it’s been a while since my last update. a lot has happened, so here’s my attempt to concisely recap.
weaning – estrogen and progesterone
we survived. praise the Lord. guess my RE knows what he’s doing. why i think i know better than him, i’m not sure. well, not that i thought i knew better, but more that i second guessed him.
weaning – metformin
exhibit a, girl who is still second guessing her RE: i was supposed to stop taking metformin on wednesday (around 11.5 weeks). cold turkey, might i add. has that happened? not quite. i’m at least down to 500 mg instead of the typical 1,000. a lot of {ok two} people i know who have PCOS and conceived while on metformin both took it through the first trimester. apparently it decreases the chance of miscarriage. the first trimester is 13 weeks, i’m 11.5. would an extra week hurt? seems like it would be fine. so why didn’t my RE say stop at 13? i put a call into my regular OB to see if he had an opinion. i’m supposed to hear back on monday… think i’ll stick with my half dose until then.
first OB visit
my OB has to be the sweetest, most patient doctor on planet earth. he was concerned about my bleeding spells {finally, a doctor who cares}, so he chose to forego the initial pap and vaginal screening until my next appointment. instead he spent 5 minutves trying to pick up bitty baby’s heart on his doppler {at 10 weeks}. he was brave for trying, but no luck. so then he had me wrap up in a sheet so we could sneak in the ultrasound room for a quick peak. he couldn’t find the tech, so he just rolled up his sleeves and went for the abdominal ultrasound himself. he didn’t measure or check bitty’s heart rate, but he did make sure the heart was still beating and the baby was still wiggling. at that, he sent me on my way for blood work and asked me to come back in two weeks. he did say that if i needed to come every few days due to bleeding to get me through the first trimester, that it would be totally fine {dr. w could use a few pointers from my OB it seems}. i did give a urine specimen while i was there. turns out i have a UTI. seriously? i haven’t had one since taking a bubble bath at the age of 5. i bet i got it on transfer day when i got cathed {2 months ago}. gross. google says not to worry though, shouldn’t harm baby.
first maternal-fetal visit
where to begin? what an appointment full of mixed emotions.
here are the happy things: bitty baby measured on track at 11 weeks, 3 days, and its heart rate was 170 bpm. looks like its spine formed appropriately. the fluid pocket at the back of its neck did not indicate downs. and my doctor’s 80% guess of gender was girl. that’s 100 votes for girl, zero boy. {hubs and i changed our gender forecast to girl after about the 3rd consecutive week of a heart rate above 170.}
here are the things that give me anxiety: not sure how they can tell, but looks like i have more bleeding to do. at least i was warned. and, it looks like i’ll be visiting the maternal fetal specialist for the long haul. even though i had the septum in my uterus resected, and even though the MRI i had prior to that surgery said i did not have a bicornuate uterus, apparently my uterine cavity is somehow still divided. the maternal fetal specialist clearly picked it up on his ultradound and thinks it’s a bicornuate uterus. this means i’m at a higher risk for preterm labor and/or incompetent cervix.
faith over fear
as you can see, the worrying did not end after weaning off hormone support at week 9, and it won’t end after weaning off metformin. there’s something to fear every step of the way… i could drive myself mad. i think God has me right where he wants me. that place where i have to daily {minute by minute} surrender my anxiety to Him and trust Him to work out the details. He has a plan, both for me and for bitty baby. He often doesn’t reveal His plan while you’re in the throws of it. He simply asks for dependence and faith. i trust Him to finish what He has started, and i trust Him to work all things together for His good and glory.
these verses help encourage me that God has a plan for both me and bitty. He knew what He was doing when i was in my mother’s womb. He knew the story i would come to tell through all of my {in}fertility struggles. and He knows what He’s doing with bitty.
You have searched me, Lord, and you know me… for You created my inmost being; You knit me together in my mother’s womb. i praise You because i am fearfully and wonderfully made; Your works are wonderful, i know that full well. my frame was not hidden from You when i was made in the secret place, when i was woven together in the depths of the earth. Your eyes saw my unformed body; all the days ordained for me were written in Your book before one of them came to be. {Psalm 139:1, 13-16}