I went to my first consultation with a new endocrinologist today. I shall call him Dr. Goofy. Seriously he was the oddest looking dude I’ve ever seen, but super nice and it seems like he will be very thorough.
Going in I wrote down exactly what I wanted to talk about and what my expectations were for the visit. The things I want to look into are:
-Progesterone levels. I suspect that my progesterone levels are not where they need to be during the Luteal Phase which is quite concerning. I think this because even when I was on clomid and had a clear temp shift, my blood work still came back unovulatory. Yet I’ve had 2 different RE’s tell me if I had a temp shift that I have ovulated. Not to mention during all 3 of those cycles my period started on its own.
-Vitamin D. Recently I had another blogger Jay mention that I should have my vitamin D tested. She has seen some studies that have linked a vitamin D deficiency with PCOS and infertility. Hop on over to her blog if you’d like to read more. What struck me about this though is back before we were trying I was found to have very low Vitamin D during a blood panel. My doctor put me on vitamins but I stopped taking them for one reason or another. I can’t really remember. So now I am wondering if I should start taking it again.
-B-12. Women with PCOS often have a B-12 deficiency which can only be aggravated by meformin use. B-12 can also cause fatigue, depression, as well as other things. I don’t know if it necessarily can cause fertility issues but I’d rather have all my hormones in order.
-Metformin. I was started on metformin very briefly right before my surgery. I got off of it during the recovery because we were still trying to figure out why everything went down the way it did. (Something I now don’t think we will ever know for sure) But now that I am recovered I’d like to get back on it.
-Cysts. As of my last ultrasound I had 1 largish cyst on my ovary (2cm or 20mm). I asked him if regular ovulation like I have been having lately could possibly cause this cyst to grow abnormally. I am scared to death that the same thing will happen again and I’ll lose the only hope I have left. He said the odds of a cyst growing like that without fertility drugs is slim. I might schedule another ultrasound soon just to be sure.
We went over everything I had concerns about and he said the next step was for us to do some blood work. He is running labs on everything I requested plus much, much more. I’m very pleased about that. He is even having me run the tests after ovulation during the Luteal Phase to make sure my levels are where they should be to be able to support a pregnancy. A+ for him. Now lefty just has to work this month. (Yes I am that ‘glass half empty’ person that thinks because I need to do the tests after ovulation that I WON’T ovulate this month. Ahem, knock on wood.)
The point of all this is to KEEP my cycles regular. I am thrilled that the past 3 months my body has been trying to cooperate and work with me. But again I am that person that is afraid that it will all go away. I blame that on the year with no unmedicated cycles. It messed with my mind.
So now we wait. I will not take any extra supplements this month because I want the tests to reflect what is going on in my body. Did I mention that the weekend I should be ovulating some friends are going to be staying with us. Talk about awkward. J offered to call them and tell them that weekend isn’t good for us but then I feel bad. We’ve been trying to get them to come visit for a while. Le sigh. I’m just not planning on getting pregnant this month. Just focusing on getting the blood work for Dr. Goofy and get the ball rolling for next cycle. We are trying for a natural baby. Come on reproductive organs!
(BTW- AF did show up yesterday night. So now I’m just dealing with the cramps. No fun.)