Appointment went well....Dr. Wilfong was very pleasant and likeable. She said that overall my labs came back normal. I will post my results at the end of this so that those FF and DW friends of mine who've been there/done that...and anyone else knowledgeable for that matter...who has personal experience can see them and let me know if there is anything I should question. Dr. did advise that my TSH, although within the 'acceptable' range, wasn't where she would like to see it so she rx'd synthroid (??)... 50 mcg. She said she sees nothing that indiciates any other problems. Said it most likely is the PCOS and IR interfering with getting/maintaining PG. So the plan of action is: 50mcg of synthroid, 2000mg of metformin and then not this month but next month 50mg of clomid. She didn't want to start me on clomid this cycle so that the metformin and synthroid have a chance to build up in my system. Art is to go for his semenanalysis. Which, of course, he's been putting off...but I told him just now...if he's serious about this then he needs to get checked...if nothing else to rule it out. And if he's not serious, to tell me so that I can stop worrying about all this crap and just be happy with the two girls. He immediately said "I will do it!" LOL Ok.... anyways.... lab results... now keep in mind (if it matters) I am due to start AF on Sunday....so the blood was drawn on around cd18ish.... in between midcycle and luteal phase the doc said.
Estradiol 82
FSH 4.6
LH 11.4
Prolactin 9.7
TSH 2.9
and there is a ton of results under the 'general health panel'...all of which are within range it says.
So once I start clomid in October....day 21 I have to get a blood draw to check my progesterone. Doc said she'd call me and let me know results and then we'd go from there.
Ok...I just finished with Biology class and have History class tonight...but I'd love any input, etc. Doc did say that sometimes just the metformin and thyroid meds do the trick..so who knows. OH! Doc did say to count the first day of ANY bleeding at all as CD1...which goes against so much of what I've read and heard...but it IS what my other doctor said too... So...although I disagree....she's the specialist so I guess I will listen. And if that is the case...then that would mean our timing has been off most months! Anyways....if the stupid spotting would just go away, confusion would go away too! LOL Don't have it every month so maybe it will stay away once meds kick in! Sooooooo here we go~~~~ =]
Sounds like the things went really good!! Clomid directions were different for us, first 3 rounds were 50mg on days 3-7. Hopefully with timing and hormones regulated you guys will be on the right track :-) good luck!!!
ReplyDeleteThanks Veronica! Yep that is same course of action Dr. Wilfong has planned for the clomid. 50mg days 3 - 7. And will increase the next cycle if cd21 test isn't where she wants it. Sooooo fingers crossed!
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ReplyDeleteGood Luck Jeanie! My only advice is make sure the dr prescribed you the metformin XR (Or ER I forget which it is) either way its the extended release and it has much less severe side effects when starting.... My doc also had me start with 500mg a day for a few days, then 1000 for a few days, then 1500... (I am only on 1500). Doing that also helps keep the side effects down.
ReplyDeleteThanks Carrie!!! Label on metformin bottle doesn't specifically say XR or ER soooo I'm guessing it's not. ??? I guess I will see how it effects me :-/ I'm praying the meds work their magic! I've read tons of success stories about Clomid...however I'm not naïve...I know it doesn't work for some. Fingers crossed!
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