July 12, 2013

PCOS to Pregnancy: We have a new plan!

I started Tuesday morning in tears. I was discouraged and down. I just wanted to spend the whole morning crying. We had an appointment with the Reproductive Endocrinologist (RE) and the whole car ride there I was willing myself not to cry. I was scared and nervous. I feel like we had jumped to the conclusion that IVF was going to be our only option and we wouldn't be able to afford it. I felt defeated and scared.

When we sat down across the desk from our RE, I felt a bit at ease. We did a recap of what we had been through and what conclusions had been drawn so far. I shared copies of my charts from the last three months. He pretty much laughed (well not really) those off and told me I hadn't ovulated on any of them. Then he said some great words..."This is easy." My first thoughts were I hope he doesn't mean easy and expensive. Then he laid out the plan and I smiled. No more tears for the rest of the day. Here's our new plan:

1. Induce a cycle with Provera. This isn't new to me. We've done this with every cycle of Clomid as well. Since I don't have menstrual cycles on my own this is necessary.

2. Have a baseline ultrasound of my ovaries done on cycle day 1. 

3. Take Letrozole (Femara) on cycle days 3-7. This is a new drug to me, but one that a few of you have mentioned. It's actually a breast cancer drug, but it has great success rates with infertility as well. I'm excited to try it! According my RE, there are much less side effects with this drug over Clomid. There's is a significantly less chance of multiples on this drug over Clomid as well. 

4. Have an ultrasound done on cycle day 12 to check for signs of ovulation. The great part about this is the RE says I won't have to chart or take ovulation tests. They'll take all the guess work out of ovulation for me! 

5. Give myself an injection of Ovidrel following the ultrasound. 

6. Timed intercourse.

7. Wait! :)

I can do three rounds of this before we have to seek further options. On top of all of this I'm taking an over the counter supplement called Pregnitude. My RE says it has phenomenal results with women with PCOS. Some women have even gotten pregnant by using the Pregnitude alone. One of the side effects is weight loss, so I'm not complaining about that :)

I also learned a few things while at my appointment:

1. Clomid is not all it's cracked up to be. We had success with Clomid with our son, so for that I'm thankful. It didn't work this time. When I mentioned to our RE that we had used Clomid he said it's not a drug they use at their practice. The side effects are awful. I mean, hello emotional, hormonal mess! The drug that he has prescribed for us this time had low side effects. He says it won't stay in my system for long periods of time like Clomid does. I'm sure my husband is thankful for that! 

2. My thyroid is off a bit. My last thyroid check was done in 2011 and my TSH level was on the high end of normal. My dr. had never mentioned this before. The RE said while it's still in the normal range, it's too high for trying to get pregnant and could be contributing to my infertility. He ran a new panel and we're waiting for the results. A quick Google search of hypothyroidism and I'm convinced! I have quite a few of the symptoms. I'm curious to see what my lab results say. 

All in all, we are happy! I know I went into this appointment scared and so many of you encouraged me. I felt the love from you...thank you! You kept telling me not to be scared, that seeing an RE was the best and you were right! I wish we had done this sooner. I'm excited for the future and can't wait to share good news with you (hopefully) soon! 

I'm Jenny, the mama behind the blog Cloth Diaper Revival.   I'm a stay at home mom to Noah and a wife to Chas, the cloth diapering dad.  I used to be a 3rd grade teacher until I was blessed with the birth of my first child, Noah. I'm currently trying to conceive my second child while struggling with infertility due to PCOS. This series covers my journey and my experiences along the way.

10 comments:

So glad to read this hopeful and exciting news!! My sister-in-law struggled/struggles with infertility for almost 10 years, and after several miscarriages had a baby girl a year ago. I know there is so much hidden emotional pain involved with infertility - thanks for being so open and honest! Hoping these next few months bring amazing baby news!! :)

So happy to hear this! Hope to hear a pregnancy announcement soon :-)

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Oh Jenny, I have been waiting all week for this post and update. I got a little teary myself reading this one. I am so glad to hear you've got hope again. Let's hope Clomid was the cause of all the tears you've shed on this and that you can leave those days in the past. I can't wait to see your next updates. Happy hugs this time around.

That news is very exciting! Yet it sounds like the same situation I was in. Thyroid, pcos, etc, etc. Crossing my fingers for you!

I'm so glad that you've gotten more optimistic news! Let's hope that this cycle is the next big break! (And what is this over the counter thing with a side effect of weight loss you speak of?!)

I am pretty new to your blog here so I apologize if you have addressed it before but iodine supplementation is great for alleviating thyroid problems. Maybe read up on it and mention it to your RE? With all of the medicines you are having to take it would be awesome if you could take care of one issue naturally! Look for a good iodine supplement from natural sources (mine is from kelp) if you start taking any. I have said a prayer for you and your family!

I was also diagnosed as high normal thyroid. I looked up the hypothryoid symptoms and realized that was why I'd been tired for a year (pre-baby). I felt so much better once they put me on a low dose of levothyroxine. I hope it works for you, too!