Archive for April, 2010

Let me start with a bit of quick history:

– I have been with the same OB/GYN since I was 18 and I loved her.
– When I was 19, I was thought to have Polycystic Ovarian Syndrome (PCOS) and was put on the pill until I was ready to have a baby.  PCOS essentially is where your body doesn’t ovulate/menstruate without being told to do so.
– 10 years later, I went off the pill in July 2009 and didn’t get my period for three months.
– I went back to my OB/GYN where she officially diagnosed me with PCOS and put me on Provera, which is a pill I take every 30-35 days for 5 days and it brings on a menstrual cycle and is supposed to trigger ovulation, thus regulating my cycle.
– She also did blood work at this time, but never shared the results, never really informed me about PCOS, and never really put a plan in place for my fertility.

About 2 months ago, I needed to schedule an annual visit and I wanted to have a further conversation about trying to conceive (TTC).  When I called, the office kept pushing me to see the Nurse Practitioner (NP) but I kept explaining that I was okay with having my annual visit with the NP but I really wanted to talk to the OB/GYN regarding TTC and next steps since it’s been about 6 months with clearly nothing happening.  They told me in order to see the OB/GYN, I’d have to book in late May/early June.  This was just unacceptable to me.

So, that along with the rushed atmosphere I was feeling in the office as of late and knowing I would never deliver where my current OB/GYN delivers (it’s about 45 minutes away in the city I grew up in and a hospital that damn near killed my father), I decided to take the leap now and schedule an appointment with a new OB/GYN.

I found South Shore Women’s Health and it’s a group of all female OB/GYNs and staff and there are about 10 doctors.  You can select a “primary” but meet with most of them, which is nice as with a single doctor office your doctor might not be on for your delivery and then you get stuck with an on call that you’ve never met.  No thank you.  That brings me to today, which was my appointment. 

First up – the office is nice.  And only 20 minutes away – huge difference!  I met with the one OB/GYN that Lynne (my close friend and coworker) referred me to and I loved her.  She spent the time to review my history, my concerns, etc…and we talked for about 15-20 minutes about the steps she will take with me and my attempt to TTC.  She was really sweet in saying she understands my concern and that it must be tough because “all these people around you are probably getting pregnant no problem and here you are”.  I didn’t even say A WORD about that – she clearly must have read my mind…or just noticed my age and knows that is pretty much where I am right now. 

She agrees with the diagnosis of PCOS but says that we’ll work through that, so I will remain on the Provera.  I was kinda irritated about that – not at her but that the Provera has some side effects that I’m not to thrilled about.  Two weeks ago I went to the dermatologist and I have acne cysts from the Provera along my chin / jaw line and on my back.  I NEVER get zits like this – maybe once in a while but these are big and painful and just – BLAH.  So, I am on a topical Erythromicin and have special washes and it’s clearing up but it’s just a pain in the ass…err, face and back.  YUCK.

Anywho, she is requesting my medical records from my previous OB/GYN to review the blood test results.  One thing she is concerned about is that I didn’t have specific cycle blood tests done, so I am scheduled for that next Thursday. 

She indicated that for women my age, they don’t do invasive testing until after at least one year of TTC.  I was understanding of that, but told her that Chris has concerns that it may be him (for what reason, I don’t know…he thinks him being older has an affect?) so she said she would write up the information for him to…well, you know…in a cup and have his little sperms tested.  She suggested that I get the Clear Blue Easy Ovulation kit and see if I can pinpoint when I ovulate.  If it comes up that I don’t – then that will be another clue for us.  If after a few more months nothing has happened, the next step is having an HSG which is where they go in and fill up your reproductive system with dye to make sure there are no blockages or other items of concern.  If that comes back clear, she will start me on Clomid but she did tell me that women who take Clomid have a 10-13% chance of twins and a 3% chance of triplets – she said I won’t be an octomom though, haha.  But wow – that is a pretty high chance of multiples!!!

And of course, the thing that made me cry – she told me I need to lose weight.  If I can get myself to a lower body weight, there is a chance that things will be easier.  Sometimes the PCOS can become better (it never goes away) at a better body weight – but of course PCOS can cause weight gain so isn’t that just dandy.  I look at pictures from Mexico and know that I have to get back to where I was at my wedding, or even less.  FUCK.  Maybe this is the kick in the ass I need to do just that. 

To top it all off – last night I noticed a lot of pain down there and a small lump.  So of course I freaked out and went to Dr. Internet and then asked my real OB/GYN about it and I have a Bartholan cyst – oh splendid.  I have to soak in the bathtub 4 times a day (really, how does one do that?  Lucky for me I work from home…) until it drains and unblocks.  Apparently they’re normal and can come from being in a bathing suit, etc…  Damn you Mexico!!!  I have to tell you guys though, it’s really friggan uncomfortable and not something I’d wish on my worst enemy.

So, other than that she did my normal annual exam and I’ll get those results soon.  I am very pleased with my decision to go to a new doctor.  Chris and my mom were really nervous about me leaving my OB/GYN since she had all my history and my mom and paternal grandmother’s histories since they both go to her, too.  But, I think this was the best decision and hopefully will result in a baby sometime soon…

To all of you who have conceived normally – I envy you!


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