I’m 29 and my husband is 32. We’ve been happily married since 2006, and trying to start our family together since 2010.
We both entered this process trying to be patient and let nature take its course. As my third post-birth control pill cycle dragged on for 62 days, that patience and calmness faded pretty quickly. After repeatedly pushing for my doctors to take my health concerns seriously (both fertility related and not), I finally secured a diagnosis of overt hypothyroidism with a TSH of 55.38 on February 8, 2011. (Normal recommended reference range by the American Association of Clinical Endocrinologists is 0.3-3.0.) After thyroid hormone replacement medication (Synthroid) failed to return my cycles, polycystic ovarian syndrome (PCOS) was also diagnosed in April 2011. Antibody testing I demanded that same month revealed that my hypothyroidism stemmed from Hashimoto’s thyroiditis.
After 15 months, my husband and I received our first positive pregnancy test on 10/30/2011. The following three weeks were torture as I suffered repeated bad/slow rising lab results for the pregnancy hormone HCG. Ultimately, my (now-ex) OB/GYN informed us that the pregnancy – now suspected to be an ectopic – had to be terminated with a double injection of the chemotherapy drug Methotrexate. I walked in to maternity triage on 11/18/2011 pregnant, and left waiting for my imminent miscarriage. Following that loss, we had to try and avoid pregnancy for three months as a result of the lingering effects of the Methotrexate.
We started seeing a reproductive endocrinologist (RE) in December 2011, and during my initial diagnostic testing discovered I was homozygous MTHFR A1298C (a genetic mutation that can impact folic acid absorption) and that I had two fully blocked fallopian tubes (proximally). An investigatory laparoscopic surgery was performed on 2/17/2012, where we discovered that stage II endometriosis was responsible for blocking my tubes. In addition to the tubal involvement, endometriosis was also found on my my ovaries and had adhered to my bowel to my abdominal wall. All visible endo was excised, and my tubes were confirmed to be clear and sound following the procedure.
Three cycles of the ovulation induction drug Clomid followed. The first resulted in no pregnancy, the second another miscarriage (an early loss or “chemical pregnancy”), and the third an unexplained third miscarriage at 9 weeks after having seen and heard the healthy heartbeat multiple times via ultrasound.
And that, in a nutshell, brings us to today.