February 22, 2008

our funny little asian lady & monstrous carbs

We met with Dr. Nice Lady on Monday, February 18th down at BigHMO Fertility Clinic. She was sooo much more personable than our guy back in Philly, and explained things in such a way that neither IT Guru (my husband) nor myself felt stupid or belittled.

She agreed that I should wait until after our cruise in March to start the Provera, and said once my period starts to call and make an appointment to get a hysterosalpingogram (HSG) test done.
HSG is an x-ray test that looks at the inside of the uterus and fallopian tubes and the area around them. During a hysterosalpingogram, a dye is put through a thin tube that is put into the uterus. Because the uterus and the fallopian tubes are hooked together, the dye will flow into the fallopian tubes. A picture is taken after dye has filled the inside of the uterus and fallopian tubes. They basically just want to see if there are any roadblocks in the swimmers' way.
She ran a couple more blood tests, mainly to make sure when they give me the HSG test my kidneys can handle it. We also found out that my fasting glucose rate is pretty high. In basic terms, I'm pretty much carbohydrate intolerant (much like some folks are lactose intolerant). Which means my steady diet of pasta, bananas, tortilla chips, pizza, et al has to be pared down a LOT. We also agreed on a plan for diet (she wants just baked chicken and veggies, I got her to agree to NutriSystem) and exercise (40 minutes of sweat-type stuff each day). She set a goal of 50 pounds for me.

In post-visit news, the new round of blood work came back good, and now it's just time to hurry up and wait to take the Provera on March 8th. Cabo San Lucas, here we come!

February 15, 2008

fertility specialists - west coast style

Monday we're meeting with our new fertility doctor, Dr. Nice Lady, at the BigHMO Infertility Clinic closer to our house. Interestingly enough, it's across the street from a bunch of booby bars. Yep, that's a Hustler Club, Deja Vu Club, and BigHMO Fertility Club all on the same drag!

February 10, 2008

a confirmation, a blessing & a pet peeve

The results came in, and there was confirmation and an unexpectedly nice blessing:
  • The blood tests confirmed what the Abington specialist said: I have PCOS (though the vaginal ultrasound I had a year and a half ago painted a pretty sure picture of that).
  • The PAP smear he ran came back a-okay (I hadn't had one in two years, so since I was there he ran it). Can I just say: it's so wonderful that gone are the days of the metal speculum! While it's not nearly a pleasurable experience now, the plastic speculum is much better. Doesn't the picture of it look like a pelican's beak?
  • Turns out I don't have diabetes. I didn't think I did, but there can be a concern with the extra weight I have, so unbeknownst to me Dr. Jerry Garcia ran a test for it. It came back negative, so that's a small, "Yay!"
The next step is to meet with the Infertility Clinic folks. BigHMO want you to take a class prior to meeting with a doctor, but it's only on Thursday's at 3 p.m. (inconvenient, much?). After going on and on about how I value the class and am sure there's a lot of good information in it, I talked them into just sending me the class materials and promised we'd read them prior to meeting with our fertility doctor (I threw in that I work in education/training and have a masters in it and they let me slide).

Finally, the pet peeve. I gotta admit, it's a little annoying that they're called "infertility doctors" -- what a negative bummer! Like people already don't know they can't make a baby! Why not flip it onto the positive and call them "fertility doctors" since they are trying to help you be fertile and baby-ful?


February 6, 2008

blood tests

One thing I left out about yesterday: ABC Reproductive Medicine was supposed to send BigHMO my records so that by time I got to my appointment the new doctor would be up to speed. They didn't. In fact, instead of faxing them to BigHMO, when we got home last night I found the records in our mailbox! I guess...it's okay to entrust highly confidential, social security number containing, personal things like that to the U.S. Postal Service? Oooooh-kay.

Moving along, I guess I didn't quite understand Dr. Jerry Garcia yesterday; he told me I would be getting blood work and my glucose test today. Since two of my friends have PCOS, I've heard all about the glucose test - you go in, have blood drawn, drink gobs of "cola" or "orange drink" (either way, it's a super-sugary drink), wait an hour (or three, depending on the test), and they take more blood to check your body's glucose tolerance. I found some good information on the test via my best friend Google.

When I got the lab, however, it turns out I was only there to get blood drawn. He ordered a fasting blood glucose test, not an actual run of the glucose test itself. I could have sworn Dr. Jerry Garcia said I was going to do the 1-hour glucose test, but the receptionist said no, just the blood tests. The nurse was nice, and funny, and four vials of blood later, I was done! Now it's a three-day wait to get the results. On an impressive note, BigHMO now provides results online. Pretty cool.

February 5, 2008

the second start

Today John and I went to an OB/GYN at the BigHMO in North County to get back on track with the whole baby thing.

A little backstory...I went off the pill in late 2005 when we decided to try to have a baby. I went a few months without getting my period; we thought we were pregnant. Turns out, we weren't. I just wasn't menstruating. So in May of '06, we visited ABC Reproductive Medicine to find out why.

The doctor ran some tests, and determined I have PCOS, which stands for Polycystic Ovarian Syndrome or Polycystic Ovary Syndrome. From the Mayo Clinic site:

Polycystic ovary syndrome (PCOS) is a common condition characterized by irregular menstrual periods, excess hair growth and obesity, though it can affect women in a variety of ways.

The exact cause of polycystic ovary syndrome is unknown, but the condition stems from a disruption in the monthly reproductive cycle. The name polycystic ovary syndrome comes from the appearance of the ovaries in some women with the disorder — large and studded with numerous cysts (polycystic).

Polycystic ovary syndrome affects about one in 10 women in the United States and is the leading cause of infertility in women. Early diagnosis and treatment of polycystic ovary syndrome can help reduce the risk of long-term complications, which include diabetes and heart disease.

Alphabet Doc wanted to run more tests, but I guess my body picked up on it because I started having a little spotting within days. I never went back to do the rest of the testing, because I figured I was fine.

Here we are, almost two years later, and no baby. So back to the starting line. Again. The BigHMO doctor - who was bespectacled, grey-haired, pony-tailed, and not-quite-100%-there in the room with us - was nice enough, though we'll call him Dr. Jerry Garcia so you can have a proper visual. To start fresh, he performed a PAP smear and a pregnancy test. The latter was negative, and we'll know the results for the former in a few days. I go tomorrow for a glucose tolerance check (I think that's what it's called) and some other tests.

He also wrote a prescription for Provera, which should kick start my period. At his advice, I'm putting off taking it until after our cruise in March, since he said I'll most likely have a heavy period.

bienvenidos a casa defrias

Welcome to our new baby blog. Well, not quite yet a baby, but we're working on it.

This is the place we're going to chronicle the working on it part (the G-rated parts!). I've been inspired by my friends, new and old, who have opened up so much of themselves on their blogs for the world to see.

This particular blog is by invite-only, mainly because I don't want to broadcast it to the world, and well, actually that's the only reason. Moving forward, we'll invite more friends and family into the blog as we have more - hopefully - good news to share. In the meantime, we're going to record things here as we go along.

Thanks for reading.