Control What You Can Control

I spent the majority of the day worried that my treasured iTunes library with all its organized playlists had disappeared forever. I spent two hours with Apple support and an equal amount of time beforehand in chat rooms and reading troubleshooting links trying to avoid Apple support.

Of course I backup my Mac regularly like any responsible person who stores thousands of songs and family photos on her computer should so it shouldn’t have been a problem, right?

Yeah right.

I diligently backup like every 8 months or so.

I wasted the evening away desperately searching for a way to not have to go back to July of 2013 to replace the playlists. Early on in the process I was able to recover the music, but not the playlists. There was a point where I nearly gave up and accepted that it was enough to have all my music even if it wasn’t organized neatly in a slew of lists that together represent a chronological and musical expression of my entire being since I became an Apple user.

These playlists mark so many phases of my life. As a runner, I have playlists for certain distances that I run. For a short time today, the playlist that kept me company for nearly (but not quite!) four hours during my first marathon was lost.  And there was so much more, like the first lullaby list I made Spork and countless playlists I have created as gifts for special people at special times.  And let’s not forget my myriad fertility playlists with meditations and music put together in collections designed for specific stages of the IVF process.

All were gone for this short but panicked period of time.

I have mentioned before that I am Type A. This is why I have playlists that are the perfect length with just the right BPM to cover 5, 7, or 10 mile training runs. This is why I have multiple fertility playlists. This is why I spent the better part of the evening turning over every cyber rock I could find to determine how to get these playlists restored without losing a single song.  It wasn’t easy, but I did it. I won.

I usually do.

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In the fertility world, this type of behavior makes me a cliche. I am about to embark on my fifth IVF because I waited too damn long to start trying to get pregnant. I had a world to conquer, a career to develop, and a Master’s degree to complete before I could even fathom making babies. When I finally got serious at 34, we discovered that baby making was going to require more effort than all of these things combined.

So its no surprise that like a lot of women I try to exert as much control over the process as humanly possible. I do this despite knowing that IVF is a process that you simply cannot control. I have written before on the importance of acceptance and I believe fully in the mental benefit of being at peace with the fact that there is very little you can do to control or change infertility.

I fall short, however of relinquishing all control. There are certain things you can influence in IVF and as with other things in life I choose to live by the rules of the Serenity Prayer, letting go of those things I can’t control and controlling what I can.

There is so much with infertility that we have no ability to impact. Ultimately I cannot control whether we will have another baby or not. But I think its necessary to recognize that you can influence certain aspects and do your best in the process. There are things you can control. Many things.

I can make sure I take my shots on time and schedule my meds to arrive when I need them. I can control how I manage stress. I can control my weight. I can control my nutrition and exercise regimen. I can control my quality of care by being an educated patient who asks questions and advocates for myself.

You get the idea.

This is why we are taking an ungodly number of supplements. Its one tiny little thing that we can do to improve our odds of success.

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Each and every single one has some added benefit that in one study or another led to increased success rates. Every item on the list has been vetted by one of the best clinics in the country and they believe it could have a positive impact.

So why not take them?

I do, however, think its a good idea to keep our ability to directly influence the outcome in perspective.  My eggs have been with me since birth and we are having trouble because they are getting old and sticky, no longer dividing cleanly and quickly. All the Coq10 in the world is not going to reverse the impacts of aging.

However we have noticed a difference in our lab tests and our actual cycles since starting this regimen last year. My resting follicle count increased and our embryo production improved by 26% (22 resting follicles produced an additional three embryos).  Bill’s count and motility were always good, but his morphology improved from the very low end of the range to the high end of the normal range in the last two specimens since starting the supplements.

So yes, the crazy number of supplements are probably an exercise in exerting control over infertility.  But I don’t think that’s bad nor do I feel its futile. If it creates that one super healthy sperm that unites with that one magical and nutritionally nurtured egg to make a perfect little baby it will have been worth it.

I can’t change who I am any more than I can change the fact that we are infertile. It’s in my nature to try to control and influence. My DNA doesn’t allow me to give up without a fight. But I have at least learned to not allow the ability to control give me the false sense of responsibility when a cycle fails. That is the risk you run with trying to control infertility. If you accept that you can make a difference, then it is all too easy to make the mental leap that you are to blame when things don’t go well.

You cannot blame yourself when things go badly. What you did still may have had a positive impact, it doesn’t mean you did something wrong any more than it means you should stop trying to make a difference. Just pick yourself up, dust yourself off, pop a few more supplements, be compassionate with yourself and proceed to Plan B.

A Destiny Determined before Dawn (Perhaps)

I suppose mornings were crazy before we had a kid, especially Tuesdays. We both have important meetings on Tuesdays. But now? Mornings are complete chaos.

So its strange that we may have made a major life decision this morning over coffee (hot water with lemon for caffeine free me).

Spork awoke a full hour earlier than usual today which means the whole house was up and going at the crack of dawn. As a result, Bill and I found ourselves in the kitchen with time to spare long before either of us had to leave for work.

Funny how life works. A few unplanned minutes with my husband may have changed our destiny. We decided to use the gift of time to settle on a Plan C (or D, E, or T depending on when you start counting).

This cycle is going to work, but if by some chance my attempt to shape reality through positive imaging fails we have our next step planned. This is not our morning epiphany, we have known this for some time and have already shared Plan B in the blog. Our quest will continue with one more full IVF cycle at our miracle clinic. But what would happen if that is a bust? If my eggs fail us in another full cycle?

Our plan didn’t stretch that far into the future, or at least that was true until today.

A few weeks ago a “friend” (read- therapist I saw the week after my last negative result) shared that it would be helpful for me to consider the possibility that this just won’t ever work and suggested I think through what that would mean for me. She asked me to answer the question:

What is the worst that can happen?

It was good advice, so good in fact that I haven’t been back since that first visit.

Truthfully, the question pissed me right off. That’s the real reason why I didn’t make a second appointment for the following week as she suggested.

I buy baby clothes, maternity clothes, and have a crib set up in my bedroom because I believe it is important to focus on what you want. I have always visioned my goals and achieved them. I don’t know why baby making should be any different.  This therapist was asking me to send counterproductive thoughts into the universe that may destroy the good vibes I’ve sent. Bah.

Her question also made me cry.  Making me cry in front of strangers, even if they are therapists, also pisses me right off.

So I didn’t go back (it helped that the hormones started wearing off soon after the visit). But I did start thinking about acceptance like she recommended. The therapist struck a chord because she felt that if I opened myself to the possibility of it not working and embraced what we have, it may just prepare me mentally and emotionally to welcome another baby into my being. That caught my attention.

So you mean accepting that I might not get pregnant may help me get pregnant?

Sheesh. I told you this fertility stuff is crazy.

So I pondered “what is the worst that can happen”. Turns out its not so bad. The worst that can happen is I have a great job, a loving husband, and of course Spork. I can live with that. Its enough for me. It took over a month of thinking and blogging to arrive at the conclusion that what I have now is all I need.  I don’t need to move to donor eggs and I don’t need to adopt. I have been very clear on this for the last couple of weeks and it has lifted a huge emotional weight.

Which brings me back to my quiet morning with Bill. It was the first time I have been able to share this acceptance with him. And a funny thing happened.

Bill looked panicked. I have been driving this bus with him along for the ride for a long time. Today it was as if I pulled the bus over to a screeching stop and screamed “Get out!” without any warning and for no observable reason.

For the first time ever we seriously discussed donor eggs. When I told him that I was afraid that I might not love a baby that wasn’t created from my eggs as much as Spork he said “but you will carry it for 9 months, you will make the connection, it will be your baby.” He was fighting for what he wanted. He looked fearful but was kind and understanding. He was quietly, lovingly and sweetly pleading.

It was a short conversation but I knew instantly what we would do.  Plan C.

If necessary, someday I will carry a life that a lab will create with the reproductive ingredients of Bill and another woman, but it will be ours.  This is not something I was even considering a possibility until now. I confess my fear of donor eggs is totally egotistic.  I love that when I show pictures of myself as a child that my daughter swears “Its Spork! It’s Spork.”  I wasn’t ready to give that up until today.

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However if I can accept not having another baby at all, I can embrace having another baby for and with the love of my life. With my newfound acceptance I already have a deeply seeded knowledge that I can and will love the child as fully as I love my own genetic child. It is as if a switch was flipped in my brain during our daybreak discussion that flooded a whole new realm of possibilities with light. There is still much more to discuss, but we will tackle that when the time comes and probably not on a Tuesday morning.

Of course all of this is likely to be irrelevant. If this cycle doesn’t work I am sure the next one will. Or at least that is what I am focusing on for now.