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Friday, August 04, 2006

Endometrial Biopsy Day
Lexapro Day #2

Today's day 2 of my lexapro. I'm on 10mg/day, so a single tablet in the AM. Yesterday I had a bit of nausea on my first day. That took me totally by surprise. Today I haven't had any nausea, but I am wiped out. Exhausted. I think I slept okay, but it IS Friday, trash day, and the noise starts rather early in the AM. So to say that the exhaustion is from the lexapro is a bit premature.

I'm not keen on this whole idea of taking SSRIs in order to boost my uterine lining, but my serotonin levels are low (73 on a scale of 100-225) so it might be good for me to be taking it "just because". However, I do not feel depressed, down, sad. Just the usual frustration of my profession and of being infertile. I tend to be a bit on the manic side, whizzing through projects, being impatient, over analytical, microassessing, etcetera. I think that part of my mania is likely fueled by the low serotonin levels, and I'm a bit worried that I'll lose a big part of my edge in business by taking this stuff. I love to negotiate, argue a point, and if one of the symptoms is "I just just don't give a damn", how am I going to be effective?

Other big thing going on is that at 3:30PM today I am having my endometrial biopsy done at Dr. G's. Today is CD26 for me and apparantly it's the #1 day for me to have my uterine lining snipped out and analyzed for NKU's (uterine natural killer cells). The reasoning behind this test is that I've had endo. Therefore I likely still have some NKU activity going on in the uterus. Treatment for NKU's is Humira or Enbrel. But even if they don't find them, the NKUs that is, they still want me on the Humira or Enbrel because of my past history with endo.

But the problem with the Humira is that it might cause a NK and cytokine flare. My NKs and cytokines are nice and low right now, so if they flare, the things that bring them down are: Humira, and LIT. So more of the same. It kind of begs the questions as to why the heck am I doing the Humira in the first place.

But such is the treatment cycle, and I've got to trust that DB knew what he was doing.

Comments on "Endometrial Biopsy Day
Lexapro Day #2
"

 

Blogger linda said ... (11:51 PM) : 

Hi Marley,

Thanks for stopping by and saying hello.

I did the biopsy today, so it's too late. It hurt pretty bad. She took two samples "just in case". She's a good ob/gyn. She didn't want me to have to go through it a second time. I figured it was good for me to know what I was up against, and that is why I opted for the biopsy.

If the results comes back with horrific numbers of NKUs, it will cement my decision to do my FET in September, rather than August. Having four shots of Humira in my system, rather than two, will really give me a chance then. The only problem is getting my hands on another two shots of humira (or enbrel). I'm working on that though.

It's hard to imagine that the good doctor didn't put a hole through my uterus with that biopsy needle. Ohmygod. I never want to go through that again.

I ordered a bunch of tests on my own after my last IVF failed. I was distraught over our second loss. I wanted answers and I was mad that Dr. Moustache hadn't ordered these tests from the gitgo.

I grabbed a labslip at DB's and filled it out, wrote Dr. Moustache's name on the top as the referring doctor. He wasn't too happy about that, but I got my tests that way. There were a few I missed though: serotonin, free insulin, and a couple of others. But Dr. S filled in the rest of the tests for me.

Ours are on ice with Dr. Moustache, too. I am so afraid for them. Our last babies. It breaks my heart to think of putting them in my toxic uterus. I wish I had the money for a surrogate.

I'm also considering adoption, but my DH, "J", feels we should just try to live a happy childless life if we can't have a child of our own. I love and appreciate him like mad for not inflicting guilt on me for not being able to give him children. But I still feel guilt. I'm wracked with it.

I'm really torn over this idea of adoption. I was adopted, myself, so I know how hard it is to be an adopted child. I think it would make me a good parent of an adopted child, but I think my heart would break more than other parents. I know that when a child discovers that they are adopted that there is a lot of pain. Even if they know all along, there is pain. I was in the latter category, myself.

I hope you'll stop by again!

 

Blogger Donna said ... (5:02 PM) : 

I hope you are being waited on hand and foot while you recover, sounds like quite an ordeal. All of it, not just the biopsy, that's just the latest thing. I had never heard of the connection between serotonin and thin lining, interesting.

 

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