My husband and I had been discussing starting to try for a family for about six months but the big issue was whether I could handle staying in Cayman and working at the college. You might think that those two issues are completely different but in our world they are not.
You see I am bipolar and am currently on medication. While I struggle with my mental stability when I am on the medication, it is very bad when I am off the medication (as I learned when I threw a hissy fit and pulled myself off the medication only to end up suicidal and cutting myself). There are lots of discussions surrounding anti-depressants and bipolar medications such as Lithium and pregnancy (Being bipolar I am on both Lithium and Wellbutrin). There is a risk to the baby, especially in the first trimester, when on Lithium (I haven’t spent much time researching Wellbutrin) but being off the medication causes risk to the mother (and consequently the baby). After my personal research and a discussion with my psychiatrist, we agreed that I should be weaned off my medicine before trying to get pregnant and then I would need to be carefully monitored for my mental state (along with all the regular monitoring) throughout the pregnancy.
Scott and I then had to make a decision about when. If we decided that I had to get out of that job (which means us leaving Cayman), then we would have to get back to the States, get stable in a job, and find a therapist, shrink, and gyno that I am comfortable with and that have worked with bipolar patients through pregnancy. That would mean that we wouldn’t be able to “start trying”, as regular couples define it (you know, the fun part……unprotected sex), for about another year and a half. If we stayed here (me in the job that I hate), we could start within the next six months or so.
This weekend we finally made the decision that we would start trying (in our sense of the phrase). The state of the economy really helped us make our decision. We can’t find work to go back to the States. Although my first week back to work was rocky (hence the reason I wasn’t on here), I know what I have to do to get more mentally stable there and I refuse to allow that job to take a family away from us. My husband definitely has been feeling the baby bug as he is almost forty.
Our “start trying” means talking to my shrink, gyno, and therapist (who have all worked together on another bipolar pregnant patient). I need to reach a bit more stable position while on the meds before we can start pulling me off the meds. It is about a three month process of getting the medicine out of my system and then, after monitoring my Lithium level, we can start the unprotected sex part. I’m excited!! If I can get a handle on my work anxiety quickly, we could be less than five months away from starting to do the regular trying.
This impacts my weight loss goals because it puts a bit more of a time crunch. I want to be in the best shape possible to help us conceive. I have other physical, female issues which may cause problems with getting pregnant and I don’t want to have weight on top of that. It also means that while I am trying to lose this weight, I will also be dealing with an unbalanced chemical brain because the medication will be pulled out. So extra stress, extra instability but I have that baby as my motivation!! I would love your support through this journey. If there are any other bipolar women who have been here, please let me know.