Spotting

Thanks to all of you who wrote reassuring comments. (Thanks to those of you who left empathetic “Oh, shit!” comments too! Validation of my feelings is always welcome!)

On Monday, I got a nice message from Dr. R (my obstetrician for Jane, and for this pregnancy):

Hi, K! Please pardon the delay, I have been out of the office. Usually, the very earliest we can definitively see a heartbeat is when the fetal pole measures at least 6 weeks (your fetal pole measured 5+4 weeks). So, things can be totally normal at this stage, the ultrasound was just a bit early. The good news is that there is a tiny fetal pole and a gestational sac which is exactly what we should see at this stage. Also, the gestational sac measured less than 2 cm. This is usually the cut off when we can visualize fetal cardiac motion. So, once again, probably too early. As far as I can tell, your hormones rose great when checked and you have a pregnancy in the right spot (the uterus and not an ectopic pregnancy). When I see you this week, if all is progressing well, we should see a heart beat then. This week will seem like forever for you, please keep the faith! See you soon! 🙂 Dr R.

Have I mentioned how much I love Dr. R? (Pretty sure I have, but it bears repeating!)

Unfortunately, as the title of this post suggests, I started spotting on Sunday. It’s not heavy, but it seems to be most noticeable in the evening – presumably when the progesterone from my suppositories starts wearing off – which I think can’t be a good sign. While I’ve spotted in my previous pregnancies (with C. Samuel, with Jane, and even with this pregnancy), it’s only been at 4.5-5 weeks.

So here I am, still waiting for Friday’s ultrasound, hoping that I’m wrong to think that this pregnancy is all but over…

 

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Well, fuck!

That’s what I said when I read my most recent email from Dr. Y’s nurse:

“YOU DAY 3 LAB WORK CAME BACK AND THE RESULTS SHOW AND ELEVATED FSH AND THE AMH IS LESS THATN 0.03. IT WOULD BE BEST IF YOU CAME IN AND HAD AN APPOINTMENT WITH DR Y. I WILL NOT HAVE ANY APPOINTMENTS UNTIL AFTER YOU RETURN FROM EUROPE. PLEASE CALL ME AT xxx-xxx–xxxx SO THAT WE CAN SCHEDULE AN APPOINTMENT”

Yes, she writes her emails all in caps like that, as if I needed any more reason to feel alarmed.

My AMH is less than 0.03. I didn’t know the test measured amounts that low.

In what feels like another lifetime, I once wrote a long post about what AMH (and FSH and estradiol) mean for fertility.

Here’s a summary of my results the four times I’ve taken these tests. Prior to yesterday, 0.17 ng/mL was the lowest AMH of anyone I know in real life (including my Resolve support group).

  1/26/13 5/4/13 4/24/15 10/8/16
estradiol (E2) 24.6 pg/mL 27.2 pg/mL 23 pg/mL 20 pg/mL
follicle stimulating hormone (FSH) 13.7 mIU/mL 13.5 mIU/mL 9.7 mIU/mL 17.7 mIU/mL
anti-Mullerian hormone (AMH) 0.17 ng/mL 0.22 ng/mL 0.31 ng/mL <0.03 ng/mL

 

I’m feeling pretty hopeless at the moment.

At least I get to go to Rome on Sunday.

Old procrastinating reneger

I have a confession to make. I’ve been procrastinating from writing a sequel to my post on Supplements. I’m long overdue on an entry about antioxidants (a category that includes most of the pills I’m taking).  I’ve been working on it off and on for a few weeks, but just can’t seem to find the motivation to finish it!

In place of that post (for now), here are a few odds and ends:

1)      I forgot to mention that Dr. Y gave me copies of all my medical records at my appointment on Monday. I had asked for these to send to CCRM in advance of my upcoming phone consultation. Of course, I couldn’t resist the temptation to read the records in detail. Most of it seemed run-of-the mill but I noticed two things that caught me off guard. The first was that I was listed as having a diagnosis of “secondary infertility”. I thought this term referred to people who already had one or more kids. Does one early miscarriage really mean I don’t qualify as “primary infertility”? The other surprise was that the embryology report listed me as having “Advanced Maternal Age”. I’m 34. I thought I had at least a few more months before graduating to the “Advanced Maternal Age” club. I did a Google search and learned that apparently the definition applies to women who are 35 or older at the time of childbirth. So apparently I do belong…assuming I ever get pregnant. I feel old! (No offense…)

2)      AF arrived today, making this a whopping 18-day cycle. (Has anybody else had such a short cycle after egg retrieval?) Anyway, that leads me to believe that my fertility monitor was actually working properly, and I didn’t ovulate this month. We’ll try natural IUI again next month…

3)      I planned poorly and just realized that I am going to be a bad ICLW-er this week. Tomorrow we’re leaving for a camping trip to Pinecrest in northern California. I just learned that they don’t have WiFi or reliable cell service, so I’m probably not going to be able to blog or comment until I get back next Wednesday. I’ve been trying to ‘bank’ lots of extra comments in the first half of the week, but I still feel like a schmuck for reneging on my commitment… Sorry!

Have a great week everybody!