New Game Plan

Last week I attended an appointment with my ob/gyn.  The nurse talked to me about the fact that I have several factors against me in regards to conceiving again - PCOS, hypothyroid, LPD, but that the most promising factor was that my body did it once.  I have a beautiful 3 year old little girl.  The ob/gyn reviewed how things have been going with me.  I told her about my pains, especially on my right side.  She ordered an u/s to rule out blockage and scar tissue.  We talked about TTC and what our next move should be.  Thankfully she understood that we mean business and want to get things rolling with having a baby.  We don't want to play games or twiddle our thumbs.  She laid out all the options - try Clomid (she only does 3 rounds then sends you to a fertility specialist), seek a fertility specialist, keep trying with Metformin and Prometrium.  I asked her opinion because I truly respect it.  She said she thinks we should go ahead and start Clomid, get an appointment with a fertility specialist schedule for the next few months, and of course get the u/s.  She said the Clomid will be hard on me.  It will make me feel like I am going through menopause.  I told her that I already feel that way, as I have major mood swings and was having hot flashes.  I actually asked her if she was just teasing me and I was truly going through menopause.  She reassured me that I wasn't.  She said Clomid will bring on all these symptoms, plus there is an increase in multiples.  She said that she personally has never had anyone have multiples from it, but it is a risk.  We are worried about that risk because twins run on both sides of our family.  DH also asked if something could be wrong with his swimmers and so he is going to be tested.  I thought that was such a great thing for him to ask and kind of took the "heat" off of me.  I just thought that was very supportive.  The nurse was great at reassuring us and DH about the sperm analysis.  She told us her DH had to do that, too.  I really appreciate my ob/gyn and the nurse sharing their experiences with us because it helps me to know I am not alone / we are not alone in the struggle.  If I hadn't said this before, my ob/gyn also has PCOS.  So our game plan is to take Clomid CD6-9, then Prometrium CD14-28, on CD 29 I will take a pregnancy test if AF hasn't visited, if BFN then I will continue the Prometrium until AF visits (or I get a BFP).  We will do that for a few cycles, then if no BFP, we will meet with the specialist.  Oh yeah, and DH will get his swimmers checked and I will get an u/s.    

My History

On January 29th, I saw on Daily Strength, a question regarding Vitex.  The replies from the post stated that these women had great success with it.  I looked it up and thought I would give it a try.  I went to the store and bought Vitex and progesterone cream.  I started taking a cough decongestant on the 28th because I read that it can help with the cervical mucus. I also decided that I must have been delirious on the 28th when I thought I had a visit from AF.  Of course I am delirious, 59 days without a period?

When I think about my history and my diagnosis of PCOS, I always wonder if I didn't cause it.  I was on BCP for years that I only needed to have a visit from AF 4 times per year.  I wonder if that could have tricked my body into only having AF every few months. But then when I read symptoms and information on PCOS and LPD, I have had those for years. I switched from ob/gyn to ob/gyn trying to find out what was wrong with me until I met my current ob/gyn in 2003.  I always thought / knew something was wrong, but no doctor would listen to me.  I was diagnosed in 1996 with a hypothyroid.  Then depression some several years later.  I had a laproscopy and hysterscopy in 2002.  The ob/gyn punctured my uterus during these procedures.  She thought I had endometriosis, but said I didn't after these procedures.  I found my current ob/gyn in 2003 at a women's event.  She asked me to give her a chance and I did.  She didn't diagnose me with PCOS until last year, but she has always listened to me and taken my concerns seriously.  When I first started seeing her, she found a BCP that worked for me and seemed to "cure" my symptoms.  She is the doctor that recommended I go on BCP that I only need to have AF 4 times per year.  My visits from AF were horrible, so I agreed.   Things were fine.  DH and I decided we would start TTC in June 2006.  In March 2006, I stopped taking BCP and was pregnant in May 2006.  We had a healthy, beautiful little girl in 2007.  I did have GD during the pregnancy.