I gotta say, I started this post about 20 times. I didn’t like how it started so I deleted it and started from scratch again. Then there have been the countless times that I’ve sat in front of my computer or my blogger app on my phone and just stared at the blank post trying to figure out how to approach this post. What do I say? I’ve been waiting for this step for the better part of three years. My nerves were shot since we were told the date. I worried as we made travel plans. I worried as my friends told me that everything would be fine. I worried for the entire drive up. I dreamed about it the night before which caused me to toss and turn and get very little sleep.
But it happened. We arrived at the fertility clinic exactly at 10:30 after our friends drove us into downtown Halifax. And a special thanks goes out to them because we would have easily gotten lost and missed the appointment.
As soon as we walked in, we were waited on. There was no waiting in the waiting room. They were ready for us as soon as we landed and took us to our room to wait for the doctor. My immediate first impression was how warm and friendly they were. The receptionist welcomes us to the clinic, asked if we needed anything and told us where the bathroom was. On her way out, she gave us a smile and wished us luck.
While waiting for the doctor to come in, I got a little emotional. I cried for a bit, but mostly just to let out some of the nerves and tension. Chris told me that he had thought about it long and hard and said that if it turned out that his sperm was not viable, he would agree to donor sperm. This made me cry some more. Chris suddenly noticed all the posters about the different procedures on the wall and had plenty of questions about them. He was impressed with my knowledge and didn’t realize that all those nights where I was so caught up in articles and websites, I was really informing myself on our situation and potential situations. Then the doctor came in. He introduced himself as Dr. G’s intern and asked if we would mind talking to him while Dr. G finished up with another patient. Intern was super cute and very relaxed and easy to talk to. Dr. Cute Intern took patient history from both of us and went over Chris’s reports from his first, second and third semen sample along with his blood work. Before we were referred to the fertility clinic, the first SA was taken and we were told that 50% of his sperm was inactive, while the other 50% was immobile. We expected to walk into the appointment and be told that none of his sperm was viable. But what we got was a bit of good news and a bit of bad news. After we talked to Dr. Cute Intern, Dr. G came in and pretty much went over everything that we just went through, answered our questions and gave us our odds. He was straight forward but kind. He started by telling us that hes not here to make money off of us, he’s here to help us have a baby so he will give everything to us honestly, no beating around the bush and he won’t push anything that he feels has a low chance of working on us. My gut feelings told me that this is right, and he is right for us. Even now, I’m quite confident in his decisions and his assessment of us. I went in expecting my spidey sense to tingle, Chris expected it to be a money grab. But we were comforted by them, they explained everything in detail. They gave us time to process it. The people working there have proven that they are first and foremost here for us. They gave us direction which I’m grateful for. There was no push, just information and the time to process it all.
The rundown of the results pretty much breakdown to this:
~Hubby has viable sperm.
~His sperm count is around 200,000 (viable) per cc. For those who are not in the know about this stuff, a good sperm count per cc is around 20 million. They consider 2 million per cc to be a low count. So my husband has a very low sperm count. But at least there is sperm.
~His testosterone count was just a little below normal. But because it does not affect his sex drive, they don’t consider it to be a problem.
~Everything else came back normal.
~They have no idea what is actually causing his low sperm count. They are now looking at what happened between the first SA and the current ones that he gave prior to the appointment because the numbers have gone up since then. The only thing that has changed was a change in medication for his anxiety disorder and he lost some weight during the summer and fall because of the change in medication.
~Because of this, they plan to keep on checking the sperm every couple of months, have suggested that we keep trying naturally for a time being and both bring our weight down a bit to see if 1. that brings up his count and 2. we can always benefit from weight loss.
~We may still have a chance to conceive naturally because of the viable sperm, but the chances are much lower than an average couple.
~Dr. G told us that if we plan on using Chris’s sperm, the numbers are not high enough for IUI, so he feels that we would simply be wasting money and getting our hopes up.
~He seemed quite confident that odds and time are in our favor so we have some time to do the more time tests. He told us that we could start treatments tomorrow if we so choose to but he knows our financial situation and suggested that we take six months off before we start treatments, and work on us to further put odds in our favor and to put together the funds.
~They sent Chris for blood work at the IWK before we left because they want a chromosome test done and that is the only local hospital in Nova Scotia that does it. It’s going to take a couple of months for that to come back but it will be ready when it’s needed.
~Because IUI is not an option, we are now facing IVF.
~IVF is gonna cost us around 12 grand. For one shot at this. 3 grand of that is for the fertility meds. If we end up having to do ICSI (where they have to physically insert the sperm into the egg via a needle), that will add another 1500 bucks to our total. Plus travel expenses, time off work (for both of us) and expenses while we are away. Thankfully we won’t have to factor the cost of hotels because we were told (note: not asked, told) that we can stay where we stayed for this appointment.
~We are considering one shot of IVF with Chris’s sperm and if we have no luck with that, we may move onto IUI with donor sperm.
~Dr. G told me that if we plan to move forward with treatments, he is gonna to set me up with a local gyno and attempt to do as much of my work ups in Cape Breton in order to cut down on 5 hours of travel both ways for any work. I was told that if I don’t hear from Dr. D in Sydney by next week to give her a call. Or call back to the clinic and they can check into it themselves.
~That being said, there are a handful of tests he wants me to go through before we make our final decision on whether to start IVF.
So the appointment was both a plus and a negative. He has viable sperm but the chances of getting pregnant on our own are much, much lower than any average couple. The plus side is that we have answers and there is still a chance for biological children, but the downside is that it is going to potentially be very costly to us. Dr. G and Dr. Cute Intern were wonderful and we felt much better leaving the clinic. We had answers, we weren’t a hopeless cause. It still meant work and money on our part, but no more of the unknown. Dr. G felt very positive about us being able to get pregnant. He told us that he was glad we fought to get to this point and sympathized with our frustrations. We were told that our age is on our side, and that our chances of conceiving are high.
So all in all a good appointment, doctors that leave me feeling comforted.
After the appointment, we just tried to enjoy the rest of our trip. The couple we were staying with took us for lunch, we checked out a cute little cupcake shop that I fell in love with. Then we went and totally geeked out at the Discovery Center where I got to take part in a presentation and we got to enjoy the “Gross-ology” exhibit. And the bubble and Lego rooms. After that, we went to aunt Moe’s for supper where they had a surprise birthday cake for Chris for his 30th birthday. The next day was our shopping day and we literally shopped til we dropped. We followed that with Ryan and Kayleigh making us supper and having Ryan’s sister and husband over for board games.
We spent all of Saturday traveling back home. We missed the kitties and our friends and everything really. It’s nice to get away for a couple of days, but I’m a homebody and like it that way.
So as you can see, we’ve had a lot to process. I think I’m still in the early stages of processing all of this. I find myself dreaming about it. Chris and I have started conversations about it, but we haven’t really gotten that far. We started to change our diet. We are starting to work out. But that’s all we’ve done. I’ll check with Dr. D’s office early next week. I’ve started looking for a part time job that will work with my current job schedule so that we can start banking money at a faster rate. We may have plenty of time, but my egg quality starts going downhill at 35 and I don’t want that to become a factor as well.
So for now, baby steps…just not a baby yet…
