Once More, With Feeling!

fertilizedeggsplease

 

I’ve been a little MIA from the blogging world lately.  It’s just that with the holidays and work and doctor’s appointments, I tend to spend my free time doing absolutely nothing.  So here we go with an update.

My follow up appointment with Dr. P was on the 31st.  Dr. P was looking much healthier this go around and seemed to be excited to get going with our treatment plan now that we had my lab results back.  Hubby’s karyoptype came back normal, as did mine.  Most of my other results were normal, too, expcept for increased testosterone and things like that that we had expected.  Then the bad not so good news.  My insulin resistance test came back positive.  So it’s official.  I’m insulin resistant.  All of my blood sugar numbers were great…perfect, he said.  But, my body is resistant to the insulin that keeps those sugars great, so it’s making an abundance of it.  The excess insulin is triggering my ovaries to make more testosterone, which interferes with the growth of my follicles.  Which essentially makes me a sad/angry/infertile woman at the end of every cycle.

Now, none of this was news to me.  I had expected that I had a hint of IR, just because I’m pretty textbook for it.  But Dr. L had tried to put me on Metformin before, and the side effects were terrible.  {TMI time} I couldn’t control my bowel movements, people.   And in my line of work where I am running around and with patients all day long, you can’t just scadaddle off to the restroom at the drop of a hat.  Not to mention, in an office of 35 women, we have exactly TWO bathrooms.  Seriously.  And I swear to God people just camp out in there sometimes.  You can never go when you need to go.

So what is our gameplan according to Dr. P?  Back on Metformin.  He told me it was not an option.  You want to have a baby?  Take the Metformin.  Period.  Well, ok, doc.  So he put me on 500mg twice a day, starting off the first week just taking it with my evening meal until my stomach can adjust.  He prescribed the Extended Release {ER} which seems to help a LOT with the stomach issues…I actually haven’t had any except I seem to be gassy all the time now.  Which could have something to do with the 2nd part of my IR treatment…

Diet.

Ugh.

We {hubby included, because I’ll be damned if I have to do this and he doesn’t!} were informed to start following a 1200 calorie diet and cut way back on sugar intake.  Sure.  Sounds fine.  Except for the fact that I can drink a gallon of sweet tea a day all by myself.  Seriously.  I’m addicted to the stuff.  Take away sodas.  Take away sweets.  I’ll be just fine.  But my sweet tea??  Oh, God, this is gonna be bad.

It’s not a bad thing.  We’re both overweight.  We’re both out of shape.  This is something we’ve needed to do for a long time.  I’ve known I needed to get myself healthier for a long time.  I could just never get myself motivated to do so.  Until the Fertility Specialist says if you want to have a baby, this is what you have to do.  That’s my motivation.  Why I didn’t look at it this way before?  I have no idea.  But that’s how I’m looking at it now.  I’m just doing what I have to do.  I was talking to a friend this week about my future fertility treatments, and she said to me, “I don’t think I could ever give myself a shot.”  Without any hesitation, I looked at her and said, “When you want something bad enough, you’ll do whatever you have to do.” 

So far its not going too bad.  We went through the cabinets and got rid of any and all food not on my approved list.  A brand new unopened package of Oreos thrown out. {Actually, I gave them away because I can’t bear the thought of throwing away perfectly good food}  My “snack” foods have been replaced with sugar free pudding, popcicles, and cool whip and fresh fruit.  The dinners I cook are pretty much the same, with a few changes like buying things with whole grains, etc.  I’m packing my lunch for work instead of going out to eat all the time and that saves calories and money.  I’m watching my portions and tracking my calories and so far I’ve done ok and lost 2.4lbs since the start of this week {which I’m attributing to cutting out the sweet tea lol!}.  I haven’t had anything to drink but water {except for 1 can of Diet Dr. Pepper} and with the help of Sweet Tea flavored Mio, it hasn’t been too bad at all.   It’s not easy, but easier than I thought it would be. {Making myself eat breakfast has been my biggest challenge, because I am NOT a breakfast eater at all!}  And I’m not there yet, but I’m eating world’s better than I was a week ago, so that’s something.

Next step: Incorporating exercise into my daily routine.  But, one step at a time.

Ok, where were we?  After explaining the diet/Metformin plan to me, Dr. P says he’d like to give me a month or two to get the IR under control before going on with any treatment.  Um, excuse me??  Did I hear you correctly, doc??  You want me to wait two months to start ANY kind of meds?  Nope.  Sorry.  Not gonna happen.  Two months, in the grand scheme of things, is not that long.  But two months for someone who has been TTC for two years is an eternitiy.  I haven’t had a period since November 8th and I’m going out of my frickin’ mind about it.  I’m gonna take your Metformin and I’m gonna cut my ties with my beloved sweet tea, so the least you can do is give me some mothertrucking Letrozole, guy.

The story, according to my husband, is that I whined and threw a fit and got my way.  But really, all I said was I didn’t want to wait that long to get started.  I’ve waited long enough, Dr. P, and you’ll soon realize that I’m going to be a pretty impatient patient.

So he gets out his prescription pad and writes me one more script….for Provera.  Ah, old friend, we meet again.  It’s gonna be a fun ten days.

He tells me to wait to start the Provera until I set up my Patient Education Class with Nurse M.  His plan for us right now is to do Letrozole with FSH injectables and timed intercourse {UGH}.  If it doesn’t work after a couple cycles we will move on to the IUI process.  I think this is just his way of tiding me over, since he wanted to wait until I was on the Metformin a couple of months before we did IUI anyway, but whatever, I’ll take it.  I can’t stand the thought of doing NOTHING.

So we signed up for the next available Patient Education Class with Nurse M on January 8th, this Tuesday.  I’m not exactly sure what she’s going to teach me in this class that I don’t already know, besides maybe how to give myself a shot.  But they won’t let me start my meds until its done, so we’ll be there Tuesday morning, bright and early.

So there we have it.  I feel like I’m starting over, almost.  Like the last two years are being disregarded and I’m being treated as if all of this is new to me.  I’m sure that’s how they treat all new patients, but its a little frustrating, to say the least.  I’m ready.  For the big stuff.  If I had it my way we’d skip all this preliminary stuff and drop 20 grand on IVF tomorrow {might have to rob a bank or something first, but I can improvise}.

I’ll update soon about my first exam with Dr. P….it was interesting to say the least!

Hope everyone is having a happy new year!

 

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