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Eric M. Potratz has developed his education in the field of endocrinology and performance enhancement through years of research, counseling, and real world experience. Over the past five years he has been a private consultant for hundreds of athletes and bodybuilders alike, and is the founder president of Primordial Performance.
Preface - Over the past 15 years, the use of Clomid and Nolvadex, as Selective Estrogen Receptor Modulators (SERMs) has become a staple in the HRT and bodybuilding communities.
The popularity of these drugs stems from the popular advice to use these drugs for everything from testosterone recovery, bloat reduction, to gyno prevention. In many communities SERMs have become akin to vitamins vitamins that can do no wrong and provide seemingly endless benefits.
This article is not intended to examine the proper use or possible applications of Clomid or Nolvadex. Instead, we will be exploring the historical development of these drugs, the short-term side-effects and long-term consequences.
As I will illustrate, these drugs are true danger to men’s health.
Synthetic estrogens, the beginning -
It was the 1930’s and there was a new age of hormone-dependant pathologies on the rise. Scientists were eager to determine the structural requirements of estrogen for new drug design.
In 1937 Sir Charles Dodd of the Middlesex Hospital of London found estrogenic activity in a molecule with two benzene rings linked together via a short carbon chain (eg, diphenylethane). (1) Soon thereafter, a synthetic, non-steroidal estrogen known as diethylstilboestrol (DES) was created from this basic molecular backbone. (1) By 1941, DES was an FDA approved drug, and by the 1950’s, DES gained widespread popularity as the drug of choice for menopausal symptoms, cancer treatment, and prevention of miscarriages. (2)
DES sparked the interest of ambitious drug manufactures that saw this synthetic molecule as a potential “molecular backbone” which could be tailored for estrogenic activity, and patented for maximum profit.
Within months, a research group from the University of Edinburgh found that the addition of a benzene ring to the original diphenylethane structure created an somewhat of an anti-estrogen known as triphenylethylene. (1) Although it had very weak estrogenic activity, it was called an anti-estrogen because it competed with the body’s more powerful estradiol for the ER receptors.
Although the complex estrogenic action of triphenylethylene was not fully understood, it was considered the perfect molecular platform for future drug development because of its high oral bioavailability and extended half-life due to its lipophilicity (fat solubility). As it was later discovered, the estrogenic action could be manipulated with structural modifications for more specific agonist/antagonist actions. (3) Despite the lack of understanding for its full physiological effects, triphenylethylene would become the molecular backbone for generations of SERM’s to come.
By the early 1940’s, the world’s largest chemical manufacturers, including Imperial Chemical Industries (ICI), got word of the triphenylethylene development, and seized the opportunity to expand this new class of compounds. By the 1950’s, the synthesis of new triphenylethylene based molecules had began picking up momentum, as the first FDA approved SERM’s started appearing on the market.
One of the first was Triparanol, which was sold as a cholesterol lowering SERM, until it was eventually pulled from the market in the 1950’s for causing cataracts in patients. (7) Later, Ethamoxytriphetol (MER-25) was discovered and found to be a reliable contraceptive and anti-cancer agent in rats, but failed in humans due to the drug’s severe toxicity and stimulation of “acute psychotic episodes”. (6)
Despite these early warning signs, development continued.
Among one of the newer SERM’s to appear in the late 1950’s, was a mixture of two stereoisomers zuclomiphene and enclomiphene both having unique estrogenic and anti-estrogen actions. This mixture was collectively called clomiphene, and later marketed as Clomid.
Then, in 1962, ICI synthesized ICI-46474, another mixture of a trans and cis isomers with mixed estrogenic and anti-estrogenic activity. (7) Ultimately, the trans isomer was found to be the predominate anti-estrogen, which was isolated and eventually named tamoxifen, and later marketed as Nolvadex.
Originally, ICI pushed these new SERM’s to market as a “morning after” contraceptives, which were eventually approved by the FDA. (4) Yet again, the profit hungry and presumptuous drug manufacturer based its findings on rat studies, which would prove to be a mistake upon subsequent human research that showed the SERM’s induced, rather than inhibited ovulation. (4) Needless to say, tamoxifien was withdrawn as a contraceptive.
And remember DES, the original synthetic estrogen developed back in the 1930’s? As it turned out, DES was found to increase the risk of breast cancer by 50%. Further research linked DES to millions of vaginal and testicular cancers among the children of mothers who took DES during pregnancy. (2,5)
The light on synthetic anti-estrogens was dim, and by the late 1960’s, there was little enthusiasm to continue RD with triphenylethylene based SERM’s, especially considering their inherently toxic effects (7, 10)
It wasn’t until 1971, that tamoxifen would be dug up from the dead and considered as a candidate for cancer treatment.
Treating cancer with a carcinogen –
When research is done on anti-cancer drugs (such as SERMs), the aim is to find a drug that prolongs life, with the least amount of acute side-effects. In other words, the goal isn’t so much about finding a cure, as it is finding something that can alleviate the symptoms and/or prolong life.
For an estrogen dependant cancer, the idea was simple – Block the proliferative action of estrogen with an anti-estrogen and slow the cancer growth. What could be more appropriate than an already available, orally active, patentable synthetic estrogen such as tamoxifen? It was a practical shoo-in.
Therefore, in 1971, when drug researchers decided to examine all of the historical anti-cancer SERM data, they found that all of the SERM’s showed anti-proliferative activity on estrogen dependant cancer, and all of them demonstrated some extent of toxicity. (10, 37-39) However, the SERM that happened to show the least amount of toxicity was tamoxifen. (clomiphene missed the mark by showing a high rate of cataract formation)
At the time, Pierre Blais, a well known drug researcher, commented on the finding (5) -
“Tamoxifen is a garbage drug that made it to the top of the scrap heap. It is a DES in the making.
In spite of the criticism from a number of researchers, the FDA approved tamoxifen as a cancer treatment in 1977, and in 1985 ICI was awarded a US patent for tamoxifen in the treatment of breast cancer. (5) Soon, tamoxifen would become the most popularity prescribed cancer drug.
“Its FDA approved for cancer treatment. It must be safe!”
It’s wrong to assume that an “FDA approved” drug has a proven safety profile. The FDA has continually issued stronger health warnings for tamoxifen over the years. For instance, in 1994 the FDA demanded that the tamoxifen manufacturer Zeneca (an ICI sub-division), issue warning letters to health care practitioners about the increased risk of endometrial and gastro-intestinal cancers with tamoxifen use. Zeneca also reported adverse effects similar to those seen with DES, such as reproductive abnormalities in the animals whose mothers received tamoxifen. (remember, DES was the original synthetic estrogen, and also an analog to tamoxifen)
A number of cancer researchers have pointed out the health risks too, such as Elwood et al (6) -
“[Tamoxifen], therefore, is not appropriate for use in the general population because of the known increased risk of endometrial cancer”
“So why is tamoxifen the most popularly prescribed cancer drug, if it’s so toxic?”
The answer is simple. Tamoxifen is the lesser of two evils.
Tamoxifen remains the most popularly prescribed drug because it is one of the few drugs that has shown a “statistically significant” improvement of the survival rate of breast cancer patients.* (Not to mention, tremendous financial motives and intraworking’s from its patent holder Zeneca)
Remember, the goal in cancer treatment is to prolong life even if it means committing to therapy that is potentially cancerous or injurious to future health (as confirmed in long-term follow up’s and close examinations of tamoxifen patients).
So, perhaps the risks are worthy for the cancer patient, but are they worthy for the health conscious male?
* Most research has shown tamoxifen to improve the survival rate by 4-14%. For instance, over a 5 year period, 74% of the women survived who used tamoxifen, compared to 70% of the women on placebo. Depending on the type of cancer, this may translate into an extra 2-3 years of life for a cancer patient. (9) Continuing tamoxifen therapy for more than 5 years, results in increased tumor recurrences and serious side effects. (8)
Translating the science, for men’s health -
Fast forward 30 years, through hundreds of human and animal trials and we find that the research is quite extensive, and contradicting. (21)
The damaging evidence from many early rat studies showed severely toxic effects, including the development of cancer in the liver, uterus, or testes upon tamoxifen administration. (30-34,41) However, this evidence was largely disregarded by further test tube studies on human cell-lines which appeared to show a lack of toxic effects. (21)
This misleading test tube data gave the green flag to perform large scale human studies with tamoxifen in the 80’s and 90’s. Even more misleading, was the majority of the human research described tamoxifen as having a “low incidence of troublesome side effects” and that the “side effects where usually trivial”. (22)
As science would uncover, the lack of human toxicity reported in original tamoxifen research was a result of insufficient study duration, inability to detect low level DNA damage with insensitive methodologies, and/or misdiagnosis of collateral cancers as metastasis infections from the breast cancer itself. (15, 21, 28-34)
A word on clomiphene (Clomid) –
Clomiphene (Clomid) consists of two stereoisomers which possess radically different pharmacodynamics. Zuclomiphene has predominantly estrogenic effects and slow clearance while the enclomiphene isomer has predominately anti-estrogenic effects and quick clearance. (9) This creates a dichotomy between estrogen blockage and estrogen stimulation and an acute imbalance once Clomid administration is discontinued. Bodybuilders will often complain of “estrogenic rebound” after stopping Clomid, which could be attributed to the lingering estrogenic isomer zuclomiphene as the anti-estrogenic enclomiphene has long cleared the system. (Recently, enclomiphene has been isolated by the pharmaceutical company Repros, for use in Androxal™.)
For all intents and purposes, tamoxifen is a superior SERM, simply for the fact that tamoxifen provides a purely anti-estrogenic isomer, whereas Clomid provides a mix of anti and pro estrogenic effects.
In regards to the health consequences about to be listed, it can be safely assumed that Clomid will share similar detrimental effects as tamoxifen, since it shares the same triphenylethylene backbone and carcinogenic tendencies. (44,45,57,58)
Liver cancer -
Originally, tamoxifen was accepted as being non-toxic to human liver upon finding that tamoxifen did not cause noticeable liver damage (DNA adducts) during short-term test tube studies with human liver cells. (35,36)
However, it became apparent that test tuberesearch was largely flawed due to the low rate of metabolism in such a superficial environment. (21) It was soon discovered that the hepatotoxic effects from tamoxifen are from the metabolism and buildup of the a-hydroxytamoxifen and N-desmethyltamoxifen metabolites, which would only appear in an in vivo environment. (15) Surely enough, the results from the original rat studies showing dramatic carcinogenic effects on the liver, 30-34,41 soon correlated with human data when researchers found the same type of liver DNA adducts in tamoxifen patients. (15, 28-34)
More recent human research has reported tamoxifen treated women to have 3x the risk of developing fatty liver disease, which occurs as soon as 3 months into therapy at only 20mg/day. (24-26) In some cases, the disease lasts up to 3 years, despite cessation from tamoxifen therapy. Five and ten year follow-ups with patients on long term tamoxifen therapy shows cases of deadly hepatocellular carcinoma. (27-29)
In 2002, a bizarre study examined the use of tamoxifen for hepatocellular carcinoma treatment in humans. It was assumed that since tamoxifen could inhibit proliferation of breast cancer, it could offer the same benefit for liver cancer. The devastating results could not have been further indicative of tamoxifen’s hepatotoxic nature, as the tamoxifen treatment significantly increased the rate of death, compared to the group not receiving tamoxifen. (14)
Finally, in a case study reviewing tamoxifen induced liver disease; D.F Moffat et al made a profound statement –
“hepatocellular carcinoma in tamoxifen treated patients may be under-reported since there may be reluctance to biopsy liver tumours which are assumed to be secondary carcinoma of the breast.”
In other words, it appears that the liver carcinoma from a large number of breast cancer patients on tamoxifen therapy has been misdiagnosed as an infection from the breast cancer itself. (28)
Although tamoxifen induced liver cancer may take years to manifest in a healthy male, its damaging effects could easily be exaggerated by other popular hepatotoxic drugs, such as 17aa oral steroids. (15)
Prostate cancer -
In 1996, the International Agency for Research on Cancer (IARC) concluded that tamoxifen clearly promotes uterine cancer in humans – at a standard 20mg/day dose. (16,23,42) This is due to tamoxifen acting as an estrogen agonist in the uterus, presumably from the 4-hydroxytamoxifen metabolite, which triggers abnormal growth of the uterus and the formation of cancer causing DNA adducts. (33, 40)
Contrary to popular thought, these implications are quite scary for a male when we realize the male equivalent to the uterus is the prostate – which differentiates from the same embryonic cell line, shares the same oncogene, Bcl-2, and high concentration of estrogen receptors. In fact, there is no reason to assume that tamoxifen would not initiate the same cancerous growth in the prostate. (60-62) It is no wonder that tamoxifen failed as a treatment for prostate carcinoma. (43)
Note: This same risk would be applicable to Clomid, which has also been linked to uterine cancer and ovarian hyper-stimulation. (18, 19, 57, 59)
Libido reduction erectile dysfunction -
Erectile dysfunction, low libido, and general impotence are typical complaints from men recently discontinuing steroids or HRT therapy, which is often combated by Clomid or Nolvadex, paradoxically so.
Regardless of any positive effects on fertility or testosterone levels, Clomid and Nolvadex use is highly correlated with erectile dysfunction, libido suppression, and even emotional disorders. (10,47)
Research with male breast cancer patients has also reported decreased libido, and thrombosis associated with tamoxifen use. (47) The thrombotic effect (blood vessel clogging) could explain the mechanism by which SERM’s may inhibit erectile function, by reducing circulation to erectile tissue. (47, 52)
Increased susceptibility to gyno -
Tamoxifen is often used to combat gyno during cycle when “flare ups” occur. While tamoxifen may provide immediate inhibition of proliferation, and serve as valuable tool, it can actually increase future susceptibility to gyno.
This is caused by tamoxifen’s ability to up-regulate the progesterone receptor. (54-56) This can dramatically increase the chances of developming gyno in future cycles when utilizing progestin based anabolics such as Nandrolone (Deca) or Trenbolone (or any pro-hormone acting upon the progesterone receptor).
It is interesting to speculate. Is tamoxifen use directly related to the increased gyno occurrences seen with modern day steroid users?
Ocular toxicity –
Another possible side effect associated with SERMs is visual cloudiness, loss of vision and even cataract formation. Although this tends to be a more common side effect from high dosed SERM therapy, standard 20mg/day tamoxifen regimes have been reported to cause these symptoms of ocular toxicity. (17, 46)
Newer SERM’s -
As the medical community became more aware of the side-effects associated with tamoxifen treatment, newer and safer SERMs, such as toremifene and raloxifene hit the developmental fast track. Toremifene appears to be less liver toxic, but it is a closely related analog of tamoxifen, so it also carries many of the related genotoxic effects. (48,49)
Raloxifene is a newer SERM based off a benzothiophene structure, which appears to make it less toxic in the liver, uterus or prostate. (50-52) Unfortunately, Raloxifene has been associated with a higher incidence of thromboembolism (52), and also has very low oral absorption, making it an expensive alternative at a typical dose (120mg/day). (53) Still, Raloxifene could presumably be equally effective as Clomid or Nolvadex at restoring HPTA function, while imparting less side effects. (53)
Newer SERMs are already being evaluated such as bazedoxifene, arzoxifene, and lasofoxifene, in hopes of reducing risk even further. (further enumerating the evidence of toxicity with the tamoxifen generation of SERM’s)
What to do now?
Firstly, it should become a priority to create awareness about the possible side effects of SERMs. Once educated, users will be able to start reducing their requirements of these drugs, and begin adopting healthier, more responsible alternatives.
Carefully planned cycles, and the proper use of aromatase inhibitors (AIs) must pursue over haphazard combinations of excessively dosed aromatizing AAS’s which require high doses of SERM’s to reduce possible side-effects. Whereas avoiding SERM’s in HRT will involve the natural clearance and management of endogenous estrogens.
It will be important to maintain testicular function during cycle for a quick and efficient recovery of natural testosterone production for PCT – negating the need for high dose 2-3 month SERM based PCT’s. (For more information on the proper use of hCG during cycle, visit here)
Thus, abolishing the bad habit of SERMing will involve community wide enlightenment with careful, comprehensive planning of worthy alternatives.
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- Music:Sukiyaki
So I've paid $750 for an HSG that should've been covered.
Then I paid $275 for my initial visit with RE
Then I paid $30 for Clomid
Then I paid $950 today for the IUI process
Then today I received a bill for $1259 for blood work that was done at RE's.
I still don't get the 1200 bill??
So let's see I'm out $3264 so far... not including pg tests, OPK's, CBEFM, and miscarriage bills.
It's just absurd! I could've got a boob job or something for that.... just kidding, but really it's about the same price.
My FSA just renewed so $2500 of that will be reimbursed.....and I still have about $3000 left in my and DH's shared spending acct. which we were hoping to use for the cost of actually delivering a baby.
DH said he was comfortable only spending around $6K for all this.... and I think I can talk him into $8K... but with $3264 gone I'm almost halfway to his max. I know we have the money, it's just not where we hoped to be spending it and it sucks!!
So I basically have enough money left for IUI #2 if needed and ONE injectibles cycle.... if we stick to DH's budget.
But if we add the money from my spending acct, I really have enough for more treatment.
Sheesh.... I really hope we get lucky in May!
I picked up my Clomid today.
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April 1, 2009
Complementary Energies
Balancing Self with Family Life Many of us have a hard time balancing taking care of ourselves with taking care of our family responsibilities. For people with young children, this can be especially challenging, but even people without children have obligations to care for extended family, partners, pets, and the home in which they live. Its easy to lose track of our own needs as we give ourselves to the people, pets, and places we love. However, it is essential to their well-being that we take care of ourselves, filling our own wells with water so that we have something to offer when we return home each day.
It is easy to get caught up in the demands of home life because they never stop. There is always one more thing you can do, another dish in the sink, a counter that needs wiping, or a person who needs a ride somewhere. If you dont set some boundaries, you will find yourself on an endless journey of housework and doing for others. Eventually, you will probably feel drained and out of touch with your inner life force. Instead of waiting for this to happen, integrate self-care into your daily schedule. Even Buddha insisted that he have one hour completely to himself every day. There are times when even that will not be possiblefor example, with a new baby or a sick relative. At times like this, retreating inward energetically can be a lifesaver. You can always find five minutes to close your eyes and breathe consciously. You may even be able to meditate.
Most of the time, though, it is possible to set aside a full hour for yourself each day. In addition, scheduling a longer interval of time, perhaps on a weekly basis, can really help to restore your energy. Get a massage or go to a movie or out with a friend. Taking time to experience the world outside of your home makes returning home all the more wonderful. In the same way, taking care of yourself is a natural complement to taking care of your home and family.
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what does it feel like though, like the worse period cramps you ever had..or is it 10 times worse than that? thx too the ppl who have answered so far:)
Hi
No one can tell you exactly what its going to be like - its different for everyone. I have had all of my babies naturally. My first 2 were born at home with a certified midwife and assistant midwife both in attendance. My 3rd was in a hospital and #4 was in a birthing center (a very nice 5 bedroom home) with certified nurse midwives.
I never had drugs because I never wanted drugs/anesthesia and I didnt have any complications that would have required them. There are risks that come from every unnecessary medical intervention - its not as simple as I dont want it to hurt, so drug me up! You can have damage done to your spine from epidurals, you can end up with problems because you cant feel enough to push, you can end up having pitocin, babies are usually sleepy and hard to wake for nursing. You can contract an infection just from being checked - so that should be kept to a minimum. Read everything you can before you decide. Ive never met anyone who wasnt happy they chose a natural birth - Ive met several who had problems from epidurals.
What you have to realize is childbirth is a natural event - your body was designed to do this. It shouldnt be treated as an illness. Its great pain meds are available, dont get me wrong, but it can be a hinderence. If you needed to push right now because something is wrong with the baby, but you cant because you cant feel everything as well, is it worth it? Ive known women who had episiotomies and c-sections after epidurals because there were problems. They couldnt push effectively.
If you look at birth as being scary, youre going to be tense and youre going to have problems. The best thing to do is relax - dont think about the contractions as painful, think of them as your baby coming closer to you - think about letting your body do what it is supposed to - open up and bring you your baby.
It hurts and it is the hardest work you will ever do, but when its over, its over. It is so worth it! I felt fantastic immediately after each was born! You have breaks in between the contractions too - its not constant agonizing pain. My husband was so proud of me for everything I went through and I was proud of me too. My babies were born alert and awake, they breastfed within 30 mins of being born - Ive never been cut, torn or had a stitch. Everything went exactly as I wanted it.
My first was 24 hours, then a 4 hour labor, a 9 hour labor and a 3 hour labor. Every labor was different, some were more intense than others. With my 1st, it wasnt bad until I was 7-8 cms, then it was fairly uncomfortable. I had a lip of cervix that had to be manually dialated by the midwife - that hurt - it was during a contraction. If she hadnt done that, I could have required stitches and it was taking a long time to reach 10cms. After that though, I was at 10, I could push, it felt much better to push! I had back labor with all of them and that is as bad as it gets, so Ive heard. If I can get through that - you can get through it - Im sure!
I would suggest trying no meds, tell them not to offer them too - because they will. Put it in a birth plan and go over it with your doctor. If you get to a point that you decide you need them, thats okay. I just think its best not to have them. It was best for me. If you need them - get them.
Hope I could help! Just read a lot and make the decision that is best for you.
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How can the Problem low level of progesterone be Addressed?
If you are having difficulty conceiving or in the past have miscarriaged, you should seek the opinion of the medical expert to access the level of progesterone and other hormone. The most popular causes of infertility has been discover to be low progesterone. Other contributing factors has been associated to modern scientific ways of living. For instance, modern farming techniques whereby chickens, cattles and other livestock were and still been injected with hormones for rapid growth.
There are some evidence that suggest, eating poultry, and meat which has been injected with hormones do cause adverse effect. Definitely, there will be further studies like before to uncover the truth because it appear that low progesterone infertility and human fertility are symptoms. You should also note that aluminium foil packaging and artificial sweeteners are said to be other contributing factors having negative effect on our lives and also increases the occurrence of infertility in men and women.
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How can the Problem low level of progesterone be Addressed?
If you are having difficulty conceiving or in the past have miscarriaged, you should seek the opinion of the medical expert to access the level of progesterone and other hormone. The most popular causes of infertility has been discover to be low progesterone. Other contributing factors has been associated to modern scientific ways of living. For instance, modern farming techniques whereby chickens, cattles and other livestock were and still been injected with hormones for rapid growth.
There are some evidence that suggest, eating poultry, and meat which has been injected with hormones do cause adverse effect. Definitely, there will be further studies like before to uncover the truth because it appear that low progesterone infertility and human fertility are symptoms. You should also note that aluminium foil packaging and artificial sweeteners are said to be other contributing factors having negative effect on our lives and also increases the occurrence of infertility in men and women.
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- Mood:Good
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How can the Problem low level of progesterone be Addressed?
If you are having difficulty conceiving or in the past have miscarriaged, you should seek the opinion of the medical expert to access the level of progesterone and other hormone. The most popular causes of infertility has been discover to be low progesterone. Other contributing factors has been associated to modern scientific ways of living. For instance, modern farming techniques whereby chickens, cattles and other livestock were and still been injected with hormones for rapid growth.
There are some evidence that suggest, eating poultry, and meat which has been injected with hormones do cause adverse effect. Definitely, there will be further studies like before to uncover the truth because it appear that low progesterone infertility and human fertility are symptoms. You should also note that aluminium foil packaging and artificial sweeteners are said to be other contributing factors having negative effect on our lives and also increases the occurrence of infertility in men and women.
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Friday, November 14, 2008 @ 12:58pm
6lbs 15oz
21 inches
November 13th - We arrived at the hospital for my 7:30am NST appointment, and by 8:00am my doctor had arrived and checked my progress. At that pont I was between 0-2 dialted. So he decided to go ahead with the Prostin Gel induction at 8:15am which gave me small contractions all morning, but nothing very exciting.
I was having problems with feeling like I was going to pass out, so they had me on oxygen and admitted me to the hospital right away (normally they send you home after the gel insertion).
By 2:15pm my doctor stopped by to see if I had progressed any. I had made it to 1cm dilated and about 75% effaced. At that point my contractions were slow so he decided to do a second round of the Prostin Gel. That fave me much stronger contractions, but then they died off around 6:00pm.
Doctor came back to check me at about 9:15pm - I was still only 1cm dilated but was now 100% effaced. He decided to go ahead with the third (and final) round of Prostin Gel. This brought on very very strong contractions. I was able to have a hot shower which helped me cope with the pain quite a bit.
By 2:00am the nurses and doctor thought I needed some rest so they gave me a sleeping pill to knock me out for a while. I slept hard until 5:00am, still having contractions.
At that point I got up and walked around the maternity floor trying to get things to pick upbut had no luck.
The doctor came back again around 8:00am Friday to check my progress and I had made NONE. I was so frustrated that all those hard contractions got me nowhere. They decided to go for an Oxytocin drip and started getting everything ready to go for that. Before they turned on my Oxytocin drip, the had to monitor mine and baby`s heart rate, etc to make sure it was okay to go ahead. Well, baby was already at 170 and the oxytocin would have made it much worse.
By then I was doing much worse and was so swollen that I couldn`t move my feet. After some more blood tests and checking, they decided it was likely I was suffering from HELLP Syndrome. Baby needed out - now.
An hour later I was prepped and ready for surgery. My mom came in with me, as DH could not handle seeing me having surgery - which I totally understand, I wouldnt have been able to watch him having surgery either! My surgery went very smoothly and by 12:58pm my baby boy was born.
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Friday, November 14, 2008 @ 12:58pm
6lbs 15oz
21 inches
November 13th - We arrived at the hospital for my 7:30am NST appointment, and by 8:00am my doctor had arrived and checked my progress. At that pont I was between 0-2 dialted. So he decided to go ahead with the Prostin Gel induction at 8:15am which gave me small contractions all morning, but nothing very exciting.
I was having problems with feeling like I was going to pass out, so they had me on oxygen and admitted me to the hospital right away (normally they send you home after the gel insertion).
By 2:15pm my doctor stopped by to see if I had progressed any. I had made it to 1cm dilated and about 75% effaced. At that point my contractions were slow so he decided to do a second round of the Prostin Gel. That fave me much stronger contractions, but then they died off around 6:00pm.
Doctor came back to check me at about 9:15pm - I was still only 1cm dilated but was now 100% effaced. He decided to go ahead with the third (and final) round of Prostin Gel. This brought on very very strong contractions. I was able to have a hot shower which helped me cope with the pain quite a bit.
By 2:00am the nurses and doctor thought I needed some rest so they gave me a sleeping pill to knock me out for a while. I slept hard until 5:00am, still having contractions.
At that point I got up and walked around the maternity floor trying to get things to pick upbut had no luck.
The doctor came back again around 8:00am Friday to check my progress and I had made NONE. I was so frustrated that all those hard contractions got me nowhere. They decided to go for an Oxytocin drip and started getting everything ready to go for that. Before they turned on my Oxytocin drip, the had to monitor mine and baby`s heart rate, etc to make sure it was okay to go ahead. Well, baby was already at 170 and the oxytocin would have made it much worse.
By then I was doing much worse and was so swollen that I couldn`t move my feet. After some more blood tests and checking, they decided it was likely I was suffering from HELLP Syndrome. Baby needed out - now.
An hour later I was prepped and ready for surgery. My mom came in with me, as DH could not handle seeing me having surgery - which I totally understand, I wouldnt have been able to watch him having surgery either! My surgery went very smoothly and by 12:58pm my baby boy was born.
Similar posts: clomid after miscarriages
- Mood:More emotions
- Music:Kumi Koda
Friday, November 14, 2008 @ 12:58pm
6lbs 15oz
21 inches
November 13th - We arrived at the hospital for my 7:30am NST appointment, and by 8:00am my doctor had arrived and checked my progress. At that pont I was between 0-2 dialted. So he decided to go ahead with the Prostin Gel induction at 8:15am which gave me small contractions all morning, but nothing very exciting.
I was having problems with feeling like I was going to pass out, so they had me on oxygen and admitted me to the hospital right away (normally they send you home after the gel insertion).
By 2:15pm my doctor stopped by to see if I had progressed any. I had made it to 1cm dilated and about 75% effaced. At that point my contractions were slow so he decided to do a second round of the Prostin Gel. That fave me much stronger contractions, but then they died off around 6:00pm.
Doctor came back to check me at about 9:15pm - I was still only 1cm dilated but was now 100% effaced. He decided to go ahead with the third (and final) round of Prostin Gel. This brought on very very strong contractions. I was able to have a hot shower which helped me cope with the pain quite a bit.
By 2:00am the nurses and doctor thought I needed some rest so they gave me a sleeping pill to knock me out for a while. I slept hard until 5:00am, still having contractions.
At that point I got up and walked around the maternity floor trying to get things to pick upbut had no luck.
The doctor came back again around 8:00am Friday to check my progress and I had made NONE. I was so frustrated that all those hard contractions got me nowhere. They decided to go for an Oxytocin drip and started getting everything ready to go for that. Before they turned on my Oxytocin drip, the had to monitor mine and baby`s heart rate, etc to make sure it was okay to go ahead. Well, baby was already at 170 and the oxytocin would have made it much worse.
By then I was doing much worse and was so swollen that I couldn`t move my feet. After some more blood tests and checking, they decided it was likely I was suffering from HELLP Syndrome. Baby needed out - now.
An hour later I was prepped and ready for surgery. My mom came in with me, as DH could not handle seeing me having surgery - which I totally understand, I wouldnt have been able to watch him having surgery either! My surgery went very smoothly and by 12:58pm my baby boy was born.
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