What's up Doc?

Here's the big update

The office was nice, intimate and private.
The first thing we were handed was our "hope" workbook and Dr. Potter's book "what to do when you can't get pregnant" I'm not sure if the title was some sick twist on what to expect when your expecting?  But I took it with stride and chose a seat thinking I cant believe I'm in this place.

We sat in the waiting room about 15 minutes. Long enough for hubby to fiddle with the high tech coffee maker and for me to flip through the book. To be honest I haven't even looked through our work book yet because I'm still in "sticker shock" but I'll get to that later.

Earlier in the day I stumbled on to Yelp reviews of the facility and the Dr I was about to see. I thought Yelp was only for food! There was some good bad and ugly, but for the most part I felt it made be better prepared. I chalk up the reviews to some people need to be coddled and sugar coated while others like myself want the more direct approach.

Dr Potter was the perfect amount of straight forward while still maintaining sensitivity.  He started out by asking for my medical history in my own words.  Of course in my own sarcastic way to defuse awkwardness I answered "I like sunsets and walks on the beach".  I got the desired chuckle and proceeded to run down my issues in 3 minutes or less.  He listened as he flipped through my records and made notes.  To my relief he told me that my old Dr Wood was on the right path by prescribing the metformin, that most Dr's are not comfortable dealing with my problem because they just didn't know enough about it.   I was really bummed out when Dr Wood retired and I got passed on to Dr Garcia.  I felt like Dr Garcia didn't really care to work with me, especially when I asked if my met could be increased and she looked at me like I was crazy.  And now Dr Potter is telling me that not only should it be increased, I need to be taking 3 times the amount.  He also shed some light on insulin resistance and how some cultures are more genetically predisposed to it.  He told me that I need to be on the Paleolithic diet, like a hunter/gatherer eating small animals (his words), green veggies, nuts and berries.  He also brought up that people didn't hoard the food they found all day till 5pm and sit down to a big feast, they ate as the went.  Eating wasn't easy, it was out of necessity.  He said if I worked really hard at this new diet, increased my exercise with my new meds the weight should fall off more easily.   I found this all very interesting.  He was so exuberant about it.

We talked a little more about our concerns.  And here is the bottom line. 
Can he get us pregnant?
Yes, he believes with in 3 IUI treatments we can have success.

Does he recommend IUI over IVF?
We won't be able to tell our direct path until we get all the blood work and tests back.  If its as simple as I just don't ovulate with no added issues IUI is definitely the way to go.  But if we find there's stacked issues we wont waste time and go straight to IVF.  Time will tell.

Do I have to drop 100 lbs before we start?
No, while I do have to lose some its not as drastic as I thought.  We can start as early as the next 2 months.  I need to get off my current meds so he can test my hormone levels and check out my liver before I start the new scrip.

He was very nice, I didn't feel like the brush off and no question was stupid.  It was really nice that he was familiar with everything I asked about and had a logical answer to everything.  So after the run down he wrote out all the details of what he wanted tested and when, then we got to sit with his assistant.  She gave us all the test prices and here is where the sticker shock comes in.

Tests include but are not limited to:
Ultrasound to check if my tubes are open  $243
Sonohysterogram (say that 5 times fast) to check my uterus and egg count $500
Mock Transfer (I don't know what this is) $145
Hormone Tests 5X $63
And now the state of CA is requiring infectious decease screening for $200 X2 for me and Hubs.
And then we have to get the guys counted for $220

Anybody have a calculator?  That's about $1900 out of pocket if I can't get insurance to pay for it. (remember I still have to choose a new insurance too)

And it's all so time sensitive, each thing happens on a specific cycle day.  The nurse was kind of pushing that we start in Feb.  But its just to soon.  It's so much to wrap my brain around, I've waited this long 2 more months are not going to kill me.

In the mean time its fun to go to restaurants and order "large animals with a side of carbs"

Something's gotta give

Its amazing the rejuvenating property's wine and the ocean can have...

Our trip was a success.  Husband did a really nice job in picking the hotel with a ocean view.  We joined 2 wine clubs in the attempt to become grown ups LOL. 

Nothing much has changed in this month.  I got my herbs but I haven't started taking them.  Boo on me.  I just called to find out what dose I'm supposed to take. They are sitting on my kitchen counter wagging a finger of shame at me.

I jumped on the scale this past weekend and heard it cry "Uncle".  I've gained another 10 lbs, bringing my grand total to a unmentionable number.  Its disheartening because its the main thing I have to do, LOSE weight. If TTC isnt enough to drive me what is? One of my really good friends just joined weight watchers and asked if I would go with her.  Ironically I got a email from work saying they offered a discount to join in a effort to promote healthy life styles.  I decided to give it a shot again.  I heard there was a new point plan and I'm not doing anything better so why not?   

I was channel surfing last night and stumbled across an episode of sex in the city.  It was the episode where Miranda is pregnant and is thinking of not having the baby and Charlotte finds out she has a 15% chance of getting pregnant because she has a hostile uterus.  Parts of it made me want to bawl like a baby.  I swallowed down my tears so my husband wouldn't look at me like a lunatic.  It made me think about going to the HRC for a consultation. I have all the paperwork but havent followed through with an appointment because of the cost.  The only doctor I've seen is my Gyn. so it might be a good call to get another opinion on how to move forward.  Who knows?  What if I have a hostile uterus on top of the PCOS? 

We have also talked about potentially seeing a dr in Mexico.  When Husband went to his dr to get checked out the dr refused to check his hormone/testosterone levels because of his age.  He basically said we've looked at to many things online and wouldnt look into it further.  I would never go to Mexico on my own.  We actually got a recomendation from a friend who offered to go with us.  I dont even speak spanish!  I guess more on that later.

Back in August I had bought this book the beauty detox solution.  I skipped around it a bunch, now that I've finished reading the hunger games trilogy I'm going to force myself to read it cover to cover.  From what I have read it makes sense how she recommends to eat.  I've been drinking the glowing green smoothie and its pretty good.  I even have husband drinking it. 

Somethings gotta give....I need to get back on track.



Ovu-on time!

Hello again...

Just checked out my "stats" and looks like I've had some readers in Germany, Austrailia, Russia, Ireland and the US.  This both baffles and excites me. 

As promised I'm picking up in my story at Oct 2011.  I had spent the rest of July, Aug and Sept watching my food intake closely and joining the community center gym with my co worker/friend.  It was nice to see the scale dropping and my cycle getting regular.  In my last appt (July) the dr had told me just because I have a period doesnt mean I'm ovulating.  She had drawn me a chart like this one, only my labs had show my FSH and LH were completly the opposite levels than they should be (to low) and my testosterone was way to high.

"FSH and LH are two hormones secreted by the pituitary gland in the brain during the menstrual cycle. Blood levels of these hormones are often tested to determine how your ovaries are functioning. FSH (follicle-stimulating hormone) is released when estrogen levels are low. During a regular menstrual cycle, FSH levels begin to rise sharply midcycle, a day or two before ovulation. FSH stimulates the ovary to ripen a follicle, and, with the help of a spike in LH (luteinizing hormone), to release an egg. After that, FSH and LH levels fall off and progesterone levels rise as your uterus prepares for pregnancy or another period."

http://www.womentowomen.com/understandyourbody/tests/luteinizinghormone.aspx

In simple terms, my eggs were not getting the hormones they needed to grow and be released.  Theoretically every month that my cycle got more regular meant my hormones could be balancing out on their own and I would have more potential to ovulate.  So this got me curious about the ovulation perdictor kits I'd seen at Target and the calendars I've seen online.  I started with this:

The instructions seemed simple enough. I tried it with frustrating results and ended up going back over the instructions just in case I was doing it wrong.  Low and behold...the fine print, under limitations of test.

"Certain medical conditions may adversely affect the reliability of this test for predicting ovulation. These include pregnancy, postpartum, post-abortion, polycystic ovary syndrome (PCOS), ovarian cysts, the onset of menopause, and untreated hypothyroidism. Women with medically diagnosed fertility problems should consult their physicians before using this product."

A little disheartened but still determined I continued my web search.  I wish I could find the blog today, maybe you will in your own search...but one lady in particular really helped me.  She had written about her own experience and made up a chart showing all the pros and cons of each ovulation predictor kit.  In the end I chose the Clearblue Easy Fertility Monitor, it seemed to fit my needs the best. 

• Typically identifies up to 6 fertile days
• Most advanced way of tracking your most fertile days – the only non-invasive method that detects both LH and estrogen hormones
• 100% natural and non-invasive
• Suitable for women with regular and irregular periods

Horray!! Hallelujah!! Finally!! It cost a pretty penny though so I bid for it on ebay and I'm so glad I did.

When you use a typical ovulation calculator online (I confess I love babycenter.com) the results really vary.  Most were telling me that I would ovulate on the 11th day of a 28 day cycle.  According to my handy dandy monitor I was really ovulating on the 14th day.   Thats a pretty cruitial 3 day lapse, basically I was trying to concieve way to early in the month and totally missing my window.   If you have tried over a year to get pregnant I really recommend you look into this monitor for piece of mind.

The first time I used the monitor was Sept 2011 and was so relieved to see that it worked!  I showed a increase in my estrogen levels at the right time and it picked up on my ovulation.  Finally some relief.  I used the monitor successfully through Dec 2011.  Then all of a sudden my cycle jumped from 28 to 35 days and the monitor stopped detecting signs of hormone flux.

Back to the drawing board....