Something That Could Have Been Brought To My Attention YESTERDAY

Or two fucking years ago, before we spent six months and thousands of dollars on DIUI's that were NEVER GOING TO FUCKING WORK.

I have Ovulatory Polycystic Ovarian Syndrome. Different than "Classic" PCOS.

(Thank you Meg, for the link.)

Yeah, I've never heard of it either.

Maybe I would have, had I been diagnosed TWO FUCKING YEARS AGO. Because then I would have known that one of the symptoms of OPCOS is an elevated blood sugar level which can hinder implantation - KIND OF A BIG FUCKING FACTOR don'tcha think?!?!

So yesterday I had my CD3 Antra Follicle count. Our new RE (I need to come up with a name for him) wanted to see my ovaries in an "unchallenged state", meaning before there was a dominant follicle present. He quickly counted eight resting follicles on my left, and 12 on my right. FYI, the average for most women is about 10-12 total between the two ovaries. I have 20.

He mentioned something about this on the phone consult Saturday, but honestly I didn't have any idea what he was talking about, because I knew I didn't have any of the "Classic" Polycystic symptoms. But evidently he saw it coming because I have a 30 day cycle, which is a indicative of women with OPCOS. The only good thing about this is that it means I am likely to yield a higher reserve of follicles on a low dose of stims.

He wants me to start on Metformin asap. He says it will essentially make me "more fertile". And thanks to the link Meg sent me, I now know that is because the Metformin will regulate my insulin levels therefore bypass any implantation problems. He also said he will keep me on it until I am 12 weeks along, because it can also decrease the risk of miscarriage for someone like me.

I know I should be happy about the fact that it's finally been diagnosed, and our RE just kept reassuring me that it's actually a good thing because it means I'll be a better than average responder. But just having found out - I'm pretty hung up on the fact that this wasn't caught sooner. It kills me to think about how much time and money was wasted, but most importantly how the failed cycles caused such an epic amount of unnecessary heartache. Really the time and money was one thing, but the depression that followed not only comprimised my marriage but has forever changed who I am as a person.

Oh and now I have to sit with what else could come back from the rest of my blood tests. And all TWENTY-FOUR vials that they took!!!! It was twenty three, but the lab called later yesterday afternoon to tell me they had forgotten one. GAH. And fuck, what if the insurance deception doesn't work?!?!

Commence Meltdown.
(Number One)

Making Plans

I'd just like to say one thing before I get into the cycle gab, if you haven't tried the Caramel Brulee Latte from Starbucks, DO IT, do it NOW. They are f'ing fantastic!

Anyway... So I did email Dr. C. The long and short of it is that I expressed my frustration over the timing of my IUI's and lack of attention from him. And he politely explained that their timing methods are proven, but conceded that not all cycles are the same, and agreed to change up the timing with this next cycle. He's very nice and extremely tactful when dealing with crazy unpregnant women. But that doesn't change the fact that we will be looking for a new RE if this cycle doesn't work. He's not the whole reason we'll be shopping, honestly driving up to the city several times a month is getting REALLY old. I know we're lucky that it's not hours away and we have more than two choices of clinics within 30 miles, but inconvenience is relative, right?. If I can go to an equally impressive clinic and not have to put up with traffic and expensive parking, then I'm going to take advantage of that...

And speaking of moving on, Brian and I have been talking a lot about what our next steps are going to be. We're both completely aware that our IUI's days are probably numbered. We assume it's only a matter of time before they recommend that we move on to IVF. We've discussed it a lot and both feel that at that point we'd probably just move on to adoption. We of course love the idea of me being pregnant some day, but our ultimate goal is to be a family. We just want children in our lives... However they may come. Financially IVF is going to be very difficult for us to afford, so if we're going to shell out 20k, we'd prefer it go to something with higher odds of us ending up with a baby. I guess we're just super conservative that way. And none of this is set in stone, we're not ready to stop doing treatments. I'd really like to move on to injectables with our next round of IUI's, but it's also good to have a plan.

As for Brian and I, we're doing a lot better. I think the fact that I am slowly emerging from the fog has been helpful, but the counseling is making a significant difference as well. It's nice to feel close again. I missed him so much. Brian thank you for putting up with my crazy. I promise someday all this heartache will be worth it some how. When we're grandparents, maybe... I love you dear.

Christmas Cardless

I have been dreading the idea of Christmas cards for about 3 months now. Giving and receiving...

After each failed cycle, it became more evident that we would not have happy news to share with with family and friends this holiday season. I'd dreamt of making a Christmas card that included an ultrasound photo. Instead I'm a little terrified about the cards that are heading our way.

I used to love sending out cards. But now I feel pathetic because after 6 years of marriage, it's still just the two of us - and the dog. I imagine the people who know about us shaking their heads with pity when they see just the three of us on another card. And the others who don't know wondering aloud whether or not we're ever going to have children. I do realize that's pretty unrealistic, so thanks to the tools I've learned in therapy, when I get too deep into that thought I'm able to stop myself now and think instead about how I'm actually am very proud of the three of us. I love my husband, and I'm proud to be his wife. I'm proud of the life and home we built together. But still, sending out a card with just the three of us?... I don't know.

As for my cycle, today is CD3. I was able to get my Letrozole dosage increased - woo hoo! I'd like to thank you all for your input on my last post about your IUI protocol. I'm planning to send an email to Dr. C regarding the crappy timing on my previous failed cycles, and inform him of my new strategy for the timing of my IUI this month. I'm curious to see what he'll have to say... I don't know when I'll see him next, I'll go in on Dec 6th for my follie check, which is a Sunday so I'm not sure who will be on call that day. Whatever.

For the most part I am feeling very hopeful about this next cycle. Now that I know our timing will be more accurate and that I might even have three follies to catch a spermie or two. (We're totally down with twins.) We've had a pretty nice weekend so far, just busy decorating the house now. It's been hard getting into the spirit of the season this year, so maybe cramming it down my throat at home will do the trick. Hope you all had a nice Thanksgiving.

Home Sweet Home

Well? What do you think?

I personally love it. There are still a few kinks I am trying to work out. Like adding and editing the tabs above. If anyone has any tips for how to do that I would be FOREVER grateful. I looked up this question in the forums, and tried to contact the creator of this template but she hasn't responded yet... Sorry I know this is boring if you've never had to deal with it. So on to the matters at hand...

I'm on my third day of Letrozole, so far not a single side effect to report. I am a little concerned that prolonged use may create cysts and what not. It's actually a little scary for me to be on these meds. I was really hoping that I could get by with natural cycles, but my impatience took over and here I am. I was hoping to create a tab for a break down on my current cycle, but like I said, I'm still trying to figure that out. So here it is:

• I am currently on CD 5, horray AF is almost gone.
• I will be taking Letrozole until CD7 which is Thursday, October 1st.
• On Saturday, October 3rd I will start doing OPK's to make sure I don't ovulate before my ultrasound.
• Tuesday, October 6th I will go in for an ultrasound to monitor the growth of my follicles, hopefully I will have at least two, and no more than three. At that time they will determine when I will need to trigger ovulation. I'll be using Ovidrel for that.
• Then I will go in for my IUI about 36 hours after that. I'm guess October 8th or 9th.
• And after that I will start up on my progesterone, Prometrium suppositories, and count down until my BFP. We won't be doing a beta. I just need to call them WHEN I get a positive test.

God I hope my optimism doesn't come back to bite me in the ass.

Thanks for coming to my new home!