Well, that was overwhelming.
We had our RE appointment today. I’m glad I told work I wouldn’t be back afterwards (they don’t know it was RE and they don’t ever need to know). I’m still processing everything.
I think I like our RE doctor? He was a little pushy about a handful of things – eat less carbs! eat more vegetables! take lots of vitamin D! – without listening to me saying I already eat less carbs, eat a shit ton of veggies, etc. But when he told me to lose five pounds, I did say no. He started saying something about being close to overweight on the BMI scale and I was just like no, I am not going to lose weight, I am active and healthy and I am not going to focus on that, we are moving on here. Thankfully, he relented and was like well five pounds isn’t really anything and I was like exactly and we continued on our merry way.
Aside from those small things, the overall experience was positive. It was nice just having someone actually listen – aside from in regards to food – and validate that yes, six attempts with confirmed ovulation should have seen us pregnant and yes, something was probably wrong. It was also severely validating to have the doctor be so surprised that I could have gone for ten years with only a cycle twice or thrice a year and not have any other doctor even think there was something wrong with that.
Anyway. So we talked and went over medical history and then I got weighed and blood pressured and told to take off my skirt. The nurse checked my thyroid and then they went for the dildo cam. I wasn’t expecting to meet Mr Cam quite so early in our date, but it was less uncomfortable than I expected. The doctor interpreted the blurs and amorphous blobs on the ultrasound machine in real time, which was cool.
Apparently my uterus is: a) retroverted, which is ultimately harmless; b) has an impressively thick lining – and not in a good way – and; c) has super huge ovaries. C has the doctor thinking I might have PCOS, which they’ll confirm with a blood letting after my cycle starts. B is a definite problem and may or may not be associated with PCOS. Apparently large ovaries =/ large cojones. A is kind of cool.
(It was also cool to confirm that yes, I did ovulate last week, so thank you temps for at least keeping me appraised of that situation.)
So. The PCOS and the super duper thick lining are both problematic in and of themselves and together would easily thwart any attempts at pregnancy. PCOS gives me the irregular cycles and not-so-good eggs and the lining interferes with implantation and gives me a higher chance of miscarriage. No bueno.
Thankfully, the RE doctor seemed pretty optimistic about clearing it all up. There’s still the blood test to do to check my hormones and then he also wants to do an HSG to check for blockages and polyps. I was reeeaally hoping he wouldn’t say HSG because I have read all ya’ll’s experiences with that particular procedure and it seems to either be extremely uncomfortable or downright excruciating. I get valium beforehand but idk how much that will help.
After the HSG, he wants to do a hysteroscopy and D&C to clear out that extra thick lining,which also sounds horrible – but at least I’ll be knocked the fuck out. Apparently the lining builds up and builds up and can lead to uterine cancer down the line, so even if I wasn’t trying to get pregnant I should do this procedure.
Then, after all that, he thinks that with a little metformin to control the PCOS, my cycles should even out and we should be able to get pregnant on our own, with an home insem as we’ve been doing. Which is really incredibly reassuring.
The donor is getting checked out, too, but after everything else I’m fairly convinced this is my body’s fault. Honestly, I didn’t expect the doctor to find anything wrong with me and I am strangely relieved that there are Things and Diagnoses and that we have something we can work on and fix. It’s a relief to have a direction we can take and plans to get there, instead of flailing each month and wondering what’s wrong and not knowing.
Still, I’m a little surprised at just how many things might be wrong with me and a little bummed that even a mostly paleo diet hasn’t been enough to keep PCOS at bay. The doctor wants me to go even stricter and very low carb, but I’m not sure I’m mentally ready for that quite yet. I would like to see what the blood results are and confirm PCOS before going through the hell that is very low carb first, thank you very much.
We’ll know more soon(ish), since I’m supposed to go in for the blood letting and the HSG relatively quickly after my next cycle starts. Which, if I calculated my ov date correctly, is this weekend.
TL;DR: Went to the RE! Might have PCOS! Definitely have a too-thick endometrium. More tests soon!
If anybody has any experiences with the hysteroscopy and D&C please share. Also any tips for surviving the HSG. Oh god.