God writes our story.
I am still learning to surrender the pen.

Tuesday, March 15, 2011

a Pretty Cool Opportunity Soon?

I had my first IVF consultation with our doctor today. Sitting there in the office, with mom to my right and husband to my left (finally be able to meet our new doctor after a shower and with some make-up on), I felt confident. This meeting was full of hope, not full of dread like the surgery and the follow-up. I was nervous, still not quite understanding what is done in In-Vitro Fertilization. Sure, most people know is where egg and sperm get pushed together in a petri dish... but I needed step by step... did it follow my morals? What about my husband's? Knowing this could be the appointment to crush the dreams of pregnancy or be the first step to it was a roller coaster.
She didn't rush me. That's why I love our doctor. She answered all my questions- and didn't lead on if they were dumb or not. lol. She also waited patiently for my husband and I to nod when we understood, and gave me a minute when I started to tear up. She even didn't mind my mom's questions and her scribbling down in her notebook. She knew my mom would be paying most of the bills, if we decided to go through this... yet she put all the papers in front of my husband and I first. It's the little things, you know? Oh, and she also drew pictures, which is great for visual types like myself...

I am the only person I know that has a drawing of a uterus in her purse.

For those of you who are wondering, here is a bite-sized list of what we talked about in our meeting.
*Although I have been on Clomid and Femara previously, they were under other doctor's orders. She is frustrated, like me, how the other doctors handled the fertility treatments and is not convinced I even ovulated on them.
*Due to symptoms we've discussed and the tests taken, our doctor is confident to say that I have PCOS (Polycistic Ovarian Syndrome)- which not only hurts my fertility, but causes a list full of other scary symptoms and warnings as well.
*Along with PCOS, I am also Insulin Resistant, which usually comes hand-in-hand with PCOS. In most cases, a woman is not sure which comes first, but more than not the other is to follow is not treated quickly. This means when I eat certain foods, such as simple carbohydrates, my insulin must spike way higher than normal. Leaving me exhausted and hungry again an hour later, because of the spike I have lower sugar than normal.
*Despite the fact our doctor feels the Clomid was used incorrectly, she believes we have 'been through enough' and has approved us for IVF!

After our consultation we wanted to get proactive! I bought a book to understand my past (PCOS), our present (Preparing for Pregnancy), and our possible future (IVF).

With the questions answered, I'm feeling much better about IVF. She wrote us a perscription for Mertphormin, hoping to regulate my insulin spikes. This drug, paired with diet and exercise, may help fix the issue and help me conceive on it's own. However, we are giving it one month to work myself up to 2,000mg a day and then moving on the IVF path. At this rate if everything goes well, we are looking at undergoing the IVF procedure in JUNE!

This puts the ball back in my court. My goal is to loose 25lbs by June 1st. I must monitor my carbs very closely, and am also cutting back on sugars and sodas. Hoping to start off with walking my dog, and then easing into at least 1 hour work out per day. If you see me, keep me accountable! :)

Please be in prayer for my nausea to do away on a daily basis, for my health, and for God to lead us down HIS path to having children in our home, NOT OUR OWN.

Women with PCOS are at risk for the following:
-Endometrial hyperplasia and endometrial cancer (cancer of the uterine lining) are possible, due to overaccumulation of uterine lining, and also lack of progesterone resulting in prolonged stimulation of uterine cells by estrogen. It is not clear if this risk is directly due to the syndrome or from the associated obesity, hyperinsulinemia, and hyperandrogenism.
-Insulin resistance/Type II diabetes. A review published in 2010 concluded that women with PCOS had an elevated prevalence of insulin resistance and type II diabetes, also when controlling for body mass index.
-High blood pressure
-Depression/Depression with Anxiety
-Dyslipidemia - disorders of lipid metabolism — cholesterol and triglycerides. PCOS patients show decreased removal of atherosclerosis-inducing remnants, seemingly independent on insulin resistance/Type II diabetes.
-Cardiovascular disease
-Weight gain
-Acanthosis nigricans (patches of darkened skin under the arms, in the groin area, on the back of the neck)
-Hair loss
-Autoimmune thyroiditis

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