Monthly Archives: January 2013

A Sibylline Dream?

I mentioned in a previous post that on the night connecting January 4th to January 5th, I had a dream wherein my hot doctor told me I was pregnant. I left out of that post a significant component of that dream. This was part of my actual journal entry for Saturday, January 5th, 2013:

I had such a strange dream last night. I dreamed that [hot doctor] . . . somehow managed to do a pregnancy test without telling me–which is weird, because I don’t recall giving him any blood or urine. And he was so delighted and excited to tell me I was pregnant. But I was annoyed with him for doing a test without my permission.

I woke up and the thing that excited me most about the dream was that oneiric hot doctor had told me I was pregnant. I thought about the other part of the dream–the part where he tested for pregnancy without my permission–and thought, “Woman, you crazy. He can’t do a pregnancy test unless you give him blood or urine.” So I put that part of the dream out of my mind and only told people about the part where the doctor told me I was pregnant, especially once I got my first positive pregnancy test at 12 DPO.

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Categories: Gestational Complications, Hot Doctor, Pregnancy Test | Leave a comment

My final charts

I’m about to suspend my FertilityFriend account, since I paid for a one-year VIP membership and then got knocked up after one month of trying. I’d like to save that membership for a possible future attempt at conceiving. However, once I do suspend my account, I’ll no longer be able to access my charts, so I am posting my final charts here.

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Categories: Fertility Charting | Leave a comment

In which I am less worried about thyroid problems

Thyroid ButterflyI spent some time Googling up some information on sub-clinical hypothyroidism (SCH) and pregnancy today. It seems like there is a lot of debate among physicians on whether it needs to be treated or not. Some studies have suggested that SCH does increase the risk for adverse outcomes in pregnancy (though not nearly as much as overt hypothyroidism) and some have found that it doesn’t. This article sums it up pretty well:

Experts agree that overt hypothyroidism should be treated for both maternal and fetal benefit, but whether SCH should be treated is less certain. Although the risks for pregnancy complications and fetal neurologic damage are far from clear, available evidence suggests a possible risk for adverse outcomes. Levothyroxine treatment is relatively cheap, safe, widely available, and well tolerated; however, the 2 prospective interventional trials (ie, Negro and colleagues and CATS) had negative primary outcomes. This leaves the clinician who diagnoses SCH in a difficult position. ACOG recommends against “screening and treating” SCH in pregnancy, but does not directly address the situation if it is found incidentally or by means of risk factors. Other endocrine organizations, such as the Endocrine Society, and the American Association of Clinical Endocrinologists, do recommend treating SCH in pregnancy. Given the lack of clear guidance from the literature, it is reasonable to leave the treatment decision up to the individual physician and patient.

Physicians should exercise caution when interpreting maternal FT4 levels. Method and trimester-specific reference ranges should be used when available. Although some studies have found an association between SCH and pregnancy complications, including increases in abruption, preterm delivery, and pregnancy loss, others have not. Nevertheless, theoretical concern surrounds SCH and the risk for neurologic impairment in the fetus. More studies are needed to confirm and define this risk.

If SCH is diagnosed either by symptoms or by risk factors, insufficient evidence exists either for or against a recommendation for treatment with a low dose of levothyroxine. Universal screening of all pregnant women for hypothyroidism, overt or subclinical, is not currently recommended.

I called my health system yesterday to leave a message for my hot doctor and ask if he knows yet what dosage to put me on, and he managed to call me back just a few hours later. I’m now on 50 mcg of levothyroxine a day. I haven’t heard back on my Free T3 yet.

While the evidence is divided, in my case (and assuming that my FT3 is normal and I really am SCH), I’m glad that we’re treating with a low dose of levothyroxine given how much my TSH has risen in 4 months. Now I can understand why my doctor chose not to treat before I got pregnant, and knowing that my risk of adverse outcomes in pregnancy are much lower than it would be if I had overt hypothyroidism puts my mind at ease.

Categories: Gestational Complications | 3 Comments

In which I worry about thyroid problems

keepcalmcallbatman

Today is just one of those days where I am trying to remain calm.

Last week, I had some bloodwork done (*cough* without my knowledge or consent *cough* but that’s a matter for another post *cough*). When I requested a beta HCG quantity test, my doctor also put in orders for a CBC, TSH, and Free T4, which I didn’t find out about till later on. The beta HCG quantity came in at 138 (which is within normal range for 4-5 weeks pregnant) while the CBC was also normal on all counts. The Free T4 also came in normal at 1.06 (lab range: 0.61-1.81), but my TSH was a whopping 12.573.

I had an ultrasound on my thyroid last August 2012, which found “Diffusely heterogeneous and nodular echotexture is present consistent with Hashimoto’s Thyroiditis.” My TSH was also tested in September 2012 and found to be 7.595, which is high, but my Free T4 was still normal then (1.03), so the doctor said I didn’t need treatment and that was the last I heard of it.

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Categories: Gestational Complications | Leave a comment

FREAK OUT

My day did not start well. I woke up at 4:30 AM to pee, and decided to use up my last pregnancy test just for giggles. Got a solid positive, not even faint this time, so okay, I guess that much of my day started well, but I had trouble going back to sleep after that, tossing and turning and maybe dozing off a bit until 5:30 AM. I decided to temp early at that point, then looked in horror as the thermometer read 97.78° F, which would be a -.66° F from yesterday. That strikes me as a really steep drop! Still above my coverline, but steep. I scowled and went back to tossing and turning and dozing and temped again at 6:20 AM, closer to my usual time. 98.15° F, still a drop, but not so steep. That might be cheating, but I’m taking it.

Why am I still temping when I have several positive home pregnancy tests? Because I like the feel of a nice, cold thermometer up my cooch at the crack of dawn, obviously. No, I’m just neurotic and if I’m going to be done with Fertility Friend, I want my charts to reflect two 37-day cycles. So I’m temping for 7 more days and then calling it quits.

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Categories: First Trimester Symptoms, Pregnancy Test | 1 Comment

Our Baby’s Name ♀: Evelyn Ivy and Why I Love It

Unlike some expectant couples, DH and I are not fretting about what to name our progeny. We have known the name of our next child (whether boy or girl) for years. This post is about our potential future daughter’s name. If we have a girl, she will be named Evelyn Ivy.

I fell in love with this name just shortly after giving birth to DD, whose name is Harley Kaye. I’d always liked the name “Evelyn,” which lends itself nicely to several adorable nicknames: Evie, Eva, and Lynn. I’d also always liked the name Ivy, and thought it would be great to have daughters named Harley and Ivy. Yes, this Harley and Ivy:

Harley & Ivy

Then one day, I realized that the names Evelyn and Ivy are just perfect together. They both start with vowels and have “v” and “y” as consonants. They sound even better with DH’s surname, which has an “eye” sound and a “y” in it. It was like mixing together peanut butter, M&Ms, and nuts.

I fell in love with Evelyn Ivy back in 2007 or so, when Evelyn was #55 in the SSA Baby Names database (it was #67 according to the revised 2007 list at NameNerds.com, which counts phonetically identical names in a single slot, which the SSA database doesn’t do). By 2011, it had climbed to #24 in the SSA Database (#42 at NameNerds). So, the only thing not to love about it is that it’s getting a little on the common side for my liking. I’m going to alleviate this problem a bit by using Evelyn’s middle name as her primary name, so she’ll be known as Ivy, which is safely uncommon (#266/282 in 2011).

Even if the next baby is a boy rather than a girl, I really hope that I have a little girl for #3, because I am dying to use this name.

Related:Our Baby’s Name ♂: Serge Constantine and Why We Love It

Categories: Baby Names | 2 Comments

Well, that was fast

BFP

My BFP. 1-9-2013

I woke up last Saturday morning having had a dream about my hot doctor. You’re thinking, “Ooo, sexy!” but really, it wasn’t. He’s never been in my dreams before, despite his adorableness, but this time he was, and I remembered it very vividly. Oneiric hot doctor told me that I was pregnant.

I was only 8 days past ovulation though, and I had no pregnancy tests in the house for use with first morning urine. I bought one at the store that morning and determined to use it the next morning, at 9 dpo. It was a stark negative. Not even the tiniest inkling of a line.

I waited until Wednesday, when I was 12 dpo. Woke up at 4:30 AM needing to pee, so decided to do it then. Upon coming back into the bathroom to look at the test three minutes later, I sighed, initially thinking it was a negative. Then I picked it up and looked at it more carefully.

There was a line. Barely visible, but there.

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Categories: Hot Doctor, Pregnancy Test, Trying To Conceive | 5 Comments

An Open Letter to My Cramps

Dear Cramps,

From about the time of menarche until July 2009, you were one of my oldest acquaintances, serving as the herald for the witch that you work for. It was kind of like you were the Silver Surfer, and the witch was Galactus the Devourer of Worlds. Once you showed up, I knew that your master wasn’t all that far behind, and that I would be powerless to resist. I was never wont to complain about you though, because you were never all that annoying, and I was always very private about the visits of your master when I was younger. I was resolved to my fate, so I figured, why whine about it? Such was my Stoicism at the time.

And then I discovered this beautiful little contraption known as the Mirena Intrauterine System. It was like the Fantastic Four for my uterus! I had it installed in July 2009, whereupon the pair of you were soundly defeated, and I hardly knew anything of either of you for the next 3.5 years. This may hurt your feelings, but you were not missed.

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Categories: Trying To Conceive | Leave a comment

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