Avalanche

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Authors: Julia Leigh
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    â€”It helps egg quality.
    â€”How come I’m only hearing about it now?
    â€”There have been three studies in the past year.
    â€”Is testosterone something the clinic offers their patients?
    â€”We decide patient by patient. I know you like to see the evidence so I didn’t think you’d want the testosterone. There’s not enough evidence yet.
    â€”Well, what else is there?
    â€”Growth hormone—but I wouldn’t offer you that because it does have links to cancer.
    â€”So we wouldn’t do anything different?
    â€”No.
    On Day 1 of my next period I called the nurses. I was told to come in that morning for a blood test. On other occasions I’d done my initial bloods on Day 2 and so I asked if there was a reason why I needed to come in on Day 1. The nurse said, “We can always go forward but we can’t go back.” That afternoon I received a call.
    â€”Bad news, I’m afraid. Doctor has looked at the results and wants to cancel the cycle. High FSH.
    â€”That’s unusual, that hasn’t happened before.
    â€”It hasn’t been looked at before.
    â€”Yes it has, I did a frozen cycle. How high was my FSH?
    â€”13.
    â€”And how high was it when I did the frozen cycle? Please check the file.
    â€”11.
    â€”Why did we take the bloods on Day 1? Maybe the FSH will go down by Day 2. Is it OK if I come in and test again on Day 2?
    â€”Yes, come in.
    My Day 2 FSH result dropped to 11.7. The doctor—not Dr. Nell but another doctor who was covering for her while she was away—decided the level was still too high and the cycle had to be canceled. When I asked the nurse about why my FSH might have been high she said, simply, “It’s cyclical, doctor said wait until next month.” When I got off the phone I cried. I had a great fear that I was too old, that my FSH would remain too high. The process was forever throwing up new ways to be disappointed that I hadn’t even dreamt existed. The constant uncertainty took a toll.
    In expectation of proceeding with the cycle I’d canceled a work trip. There were so many opportunities I turned down in the course of my treatment.
    One afternoon I struck up a conversation with a mendacious cab driver. He said, “I have seven sons, age 2 to 14. I’m 74. My wife is 62. She had the first four compulsory and then three voluntary because she wanted a girl. Yes, she was 60! I can drive you to my place and show you her passport! I drive this cab and do all the cooking and cleaning. I sleep four hours. I feel young. To be honest, it’s not her I love, it’s the kids.”
    November 2013. I felt a small sense of pride when the nurse told me this month’s levels were good—FSH down to 7.7, estrogen 202—as if somehow I had worked hard to deserve this merit. This is the start of an amazing journey . I blazed with hope. I was injecting 300 IU of Gonal-f each night. My breasts became extremely sensitive. Once again I was bloated and labile. When I put my travel card into the ticket machine on the bus I felt as if I were inserting my own fingers. I cut everything out—coffee, dairy, sugar, alcohol (that was hard). Each day I drank an alkalizerjuice from the health food store. I kept up my iodine-folate and multivitamin and added fish oil. All the small rituals. After my scan—which looked promising—the kind nurse said, “Hope you get some in the freezer.” That was my wish: to do a fresh transfer with one embryo and have others “left over” to freeze. Dr. Nell was away again on the day of my egg collection so it fell to a new doctor I’d never seen before to explain that in fact I wouldn’t be able to do a fresh transfer that month, as planned. My last blood test had shown an unexpectedly high level of progesterone, a hormone produced by the ovary that plays a decisive factor in maintaining pregnancies.
    â€”Your progesterone is at 6 so we

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