's not good for anyone, let alone someone of my diminutive stature and especially someone with a history of endometriosis. She suggested leaving my body to recover for a few weeks and get my bloods tested again when we felt ready to take the next step, if indeed there is to be one. She mentioned that if we were to try again, using donor eggs might give us more of a chance. We have already talked about this as a possibility but my head isn't quite there yet, I'm not done with grieving my own fertility and I'm not sure I'm ready to give up on my crappy eggs. We have a lot to talk about but unfortunately, unless we have a miracle (and I realise they do happen!) it's looking highly unlikely I'll ever be a biological mother.

After stopping for the obligatory post-appointment sob in Petersham Car Park, I dropped Jon off in Richmond and made my way into work. I felt numb and mentally exhausted and wanted to be anywhere in the world than sitting at my desk putting on a brave face. I pushed through the day and when I got home I had a big cuddle from Jon followed by a very large Gin and Tonic.