Saturday, March 5, 2011

The Thing I'm Not Thinking About

This one's for Rebecca, who's commented on appreciating my honesty. This is honest as they come. I'm not sure I should keep the comments feature on. Probably will. But I'm saying this now: this is NOT A FORUM for debating issues. This is my blog.

*

So Dr. G is supposed to call me tomorrow. Which strikes me as a good opportunity to discuss the thing I'm not thinking about. Three guesses and the first two don't count.

Twins. Selective reduction. Here's what I told my mom when she asked what I'd do if I had twins: when you're in the place that I am, you don't assume you'll have twins, you assume you won't get pregnant at all.

When I went to AFC of Chicago for a consult, the biggest turn-off, as I've said, is he pretty much mandates that single women undergo eSETs. (Arrogant ass.) When I mentioned that to Dr. G, her comment was you're a smart woman. you want to transfer two, we'll transfer two.

What I didn't tell my RE, whom I assume is a feminist and pro-choice, but also a mother of four, is that I'm not opposed to selective reduction.

I also didn't ask her if that's actually a possibility (as in, she would be willing to do it).

And I'm not sure I could do it if push comes to shove.

I don't want twins. Part of me is afraid that I'm letting short term anxiety dictate a lifelong decision. But from where I sit, the absolute worst things I can imagine are:

1. This doesn't work.
2. I get pregnant with twins and need to raise twins.
3. I get pregnant with twins and one or both is premature and/or born with a significant disability.
4. I do a selective reduction and miscarry both.

All those scenarios suck beyond words. But it seems to me, more often than not, that I have to give this cycle the best chance of working and deal with the consequences, whatever those might be, later. And I don't know that I really want to have this conversation before those eggs are even fertilized. Like I said, I have to assume this is going to fail, even if we transfer two.

My donor has done four cycles. The first either didn't make it to transfer or didn't work (I don't remember, but the coordinator told me that the clinic she went to has an abysmal success rate, and most of the eggs were immature). The second two involved day 3 transfers of 2, resulting in singletons; Dr. G said the day 3s were a reflection of the clinic, not the quality. Her fourth, this past fall, also resulted in singleton pregnancy following day 5 eSET. Although I only know one of the clinics she went to (most recent), Dr. G's statistics are, I think, the highest in the state. 70-75% LBR, depending on what day you talk to her.

I have a history of recurrent pregnancy loss. MTHFR. APA. Lining abnormalities. I'm going into this with steroids, Lovenox, baby aspirin, and Folgard. I'll say it again: why would I assume this is actually going to work?

I really don't want to think about this stuff.

8 comments:

  1. No judgment, no debating here. Just honest to goodness support. Whatever you decide, whenever you decide it, I'm with you 100%. And for the record, I think this IS going to work.

    ReplyDelete
  2. Email me or call if you want to talk. I think this is going to work, too, BTW. This is, I think, the hardest thing for RPL-ers to deal with, and yeah, suckiest options ever. Been there. Been almost exactly there.

    ReplyDelete
  3. It's me. And your honesty is liberating, even for me. I'm a feminist, I'm pro-choice, I'm a mother of 3. And I'm not against selective reduction. If I'd gotten pregnant with twins this last time, I know absolutely that I would have confronted this question. I don't think I could have handled twins (particularly since I already had 2 children), but then again I know that there have been several things I didn't think I could handle but somehow in the thick of things I did.

    ReplyDelete
  4. I have twins from donor eggs, and I understand well the reduction dilemma. I certainly could have gone either way. Email me if you have any questions. fyi-about your RE doing SR--I don't know how it is where you live, but here in TX, I believe most RE's at fertility ctrs do not perform selective reductions because of the laws here. I would have had to travel to Houston if I had chosen to reduce, neither my RE nor my OB/GYN would do a reduction but did refer me to a dr in Houston.

    ReplyDelete
  5. Aysha, you might be right that the state I live in might make SR difficult, though it IS mentioned in all the IVF literature I have from Dr. G as an option for higher order multiples at least.

    ReplyDelete
  6. Gwinne, the problem with us "smart" women is that we know too much.. sometimes ignorance is bliss. Whatever you decide to do, I will support you. No judgement.

    ReplyDelete
  7. SR is not something just any doctor will perform. You go to a specialist, just like you do for CVS or amnio (at least all the people I know who have done SR went to a specialist).

    ReplyDelete
  8. Dear Gwinne,
    Know that I totally understand that nothing about this is simple and you have to do what is right for you -- you have my support no matter what. I actually talked with my RE about reduction before even stepping one foot towards IVF. Not sure what I would have done if I'd ended up with multiples, but I knew I wanted options. You are right to just focus on the right-now for now. There is only so much one can worry about at a time. If you play out every possible scenario you'll lose your mind. Focus on one step at a time -- in all likeliihood you are going to have your sweet little healthy singleton pregnancy started in just a week or so!!!
    love, inB

    ReplyDelete