Our First Consultation

This past Monday was our first consultation with the RE!  So exciting/scary/promising!  It’s been a crazy week with the holidays coming up, so I’m little behind on updating on how everything went.  But here we go…

First of all, everyone at the clinic {so far} has been so incredibly nice.  I get it, it’s their job and they work in a very delicate specialty.  But when you feel like you’re carrying around as much baggage as I do, it’s nice for people to not make you feel like you’re a burden.  Even if it is their job.

Hubby and I woke up way too early and left our house at 5:30am to make the 2 hour drive to the clinic.  $3.00 in toll fees and 2 detours later, we arrived at the clinic at around 7:50.  They don’t open until 8:00, and our appointment wasn’t until 8:30.  So we took a little joyride and found a place to take a bathroom break.  By the time we got back they were just opening the doors.  Hubs opened the truck door and asked if I was ready.  I wasn’t.  And I was.  All at the same time.

We were met with chaotic smiles behind the front desk.  There was clearly a new person being trained, quite possibly her very first day, and then they explained to us that the credit card machine wouldn’t settle, so they were on the phone trying to sort that out, and Dr. P {who happened to be the doctor I was seeing} was terribly ill this morning.  The girl assured me that things weren’t usually like this as she handed me and the hubs some papers to fill out {and thanked me a million times for filling out our medical history on the patient portal…which by the way is pretty awesome}.  I work in a medical office.  I can totally understand walking into a crazy Monday that you didn’t expect.

After handing in our papers we waited less than 10 minutes before being called back.  The girl who called us back {whose name I didn’t catch…I’ll have to pay more attention next time!} was all smiles as she asked me to step up on the scale.  I’m glad she was smiling because I was not!  Then Smiley took us into an exam room and asked the basic questions.  I had already filled everything out on the Patient Portal ahead of time, so she was basically just verifying the information.  She took my blood pressure then Smiley asked me to smile as she snapped my photo with a digital camera.  Then Hubs had to smile at Smiley for his photo.  At my office we just scan your driver’s license, but hey, whatever works.

Smiley then began to explain that Dr. P was very sick today, but since we were new patients and came from out of state, he was going to go ahead and see us before he went home.  Then she lead the way into his office.  Right off the bat I liked Dr. P.  He’s very personable, straight forward, and has just the right amount of a sense of humor.  The poor guy looked about half dead, though!  When they said he was sick they weren’t kidding!  I felt horrible for him, but so grateful that he chose to stay and see us.

First things first, we went over my history, discussed all the avenues we’ve already taken.  We came to the conclusion that I’ve got a lot of things working against me and that I’m pretty textbook for PCOS, but he wanted to do a few tests to rule out anything that could be disguising itself as PCOS.  Dr. P said we were going to be very aggressive with the meds to get me ovulating, probably keeping with the letrozole for now and adding FSH injectables.  Getting me ovualting wasn’t his biggest concern though.

Recently I had some blood work done.  A lot of bloodwork.  Bloodwork that required so much blood that I passed out in the lab.  Dr. P was studying my results and then informed me that I am a carrier of a single copy of both Factor V Leiden mutation and the C677T MTHFR mutation.  If you’re unfamiliar with this, I suggest you consult The Google, because it will explain it much better than me.  The basics of it is, I have a clotting disorder.  And the fact that I carry both mutations and not just one is just icing on the cake.  After explaining this to me, Dr. P then began to ask me questions about my miscarriage.

How far along were you?  8 weeks.

Did you hear a heartbeat?  Yes.

Yes?  Yes.

Hmm.

I had been told that we were so early that there was really no way to tell what caused the miscarriage.  These things just happen sometimes.  1 in 4.  It was hard, but I had accepted it.  Dr. P informed me that he didn’t think this was the case at all.

In his professional opinion, he said that once you hear a good healthy heartbeat, there is usually a reason behind the miscarriage.  In my case, the clotting problem.  It decreases and cuts off the bloodflow to my uterus and to the placenta, effectively cutting off the blood flow to the baby.  There’s no way to know for sure, but Dr. P believes this is what happened to me at 8 weeks and 1 day.

I’m not gonna lie, that’s a tough pill to swallow.  To know that I had a perfectly healthy baby growing inside of me, and my body betrayed me, betrayed my baby.  To know that I could have a 7 month old son or daughter right now if I had just been taking a frickin’ baby aspirin?!  It’s hard to wrap my head around.

So, game plan.  Dr. P proposes that the day I get a positive pregnancy test I will immediately begin heparin or lovenox injections every day.  I started a baby aspirin everyday when I had this bloodwork done and I will continue to do this.  {I will likely be on an aspirin regimen for the rest of my life.}  He seems pretty confident that I will be able to carry a healthy pregnancy this way.  Now, about the getting pregnant part..

Like I said, we’ll most likely stick to the letrozole for now and add FSH injectables.  But all of this depends on the results of the bloodwork I’ve had done this week.  Dr. P said depending on what the results show will depend on how he treats me.  I also had to be checked for insulin resistance, since it usually goes hand in hand with PCOS.  We discussed the fact that I was put on Metformin before but it did nothing but make me race to the bathroom every 5 minutes, so he’s not sure if its actually an issue with me or not.  At least if it was it would help explain all the weight gain!

He said he usually likes to start out doing 3-5 cycles of IUI before he moves on to IVF.  Depending on how I respond to the meds will determine how many cycles we try.  I’m ok with that.

After we talked and the poor man finally got to go home to bed, we were sent to the lab to get some blood drawn.  They use a separate lab company, which is convenient because they have a lab a couple towns over from where we live, which happens to be in the same town that we both work in.  We went straight from the clinic to the lab in Tulsa {which was in a kind of shady location behind a grocery store} and since they wanted a karyotype test from both of us, the Hubs had to get stuck with a needle this time, too!  I enjoyed it a little too much, haha!  Then later this week I went to the local lab here to have my insulin resistance test.

We go back to see Dr. P on December 31st to discuss what the results were and how he plans to go about treating me.  He also talked about probably getting an ultrasound of my ovaries this visit or shortly after, as well.  Dr. L’s office sent a short novel to him, so he’s already got a lot of the info that he needs to start off with.

So far, thats all she wrote!  I’m excited for the 31st to get here and see what we’re going to do.  I’m anxious to get started.  I still haven’t started my period since my last cycle {November 8th} and I don’t like not being in a cycle.  After counting cycle days for 2 years its like a way of life!  Although, I can’t say that I’m excited to meet up with my old friend, Provera.  Ugh.

Merry Christmas, everyone!

Advertisements

6 thoughts on “Our First Consultation

  1. I have a suspected clotting problem. Nothing has ever shown up on the tests, but three of my four miscarriages have started out with good heartbeat and good growth. For my second and third pregnancies I was on baby asprin and for my fourth I was on Lovenox too. I can’t say if it’s helped at all, because I still don’t have my take home baby but I’ve heard of it being successful for woman who have a confirmed clotting issue. Good luck!

    • Thank you! I’m hoping that the lovenox/baby aspirin will be enough to help me carry. {I forgot to add in my post I’ve been on a baby aspirin regimen and will be for the rest of my life…edit! Thanks for reminding me!}

      I hate that you’ve had so many unexplained losses. I hope your luck turns around soon!

      Merry Christmas!

  2. I am Sooooo super excited for you! may 2013 be your lucky year my friend! you definitely should thank your lucky stars that you are in the States! I recently moved to Kuwait and the treatment and doctors here are nothing like the ones we have back home. I am praying for you and sending you all the love and baby dust in the world! happy holidays xoxox

    • I have really been so lucky with the doctors I’ve had, even for being here in the states. I am so grateful for that! Thank you for all your love and prayers and I’m sending it right back at ya. I hope you find the help and treatment you need there in Kuwait and know I’m always here to vent to because I’m been through it, too! Happy Holidays to you and yours!

    • No, he bumped up my extra folic acid to 5mg a day. I’ve done a little research (just online so who knows how reliable any of it is) and am not sure how I feel about it…some shows the extra folic acid is fine and some says the L-methylfolate is better. I’ll probably bring it up to the doc on my next visit.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s