Showing posts with label clomid. Show all posts
Showing posts with label clomid. Show all posts

Tuesday, May 5, 2015

Pregnancy 4.0

I can't believe it's been 2 and half years since I've posted on my blog. Ooops! Time flies when you're having fun! I'm currently 20 weeks into my 4th pregnancy. I took one round of Clomid in December 2014 and here we are on this amazing journey again. Again, we were completely shocked that the Clomid worked with just one round. I have taken Clomid 4 times and become pregnant each and everytime! It's my miracle drug!

As expected I'm already on medical leave. We had planned for this happening so we were prepared and were not surprised. Around 11 weeks I started to notice braxton hicks contractions and began to get the heavy, pressure feeling I had experienced in my pregnancies with Carter and our twins Chloe and Zoe. These symptoms gradually got worse until 15 weeks when I also started to experience painful cramps and a small amount of spotting. I visited the ER and was reassured that my cervix was closed and everything looked ok. I haven't experienced anymore spotting since then thankfully.  I then saw my obstetrician a few days later who put me off on medical leave.

At this point everything is going well. I can't do too much as I feel so much pressure when I stand for too long. I am shockingly only having about 5-10 braxton hicks a day. At 20 weeks 3 days into my pregnancy with Carter I was already having TONS of braxton hicks. So here's hoping they stay few and far between. We had our anatomy scan last week on April 27th and found out that my cervix was measuring 3.9cm which is great for me. The ultrasound tech isn't allowed to say much about the scan so I will find out if everything looks ok with baby at my OB appointment this afternoon. We found out the sex of the baby, and the only people that know what it is are myself, Ralph and Ralph's sister. We are not telling anybody else as both of our parents don't want to know so we are trying to keep it a secret for them.

I have been able to feel baby moving since just before 12 weeks. It started off feeling like little flutters then around 15 weeks I started to feel little nudges. I now feel baby moving all the time, little kicks, punches, nudges, rolls and I love it. It's truly the best part of pregnancy. I can't help but smile every time I feel this little one.

I will be starting progesterone suppositories within the next week or so. I took these during my pregnancy with Carter. Whether they made the difference in me making it full term with him or not we will never know. However we have decided it's just not worth the risk not taking them. My obstetrician seems fairly optimistic that I won't need to go on bedrest this time. I really hope I don't have to, but am ready and willing to do whatever I need to do to bring this baby home safe and sound.

Hopefully I keep up with this blog a bit more often. Carter is already 3 years old and continues to be the light in our lives.

So handsome! :)


- Amy










Wednesday, October 24, 2012

Welcome ICLWers

Welcome all new visitors and thanks for stopping by! I'll give you a recap of our TTC journey, the loss of our twin girls and life with our wonderful son, Carter. I'll warn you this will likely be long as I think this may be the first time I've written our story in detail.

My husband Ralph and I decided we wanted to try for a baby in 2008. After trying for about 8 months with no luck I knew something was wrong. I have always had irregular cycles and was charting my basal body temperature which was all over the place, with no discernible pattern. So I knew I likely wasn't ovulating.... which is sort of a key component in the whole baby making thing!

Even though we had only been trying for 8 months I convinced a doctor to do some further investigating. I think given my irregular cycles and no luck conceiving she knew something was up too. She referred me to an OB who reviewed my bloodwork and symptoms, and he diagnosed me with Polycystic Ovarian Syndrome (PCOS).

He told us that we likely wouldn't get pregnant on our own, but would need the help of medication. I took Clomid 50mg in June 2009 and got pregnant on the first cycle. We were ecstatic! About 6 weeks in I was having intense cramping and was worried something was wrong. After a visit to the Emergency Department and a subsequent ultrasound we found out we were pregnant with TWINS! Wow! At this time I was in my fourth year of Nursing School so we were really scrambling to figure out how this was going to work. We knew we would figure it out in time, it was just a big (welcomed) shock!

At around 14 weeks I started to feel frequent contractions. I didn't know what they were at first, but after some research (good ole dr. google) and talking with friends I figured out thats what they were. I knew this seemed a bit early to be having braxton hicks and found myself in the ER on numerous occasions due to their frequency and intensity. I was told every time I went that there's no way they could be contractions and I must just be feeling the babies moving. I was getting them ALL THE TIME! I'd say 4-6 an hour, every hour regardless of whether I was walking around or just sitting quietly. I drank TONS of water and rested as often as I could, but the contractions continued.

On November 20, 2009 I was 23 weeks 5 days pregnant and was at the theatre with family. The contractions continued, except this time there appeared to be a pattern, and I timed them at every 5 minutes for about half an hour. I had my husband pick me up to bring me to labour and delivery. I remember telling him on the way that I'm sure everything is fine as it had been every other time we'd been.

I was hooked up to the monitor and the nurse noted that the contractions were every 2 minutes. She looked concerned, initiated an IV and called the doctor immediately. Things get sort of fuzzy from here, but the doctor seemed to appear within minutes. He checked me and told us that I was 2.5cm dilated with the amniotic sac bulging. We were told that I needed to be airlifted to Vancouver ASAP and placed on bedrest until the babies were born.

Ralph and I were transported by helicopter to Vancouver within a couple of hours. Initially I was given a nitro patch, as this was the new protocol for my situation. It was supposed to slow down the contractions, but it had no effect on me whatsoever! I talked to the OB there about magnesium sulphate as I had researched this in the past. He stated that it has become a last resort in the past couple of years, and they are trying to phase it out for preterm labour. However, he felt that it was the only thing that was going to slow down my contractions at this point.

Finally, the contractions were slowing down even stopping for a short period of time. I remember telling one of my nurses that everything was blurry and I felt extremely hot. She said the Magnesium can cause blurred vision and not to be concerned. When she came into see me next time I told her my eyesight was so bad I couldn't even look at her straight. This time she could tell something was seriously wrong as she checked the reflexes in my legs. I had no reflexes in my left leg! At this time I'm starting to get even more worried. I must note that the babies were doing very well through all of this! The nurse returned to my room with an order from the doctor to discontinue the Magnesium as it was obviously reaching toxic levels.

Once the Magnesium was discontinued the contractions returned full force. Over the weekend at some point I woke up with pain in my chest. The nurse brushed it off as indigestion and gave me an antacid. The next time I woke up my chest felt like an elephant was sitting on it and I couldn't breath. I told Ralph to get the nurse as something was seriously wrong!! She checked my oxygen saturation and it was in the 70's-80's (for non medical folks it should be in the high 90's for a young healthy adult).

Again, things get VERY fuzzy from this point on. She put an oxygen mask on my face and returned with several people. I had one person on one arm taking Arterial Blood Gases and someone on the other arm trying to start another IV. I then had an echocardiogram done right in the room and was immediately sent for a chest x-ray and CT scan. I vaguely remember laying on the CT table barely able to breath and having full on contractions.

As soon as I returned to my room I was visited by two doctors from the ICU. They explained to me that if my condition didn't improve quickly I would need to be ventilated and taken to the ICU. I was so scared! I've never been so scared in my entire life! I asked Ralph to call my parents in Ireland as I wanted to say goodbye to them. I really thought I wasn't going to make it. I remember saying goodbye to Ralph too.

I was told that there was about 3 litres of fluid on my lungs and they needed to get rid of it fast. I was given a catheter and Lasix, and peed litres upon litres of fluid out. Just as quickly as I became ill, I started to improve within hours.

Once my condition was improving I had a Cardiologist visit me. She explained that I had Acute Respiratory Distress Syndrome which she said was likely brought on by the Magnesium Sulphate. Apparently this is a rare side effect of the medication.

On the morning of November 25 at 24 weeks 3 days I was transported to another hospital as the NICU in the current hospital was full. My contractions intensified throughout the day and by evening I was in full blown labour. There was absolutely no stopping it at this time and I was given an epidural. I was brought into the operating room because the doctors needed to be prepared incase they had to perform a cesarean section. I remember being wheeled into a giant, bright room filled with at least 20-25 people. There were about 5 people each hovering around 2 isolettes waiting to stabilize our babies and transport them to the NICU. When it came time to push I couldn't tell when I was contracting so the wonderful nurse guided me. Chloe was born at 11:40pm and her sister Zoe followed her 15 minutes later at 11:55pm. She was so close to being born the next day!! I waited anxiously to hear them cry and never did... Once they were stabilized the NICU teams let us see them briefly before they were wisked away to the NICU.

Over the next two weeks we watched our daughters fight for their lives. We often got calls in the middle of the night to come into the NICU immediately as one of them was doing poorly. Chloe developed a grade 4 brain bleed very early on and after lengthy discussions with the doctors and nurses we made the most difficult decision of our lives. We didn't want our daughter to suffer and we withdrew life support. The wonderful nurses let the girls be together one last time before we let Chloe go. We took so many photos. It was so incredibly hard, but I knew that I would regret not having them when I was ready to look back at them. And now, they are my most treasured possessions!

Here is one of only a handful of photos of us all together (Ralph wasn't feeling well so he had to wear a mask):



Here is a photo of Chloe and Zoe together. Chloe is on the right and Zoe is on the left.


Zoe had been doing fairly well considering she was in the NICU, but only a couple of days after Chloe passed away she developed a life threatening infection and also developed a grade 4 brain bleed. We were again faced with the most difficult decision of our lives, a decision I never thought we would have to face again. After many many discussions, again we did not want our daughter to suffer. We withdrew life support on December 9th and Zoe was reunited with her sister. This is so incredibly difficult to write, yet I am glad to finally write it down in detail.

Not one single day goes by that I don't think of our beautiful daughters. I often think about how old they would be today and what they would look like. I think about what their little personalities would be like... would they be laid back like Ralph or more like me.... a little high strung....? Would they have my straight hair or Ralphs curls? I know that we did what we thought was best and I know that given the circumstances again we would still make the same decision, but it's still incredibly difficult to live with! Oh, how I haven't cried like this in quite a while..... It's good to have a cry every now and then I think....



Fast forward to April 2011. I take one round of Clomid and get pregnant, which unfortunately ends in an early miscarriage at around 6 weeks. Ralph and I then go on vacation to the Dominican Republic to clear our heads. I take another round of Clomid 50mg in June 2011 and bam! pregnant again! You should note that I got pregnant 3 times each with one round of Clomid on the lowest dose. I thought there was absolutely no way I would get pregnant so quickly the third time, but lo and behold it worked!

Since this post is already ridiculously long and I go into great detail about that pregnancy on my blog (check out the archive on the right), I will make this brief. I started having contractions again around 14 weeks, and was put on bedrest at 20 weeks. I was in and out of the hospital from 20 weeks until I delivered our son one day before his due date. I had 5-6 contractions every hour of every single day from 20 weeks on and had weekly cervical checks to ensure that there were no changes there. This pregnancy was incredibly scary! I feared losing our son almost every single day, as I knew first hand how bad things could go.

The day before his due date I noticed some swelling in my legs and decided to check my blood pressure. It was incredibly high for me! I waited a few minutes, checked it again then called labour and delivery to tell them I was coming in since it was still really high. They confirmed the high BP and I was told I needed to be induced. The doctor broke my water, which kicked the contractions into high gear! I laboured for 6 hours and our beautiful baby boy entered the world at 4:58pm March 18, 2012.

He is the light in our lives! We are so incredibly grateful to have him here, healthy as can be. He is now 7 months old and full of wonder and discovery. I often cry with joy for him and can't fully express with words how much he means to us.


Many things are bitter sweet for us. Carter sleeps in one of the cribs we bought for our girls... and wore  their sleepers and socks when he was a few months old. We use the crib sets we bought them, as well as the baby monitor. These are things that remind me of them everyday!

I wish I knew what the future holds. We know we want more children, but I don't know if I can handle another high risk pregnancy. We've got a few years to think about it anyway. I just wish I knew that if I got pregnant again that everything would be ok!

For now we are enjoying life with our wonderful son and soaking up the here and now, as none of us really knows what tomorrow brings.

If you've made it this far, thanks for reading,

Amy





Wednesday, December 14, 2011

Pregnant!

Well, its been a while since I've updated my blog and a lot has happened in the meantime. I'm going to bore you with all the details of my current pregnancy..... so be forewarned. I took Clomid from June 15th-19th. This is the 3rd time I've taken Clomid. I took it first in 2009 when I got pregnant with my girls on the first round. Then I took one round in March, got pregnant and had an early miscarriage. So, when I took it again this time I really didn't think I would get pregnant a third time on one round. On July 9th I worked a day shift and had been feeling kind of off all day. I also had quite a bit of pain in my left flank. I took a pregnancy test at work which was negative, but I couldn't shake the feeling that I could possibly be pregnant. I took a home pregnancy test later that night and this is what I got.

To a normal, non obsessed person, the vvvveeeeryy faint line may be missed. But no, I did not miss that line. I quickly showed my husband, who said there may be a line there but he wasn't sure. Ughh, MEN! I just don't think he wanted to get his hopes up. So of course I had to buy more tests! I took this one 8 1/2 hours later.

My husband couldn't deny there was a line there this time, albeit still faint. Over the next few days I kept taking tests and the line continued to darken, and I of course had to take the clear blue digital test that says "pregnant" or "not pregnant". It said PREGNANT!! yay!! My heart skipped a beat when I read that.

Now that I knew I was pregnant, I couldn't help but wonder why I had so much pain in my left side... hmmm... My nurse brain immediately thought ectopic pregnancy! On July 11th my HCG was 42. This single number doesn't mean anything as the number has to start somewhere. The main thing is that the number at least doubles in 48 hours. I had repeat bloodwork on July 13th; my HCG was then 105. It more than doubled! Woot!

I had an ultrasound done on July 12th. I was only 4 weeks 1 day pregnant at the time so it was far too early to see any signs of a baby. However, we discovered what was causing me so much pain on the left side. I had an 8cm ovarian cyst, likely caused by hyper stimulation of the ovary by the Clomid. From what I can gather, the average size of an ovary is around 3-5cm. So this thing was around twice the size of my ovary. The ultrasound tech had the radiologist review the findings right away. Within a few minutes I was told to register in Emergency because cysts this big need to be surgically removed. Of course I was freaked out! So I headed on over to visit with my ER folk and waited to see the doc. He consulted with another doc. The consensus was that being pregnant, my growing uterus would push on the cyst not allowing it to twist or get bigger and would eventually dissolve. That was a relief; I definitely didn't want to go through surgery.

I continued to have my HCG checked over the next couple of weeks and it continued to double. I then had an appointment with my reproductive endocrinologist on July 26th. She did a quick ultrasound which found our little peanut was at the perfect size, but no heartbeat yet which we were told was ok at this point. She also had a look at my cyst. She chuckled as she explained to my husband and I that it was like those Matryoshka dolls......there was a mini cyst inside the big one.... awesome.... She also wasn't concerned about it and said it would eventually be reabsorbed.

I had another ultrasound done on August 15th, I was 9 weeks at the time. Our little peanut measured perfectly with a strong heartbeat! Yay!! Everything was going well until I hit about 14 weeks. I started to get the same feelings I had with my twin girls, a lot of pressure and frequent uterine tightening especially with standing. I continued to work, but was finding I needed to sit more often due to these feelings. Its kind of difficult to find time to sit working in an ER, so I knew I was not going to be able to work much longer.

On November 3rd (2o weeks 3 days) I was having increased pressure and a lot of uterine tightening. Given our past experience I was quite worried and went into labour and delivery to be seen. The doc checked me over and everything seemed ok at that point. The tightening was chalked down to braxton hicks. However, due to my history of preterm labour and the fact that my symptoms were exactly the same as with my girls, the doc thought it would be best if I stopped working.

So, I took it really easy from then on. However, on November 18th (22 weeks 4 days) the braxton hicks increased again. Back into labour and delivery I went. This time the monitor picked up the mini contractions and the nurse could feel them. The doc diagnosed me with irritable uterus, which i self diagnosed myself with in my pregnancy with my girls. I was admitted to keep an eye on the contractions and to make sure I wasn't going into labour.

I was just discharged home on Dec 12th. During my 3 1/2 week hospital stay I had at least 4-5 braxton hicks contractions an hour which would sometimes pick up in frequency. At one point they were every 3 minutes for 8 hours straight. I thought for sure that I was in labour, but apparently not!

So, now I'm home taking it VERY easy! I continue to have at least 4-5 BH contractions an hour. This just seems to be the norm for me. Its just physically and emotionally exhausting having them all the time. My belly hurts from my uterus contracting constantly and I always worry about the fact that I could go into labour at any minute. But, I'm 26 weeks 2 days pregnant today and I am so thankful to have made it this far!!

And now, some belly pics....

21 Weeks 1 Day
23 Weeks 5 Days
25 Weeks 1 Day

I'm sorry this post is so long, but I had 6 months of pregnancy to update you all on! My posts from here on out will be much shorter! I have some ultrasound pictures that I will scan onto my computer and post in the next little while.

We would like to thank you all for your continued love and support!

- Amy