Let's do this thing! (playing catch-up)

So! I do have another blog- where I seem to be talking about everything EXCEPT infertility. If you're interested in that, it's over here.

General update: The Man and I just celebrated our 10th anniversary. Which means, 9 years of infertility. NINE years!!!! Ugh.

But- I am jumping back into the seemingly bottomless lake of infertility treatments, and frankly: this is the only place I can talk about that. People who deal with me day-to-day probably don't want to know about crazy shizz like "assisted hatching." Hell, _I_ don't even know what that is. Yet. But I probably will soon.

Because if infertility is a bottomless lake, I am finally going to do more than just stick the occasional toe in the water. As of a couple of weeks ago, I started paddling around in the shallow end, and am girding my loins (somewhat literally) to jump off the high dive in a few weeks. IVF, baby.

So we got started with one clinic, only to decide in the early stages that they were too far away- an hour and a half isn't a great drive to have to make. They also were really lackadaisical about doing things like answering my questions, leading to situations where I got test results back and FREAKED- and continued to freak over the 4th of July weekend, with no call back. It took six days to get my question answered, and of course, by then, I had whipped myself into a frenzy. No bueno.

So the question I needed answered was-My FSH is now around 12.1: not too terribly bad, as I am now an old-ish lady of 38. It's actually improved from 2009, when it was 14.9.  The AMH however, is pretty dismal: 0.16. The frantic calls about that were the ones that caused the meltdown. I was concerned that they would flat-out refuse to treat me. So after all the googling of "low AMH"  that I did- hopefully some other woman who is desperately googling at 2AM might run across this. Neither of the two clinics I was looking at said that my low AMH was a deal breaker. In fact, they seemed intrigued. And also flat out stated: "You need to hurry."

So, that's what we are doing. All the preliminary tests have been done. The Man still has his stellar numbers. I keep calling him "The Sperminator", which he seems alternately delighted and humiliated by. In all seriousness, I think the most awkward conversations I have had have been IF related, and having a lab tech wax rhapsodic about how great your husband's numbers are over the phone has to be experienced to be believed.  Luckily, after a saline sonogram and a pelvic exam, my uterus has been pronounced "beautiful." So per medical science, I am actually beautiful inside and out. ;) And we are still "unexplained".

I didn't want to do this. I have done my utmost to get as healthy as I can, but obviously, we still have some deeper issue which is not being addressed, because we don't know what it is. the thought of subjecting my body to this roller coaster again is not one I make lightly.Unfortunately, we are to the point where we simply can't afford to sit around and wait.  

I really like my new R.E.. He is young (by which I mean close to my age- LOL), earnest, and has disconcertingly beautiful eyes. He's also roughly 1000% nicer and more charismatic than Dr. Combover was- not being difficult to accomplish, as Dr. Combover had roughly the same bedside manner as a necrotic whelk.

 I automatically checked to see if he was married, as I have many awesome single lady friends, and I am always acting in their best interests-although I may have earmarked him for my sister as a matter of course- but alas, he was wearing a wedding ring.

Also, he has a great sense of humor. By which I mean, he laughs at my jokes. How to make your RE laugh: when he points out your right ovary on the monitor during a procedure, tell him it looks like "a high pressure system coming in from the north." Evidently, not many ladies tell jokes while they are in the stirrups. And when the R.E. tells them he'll see them in his office in a minute, they probably don't cheerfully say, "Sure, I'll be right there- just let me put on some pants."

Oh man, I am so jaded. This doesn't even seem weird anymore. Hopefully I can continue along this trajectory, and not the sad, cookie-eating, hormonally incapacitated and psychotic iteration of the past. 

Speaking of ovaries, Lazy Righty is evidently cooking up a follicle this month. I am going to send it some flowers.

In other news, my temps are great. I am still seeing an acupuncturist, and my temps have slowly crept up from being in the 95's and 96's to the 97's and 98's- AKA, normal human temperature ranges. Acupuncture is once a week, and I take about a bajillion herbal supplements twice a day.

My acupuncturist and I do argue occasionally- he says I am healthy enough to conceive on my own, but after 9 years of this, and two years with him, I am more than a little dubious. I am doing my best to make it clear that I can't afford to wait anymore. We were given "permission to try" this month and last month as well, so it is go time this week. He keeps insisting that IVF is not necessary, and I told him that I would be ecstatic if we managed to do it on our own, as we would use the money earmarked for the procedure to go on a fantastic European vacation instead, and I would send him a postcard from every country we visited lauding his acupuncturey prowess. I still don't think he agrees, but at least he shut up about it.

SO! Due to my super-low AMH, my RE told me that we were going to do something "A little unorthodox", and wrote me a prescription for testosterone gel. He also warned me that the pharmacy wasn't going to handle it well, as it is typically a male-only prescription, and just to brazen it out. Having done all my research during the Low-AMH meltdown of early July, I determined that he was trying to take a little bit of a shortcut- low AMH is typically addressed with DHEA supplementation- which bumps up your testosterone levels.

All I can say is, if there is any other way to get testosterone gel than walking into Rite Aid, I am all for it. Black market? Internet pharmacy? Muscular man in sunglasses lurking in the alley? Go for it (OK, maybe not the last one.)

The Pharmacist and the tech seriously freaked out. It doesn't help that the Pharmacist has a loud, booming Russian accent, and immediately blustered, "But- this is for men only!" in a voice that carried clear over into the cosmetics area. I quietly explained the issue, and he admitted that it was not that unheard of as he had "given it to one other lady in the past." I would like to thank you, other lady. If it was this much of a shell-shocker for me, I can only imagine how it was for you!

I now have two giant tubes of really expensive testosterone gel. The pharmacist helpfully said that I would have a lot left over, and told The Man that he should try it "If he ever wanted to take up the weightlifting."
He gave me a 20% discount, but even with that- since it is out-of-pocket, it was $360. #$%^!

So now, The Man is under orders to tell me if I start developing facial hair or my voice starts cracking. I have to rub this stuff into my shoulders every night, and am paranoid that I am going to grow some furry epaulettes. I was cautioned to avoid contact with anyone until the stuff dries, and am wearing a special t-shirt to bed. Like a chump. So it begins.

So the next Day One, my schedule and meds are set. I just need to call, and I will get my baseline ultrasound. It looks like Gonal-F, Menopur, Possibly an ovulation suppressant of some kind, and then the trigger shot, and then progesterone- seemingly forever. 

Oh God. I am really doing this. Sometime this month!