Monday, February 8, 2016

Our very very long post about our road through infertility.

*NOTE* This post is extremely long and will only be followed by another extremely long post. This post also might contain more detail than you want to read but hey you can always leave if you reach that point. :)

Kelly and I have been married for almost 8 years. We, unlike most Utah families, waited quite sometime to have children. At first it was planned and then when it came down to actually starting our family, we ran into some bumps and then it was not so planned. Kelly and I decided about 3 years ago that we wanted to start our family. Before we started trying, we decided that I should go get everything checked out because I wasn't as regular as most women and we figured we should probably get it checked out just in case.

The first doctor.....
This doctor had multiple blood tests done and also advised that I get an  Hysterosalpingogram (HSG).
This is a procedure where they inject contrast dye into your cervix. This dye fills the cervix and the fallopian tubes. This will show if there is a blockage in the tubes.

All blood work seemed to come back normal and the HSG showed no signs of  blockage but did show that my cervix had a extremely tiny dip at the top. The doctor confirmed that this shouldn't cause any problems with getting pregnant but you never know.

With the symptoms I provided him and the test results, he decided to diagnose me with PCOS (Poly-Cystic Ovarian Syndrome). PCOS is a problem in which a woman's hormones are out of balance. It can cause problems with your periods and make it difficult to get pregnant. Some women with PCOS may have cysts in their ovaries. Some women's bodies who have PCOS may have a problem using insulin. Studies have shown that using the medication Metformin (normally used for patients who have diabetes) help counteract the symptoms of PCOS and may aid in getting pregnant. So the doctor prescribed me Metformin.

After about two months of using Metformin, I had shown no signs of improvement. I then decided to get a second opinion and see a different doctor.

Doctor #2.....
This doctor was so great and I couldn't have asked for a better appointment.
He let me tell him my situation and what I have done up to this point. He did the normal, womanly check, had me do some more blood work and reviewed all my previous blood work as well as the HSG.
He explained to me that he was by no means and expert in the OBGYN area but was willing to help me where he could.
After he went over everything and got my blood work back, he explained what he had seen.
He stated that the extremely slight dip in my cervix was nothing we should worry about because it could have been the way I was laying at the time. He also told me that my blood work came back that I had a slightly low testosterone level.... WHAT..... but I am a women! Well come to find out women do have a level of testosterone in their systems. Not as high as a man would have but we have one. But anyways back to the story...... He said although I do have a lower than normal level it wasn't something I need to freak out about but something that needed to be helped.
Like he had stated before, he wasn't and expert with OBGYN but what he knew, the testosterone level was raising a concern. He decided to refer me to an OBGYN specialist to help me. He told me because of all my symptoms and the results from the tests, he wasn't fully convinced I had PCOS but knew something was up and wanted me to see a specialist.

Doctor #3.......
I will be honest, when the last doctor told me I needed to see a specialist, I FREAKED. I didn't want to have to see a specialist. I wanted him to tell me what was wrong, prescribe me what I needed and say we will see you in a month for your first pregnancy appointment. But I came around and decided if I really wanted to start a family I needed to go to all lengths possible to do so.

Let me just tell you about this doctor. His name is Dr. Stanton Bailey and practices at Central Valley Medical Center in Nephi, UT. He travels to a couple different locations but this is his main office. And he is AMAZING. I am talking works miracles AMAZING. He is the best doctor and most understanding doctor of all times. (some might disagree but I personal think he is the greatest doctor). He took his time to explain everything with me and he was there to listen to my concerns and he promised that he would do everything in his power to help us become parents. His office staff was amazing too.

Anyways, back to the appointment.....
I explained everything that happened with the last two doctors and before I could finish, he interrupted me and told me to immediately stop taking Metformin. He stated that in some cases it does work but unless I have been fully diagnosed with PCOS and the insulin stuff was my complete problem I shouldn't be taking it because it could start causing more problems. He told me he wasn't fully convinced that I had PCOS and wanted to do some more blood work.

After reviewing my blood work results, the HSG and my symptoms, he told me that he wasn't going to diagnose me with PCOS and was just going to trial and error what he could to figure out what I had. He started me on a medication call Prometrium. Prometrium is a type of female hormone (progestin). In women who are not pregnant and not going through menopause, this medication is used to restore normal menstrual periods that have stopped for several months (amenorrhea). He told me to take Prometrium for 10 days and on the 10th day or soon after, I should start my cycle. He then prescribed me with 50MG of Clomid. For those who don't know, Clomid is a medication used to treat infertility in women. It works by stimulating an increase in the amount of hormones that support the growth and release of a mature egg (ovulation). He stated on the 5th of my cycle take Clomid once a day for 4 days. He then said that women are different and ovulate different. He said some women ovulate at day 10, some ovulate at day 20 and some in between. He said to give us a higher chance in getting pregnant, he recommended trying every other day from day 10 of my cycle to day 20. He was hilarious and said if your husband thinks I am lying, I will make a prescription for both of you to follow and he literally got a prescription pad out and wrote everything word for word out for me to take home ha ha ha ha.

He recommended that we try this for a few months before moving on. He also said that after he tries what he can prescription wise, we could do a laparoscopy but it was his last resort.

Let's just say after this appointment I was hopeful that Kelly and I would soon be parents.

3 months later....
Still nothing. Granted I had a consecutive cycle for the 3 months but no positive pregnancy tests. I was disappointed to say the least. So I called Dr. Bailey's office again and they advised I come in for re-evaluation. At this point I was getting ancy... all I wanted was to see a positive pregnancy test.

At this visit, Dr. Bailey, again reassured me that he was going to do everything he possible could to help us become parents. He advised that I get off the prometrium and upped the dosage on the Clomid to 100MG. He said if this didn't work, he wanted to give my body a break from the clomid and we would try something else.

He advised that I try to lose some weight to aid in the process. So I took his advice and that day, I stopped drinking soda, started eating healthier and started working out.

Approx.. 3 months later and 8lbs lost.....
STILL NOTHING. Not to mention I had only lost 8lbs. I was disappointment and depressed at the outcome. I was frustrated and inpatient so I called the doctors office. Dr. Bailey told me that we could come in again and get re-evaluated and try a different medication. I asked if the laparoscopy was still an option because at this point I was convinced that there was something else keeping us from getting pregnant. Like before he had said that the laparoscopy was the last thing he would try before sending us off to a fertility clinic and wanted to try some other options before doing so. I told him that I had met my deductible on my insurance and I just wanted answers. He agreed and we scheduled the laparoscopy for June 27th, 2014.

I was excited and nervous all at the same time.

Sorry to cut this short....well....long but I have a starving 7 month old screaming, a dryer buzzing at me and the timer for dinner going off so I better run. I promise I won't leave you hanging for long but there is plenty more of this story to share..


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