As I idly looked at the prescription bottle of sertraline, I realized that one of the light blue warning boxes on the label read: Third trimester use can cause health problems. Discuss with your doctor or pharmacist. My third trimester started yesterday.
Since adolescence, depression has been a presence in my life. When I say depression, I’m talking about the kind that is clinically significant enough to warrant a low dose of antidepressants, but never interfered with my life to ruin a job or school. When I am overwhelmed with responsibilities or work, I take on more. And fulfill all of my obligations. Well, I might add. But when I got the news about my fertility last January, I went off my antidepressant, thinking I would get my body as “healthy” as possible for conception.
I made the decision to become a single mother by choice after getting the news that my ovarian reserve was very, very low. This pregnancy was planned meticulously. I had always wanted to be a mother, fiercely and desperately.
Things went well, until I started progesterone for the second half of my cycle every month for a luteal phase defect. The progesterone caused dark moods, irritability, and depression. Then Clomid gave me mood swings. When I got pregnant, I had to take an even higher dose of progesterone, twice a day, for the first 13 weeks, in order to improve my chances of keeping the pregnancy. That, along with the stress of not knowing how my family would respond, caused me agonizing, crippling anxiety and depression. Constant nausea and bone-crushing fatigue beginning at 6 weeks only added to my depression.
Arriving at my 20 week ultrasound and OB appointment by myself, the tech exclaimed, “All alone?” I said yes, and climbed up on the table. I was more interested in the actual fetal anatomy than any cute pictures – which, to be honest, I didn’t fawn over, nor did I think were cute. In the waiting room, another patient was there, along with her husband, her parents, his parents, and various brothers and sisters, poring over their ultrasound pictures. My pictures were folded up in my bag, and all I wanted to do was go home and sleep.