Thursday, July 8, 2010

Hormones

In case you were wondering (as I was) what hormones I was tested for and why, this is what I found:


Hormone to Test
 
Time
to Test
Normal
Values
What Value Means
 
Follicle Stimulating Hormone (FSH)Day 33-20 mIU/mlFSH is often used as a gauge of ovarian reserve. In general, under 6 is excellent, 6-9 is good, 9-10 fair, 10-13 diminished reserve, 13+ very hard to stimulate. In PCOS testing, the LH:FSH ratio may be used in the diagnosis. The ratio is usually close to 1:1, but if the LH is higher, it is one possible indication of PCOS.
Estradiol (E2)Day 325-75 pg/mlLevels on the lower end tend to be better for stimulating. Abnormally high levels on day 3 may indicate existence of a functional cyst or diminished ovarian reserve.
Luteinizing Hormone (LH)Day 3< 7 mIU/mlA normal LH level is similar to FSH. An LH that is higher than FSH is one indication of PCOS.

Second Opinion

Today was my second opinion appointment.  Leading up to the appointment, I felt guilty...almost like I was going to 'cheat' on my doctor.  I thought my last appointment went very well, so I considered cancelling this appointment.  As I sat in the exam room waiting for the doctor, I told myself not to expect anything.  I thought he'd probably verify what my other doctor had said and send me on my way.  I was pleasantly surprised.

He asked me to go over my IF history, even though it was clear that he had gone over my chart.  He made a few notes that made me feel as though some things were missing from the chart.  He told me that since I've had two pregnancies, he didn't suspect I had an issue with my anatomy nor did he think the issue was with my husband.  I told him that I got my period on my own the last two cycles, but that the cycles were 38 and 37 days.  He told me that the general rule is that if a cycle is longer than 35 days, there is an ovulation issue.  (Which we already knew, but it verifies it yet again).  He said that Clomid was a good drug and that he would have me continue using it for the next 3 months, but wanted me to take 100 mg, rather than the 50 mg the other doctor Rx'ed.  If I am not pregnant by then, we will take a different approach.  He also had labs drawn to check my hormone levels (FSH, LH, and Estrodiol).  Luckily, my appointment was perfectly scheduled and I am on CD 3--the day that these hormones are checked.  He will have me return to check my Progesterone level after ovulation.  My other doctor only checked my Prolactin level, despite my request to do further testing.  My new doctor seemed confident that we will get to the bottom of my infertility and will end up with a healthy baby...hopefully sooner than later.

I am very pleased that I kept my appointment and will be officially changing doctors.  I felt like he is on a mission to get this resolved as much as we are.

Tuesday, July 6, 2010

AF is Here!

This morning, I took a pregnancy test (negative) and then immediately took my first dosage of Provera.  The next time I went to the bathroom, AF had arrived.  Talk about ask and ye shall recieve.  LOL.  My cycle this time was 37 days, which is on the longer side, but not too unmanageable.  My last cycle was 38 days.  Both were unmedicated and on a break from charting.  I will begin charting again in the morning and Clomid on CD 5.  I hope that since my body has at least partially been working on it's own, I will be able to get pregnant soon and be able to have a healthy baby.

Side note: I have an appointment today to talk to a doctor about/possibly be tested for RA.

Wednesday, June 30, 2010

Not At All Unexpected

I decided tonight to take a pregnancy test--my first in a few months.  I'm on CD 32, so I figured if there was a sliver of a chance, I could get a positive tonight.  Unfortunately, it was negative.  So, it looks like I will be starting Provera this weekend and then on to Clomid.

I hope this is it.  PLEASE let this be it.

Tuesday, June 29, 2010

Do.Not.Scratch!

Ugh.  I want to crawl out of my own skin right now.  I have eczema completely taking over the backs of my legs and more bug bites than I can count.  I woke up several times in the night, scratching like crazy.  Unfortunately, scratching my 'owies' just makes them itch more and (some of it) spread.  I have two different creams that I apply like a mad woman and will get another tomorrow.  *sigh*  One of the joys of summer.

On the TTC front, I'm still waiting for AF or waiting to take Provera.  I'm hoping for the former to show up sooner than later.

Thursday, June 24, 2010

Doctor's Appointment

I had my annual exam with my OBGYN this afternoon.  I told her that we had taken a break for the past two months, and she was fine with that.  She understood the stress and disappointment that we have been through.  I told her that we were ready to start trying to get pregnant again as soon as this cycle ends.  She was supportive of that decision and said that she is willing to go as far as we'd like.  She said that they will do up to IUI's in their office.  I don't think that we will go that far, but it is good to know that it is available.  She also suggested that I may want to have an HSG done.  (They would shoot dye into my uterus and fallopian tubes and then watch it on an x-ray).

We will for sure be starting Clomid again next cycle.  I will start over at 50 mgs, which is a relief.  I filled my Rx a couple of months ago, but never took it.  She had me taking 150 mgs at that point, so I already have what I need.

I'll be getting a second opinion on July 6th.  I feel pretty good about my appointment today, but I would still like to hear from another doctor what I should do.

Not related to my reproductive tract, she gave me a Rx for my eczema.  (YAY!)  She also suspects that I may have rheumatoid arthritis.  I will be making an appointment for blood tests to determine if RA is the case.

I'm feeling excited about starting to TTC again.  I think the break has been good for me, however difficult it has been at times.

Tuesday, June 15, 2010

Long Time, No Post

It has been over a month since my last post, but I haven't had a whole lot to write about as far as trying for a baby is concerned.  I was able to get my period on my own last cycle, so that was a good thing.  Only time will tell on this cycle, since I'm hypothetically halfway through at this point.  We are at a crossroads as to what actions we should take.  I'm torn on seeking further infertility treatments or not.  I'm considering switching doctors to see if the new doctor can give me more answers.  I think that if what is wrong with my reproductive tract is an 'easy' fix, we'll pursue whatever it is to make it work correctly.  If it is more of a serious, ongoing issue, we'll probably stop fertility treatments.  We've agreed that we will continue to try for another baby, either aggressively or passively, for the next two years.  If we do not have a child of our own in that time, we will work toward adoption.  More than likely, we will pursue a foster to adopt situation, as traditional infant adoption is ridiculously expensive.  Of course, the entire thing will be an emotional roller coaster.  I know that, in the end, everything will work out the way it is supposed to, but the waiting and dreaming is killer.