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Forum: Trying to Conceive With PCOS

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  #1  
March 23rd, 2011, 08:55 PM
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Dez Dez is offline
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Today Jeremy and I embarked on our first visit with a Reproductive Endocrinologist, aka the Infertility Specialist. I was really worried that he would just brush us off a bit or only tell us what my OBGYN has been telling us, which has been a shove in the direction of in vitro fertilization with no other options unless we wanted to continue doing the IUI's.

One thing I noticed right off the bat with the RE is that he was not flitty like my OBGYN. He actually sat still and focused on us. Don't get me wrong, I like my OBGYN but she's a very hyper active type person it seems. Another thing that I really appreciated and liked was that he actually listened to Jeremy, answered his questions, asked him questions, and talked to him. He didn't just kinda shrug him off like my OBGYN does, which has always irritated the hell out of me.

We spent a while discussing our routes and came to two options:

Have a laparoscope done (if our insurance covers it) before attempting any more IUI cycles to make sure that my girly bits are normal on the outside.
If insurance doesn't cover it we have the option to pay for it out of pocket or go straight to IVF if we like as it would be more cost effective that way.
Really that's it. There is no point in moving forward with trying if my girly bits are not normal. They are looking for endometriosis, scar tissue, and tumors to be a bit more exact. If there is something wrong then we'll work to correct it. If there isn't then we'll formulate what we'd like to do but for right now I'm just glad to have some different options of what we need to do.

The IVF option if the insurance doesn't cover the laparoscope was something we brought up after discussing the general costs of both. I was really happy that he agreed and even complimented Jeremy on being so smart and cost effective. Another thing I liked is that he didn't recommend or push IVF on us. He's fine with attempting a couple more IUI's after the scope (no sense in doing it before) which is really great.

Before I forget he's bumping my metformin up from 1500mg to 2000mg to see if that won't help me ovulate. Which I don't really get as Metformin is supposed to mess with the insulin only and isn't an ovulation medicine per say, but I guess the whole balancing of hormones thing helps.

I also asked him about Vaniqua, that prescription cream to help with facial hair, and while he gives it a positive review he doesn't recommend it while we're TTC simply because he doesn't want to pump my body full of any unnecessary medications.

So today was a really good day for us on the trying to conceive battlefield. Now we just have to play a bit of phone tag with the insurance company.
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  #2  
March 23rd, 2011, 08:59 PM
Lynley's Avatar Mega Super Mommy
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So glad you had such a great appointment, Dez - and I'm glad your RE paid attention to Jeremy and included him. So many of them just focus on the woman and figure the man's just along for the ride. I'm also glad you have a DH who will go to appointments with you, ask questions, and be willing to answer questions himself! You got yourself a good guy there

FWIW, my doc put me on 2000mg of Met right off that bat, and I had my first "normal" cycle (32 days) six weeks later. It's kept me regular (except while I was pg or after my m/c) the entire time. Give it a shot - it might do the trick!

Fingers crossed that this is the beginning of a new chapter for y'all!
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  #3  
March 23rd, 2011, 09:11 PM
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I'm so glad you guys got to talk, and he listened, which is most important. Yay for having more options and another route to try! I hope this leads to a BFP!!!
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  #4  
March 23rd, 2011, 09:29 PM
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I totally forgot to add a funny part to our visit! As he was telling us how he only transfers two embryos for IVF due to the risk of multiples and health risks I couldn't stop smiling like a goon. He noticed and told me that he'd like to know why I was smiling like that in a minute. So I waited and tried to collect myself as he finished. He turned to me and asked to which I could only say, "So you mean we don't get our own TV show?". It was truly hilarious.
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  #5  
March 23rd, 2011, 09:32 PM
D@mnedYankee's Avatar Mega Super Mommy
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do you think there is a way he could word the laparoscope to the insurance company so they will cover it if they wont for TTC? A friend of mine had to have her ovaries drilled and the insurance wouldnt cover it for TTC but they did for pain management
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  #6  
March 23rd, 2011, 11:46 PM
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I'm really glad to hear that the RE was inclusive of Jeremy and he wasn't pushy! I hope for some miracle reason the met. does it for you!

BTW I cracked up at the tv show
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  #7  
March 24th, 2011, 07:35 AM
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The regulation of insulin whether it be through diet or Metformin or both is extremely crucial and beneficial to ovulating and TTC. I am not sure exactly HOW.. But I do know that just dieting and exercising alongside 750 mg Metformin has made a WORLD of a difference on how the Clomid affects me. We went from doing 100mg and the doctor asking me if I had taken them at all after the follie scan. (NO FOLLICLES) to having a 29mm follie on half the dose that got me pregnant. (Does that make sense?) I definitely think upping the Metformin dose will help- if even a little. I am excited for you!! And no, no TV show for you! Unless, by chance, your baby comes out with pink hair like you! you!
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  #8  
March 24th, 2011, 08:45 AM
BeccaMenk's Avatar Mega Super Mommy
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Yeah Mags is right. The Metformin helps the body somehow regulate testosterone and other horromones which are preventing you from ovulating. It lists ovulation as a side effect actually So it def. good he is keeping you on it and bumping it up! It might just work!
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  #9  
March 24th, 2011, 09:12 AM
katylady's Avatar Mega Super Mommy
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awesome news Dez...can't wait to see what insurance says...crossing my fingers for you there!

you have me thinking about upping the dosage of my metformin...only problem for me is that I can't seem to handle the 1500mg dosage now. Anyways, I wish you luck there!

so so glad to see postive posts with postive doctors
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  #10  
March 24th, 2011, 09:15 AM
MommytoaMiracle's Avatar Platinum Supermommy
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with everyone above!

Sounds like you had a great appointment & I can tell if you gave you hope again!

Can't wait to watch this play out!
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  #11  
March 24th, 2011, 10:49 AM
BuckeyeGal23's Avatar Happy Mommy
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I'm so glad you had a great appt Dez! Yay for a positive doctor and visit
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