In the Bag

How much pregnant: 12+2
Meds: Met + prenatal combi + fish oil
Outlook: Overwhelmed <3

It's been quite a while since I posted. There are two reasons for this: 1) nothing new to report in terms of the minikin since the last scan and 2) I've been trying to keep myself calm and sane, and I found the best way to do this in the early weeks is to all but ignore what's going on. Perhaps not the most healthy way to deal with it, but it's worked for me. By allowing only very small parts of my brain to scream "I'm pregnant!!!!!" at irregular intervals, I have stopped the large part of my brain constantly going "What's new to panic about?" registering that anything has actually changed.

This week though I have breathed several very large sighs of relief: reaching the 12 week mark, seeing my now mostly formed baby, and finding out that the risks of the baby having any of the major things wrong with it are very slim.

But first let me backtrack a little... On Sunday 26th June at 7+5 we met our mums (and my dad, much to our surprise) in Covent Garden and went for lunch at a little Belgian restaurant. The 'rents were excitedly asking Bubble about his driving lessons, and while I surreptitiously removed last entry's u/s scan from my purse, he asked "So what's everyone doing on 7th February? I think it's a Tuesday...". Of course everyone was baffled, going "February? That's ages away" and such like. And just before any of them had a chance to twig, I swooped (Bubble would say 'slammed') the u/s pic down on the table in front of them whilst trilling (Bubble would say 'shouting') "Because that's when our baby is due!!!!!". Both mothers sat there open mouthed for at least 3 minutes which was the funniest sight before they all launched into congratulations and hugs and a few tears and lots of questions. It was a great day.

From 8-10wks I had what I'm going to very tentatively call "morning sickness", though really it was nothing more than aversions to certain things, of which even just the thought could almost make me heave. But I wasn't sick at all. I've had cravings - mostly bad foods like pizza, lasagne (very cheesy), burgers and salty chips, and normal things that I might eat - cheese (unmelted), water, crackers - have completely turned me off.

On the whole I have to say I've been really really lucky and have somehow managed to get away with barely any symptoms at all. I've not been more tired than usual, no vomiting, boobs haven't hurt since about 8 weeks. I've really had it very easy. And bizarrely I feel I can even say that I understand how some women can be pregnant and not even realise! Because with my totally unreliable cycles anyway, if I hadn't been trying to get pregnant and read up all about it, I probably wouldn't have guessed yet.

From 10 weeks for a few days I felt very sore around my pelvic bone. And miraculously, when the pain subsided I realised a small mound had developed just above it. It's slightly hard and tender there, and feels very full. And from time to time I have what I describe as pinching sensations - like someone is pincer-ing my uterus between thumb and forefinger and pulling slightly. The minikin is growing!

At 11 weeks someone at work guessed I was preggo!! I am quite impressed by this since I don't look pregnant in any obvious way, but she said she saw me walk passed the office door and she just knew - that there was something "different" about me. I have been very intrigued ever since. So now a couple of people know, but I'm going to hold off telling the boss for as long as possible (she already hates me because I'm taking 5 weeks off for my honeymoon slap bang in the middle of the department's busiest period...). Also during this week I ordered and received a doppler from amazon and altogether rather more quickly than I had imagined, we were listening to the baby's heartbeat! It was the most amazing sound, and so reassuring that there was actually something in there and the whole thing hadn't been my imagination.

So that brings us to this week, week 12. At the start of this pregnancy I had very little faith that I would reach this milestone, it seemed so far away and there seemed so many things that could go wrong in the meantime. But we made it =) Today we went for the NT scan and I was very nervous - not just for the obvious reasons but because I drank 2.5 cups of fennel tea yesterday for a stomach ache before finding out that fennel should be drunk with caution in pregnancy because it is a uterine stimulant and can cause miscarriage. So of course I was up half the night upset and anxious that I had ruined everything.

The sonographer was a lovely Eastern European man (complete with hairy mole on his arm that both Bubble and I noticed) who took his time and explained everything to us without our prompting. The baby was there! And it was human! (Tom was rooting for dragon). It was bopping about so much that it actually gave the guy a hard time getting the NT measured, the nose bone located and an accurate crown-rump length. We saw all the major bits: heart, kidneys, arms, legs, brain (slightly odd to see), spine, even ribs! Everything was checked - the pump rate of each individual side of the baby's heart, the rate my blood was being shared with the baby, the size of the placenta, the depth of my birth canal (to determine risk of pre-term labour). Very thorough, and thankfully, everything was normal. I was amazed how, when the sonographer wanted the baby to move and would tap on my abdomen, the baby would actually respond by squirming about! By the end of the scan, worn out no doubt by all the prodding, the baby seemed to have settled down for a nap, possibly complete with hiccups. It was all too adorable for words.

I also had the blood tests done, all of which came back normal. The risk of Down's syndrome is 1/22,000 which is very reassuring. They checked for a few other chromosomal abnormalities too, and the risk of those was equally tiny. Additionally, I am low risk for pre-eclampsia.

So anyway, here are a few pictures for your viewing pleasure!

Minikin laying on its back, all tuckered out after a busy morning of squirming. Heart rate: 153bpm, CRL: 58mm

 Another body shot, this time capturing the leg action and a couple of fingers just above its nose

 Head shot of minikin's cute profile <3

Deep Inside

How much pregnant: 7 weeks

Meds: Met + Folic acid

Outlook: Thrilled!

So it has been a rough week and a bit waiting for this viability ultrasound, but today we finally got to see what has been going on inside:

This is the beanie as of this morning. We got to see it's tiny heart pumping away at a very solid 140bpm <3 It was the most amazing thing I have ever seen, I started to cry but quickly composed myself as the u/s tech was very matter of fact and I don't think he would've appreciated such an outpouring of emotion. The beanie is measuring right on track at 7 weeks, 7.8mm crown to rump. Bubble was right there throughout, he's also amazed and relieved that everything is ok.

The unexpected news was that there IS a second pregnancy in there. Unfortunately, the gestational sac was measuring only 5 weeks, and all you could see inside it was a yolk sac, so it looks as though that one has not, and will not, develop. I feel sad about that, but I also feel amazingly lucky and happy to have the one that is doing well. I'm guessing that the small one was made out of an egg that was either too mature or too immature, and it would never have had a chance.

The u/s tech was sweet enough to print out 2 pics for us, the above, plus one showing both sacs (just so we can prove it was in fact twins, I imagine), even though we weren't supposed to get any at this stage. He said that chances are, the second non-viable pregnancy will simply reabsorb into the uterus, but if I have any serious pain or bleeding I am to go back. After the u/s I had to go across to the fertility clinic to report his findings, and the nurse was so sweet and happy for us, it almost brought another tear to my eye =) When we said goodbye she squeezed my arm and wished us good luck, and it occurred to me that that's it - I won't be seeing them again now, they have achieved what they set out to do. I'm off to my GP this afternoon to report the pregnancy and get him to refer me back to the hospital for standard pre-natal care, and everything will carry on like any other normal pregnancy now, with the 12 week scan in 4-5 weeks.

I honestly cannot believe all that has happened. To see that I have a tiny life growing inside me was the most incredible, mind blowing thing. I never, ever thought it would happen to me. I feel honoured and so grateful for this chance. Because my symptoms have been (thankfully, I suppose) fairly mild so far, I don't even feel like anything is different, so to see that my (up til now, unreliable!) body is doing it's thing without any input from anyone is a huge adjustment in terms of how I view myself.

On Sunday we are telling our mothers. We have arranged a lunch with them both in Covent Garden, under the pretense of talking about final wedding arrangements and will be surprising them with the ultrasound pictures. I really never thought I would see the day...

Ups and Downs

How much pregnant: 5+4

Meds: Met

Outlook: Tearing my hair out

So no-one ever tells you about early pregnancy anxiety. I have suffered with various forms of anxiety in my life, so I was kind of expecting something, but it has come as quite a shock.

I think the problem is that before, when I was un-pregnant, I didn't really have anything but a shred of hope each cycle. I expected things not to work. I had set back after set back and didn't have particularly high expectations. I had nothing to lose. I did this to protect myself from disappointment, to make it easier when things didn't go as planned. Suddenly, I have this real, tangible thing to pour my hope into and something to lose in the worst possible way.

The problem is also that suddenly, now I am pregnant, there are only two possible outcomes: 1) I will get what I've wanted for so long, and it will be the best thing that has ever happened to me, or 2) I will lose what I've wanted for so long, and it will be the worst thing that has ever happened to me. There is no middle ground. It's very hard to find a balance between anticipating and preparing for the best, but keeping in mind the possibility of the worst, because they are at drastically opposite ends of the scale. In trying to reconcile these very different possible outcomes, you end up teetering along a narrow string of sanity, veering wildly from ecstasy and amazement one minute, to total despair the next. I wish I could just fast forward through to 12 weeks so that I would know whether this is something to believe in.

I've been taking pregnancy tests every few days, just to check it's still true. I've been reading up WAY too much online about Things You Shouldn't Read About When Pregnant and have sent myself into fits of hysteria. I've obsessed over whether it's an ectopic because I got some twinges on my right side. I've analysed every symptom when it seems like it's fading or changing. I've completely convinced myself that this isn't going to work out and everything is doomed.

On the flip side, I've been looking up maternity and baby clothes, furniture and bedding. I've thought about how being pregnant at our wedding and on our honeymoon will change the experience. I've started a pregnancy journal and taking belly shots. I've enjoyed talking to The Bean and imagining myself with a bump. And I've taken a glimpse of our life after this baby arrives.

I do feel like I've been driving myself mad. I've just woken up this morning and already I'm thinking "Hmmm my boobs don't feel as sore today...that must be a bad sign". I really panicked over the ectopic thing, especially as I read that ovulation induction treatment increases your chances. So I took myself off for an early scan yesterday afternoon (got there at 1:45pm, told clinic opened at 2:30, told there were 3 people before me at 30 min appts each, waited to be seen until just gone 5pm) with Bubble just to check that everything was where it should be.

We didn't see much, but the Dr confirmed there is a sac in the womb (too early to really make out anything inside it), a shadow-y shape that could possibly be a second sac in the womb (but I don't think it is as I don't think my symptoms are strong enough for more than one baby) and definitely nothing in my tubes or on my ovaries, which was amazingly reassuring. I got a look at the corpus luteum too, all big and void-like, and he said it looked like a good strong one.

So that's ectopic ticked off my worry list. But the problem is there is just so much else to worry about, and so much that can go wrong. I have another scan booked for 7 weeks, which is on 21st June and hopefully at that one we will see The Bean proper, and a hearthbeat if there is one. In the mean time, there are plenty of days to fill with fretting and joy.

Mysterious Ways

Cycle number: 11

Cycle day: 35

Meds: Met

Outlook: O_O

It's been a very crazy week. Between Thurs 26th and Tues 31st May, 5 people I know had their babies. The most important of these being my sister and my best friend. My sister and I are still not on speaking terms, but my mum gave me the lowdown: she had a 48 hour labour, then was going to have a forceps delivery, and then after all that had to have a c-section under general anaesthetic. My mum was there throughout and apparently was appalled by the treatment in the hospital (she's a nurse herself) so is going to be making a formal complaint. We later discovered that the hospital is even under investigation for the deaths of two new mothers recently, so that's not good at all. So, given the situation I haven't spoken to my sister, or seen the baby other than a few pictures on a mutual friend's facebook. She was a 9lber so not surprising it ended in caesarian.

My best friend had a very different experience. She was slightly overdue, but hadn't had any twinges or anything all weekend. Monday night at 7pm her waters suddenly broke and she had the little mite by 3.15am, forceps delivery. He weighed 8lbs 1oz. Bubble and I went to visit yesterday and he really is a cute little bundle. It was good to hear all about the delivery as with her first child she had a c-section too.

But now on to the craziest news of all. Last Tuesday, after hearing the news of my sister's baby being born and feeling that I might just be at the end of my tether following the cancelling of the last cycle, I took another pregnancy test. I peed before I got in the shower, left it to get to room temperature while I washed, then when I got out I dipped the stick. Started brushing my teeth, and of course I was too impatient to leave it the whole 5 mins before looking at it, and I thought I saw something right away. It was pretty faint, but suddenly I was all "What?!?!". So I called Bubble into the bathroom and asked casually if he could see anything and he said "Yes I see something". It dried a bit more and there was definitely something there. I started to tear up with the toothbrush still in my mouth. I photographed it and sent it to my best friend (still in hospital after the birth) and asked if she could see anything. She said yes as well.

So I decided to leave it a few days and test again. I was definitely hopeful, but thinking that it could just be because it was a different brand of test I hadn't used before, or because I used an old lemonade bottle for the pee and maybe it had contaminated the sample. Thursday morning I decided to do another one: the one on the left is from Tuesday, the one on the right from Thursday....

I was freaking out by this point, and worrying because I was having a lot of cramps and twinges and I still felt for sure that my period was on its way. So Friday I did a digital:

As you can probably imagine I'm totally shocked and also totally over the moon. This is the first BFP I have ever seen, and I really didn't expect it this cycle at all. After all this waiting, trying, hospital visits, medications, crying, being hopeful, I just can't believe that suddenly we've done it. And it's the weirdest feeling to go from all this active participation, to not having to do anything and your body just getting on with it on its own.

Today I am 4 weeks 6 days based on my last period. I don't know when I ovulated though.

I am dreading the next 2 months - I don't deal well with anxiety at the best of times and the thought that at any moment this amazing thing could be taken away from me is very hard to cope with. I've had trouble sleeping because I just can't relax. Bubble was away overnight last night for a business meeting and I started to panic in case anything happened while I was alone. I need to try to stay calm and keep busy with other things, but after 4 years and everything that has entailed, it's difficult not to invest a LOT in this potential baby.

I called the fertility clinic on Friday to tell them I had got a positive and they didn't sound very happy with me, asking "Well how did you get pregnant?" when the cycle had been cancelled. Hopefully the nurse is calling me back today or tomorrow to schedule my first scan. I'm hoping they will do it next week so I will be 6 weeks and they will be more likely to see something useful. With 4 or 5 follicles we don't know how many may have been fertilised and implanted.

I am so excited and grateful to have this chance, whatever happens.

Sunshine on a Rainy Day

Cycle number: 11

Cycle day: 25

Meds: Met

Outlook: TGIF

I believe I have ovulated. The problem is I don't know when. I've been having uterus twinges - occasionally verging on cramps - for a week now, which is a sure sign. And although my nipples were sensitive anyway because of the Meno.pur, this whole week my boobs have been very sore, feeling heavier and tender, and I noticed some blue veins appearing.

Of course, this got me very excited, and I have been looking at them every night to see if I can see anything else. It could always just be a coincidence, or it could be that the Meno.pur effects are still going strong, but I have a tiny shred of hope.

I had promised myself I would not do a pregnancy test until next Tuesday, but I caved in today and did one - very negative. I still feel hopeful though as potentially I'm only 7 or 8 days past ovulation and there is still time. I'll have to wait now as I've completely run out of preggo tests - need to order some in a moment.

If I did ovulate, the next question is how many popped? There were 4, possibly 5 ripe follies. This has me both very excited and slightly concerned. On the one hand, that many options has got to mean that my chances of conception are higher. On the other, 4 children in one go would be quite a challenge. But like I keep telling people who say "Omg FOUR?!?!", I would rather have four in one go than none at all.

I realise I am probably grasping at straws thinking something will come of this cycle, but it's my way of coping with the fact that otherwise I'm out til July. A little self delusion can go a long way.

After expressing my dismay at this cycle being cancelled in a text to my MIL-2B, she replied "Don't worry about it, I'm sure you have enough to think about, what with the wedding...". I do wish people would stop saying that. Yes the wedding is a big day, and there has been a fair bit of organising, but the world doesn't stop because of it. It doesn't detract in any way from what I feel about wanting to get pregnant. If I'm still able to think about work and shopping and all those other mundane things, I'm sure as hell still able to think about ttc. Wedding organising is not a distraction from something that is the most important thing to me. Besides which, pretty much everything is done now, so if anything I have LESS distracting me than before.

In the News: Eastenders does Adoption

Yep another In the News post, mainly so I can focus on other things rather than my own situation right now. In the UK we have a soap called Eastenders, depicting the gritty reality in a small community in East London. Now, it wouldn't be the twenty-first century without a couple of gay characters, and this week, Christian and Syed had a meeting with an adoption agency to look into obtaining a child.

I just spent five minutes watching and rewatching the scene with the adoption agency rep because it struck me when I first watched it earlier...:

"Have you got experience of looking after children?...I can see that you love each other. But you know it's not just about that? Adopting is a long, tough process. It's like the Grand National: you get over one fence and there's another one straight ahead of you. We'll be looking into your home, your relationships, finances, we'll do police checks, employment checks, medical checks, we'll look into your hospital records, we will look at everything! By the time we're finished I'll know you better than you know yourselves! We need to know that you've got a strong, stable support network. See that's why we like couples to have known each other for at least 3 years. Ooh and of course we'll need to speak to both your families..."

I think they are trying to make the point, for the sake of a good story, that gay couples face a lot of hurdles when trying to adopt. They've already dealt with adoption once recently, when Jane adopted her husband's son from a previous marriage - and this was portrayed as being as easy as signing a contract. But what I fear viewers will miss is the fact that this is what adoption is like for all couples. Gay or straight. 

Makes me wonder how people can just casually suggest adoption like it's the easier, obvious option for those with fertility problems. I for one resent the fact that my life would require such intrusion, that my right to privacy would be cast to one side, that I would have to prove myself in so many ways to people who are complete strangers. Yet anyone can get pregnant without proving a thing. People who are destined to abuse their children; people who can't care for themselves, let alone a child; people who don't have enough money to look after a family. People can churn out their 8th baby even though they support the rest through welfare alone. They can all just go ahead, for the most part unchallenged.

There seems to me to be something very wrong in a world where the irresponsible get (largely) overlooked when it comes to parenting, yet the infertiles, or people who just want to do good, get scrutinised to within an inch of their lives for daring to try to help the situation. I have always considered adoption to be a real possibility for us, whether or not I conceive myself, but the more I find out about it, the more I feel I just wouldn't have the energy.

In the News: The Telegraph "Infertility...a condition the NHS can ill-afford to treat"

I was alerted to something by a great infertility blog  - although I am in the UK I have never bought or read The Telegraph and was disgusted to read this particular article, arguing that the NHS, with all it's money woes, should not be funding IVF treatment.

Max Pemberton - apparently a "child psychiatrist" (so obviously very well placed to spout about fertility problems) - does not believe infertility is a disease. He is even reluctant to classify it as a medical problem at all. He blathers on that "While childlessness is distressing, it is not associated with long-term disability, morbidity or mortality...Rather, it is about people unable to have something that they want."

Good lord! My sincere apologies, Max. All this time while trying to figure out why my body doesn't work right and coming to terms with the fact that I may never be able to do the most natural thing in the world - have my own child - I thought I was dealing with a medical problem. A condition. An internationally recognised syndrome. After reading your thoughtful article I now see that really I am just a spoilt child in a toy shop, screaming and stamping my feet because my mum won't buy me a Sindy doll. 

I also now see that, far from wanting a child being about my own natural desires, a wish to create something out of the love me and my fiance share, about fulfilling not only a basic, normal human urge but something I want to devote the rest of my life to, actually, I'm just trying to keep up with the Joneses. An "expectation on individuals to reproduce and become parents...childlessness is a status that does not readily fit within society’s cultural norms". I just want a baby because it's what everyone else has got. 

And of course, why am I putting myself through all this when "It’s not as if such people are being denied the chance to be parents at all. Adoption offers them the possibility of parenthood". Why don't I just apply for a child this weekend? Two maybe? I'm sure no time at all I'll forget all my problems!

To cut my sarcasm short, this article is ill-conceived (pardon the pun), badly constructed and downright rude. He is aligning fertility with something like freckles. Some people are born with them, some aren't, and why should the NHS fund giving you an item of such vanity for the sake of fashion? Freckle-less people aren't ill, their lives aren't about to be cut short, and there is no underlying medical problem causing you to be freckle-less. Of course, this is total tosh when applied to infertility. The vast majority of people with fertility issues - even if they are currently under the banner "unexplained" - have an underlying medical reason for that infertility. And - worse than that - increasingly environmental factors are being found to harm the delicate hormonal balances in the human body - toxic chemicals in plastics, certain foods, pestacides.

Let's look at it logically: the human race's ability to reproduce is the reason for our continued existence. If infertility had been rife in our ancestors, we may not have survived as a species. Therefore fertility is the norm; infertility is where there is a problem. Infertility doesn't just "happen" to some people due to "a quirk of fate" as Max so eloquently puts it. It is an abnormality somewhere in our systems. Bodily functions not working as they should. Totally against what our bodies are meant to do. Is this not what constitutes a medical problem?

Max implies that as infertility is not life threatening, it is not as important as "real" medical problems. But what about people with serious burns scars or phobias, or amputees? Reconstructive surgery after a masectomy? People who can't walk or talk because of a stroke? They're definitely not life threatening conditions, so probably shouldn't receive any NHS funding either. In fact, Max, by your own logic, you should be out of a job, because I'm fairly sure child psychiatry isn't one of the leading areas associated with "long-term disability, morbidity or mortality" which apparently is the criteria for determining whether or not you deserve help from the service you pay for.

The fact is, so much of what the NHS funds now could be classified as helping to improve quality of life, instead of extending life. Slot infertility into this category if you will - I see it as something more than that - but even if you accept it as only a "nice to have" rather than "vital" treatment, you align it with a huge proportion of what the NHS offers unchallenged.

Max also seems to imply that those who can't conceive should just accept that it's a natural condition, a quirk of fate. Well, by that logic, people who develop cancer or heart disease should just accept it as a "natural" condition - their body telling them they shouldn't live any longer. Should they be denied treatment too?

Basically, if you rule out treatment for anything that is not life threatening, and anything that just happens to people as a natural "quirk of fate", the NHS would only provide treatment for serious accidents, and a small minority of conditions directly caused by external environmental factors, such as asbestosis or radiation poisoning etc. Everything else would have to be paid for privately. 

Yes, there is only a limited amount of money and resources available, and yes, we have to prioritise. Which is why most NHS Trusts offer a maximum of 1 or 2 IVF cycles per elligible couple. Personally, if funding has to be cut from anywhere, I would much rather see the NHS stop helping people who have actively and directly caused their disease or condition: chronic overeaters, smokers, drug takers, alcoholics etc. - why should my taxes pay for them to receive treatment?

Which brings me to another point. The NHS is funded through my taxes. I therefore have as much right as anyone else to use the NHS to deal with my medical problems. I don't take up resources with my chronic fatigue or IBS, and I've been suffering with anxiety for most of my life without medical intervention. Why should I potentially be denied NHS funding for the one service I would actually pursue and use?

I would love nothing more than for the NHS to put more money into finding a cure for the various ailments that cause infertility, which would save them a hell of a lot of money in the long run. Unfortunately, it is considered to be too expensive, and the money is better spent treating the symptoms of these various ailments - among them infertility - than finding out why it occurs in the first place. If I could do something to naturally correct my PCOS, I would. But I can't, and so I will take all the medical assistance I can get. 

Of course, our friend Max puts a cherry on top by trotting out the old adoption solution, fall back of anyone who is anti-fertility treatment, anti-procreation, anti-life. What these people fail to realise is that wanting to have a child - your own biological child - is an inherent, deep rooted, totally natural urge, not a lifestyle choice, especially for those who can't conceive naturally. Does he think people suffering with infertility would willingly put themselves through intensive treatments, invasive procedures and years of emotional turmoil just so they can be like their friends? NO - this is something that goes through to the very core of what being human is about. Adoption is a fantastic option for some couples, but it isn't the solution for all. And with the ridiculous constraints on adoption, the lengthy and expensive processes and no guarantee of a positive outcome, it is more than many, who have already been through the mill with infertility, have strength for.

Finally I consistently find it baffling that so many consider the prolonging of life more important than creating new life. That intervening to make someone live 1, 5, 10 years more when their bodies have had enough is seen as a societal norm, yet assisting conception - the continuation of the species - is attacked. And then when we get people to live longer they get shoved in a nursing home and treated appallingly. It's a messed up world.

ETA: Ironic that the Telegraph doesn't produce an opinion piece on other, much more ludicrous, means of "wasting" NHS money...see here and here for just two examples that I found in their recent news.

Final edit: And now it all becomes clear. Max is a homosexual male. Max obviously does not see himself having any children naturally, and his article is sour grapes perhaps at the fact that he will have to pay for his children no matter what. Case closed.

"Super" Me

Cycle number: 11

Cycle day: 15

Meds: Met

Outlook: bluurghghgh

Well, the results are in: cycle cancelled due to "super-ovulation". I suppose it's sweet of them to try to make me feel successful at something -_- The clinic hadn't rung by lunch time so I called and left a reminder message. Then somehow my phone didn't even ring and the next time I looked at it I had a voicemail. Had to wait til I got out of a meeting at 3pm before I could listen to it. The only advice she had was to come back when I start to bleed....yeh thanks for that.

So I rang again and asked for someone to call me back as I had a few questions. The nicest nurse there called and I went through a few things with her:

- The oestradiol number was high, and from that they deduce that I will ovulate but they can't tell when. She said obviously there was a chance I wouldn't, and/or that one or more of the follicles would become a cyst.

- I shouldn't have sex for the foreseeable future due to the risk of a multiples pregnancy, but she admitted she couldn't stop us if that's what we decided to do.

- Even if I don't develop a cyst, chances are I will have to take next cycle off to let the ovary recover before doing any more treatment.

- My response has been unusual to both Clo.mid and Meno.pur and they couldn't have predicted what would happen, even with the intensive monitoring.

- The dose of Meno.pur I was put on was the standard dose that most people would start at, and for the next active cycle they will probably halve it.

- I should wait 2.5-3 weeks and if I haven't bled yet I should go back for a scan and then induce a bleed.

I'm still feeling really frustrated about this cycle and really upset, and after I put down the phone I just cried for about half an hour. If it's this hard to ovulate what chance do I have of actually getting pregnant? I'm starting to feel scared - what if none of the ovulation induction drugs work on me? What if I only ever over- or under-respond? Will I just have to move straight to IVF without passing go?

We are going to carry on trying this cycle. Me reasoning is this: a follicle that grows beyond about 24mm is considered too big to carry a 100% healthy, ripe egg. I have 2 that were at the top end of this range yesterday, so they will be even bigger by the time I finally ovulate (I did a digital ovulation test yesterday which was negative, so I assume I have a few more days before any eggs will appear) which means the chances of either containing a viable egg are small. Even if such an egg was fertilised it would be unlikely to continue beyond a week or so. So that leaves 2 follicles. If they both release and if they are both healthy there is a small chance both could be fertilised. I'm happy to take that risk.

I just can't sit back and do nothing for the best part of 2 months while life and time just tick away. If this cycle amounts to nothing (which I'm assuming it will) it will be July at the earliest before I get pregnant - and that's assuming that I'm incredibly lucky and get pregnant on my first proper successful cycle (which also seems unlikely). I'm completely fed up of waiting, it's all I seem to do. Wait wait wait wait wait. Everyone else gets a chance each and every month to get pregnant; I haven't even had one chance in the 4 years I've been trying. It's like I'm the only one not to complete a 100m race because I can't even find my way out of the changing room, let alone onto the track and down to the finish line. This is the most depressed and negative I have felt for a long, long time and I don't like it.

Angry Chair

Cycle number: 11

Cycle day: 14

Meds: Met

Outlook: Really f%*!ed off

I am beginning to lose faith in the fertility consultants I see, particularly the one I bemoaned in the last post, even though I am lucky enough to go to a hospital which specialises in fertility.

So after last Wednesday's secretive scan, I toddled back on Friday not knowing what to expect. I was thrilled to discover I had 3 follicles maturing on the right side - one at 14mm, one at 14-15mm and one at 15-16mm - and my lining was looking good. She sent me for another oestradiol test (a horrible man who was clearly new to taking blood (or a sadist) and did the whole thing in painfully slow motion so it hurt as much as possible) and told me to halve my Meno.pur dose over the weekend.

So all weekend I was really excited, even though I was having to waste half a pod of drug each night (so pointless) and, yet again, started to think at last this was the cycle that was going to give us a real chance to get pregnant.

I was told to come back in today and so I went. First off, I had to wait nearly half an hour to be seen in a boiling hot waiting room (so hot a trickle of sweat came down to my elbow from my armpit) and then it was a doctor I've never seen before. He was really thorough at the scan, again saying my lining was excellent and then started measuring the follicles. This is where it started to go wrong. The three she saw on Friday have all grown to a mature size (between 20mm-23mm) but there is a fourth that is catching up (17mm) and a fifth which is smaller. He said I have over stimulated and the cycle would have to be cancelled.

I had to fight back tears on the couch (luckily it was dark so he couldn't see). He then was at pains to explain to me why they would not be giving me the trigger. I asked what would happen if I just ovulated on my own and he said "Well you can't have sex". WHAT?!?! "You could end up with quadruplets and you don't want that! Hahah!" He then spent ages working out the precise dimensions of the offending follicles before saying "Yes this can happen with PCO".........again WHAT?!?!

I then went to sit in the waiting room while he went to get the opinion of a nurse. I went in to see her and she said actually they were going to check the "cycle cancellation" decision with another doctor (Ms Helpful from Wed/Fri) but it looked likely it would be cancelled. She then told me to continue with my half dose of Meno.pur tonight and this time I said it out loud "WHAT?!?" She said she didn't want to be the one to make a decision to stop taking it (i.e. that it should be the doctor telling me) but I was like "Surely if I take more tonight, the biggest ones are just going to get bigger, and the ones that are borderline are going to catch up and there will be even more?" and she said "Ok don't take it tonight" - I was in disbelief. 

She then said I would have to go for yet another blood test (my third in less than a week) and based on my scan and the blood test results she would discuss with Ms Helpful tomorrow and give me a call. I then had to fight back tears all the way up to haematology. And - typical - of all the appointments I've had there, this was the one time Bubble couldn't come with me.

So there are several things that concern/down right annoy me:

• If there were too many follicles growing, why didn't Ms Helpful notice on Wednesday and tell me to halve my dose then?
• If there were definitely too many on Friday, why didn't she get me to stop the Meno.pur over the weekend and reassess on Monday?
• Surely my oestradiol numbers are the most reliable source of info - why after 2 blood tests and all these scans was this not picked up earlier?
• If over-stimulation typically happens with PCOS (and particularly after my over-response to Clo.mid) why wasn't I started on the minimum dose possible? They could then have increased it later on if I wasn't responding well enough
• If I ovulate tonight or tomorrow - as seems likely with follicles that big - telling me not to have sex from now isn't a failsafe way of preventing me getting pregnant since we already did it yesterday! So they have put me at risk of conceiving 4 babies
• If my follicles are already so big that I could ovulate at any given time, why then increase the chance of adding a couple more to that number by telling me to continue with the Menopur tonight?! And why did the nurse try to take the decision herself if she wasn't sure (which she obviously wasn't since my layman response made her change her mind)?
• Are these large follicles actually going to rupture at all, or am I going to be left with a mass of uncomfortable cysts that need another cycle off to get rid of?

Overall I'm gutted. It's now been 7 months since we started treatment. This is only my third medicated cycle and the third that has been a wasted opportunity for a pregnancy. All this just to ovulate, and I'm not even getting that right! Pregnancy seems a very very long way away tonight, and a real, actual baby even further. I can't believe that with all the injections, all the blood tests, all the appointments, somehow this has still gone wrong.

Of course, they can't stop us going ahead and having sex if we want to. And a large part of me is very tempted - why should I waste the only chance I've had so far?! Will wait and see what they say tomorrow, but I'm not holding my breath.

Availability

Cycle number: 11

Cycle day: 9

Meds: Met/Meno.pur

Outlook: Headache

I went for my scan this morning. I seem to have a number of follicles on the brew, the largest being about 10-11mm, so I had to go for a blood test to measure my FSH/LH levels and my oestradol levels. I go back on Friday for another scan and to get the results. If I have too many active follicles they will probably reduce my dose as they are very careful to prevent a multiples pregnancy wherever possible, and therefore don't want me developing more than 2 follicles to fruition. I'm glad that something is happening at least - and I'd rather have too many follicles than none at all. Luckily I'm becoming much more adept at giving myself the injections but I'm hoping things will go so well I won't need to do more than this one cycle of them!

A tad concerned about Friday though - the only appointment slots available were between 11 and 12pm, and I have a meeting at work from 10-12...not sure how well that's going to go down. Technically I will only be taking minutes so may just have to leave early and ask someone else to cover for me for the last 30 mins. There's not much I can do though as I need to be seen on Friday and that's the latest I can go.


Was surprised and slightly annoyed at the variation of treatment you can receive at the hospital today. I've seen 4 or 5 different doctors for my scans over the last few months, and most of them are really lovely. Usually, they turn the ultrasound screen around so that I can see what's going on as they are looking at it, and explain what they can see. Today's doctor was very different (I've had her before but she's never been this bad) she didn't say a single word to me through out the scan and didn't show me the screen or the print outs afterwards. She was generally very short and didn't take the time to ask if I had any questions at the end which I really appreciate from the doctors who do. Will be avoiding her from now on.

How to...prepare and inject Meno.pur

Ok, here goes. 

NOTE: This is meant as a rough guide only and is based on the instructions given to me by my doctor. Always follow the advice of your healthcare professional.

Left-right: pod of Meno.pur; ampule of solvent; alcohol cleansing pad; syringe; large mixing needle; small injecting needle

First, clean your hands thoroughly and prepare a clean preparation area.

Remove the cap from the pod of Meno.pur and wipe the alcohol wipe over it. You can now throw away the wipe and cap.

Take hold of the solvent at the bottom, and with the other hand gently flick the top to force the fluid down into the bottom of the vial.

Gently snap off the top of the vial. Mine has a little blue dot which should be facing towards you when you do this, and note the position of my hands. With vials like these always snap away from you. My nurse advised me to do this with a tissue over the vial to protect from any flying bits of glass (nothing like that has happened though, touch wood). If the vial cracks, the glass becomes jagged or get into the solution, discard the vial.

Take the large mixing needle and firmly slot it on to the end of the syringe. Keep the needle cap in place until you are ready to use it. When removing the needle cap, hold on to the lip of the needle fitting (the green edge visible here) to prevent the needle sliding back off the syringe.

Place the needle into the glass vial and slowly draw the fluid up into the syringe. I find it helps to tilt the vial to the side to ensure you get every last drop.

Holding the plunger on the syringe firm so as not to let any of the fluid out prematurely, push the needle through the rubber top of the pod of Meno.pur. Be careful not to smash the needle into the bottom as it can go through quite suddenly. Release the fluid into the pod; the Meno.pur powder will dissolve instantly. Keep the needle in the pod. If you can see any bubbles, give the pod a flick to disperse them. When you are happy, push the needle to the bottom of the pod and slowly pull the plunger up to draw the mixture into the syringe. Try not to draw any air in before or after it. Once you've got it all, hold the plunger steady, and slowly pull the needle out of the pod. Discard the pod. You have to be pretty quick now because once it's mixed it needs to be used as soon as possible.

Tilt the syringe upside down so the needle is pointing to the ceiling. Draw the fluid back slightly away from the needle. Remove the large mixing needle carefully, and replace its cap. Take the small injecting needle and fix to the end of the syringe. Again, carefully pull off the cap (hold the lip - in this case yellow - to ensure the needle stays in place).

Keep the needle pointing to the ceiling. If there are any bubbles in the syringe, flick it until they disperse, or draw the fluid back down with the plunger and then push back up slowly. Slowly and gently push the plunger up so that the fluid goes right up into the needle. Be careful because once it gets there it goes pretty quickly and can squirt out.

Expose your tummy. You need to grab that natural little pouch under your belly button, either to the right or the left (you will alternate sides each time you inject). There is a temptation to grab really hard to divert attention away from the needle, but only pinch gently. When you are ready, push the needle in as quickly as you can (don't stab, be gentle but swift). Once the needle is fully in, press the plunger down slowly to inject the solution - for my single dose it takes about 8-10 seconds. Once the syringe is empty, carefully remove the needle and press a tissue or cotton ball over the inject site for about 30 seconds. ALL DONE!

Final step: pour a large glass of wine or have a large chunk of chocolate.


Also note: be careful how you discard the glass and needles. My clinic suggested I collect them all in a glass container e.g. used jar until the end of my treatment, then I will take them in for the clinic to dispose of. 


Yet another note: Only use each needle/syringe/pod etc. once. If you make a mistake don't assume you can fix it - it's probably safer to start again from scratch.

Pin Cushion

Cycle number:11

Cycle day:7

Meds: Met and Meno.pur

Outlook: Ouchie!

Nothing much to report other than I am slowly become adept at stabbing myself in the stomach with a needle >_< My first self-administered dose was Friday night, and it wasn't the best of situations because we were rushing to get ready and go out so I was even more panicked than I might've been. I faffed around loads, drawing the fluid up, letting it back down because I missed some, getting annoyed by all the bubbles etc. Even wasted one of the fluid pods because I didn't flick it before opening. I then aborted the first stab because it hurt and I thought I wasn't doing it right, so made 2 holes instead of one. It's quite an involved process....!!

When the nurse gave me my first dose last Thursday, I didn't feel a thing - no prick when the needle went in, no discomfort. Even with my much more relaxed last two doses I still feel the needle going in...I suspect I'm not doing it quickly enough. It's pretty hard to get a good angle too on your tum...makes your wrist all twisty.

I am planning to do a photo entry on how to prepare and administer the Meno.pur. I have no idea if this is appropriate, but before I started self-injecting I really wanted to see someone else's idea of how to do it to yourself - it's all well and good watching a nurse do it, of course she finds it easy! - but couldn't find anything illustrated. I hope it will serve both as a reference for those doing it and reassurance that it's really not that scary or complicated for those who are moving towards it.

Other than that, I have just been ticking along. I have a scan on Wednesday to check for follicle progress and to try to work out how many more days of Meno.pur they want me to take...

Baby Steps

Cycle number: 11

Cycle day: 1

Meds: Met (and Pro.vera for the last week)

Outlook: Excited

Well, it doesn't look like I did ovulate last cycle, since AF arrived right on cue after stopping the Pro.vera. I'm not surprised. Unfortunately though this AF is giving me a world of pain >_< Not exactly the best way to be around a fertility festival.

I go for a baseline scan on Thursday and have to take along one of my pods of Meno.pur for my first dose. Very excited about this....I never had a very good feeling about Clo.mid, even before I started taking it, since it relies so much on a chain of reactions in your body working in perfect synch (not something my body is very good at unfortunately). The injects work directly into your system and so it seems much more likely that I will get a good response.

As I wrote in a previous post, I've had some problems with my mum not being supportive at all through my ttc trials, and specifically about serious insensitivity related to infertility. So I took a proactive approach recently and sent her a link to an advice sheet for friends and family of those suffering through infertility. It covers a lot of things I think are really important, and she said it was useful. If anyone you know is treating you insensitively, don't be afraid to speak up and offer advice - they may genuinely not understand how much they are affecting you.

She actually told me that she thought we would be stopping treatment now until after our honeymoon....that's December! She didn't know about my treatment in February so essentially she thought we were putting ttc on hold for a year. I told her how funny I found this - I've been waiting four years so far, I certainly don't need to be adding an extra one on for the fun of it - and also how in a serious sense, I'm less than 2 years away from being 30 and certainly don't need to tempt my egg quality to start decreasing on top of all my other issues. I can only conclude that she doesn't understand that longing for a child, and that she must've had me and my sister because it was the next natural step in her life rather than something she desperately wanted. 

Finally, I found out another friend of mine is pregnant and due in eight weeks! She's sure she told me a while ago but I gently told her I was sure I would remember if she had. I would like now to do a tally of how many people I know who are either pregnant right now or have given birth in the last few months........yep it's 10. There may be one or two I have missed. For some of these it's their second baby since I started ttc. And this list doesn't include people I know solely online on forums and stuff (it would be more like 20 if I included them). I do try very hard to keep focused on my own situation, and let other people's news wash over me, but it is very hard. Especially when you are in the no man's land of never having seen a BFP despite so much trying....it begins to feel like it's all a myth and not something that will ever happen to you.

Bleugh. Despite all this, yes, I am in good spirits - the weather has been glorious, I have been spending a lot of time walking in the woods and doing little indoor gardening projects at home and following the Royal wedding this weekend I just feel so uber excited about my own ^____^

What Not to Say to an Infertile

I have decided to keep a log of every insensitive, mean or downright ridiculous thing anyone says to me about ttc or infertility, and what I wish I had said back to them; hopefully it will be somewhat therapeutic -_-

(After a failed cycle)
Me: I'm so upset the Clo.mid didn't work, I'm going to be the only one left who isn't pregnant :(
My mum: Nevermind, you have a wedding to plan!
Yes I do, and obviously that precludes me from thinking about, wanting, or needing anything else in life! THANKS FOR THE SUPPORT!??>£"$

(During my "off" cycle due to a cyst)
Me: Luckily I've had all the honeymoon arranging to take my mind off of it
MIL-2B: Well sometimes that can work to your advantage
REALLY?! So my body is going to magically start working for the first time just because I've been thinking about something else?! AMAZING! What was I bothering with all those drugs for??

(From my pregnant SIL-2B when she found out I had PCOS)
SIL-2B: Well I was once told I couldn't have kids so I know exactly how she feels
Apart from the bit where you got pregnant without trying you mean?!

(My dad while I was playing with my BFF's baby)
My dad: See, all you need to do is get your ovaries sorted out and then you can have one of those!
Ahhhhhh is that all? Why didn't you say so before! 

(Pregnant friend who would complain incessantly about not being pregnant even though she and her husband only had sex once or twice a month - she finally got preggo after about 8 months of "trying" even though for about half of that they didn't have sex at the right time. Her benchmark for ttc lengths was her sister, who got pregnant first time on both tries)     
Chum: I know it took us a bit longer than most people, but you'll get there
Good grief, how did you honestly cope ttc for 8 months?! You deserve some kind of medal. And of course, you got there - and against all the odds it would seem - so that means I will too, I'm obviously making a big fuss out of nothing!

(Me fussing about on the sofa because of lumpy cushions)
Me: I just can't seem to get comfortable today
Dad: Are you pregnant?
Me: long pause No -_-
Dad: Oh, coz I've been hearing recently that that's a cause of it (He was referring to my nearly-8 month pregnant sister, who I haven't seen or spoken to since the news broke)
That's a cause of it if you have turned into a gargantuan heifer because you've been stuffing your face throughout the pregnancy.   

(During my "off" cycle due to a cyst, and after 2 failed Clo.mid cycles)
Chum: You never know, you might just get lucky and be pregnant in May. I have a friend who also has PCOS and she got pregnant on her first try when she came off the pill - maybe your first try after the treatment will be similar?
Well, I have a friend who has PCOS who hasn't been able to have a child despite years of trying and many different drugs; how do you know I won't be just like her?
 

Easter Egg?

Cycle number: 10

Cycle day: 32

Meds: No change

Outlook: Intrigued

So I went for my appointment today...saw a very lovely doctor. The most excellent news is the cyst has gone! And the strange news is my lining was very thick - to the point that she even suggested early pregnancy - and I had what she thought might be a corpus luteum on the right. And in an odd twist of fate, I did actually have a few little twinges on the right last night, so I'm wondering if it's possible I did ovulate (none of the usual signs that it's happened yet though..)

They did a pregnancy test there which was negative (surprise!) and she asked me to do another one tomorrow - but obviously if I did O, and by some miracle get preggo, it wouldn't show up until at least a week's time. Either way, I got a script for Pro.vera, so I can take that if it ends up looking like I didn't ovulate. Now I'm not sure how long to wait...

I also picked up my Meno.pur and trigger. The Meno.pur looks so weird, I didn't realise it actually comes as a powder which you then have to mix! No sign of whatever I use to inject it with so I assume I will get that when I go in for my first dose. 

I'm feeling a lot more positive about this next cycle, pleased to be free of the cyst and excited to see how well the injects work =D I would be interested to hear anyone else's experience on Meno.pur....

Balmy

Cycle number: 10

Cycle day: 31

Meds: The usual suspects

Outlook: Relaxed

My my, it is lovely and warm here in London today, and I'm hoping it lasts as I will not be back in work until next Tuesday. Nothing much going on but a couple of little updates:

Tomorrow I go to the fertility clinic for a scan and if all looks well I can start Provera and get cracking on a new cycle. I'm really hoping against hope that the cyst has gone and I can get on with injects at the beginning of May.

I was pleased to see that PETA finally saw sense and removed the reference to NIAW from their vile promotion - reassuring to see that people power does work occasionally!

It was my sister's babyshower on Saturday but I wasn't invited. In fact I wasn't even told about it (I heard it was happening from someone who was invited). As you may have read in my previous post, my family didn't help me deal with news of her pregnancy in the way I would've hoped, and since then we had a falling out (something completely unrelated but also due to her selfishness and belief that the world revolves around her) which means I haven't spoken to her since January. I'm not sure why the whole thing was kept a secret though - I mean even my mum didn't tell me - not that I would've gone or felt sad about not being invited, but to not even mention it seems very strange.

And now there's an issue to do with my sister and our wedding. We cannot have tiny babies there for a variety of genuine, practical reasons (toddlers and above aren't a problem though) and we hoped this wouldn't be too much of an issue. The only people affected are my bridesmaid and my sister. My bridesmaid is fine with it, and her baby will be kept back at the reception venue with her mum for a couple of hours until we all get there. However, my mum recently emailed me to say that my sister and her husband wouldn't be able to come if they couldn't bring the baby. I flippantly said I wasn't expecting them to come anyway given the situation, but I'm going to invite them all the same. I'm sure if they wanted to they could arrange something, but my instincts say they are going to use it as the excuse they've been hoping for which gets them off the hook for not coming.

Finally, I've been coming to terms with the idea that I had a very early loss a couple of years ago. I brushed it aside for a long time, genuinely believing I must've been mad, but now I'm sure there was more to it. It was when I was NTNP with a previous partner, long random cycles and no charting. I didn't even know that I had ovulated. One day I randomly started getting twinges in my uterus, stretchy, pulling feelings that I had never had before. My uterus almost felt hard which was a very strange sensation. I thought nothing of it for a few days, until one evening when eating dinner I suddenly smelled everything very strongly. The next few days I had really bad nausea to the point that I thought I must've had a stomach upset or something. My CM was scarce and thick and white - unlike I'd ever seen before. I became convinced that I was pregnant, even going so far as hauling my sister how ironic down to the shop to get a pregnancy test. I was shocked when it was negative, and thought it was probably just too early to pick up, so I went away to visit a friend for a few days. Towards the end of my trip I noticed I wasn't feeling sick any more and the twinges had tailed off. When I got home I did another pregnancy test - still negative - and my period arrived a few days later. I felt so stupid for even thinking that I could be and put it down to strange hormones, or maybe my first ovulation in however long. But the last few months I've increasingly started to think that maybe it was something that ended before it could become anything proper. All the symptoms at the same time can't just be a coincidence - and the fact that I've never felt anything like that before or since, even when obsessively charting, so I'm sure it wasn't all in my head. Has anyone else experienced anything like this?

While a shock to think that it could've been something, I'm glad it wasn't because I would probably still be with that ex feeling very unhappy and would never have met Bubble <3

Outted

Cycle number: 10

Cycle day: 25

Meds: Met + supps

Outlook: Lonely

Now, I am not one to post a lot in open forums on the internet - it's part of the reason I have this (anonymous) blog. I lurk on message boards and am a people-watcher on Facebook, rarely posting status updates etc, but due to the PETA campaign besmirching NIAW I felt compelled to say something. So I posted a link to the petition against the PETA campaign which for me felt like quite a bold move, since hardly anyone on there knows that we are ttc, much less about my pcos and treatment etc (not that the post explicitely stated anything about our situation, but I would assume many people made the connection).

It generated rather a lot of comments - 42 to be precise! And I just thought for the benefit of the ttc and/or infertility community I would share some of these gems of "wisdom":

• "Tbh I could get right behind that. The world is overpopulated as it is"
•  "If you're infertile, it's nature telling you you're not meant to breed. Breeding is selfish as it is"
• "The great thing about being human is that we can *choose* not to do things that are detrimental to ourselves and our environment, unfortunately it seems that, due to these detrimental effects not being visible immediately (we are after all used to getting what we want at the touch of a button these days); the fact that they are unlikely to cause the adults that are alive now too much hardship and also the inherent 'drive to reproduce' that is present in all of us; the lack of education about the overpopulation of the planet and the problems that this is causing NOW; the unlikeliness that many people are prepared to make themselves and their entire family 'cease to exist' (not to mention the other factors that come into play regarding murder and suicide), it doesnt seem likely that many people in our western society are prepared to do anything to reduce the harm we are causing our species let alone try to suggest that you don't necesarily *have* to have children."
• "It's more the selfishness side of bringing kids into a world that's in this state that I have a problem with. Personally, if I could have chosen to not be born, and not to live in this world and be contributing towards it's downfall, ...then I would have checked the 'opt out' button. The fact that I also happen to be unable to have kids in my view is a positive. I understand people still feel the need to bring more lives into this world, but what with fuel prices rises, diseases, social collapse, political turmoil, price of living, etc.etc. I don't see why they'd want to inflict such an uncertain future on their offspring. I can choose not to breed, and nature can choose to tell you not to breed, but unfortunately we can't choose to have not been born."
• "Personally, I'd like to see those unable to conceive take nature's sign that they're not meant to, and for adoption of unwanted churned out kids to be made much easier."
• "If it's something easily solved with a quick procedure then fair play, but couples who put themselves through round after round of IVF treatment, endless miscarriages, or surgery on themselves in order to have a baby, sometimes I do just wonder why they don't take nature's hint and maybe accept it's not for them, it's not right" 

You can bet I responded to each and every one. I think it goes to show just how necessary something like NIAW is, because there are so many people out there who just don't understand what infertility is, what it means, how it affects people. The second quote up there, she seems to think that "infertility" is the same as "being infertile". As usual, adoption was rolled out as the solution for every infertile. The majority of the comments droned on about "overpopulation" etc without a thought as to the point of my original post - that those suffering through infertility would be hurt by it.  In one of my replies, I tried to explain that these kind of statements could be really hurtful to someone going through infertility, and that because there is a certain "stigma" attached to it, the hurter might not even know....so basically that it pays to bite your tongue about certain issues unless you know who you are talking to properly.

But by far the worst comment is one I haven't posted above in which the commenter stated that they were "surprised that an intelligent person" like me would hold such opinions. As if I'm somehow ruled only by my base instincts if I am in anyway pro-reproduction. That if I had a brain I would surely see that being staunchly anti-babies, anti-breeding, anti-hope is the only way to go. It was an awakening as to exactly the kind of people I know. Needless to say, they won't be getting a wedding invite...