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Give a girl the right shoes and she can conquer the world - Bette Midler

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Wednesday 5 February 2014

On the wheel… Cycle #2 – 27th January


 
So I’m about a third of the way through this second IVF Treatment cycle.  For 4 weeks I was taking a tablet – different from last time – that gave me a couple of horrible side effects.  I was exhausted all the time and I felt nauseous – I just felt like crap all the time.  I’m sure it weekend my immune system because I then caught an awful cold.  My sister kindly informed me this is what I could expect should the treatment be successful this time round – here’s hoping!  Thankfully I’m finally off these tablets but now I start the stimming drugs – the injections to make my ovaries produce more eggs.  Today is day 2 and I’m only on 1 injection at the moment but in a few days I’ll start the other one.  

Alongside these injections I’m on another drug – a steroid which is meant to supress my immune system.  I hate steroids as they come with all manner of side effects, but if they’re going to help me conceive - dammit I’ll do it!  Researching this particular steroid and its uses in IVF has led me to think that my clinic is thinking there’s an immunology reason behind the failure of my first cycle.  The thing is the NHS doesn’t do immunology testing and the steroid drug prescribed is only a small part of the treatment should this be a reason for my unexplained infertility.  Immunology testing is quite taboo and very expensive when done privately and the treatment carried out includes an IVIG transfusion alongside steroids during IVF, and if successful for at least the first trimester of the subsequent pregnancy. 

There’s a lot of talk in the press lately about NHS trusts not following the NICE guidelines and giving people the recommended 3 rounds of IVF on the NHS.  Some people get 1 and some none at all which is so unfair!  I hate when people automatically assume that IVF should not even be given on the NHS – if you have never experienced infertility or known someone who has you have no idea how this isolating and depressing this illness feels.  It is an illness and it can and should be treated.  I’ve mentioned this previously in another post – but I’m lucky enough to live in the ‘right’ postcode where I get all 3 rounds.  However after the failure of the first cycle I was in such a low/depressed state I never thought I would be back here.  Even walking into my clinic yesterday felt like an out of body experience.  Last time I was full of excitement but this time I was full of anxiety and nerves.  I’m terrified of it not working again and this is completely the wrong state of mind to be in during treatment.  I’m going to yoga tonight and I’ve booked reflexology for tomorrow to get myself back into a positive zone!

I’m increasingly worried about my peers - my age and younger, who are led into a false sense of security about their own fertility because they see celebrities like Halle Berry giving birth to her second at 46, Gwen Stefani pregnant with her third at 44 and Rachel Zoe just gave birth to her second at 42.  Whilst I’m an advocate for older mothers I’m very sceptical that there was not a helping hand along the way for some older mothers.  Of course I’m not saying it’s impossible to conceive naturally in your forties – but the likelihood that it will be as easy as would have been in your twenties is not true.  I urge every female delaying having a baby for whatever reason to have their fertility checked out.  Just to be sure that everything is working ok.  You don’t want to get to forty and find out there are issues.  I know first-hand that a regular monthly cycle is not a guarantee that you’re fertile.  It’s not a myth or a scare tactic that female fertility declines with age – it’s a fact.  Never forget that as women we are born with our ovarian reserve of eggs, from the moment we have our first monthly cycle we lose one or two every month.  The older we get, the less eggs we have and the poorer the quality.  A fact that more women who delay motherhood need to be aware of.  No - I’m not suggesting you rush out have unprotected sex to see if you can get pregnant!!  I’m suggesting you visit a private gynaecologist (I don’t think these tests are available on the NHS yet) and have some simple fertility tests done and maybe look into freezing your younger eggs until you’re ready.  Its advice I wish someone had given me in my early thirties.
 
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