Third Time's A..

So, I just got home from my ovarian ultrasound.. This was my third round on Femara/Letrozole. As you might recall, it worked the first cycle (I got a mature follicle), but didn't work the second time.

Given the 50/50 outcome, I wasn't sure what to expect on the third try.

So I took my meds, did my yoga.. everything the same as both times before.

On Tuesday afternoon, I got a call from the doc's office, saying that no ultrasound tech was going to be in Lafayette on Friday, so I'd have to come to Indianapolis at 8am to get it done.

Freaking fantastic.

I was immediately annoyed. Now I had to drive an hour out of my way, in rush hour traffic, to probably get news of absolutely nothing.

Luckily, my wonderful husband decided he'd go into work late, so that he could drive me.

So we got up at the crack of dawn to head towards Indy.. to an office in which I'd never been.

Upon our arrival, we made our way to the second floor of the medical building. Looking for the correct suite number.

Found it.

Paused.

This was a tiiiiiiiiny waiting room, filled with anxious women.

Literally, there were only 6 chairs, and the room was half the size of our bedroom. I immediately chuckled to myself as I thought, "This is going to be fun to write about later."

I walked into this tiny space, lit only by two very dim table lamps. There was a clipboard sitting next to a clock... just outside the receptionist's window. Nobody said hello. In fact, nobody said one word the entire time I was in there.

So, I signed in on the clipboard. Moments later, a mysterious hand reaches out from behind the sliding plastic window, pulls my name from the top, sets the clipboard back down.. then slides the window shut again.

No hello. No smile. The receptionist literally made no eye contact with anyone in that room.

This was the most bizarre waiting room I'd ever been in.

All the women huddled in the darkness, away from the silent/avoiding receptionist. The awkwardness was palpable.

No radio. No television.

Each woman pretending not to know why everyone else was there. Some nervously typing, with an annoying clicking, on their blackberry phones. Others, browsing Us Weekly. None of us making any eye contact with each other.

I sat there, wondering what phase these women were in. Which medications? How much had they spent?

And do I want to keep doing this?

This life of waiting rooms, debt, tension, sadness.. It never looked appealing. But this made it look dreadful.

I know some women will literally do "whatever it takes." I don't think I'm one of those women. I've never felt like I "needed" to be a mother. I just felt like I'd be a good one.

Just not sure how much I'm willing to spend.. in physical, emotional, and financial costs.. in order to prove myself right.

Finally, they called my name from behind the door. That's right, they didn't even walk out into the waiting room to greet you.

Two seconds later, I'm in an even smaller room, with the all-familiar stirrups. And the room was almost completely pitch black. Just the glow of one dim lamp reflecting off the assortment of medical instruments.

"Just get undressed from the waist down, and I'll be right back." said the big black woman who walked me here. Apparently, she was the ultrasound tech.

This routine, I knew well. Let the scanning begin!

Left ovary. Lots of follicles.. none large enough.

Right ovary. Lots of follicles.. none large enough.

Well, that was a waste of a trip.. and $200.

So, she instructs me to return to the waiting room, because I'll be meeting with a nurse.

Ah, maybe to discuss meds? Talk about costs of more intensive options? Who knows. So I wait.

"Carol." I hear from behind the door again. I open it to walk down the hall, and there's a nurse.. shoving an invoice in my face.

"Well, everything looks okay. Just hand this to Miss So-and-so and she'll get you taken care of."

Ugh. What?

Miss So-and-so was standing all of 6 inches from us.. so I turned and handed it to her. She stated the total, took and swiped my credit card. I guess that's all Miss So-and-so needed from me.. that the nurse couldn't directly hand to her. :/

And here's the WORST part.

As I'm paying my $220 ultrasound bill, the overly highlighted nurse says, "So, everything looks good here. So, go ahead and take your injection tonight."

I look at her probably with a mix of 'puzzled' and 'disgusted' across my face.

She looks confused, "You're on the booster shot, right?"

I sternly reply, "I didn't think any of the follicles were big enough... so..."

She looks down at the chart, scanning it up and down.. like a pre-schooler pretending to read. "Ummmm. Yeah. You're.. uh.. right. Sorry." Followed by silence as I'm signing my receipt.

Finally, as I go to grab my copy of the receipt and walk out, the half-comatose nurse murmurs to me, "Yeah, so.. we'll call you. We'll have to ask him about that."

Sure thing lady.

The whole experience at this office was so weird. From unprofessional, to strange, and right back to unprofessional. Luckily, I wasn't really on edge or emotional, or I probably would have burst into tears when I corrected the idiot nurse who's telling me to go ahead with the injections because everything looks "okay."

So, then the long drive home.

I wasn't really sad.. just left feeling like.. now what? Do we try the next step (injectables), or do we just admit that this isn't working, and accept a life without children?

It's hard enough answering that question for myself.. Let alone agreeing on a plan of action with another person who is equally involved in the matter... My husband.

About halfway home, I turned the radio off and asked, "So, what's next?"

He didn't know any more than I did.

We talked about the costs. Injectables cost $3000-5000 every cycle. A far cry from the $300-400 we're spending now.

But, they're much more likely to work.

So, we had to discuss regrets. Would we regret when we're 50, that we didn't spend $9000 to try to have kids? Was it worth risking?

Is it even feasible? We're doing 'okay' right now.. but I have some dental work coming up. Can we afford that much debt? Is it worth getting a second job?

The only things we could agree on were these:

1) If we spent $9000, and I got pregnant, we wouldn't regret spending the money.
2) If we spend the $9000, and I didn't get pregnant, we weren't sure if we'd regret trying or not.. but probably not. Because then we'd at least be able to say we gave it the good college try.
3) It's hard to rationalize spending $15000 on a one-day wedding, but not $9000 on a possible child.
4) We could cut straight to adoption, IF we decide that's an option for us, but you're still looking at $15000-20000 in costs there anyway.

Conclusion:

For now, we're going to wait a few months. First, I want to be sure it's worth the risk (financially and physically). Then, I feel like we should be squared away with a house before risking large sums of money on fertility. And I don't want to take out a loan for treatments, that could impact our ability to even get a mortgage.

But on a truly honest level, the more I'm going through this.. the less it feels like a "need." I think after you get married, it seems like it's the normal next step. And while the possibility of that not happening is a difficult thing to face; sometimes torturous when you imagine yourself at 60 with no children or grandchildren.. it's something I'm coming to grips with.

And the only reason I know that I'm coming to (or returning to) a place of being okay without children.. is that half the time, I'm thinking about all the money we would save, the extra free time, the places we could go, and things we could do.. without children in tow.

I think of all the ways I could use my maternal instincts; animal sanctuaries, adopting more dogs, etc.

But there's still that other 'half of the time' .. when I imagine what our child would be like. Brad's eyes, my nose, and hopefully my math and science nerdiness.. And I REALLY want to meet that person.