So, I had my infertility appointment with my doctor today. Here is what I found out...
He
did some blood work and an ultrasound. I love him, I thought this was
going to be more of a consultation, but he jumped right in! The blood
work isn't back yet, but he thinks I have some form of Poly Cystic Ovary
Syndrome, or PCOS. Basically, it can do all kinds of things, cause
acne, hair loss, hair growth, insulin problems, late ovulaiton,
irregular cycles, etc. He thinks that while I do ovulate, I ovulate too
late in my cycle (more like day 20 instead of 14) to produce a good
quality egg.
PCOS effects the endocrine system, which can mess up
insulin production, which, in turn can disrupt ovulation. So, he put me
on a couple medications. The first one is a metformin, which is actually
used to treat diabetes. I don't have that, but he thinks my insulin is
too high, which the bloodwork can confirm, which makes me ovulate too
late. So, by taking this, it will lower my insulin production, and cause
me to ovulate sooner.
The second one is Femara, which is a fertility
drug. If you've ever heard of Clomid, it's similar to that. It
contains estrogen. He thinks I might produce too much testosterone,
which is common with PCOS and late ovulation. So, this should make me
have a more regular 28 day cycle and ovulate sooner. I have regular
cycles now, but they are more like 34 days instead of the average 28.
So,
I start the metformin tomorrow and take it every day. The Femara I take
days 4-8 of my cycle, and then we are to time intercourse, starting on
day 10 up through ovulation. I have to come back in on February 20 to
get an ultrasound and make sure it isn't thinning the lining of my
uterus and that there aren't 1200 eggs in there!
He said it's one of
those things, that becase I am healthy, I have regular cycles, even
though I ovulate late. However, if I were to gain 20 or 30 pounds, I
might jump to 60-90 day cycles. The later the ovulation, the worse your
chance of getting pregnant.
So, this is the plan for now, to try this
for a few months and see what happens. He isn't recommend Brent get any
testing for now, since he thinks this is the problem. I about crapped
my pants when I picked up the prescription, though. For 15 pills of
Femara ( 3 months supply) it was $208!! Sheesh, it better work.
All thoughts and prayers are still appreciated. I really hope this will be the solution for us!
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