I feel like life is a series of journeys. Sometimes multiple journeys at once. While my life is currently multiple journeys all happening at the same time, there is one that most of the time consumes my thoughts, is the reason for most of my stress, etc. This is my journey of infertility. I will warn that parts of my blog coming up some may find to be too much information, all I have to say is no one is making you read this. I do not plan to share every single little detail of my medical history, I will share the parts that have the most significant impact on this particular journey. Please if you have any questions, feel free to ask.
While we have multiple factors that we both contribute to this battle, our journey seems to focus around my infertility factors. Some struggles I have been facing are hypothyroidism and a new, but long overdue, diagnosis of polycystic ovarian syndrome (PCOS). While we had stopped trying to prevent pregnancy before I first went to the doctor I knew we were on the road for trouble before even starting to try, so we ended up at the doctor fairly early compared to most couples. Generally in the medical community it is suggested it is suggested for couples to try for one year then seek help, however as we already knew that I neither ovulate nor generally have menstrual cycles on my own, we didn't have to wait the full year.
My first appointment was in November, mind you it was about a week after we got here, my general practitioner acknowledged that my thyroid issues, an autoimmune hypothyroid disorder I have, were present, she didn't seem to want to check my thyroid levels to make sure at least that part was on the right track. As far as not having periods and ovulating she decided to pass it onto OB/GYN, which turns out to be best. I had to wait about a little over a month to get into the OB/GYN office on post, the first appointment takes a while, an extensive history and lots of labs ordered for both me and Nathan. This first doctor at the OB/GYN office seemed to brush off the fact that I still was not having a period, I asked at this point if I could have PCOS. I have been asked several times in the past by several different doctors if I have PCOS and have even been told by a couple of doctors that I most likely have PCOS, yet no one has ever wanted to address the issue.We were told to call back in a week to make a follow-up appointment, when we called in a week we found out the doctor left the practice and that I would have to wait a month to get in with another doctor in the practice.
My next appointment was with my second doctor with the OB/GYN clinic, I really liked him, no bullshit and gives you a straight forward response to what he is thinking. He started out right away stating he didn't feel like he could help us much and that our real chance of conceiving would be by intrauterine insemination (IUI) and infertility drugs combined. This means that I would be on drugs for a few weeks leading up to ovulation and then at time of ovulation sperm would be placed at the top of uterus, up past the cervix. However, before he could give me the referral to see the reproductive endocrinologist, the one who would help us with IUI, I had to go through one more test, an HSG. An HSG, hysterosalpingogram, a test in which dye is shot through a catheter that is threaded through the cervix into the uterus and then continuous x-ray is done to see if the uterus and fallopian tubes are clear. I couldn't schedule mine for almost a month and half after this appoint, so mid-March time frame. Before having my HSG I did lots of research, I had seen 2 as a nurse, but still did research. From what I found is women who have not had children the test could be extremely painful, I have to agree thankfully it only lasted a few minutes. It felt like someone was powerwashing my uterus, however I got good news in the end, at least my uterus and fallopian tubes were open meaning I didn't need surgery. From this point I was finally sent to the reproductive endocrinologsit.
Finally about a month after my HSG I saw the reproductive endocrinologist, we had to travel to Columbia to see him, closest one to us and took a little over 2 hours to get up there. Right away he thought I might have PCOS and ordered some testing to confirm so. If I did have PCOS I would not be able to start treatments for a several weeks as I would be started on a med to help with the PCOS and he wanted me to be regulated on that before starting any further hormone treatments. It turns out I do indeed have PCOS and was started on the dreaded medication. I say dreaded because it has made me so sick, I started at a low dose and then had to up my dose every week until I was quadruple the starter dose. With each dose increase I would get sick all over again, only to kind of start feeling better about the time it was to increase again.
This is where I am going to end at this time, stabilizing on the dreaded medication. As I said in my last post I will keep this a few weeks behind go allow us and our families time to process any new news and everything that is going on. In the meantime I will post about other things going on in our lives and some things I have learned through this journey.