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19 September 2009

What's the rush anyway?

After my second miscarriage Cowboy and I had some decisions to make about what to do next. If you will recall, he thought we should just go and try a third time since conception happens pretty quickly for us, whereas I was leaning towards not gestating for 10 weeks before being back to square one again. Again. One thing that was holding me back was cost.

I don't know how much fertility docs are, but I know they are not cheap. We do have private cover, but that still leaves a pretty big out of pocket expense. I know that cost alone would not stop me from investigating further, however Cowboy's argument that we could have just been unlucky with the gene pool twice (rather than it being any long term, fixable problem) did have some weight - especially since we have no difficulty with my first pregnancy.

I had pretty much reconciled myself to trying again next cycle (waiting out my first post-miscarriage cycle), that way by the new year I would either be 12 weeks along or on my way to a specialist to cure all our problems (ha!). But then I met a mother at one of our breastfeeding association meetings who also had a child Champ's age. I asked her if her daughter was her only one and she responded that having her daughter had literally almost killed her so as much as she would dearly love another one, she wasn't going to risk it. This led me to open up to her and another Mum close by that we had been trying to make Champ a big brother but that we miscarried twice this year. The other Mum asked if we were going to see anyone and recommended a doctor (a professor actually) at the hospital which Champ had been born at who would see you after only two consecutive miscarriages. She had been herself having suffered two before she had her daughter and could not recommend him highly enough. The hospital is a public hospital. Free!

The place the professor works is called the recurrent miscarriage clinic and it sees women who have have three consecutive miscarriages, however there is another department, the pregnancy management clinic (PMC) which sees you after 'only' two. For free!

The PMC offers consultation before conception (including blood work and pelvic ultrasounds) as well as treatment if any problems are found. It also continues to see you weekly once you do conceive. Weekly. For free!

Having had Champ at this hospital (in the Family Birth Centre) under public care I know that some of the best doctors and midwives in Australia work in the public system and they give fantastic care (even post birth - Champ's hospital stay of 36 hours in special care was in this hospital and I know for a fact that many private hospitals were sending their intensive care babies to this hospital because it has the best reputation). I do know however that the public system is pushed to near breaking point and it is very difficult to get into their care. They only allow you one ultrasound at 18-20 weeks for the entire pregnancy. However, if you are managed under the PMC you get an ultrasound weekly for the first 12 weeks, plus one whenever you feel worried and need reassurance. Did I mention that it is free?!

So it all sounds great and I went to my GP last week and go the referral. I spoke to the clinic this week to schedule my appointment. The lady was lovely. She gave me an appointment with the professor.

For the 30th of October.

Do they not understand how women's cycles work? That will be after my next cycle. It will even be 7 days into the next, next cycle. If they have to run blood tests over the whole cycle that will mean waiting for the next, next, next cycle. And then wait for the results (next, next, next, next cycle?). And then possibly treatments.

So I am having a little meltdown thinking about it. Cowboy has very considerately not mentioned that we just try one more time since I may well end up 12 weeks into a successful pregnancy by the time we are even to get the results back from the professor (although I am sure we have both thought it).

Then a little voice inside my head asks me 'What is the rush anyway?'.

Even if we wait and are not able to commence operation baby making until the new year, Champ will only be 2 years 9 months by the time his sibling is due. Hardly a huge age gap (my ideal has always been 2.5 years).

We are very happy as a one child family at the moment (albeit with dreams of more children in our heads which we are not able to surrender). Champ would like a playmate, sure, but Mummy makes the best playmate for a 2 year old anyway.

Then I remember why I am in such a rush.

I will turn 30 next October.

The brick wall. The age which is a marker in a women's life between youth and being ancient (ok, a little melodramatic maybe). I know I won't suddenly develop gray hairs, wrinkles and be unable to run around and keep up with my kids anymore the moment I turn 30... but it sure feels like it.

So there is my dilemma. Go it alone (well, with Cowboy) and hope to have a baby next July (well and truly enough time to get in shape for a rocking 30th birthday party!) or see the professor and receive all the additional medical attention and support and be either in labour or still sore from the stitches at my birthday party?

4 comments:

  1. Tough, tough decision! My first question, though, is about how long it truly takes to get the results back from testing. Obviously the health care systems in our respective countries are very different, but I always knew our results immediately. You might be surprised how quickly things get moving. On this second round with a specialist, they did some tests that same cycle I came in, and next cycle we started treatment. And BAM! Two babies on a platter.

    When I had to make these sorts of IF decisions (like when to go back for a second baby versus giving us some time again on our own), it was always figuring out which would cause me the least amount of regret looking at the worst case scenarios. So in your situation, which would you have a harder time with...

    1. Getting pregnant on your own with Cowboy and (God forbid) miscarrying again. Would you regret not seeing a specialist first, which could possibly have prevented that from happening?

    or

    2. Going to see a specialist, finding nothing wrong than pure unluckiness with the two miscarriages, getting pregnant on your own in December after all the tests and such, and then giving birth right around your birthday? Would you regret not trying earlier on your own since the wait yielded nothing important anyway?

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  2. I think Sunny has pretty much nailed it on the head. Either way it's hard to know what to do. I can *definitely* understand the frustration of feeling like the clock is working against you (my 36th birthday is April of '09 and right now Peanut #2 is nowhere near a possibility - *sigh*). It's really nice that your friend gave you a referral so that if this is a route you want to pursue at least you have a good lead on which to get started. Wishing you the best of luck whichever way you decide to go!

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  3. I'm feeling the same ambivalence myself. We decided to give conception a go this month (though I'm not sure that I've yet ovulated) with plans to go back to a specialist next cycle. Now, however, I'm considering holding off until the new year. We need some time to consider whether going for number two is worth the heartache and expense (not all of our treatments are covered)or if we are happy as a threesome. And if you think you're approaching a scary age, consider that I will be 34 in two months. Eek.

    Your referral sounds like a gift from heaven. I don't know what I would do if I were in your position.

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  4. I like your thinking, Sunny. Have decided to go ahead with the appointment.

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