We have an answer

When I was 10 years old I had a tummy ache. I told my mum, a nurse, who in the grand tradition of medical parents told me to stop being such a drama queen and go to school.

Two months later, after a series of doctorly balls-ups, my appendix ruptured in spectacular style and I spent two weeks in hospital with full-blown peritonitis, vomiting through a Mos Def-style nose tube (though it should be noted I didn’t wail like a little girl when it was being put in. Well, not every time).

Fast forward two decades and it seems that ruptured appendix not only gave me a wicked cool scar (which got me off PE for like two years), but the two surgeries also caused scarring to my fallopian tubes such that they are now both blocked. This is what we discovered after my HSG last week.

Knowing this feels… kind of a relief, actually. I’m glad we know what it is. I’m glad it’s not some vague unexplained infertility, which in my head means endless rounds of unsuccessful IVF.

“Ah,” my mother-in-law nodded when I told her. “Dynorod.” Well, yes. I am going to have a laparoscopy. Which is not, as I thought, a minor procedure, but a full-blown lights, camera, general anaesthetic jobbie.

(I know this because while I was busy digesting the fact I may never have to use contraceptives again – there are some advantages to this infertility malarkey – J had Googled the entire procedure.

“Did you know they puff air into you to separate your skin from your organs?” he asked, glancing over casually).

The procedure, which requires you to take five days off work, is a kind of multi-tool procedure, which will a) make sure the blockages are not the product of the radiologist’s fevered imagination; b) attempt to clear them; c) if they can’t, seal off or remove my tubes to make sure no gross stagnant water (I’m paraphrasing) escapes from them into my uterus, which could be dangerous for any embryo that goes in there.

(I asked the doctor if that was the same as tying my tubes. She looked as though I had deeply offended her. Pretty sure it is though babes.)

After that? IVF, probably. Coupled with PGD, genetic screening of the embryos. I was so determined to do this naturally – but the longer we’ve been trying, the more upset I know I will be if we finally get pregnant, only to lose the baby because of J’s translocation.

Everyone has told me how marvellous all this is. “You can relax! You won’t have take your temperature every morning! You can have normal, non-baby-making sex!”

Yes. But if you don’t know when you’re ovulating, how do you know when to have sex?

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That’s that

Well, I can officially say the Clomid didn’t work: cycle number three reached an undignified end when I burst into our bedroom yesterday morning, covered in snot and tears, brandishing a negative pregnancy test. J was less understanding than I would have hoped. He managed a croaky “I’m sorry” from under the bedclothes. To be fair it was 6am.

Wednesday was also the day we went to see the infertility specialist for the first time. It took us almost six months just to get the appointment, so I guess a part of me was hoping to come out with some kind of miracle – or at least another few rounds of Clomid. Or, you know. A newborn.

We didn’t get any of those. We also didn’t get much eye contact, or much of her looking at anything other than her screen. We told her our entire story – what felt like the 6,000th time we have gone through it with someone in the NHS – and then I started crying, and she had no idea what to do other than push a box of tissues across her desk.

(NHS tissues are tiny, by the way. Each one is designed to absorb a single tear. I used almost the whole box, then I felt bad for wasting NHS resources. Welcome to austerity Britain.)

She referred me for an HSG, a delightful little procedure whereby they inject dye into your uterus and fallopian tubes, then x-ray you to assess whether there are any blockages, and also yet another, internal, ultrasound. (I didn’t even know you could do an internal ultrasound until all this began. Imagine my surprise when they first whipped out the wand…)

When I woke up this morning I felt… bleak. Until now, there’s been a glimmer of hope that we can do this naturally, or as naturally as possible, without more involvement from doctors.

But yesterday the gynae all but told us outright IVF is likely to be the only way forward. That means more prodding, more poking – and months and months more waiting.

It’s the waiting that’s killing me. The earliest follow-up appointment, after the tests are done, is in July. For someone as impatient as I am, 18 months of trying has been a peculiar kind of torture. The suggestion it will be another seven months before we even begin to proceed with the bureaucracy surrounding IVF might just destroy me.

Some questions on Clomid

The last you heard of me (before I started moaning about my age), I was celebrating my enthusiastic new GP.

To be fair, she was great. But the pace of the NHS could be beaten comfortably in a race by most glaciers, and so I have lost patience and gone temporarily private.

I knew I wasn’t ovulating, for I have been diligently using OPKs and tracking BBT for months. Thus, I was pretty sure all I needed was a couple of rounds of Clomid and, boom, a baby would ensue. At the time, it made sense that I went private.

I’ve just started my second round and… I dunno.

The trouble is, there’s no one to ask. Mr Private Doctor is an appointment only kind of guy. I have exhausted the GP’s pretty limited knowledge of infertility (although her “aww honeyyy…” face cannot be improved upon) and it turns out literally no one in real life talks about infertility. Apart from on internet forums. Which make Donald Trump look like a beacon of accuracy.

So, here are the questions I would like to ask about Clomid, but that I have no one to ask. Answers on the back of a postcard, please.

  • When actually counts as the first day of your cycle? Because, you know, the bleeding started about six days after ovulation this time around, and progressing into more of a… gradual buildup. So I kind of guessed what my second day might be.
  • Related: does it matter if you take it on the wrong day? Am I going to die of that?
  • Related: today I felt a bit fainty. Is it because I took it on the wrong day? Am I destroying my (admittedly already not entirely functional) reproductive system?
  • Is it normal to feel like there is something sitting on your chest, all the time? Sometimes it’s about the weight of a small dog – a chihuahua, say – and sometimes it’s more of a three-year-old. Either way, breathing is not always completely easy. But that’s cool, right?
  • You know how Clomid is supposed to trick your brain into thinking it needs to release chemicals that make you ovulate? And you know how if you’re stressed you don’t ovulate? What happens if taking the Clomid coincides with your most stressful week ever? Will it still work?
  • Say, hypothetically, I got pregnant, and then I started bleeding because that’s pretty much what I do, and then I took more Clomid? What would that do? Really more as a thought exercise than anything at this stage.
  • Does my level of positivity have an impact on it working? Because right now, I cannot visualise getting pregnant. I’m trying to be super positive… but I just can’t imagine it happening.
  • Will you hold my hand please?

By the way, I have an appointment with an NHS specialist in February… but honestly, I can’t help but feel a new geological era will begin before the NHS works out what’s going on with my inner workings.