My post-op appointment went well today. When Dr. K walked into the room he asked me if I was mad at him when I woke up from my surgery. I said, "Honestly, I was a little mad, but not at you. Part of me wanted something to be wrong so I would have a reason why I wasn't getting pregnant again. But the other part of me was relieved." He said he understood, and it was natural to have those mixed emotions. He said he was glad he didn't find anything wrong because while the things that could have been wrong can be fixed, they often come back. So he said, "In this instance I didn't want to find anything wrong with you."
He showed me all the pictures from my lap (very cool...did you know your ovaries are white??). He told me everything looked beautiful in there. He said the only things that weren't quite right were my ovaries...classic PCOS, which he was expecting.
I have a good friend that's a dietician who works with diebetes patients, and she asked me a while back if Dr. K had me on glucophage (a.k.a. metformin, or met, for short). I told her no, but that I had asked for it, and Dr. K said he didn't want to go that route just yet because I had responded so well to the Clomid. Well I kind of fibbed today and told Dr. K that I was seeing a dietician to lose some weight, and she wanted me to ask him if he would consider putting me on glucophage. (I used the brand name this time to make it sound more official, but I was fully expecting to hear the same reasoning that I heard before.) But here's where he totally floored me...He said, "We can do another glucose test, and if you're even the slightest bit IR (insuline resistant) then I'll put you on it." Hmmmm, why didn't he do that 6 months ago when I first asked for the met??? It's really a moot point now, but I'm just so thrilled that he's going to at least move in that direction. I think it had to do with the whole "the dietician wanted me to ask" thing. I told him that I had been so good about cutting out all things white, all things sugary, I was working out regularly, watching my caloric and fat intake, etc...and the weight just wasn't coming off. I told him that I do lose a little weight (4-6 pounds), but then it just stops. It doesn't matter what I do, I just can't get the darn weight off. And he said, "Well based on what you're telling me it sounds like you do have some IR, so let's do the glucose test and then go from there." (Can you hear the angels singing???)
He asked me if I was ready to give it another go, and I told him I was going to be mad if he wasn't going to let me ttc this cycle. He said he didn't want me to take Clomid without the Met (if I needed it) until I had done the glucose test, so I'm going in on Friday to do the test, and hopefully he'll have the results before AF arrives (if she decides to pay me a visit). That way I can start the Met and Clomid next month!!
So then I told him that in the off chance that AF did pay me a visit it was going to be right in the middle of our anniversary trip to Jamaica. He said, "Oh, that's not good. I'll give you an Rx for Provera to try and induce AF before you leave because I want you having a good time on that trip. You need a good, relaxing vacation." He said it might not work, but it's worth trying so I'm not spending our anniversary trip crabby and uncomfortable.
I'm not going to let myself have even the slightest glimmer of hope that I am IR because we all know that getting my hopes up will only lead to heartbreak. So I'd rather be realistic and think that the universe couldn't possibly be so kind. That way I'm completely shocked if things happen to go my way.
Wednesday, October 31, 2007
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10 comments:
your dr has to be the kindest dr i have EVER heard of. I am wishing and praying for ya
Does your Dr. have a brother? maybe one that lives in my town?
Can't wait for your Jamaica Trip. I write that like I'm going with you or something.
I've been to Ocho Rios Sandles. Soo nice, but remember there is a trek to get there from the airport. I'm sure you've heard. Make sure you go to the restaurant on the pier. Its so romantic. I can hear the waves crashing now as I sip my cocktail and wear my cute sun dress.
I have a new blog, and needed to stay undercover for awhile, but hopefully you will find me again.
Yay for a cooperative doc! I'm hoping for the best.
I liked the whole,"I'd rather be realistic and think the universe couldn't possibly be so kind" part of that entry! I feel that way too often about things. But I will be praying in your case that the universe is the most conciderate and freindly place to be.
Let US get our hopes up for you!
Love you!
Ang
I have polycystic ovaries and high LH:FSH but the docs have never put me on Met. I plan to ask for some more glucose and cholesterol testing when we have our intial consult with the new RE this month. Isn't it so frustrating to be trying to diagnose and treat yourself? If only we could rely more on the doctors!!!
Anyway, sorry for the rant and Kudos and Congrats to you for your hard earned forward progress.
I have the same exact issue with the metformin. My old doctor wouldn't prescribe it because he didn't believe I was IR and my new doctor had me take the glucose test and I wasn't IR, so I can't get it. I hope that your test turns out better, as I know that the mix of Clomid and Met can really do the trick for a lot of people.
I'm so glad you have a supportive doctor--it really does make all the difference! :)
Quite honestly, I bet you are insulin resistant. You sound like you have all the classic symptoms, and quite honestly, he should start the metformin anyway. Low dose and see how it goes... classic PCOS does so well on that drug.
And your ovaries showed the classic PCOS signs, right?
Well, I sense movement... that's what you need... at least it's not the usual nothing going on but waiting... and the trip coming up... I think things are turning around...
Yay for a good ole uterus! I agree about Met. Start it now!! He should had already. I am not insulin resistant but my RE still has me on 2000mg a day of Met.
Thanks for your encouraging words. I needed that... I just looked and you also lost your baby around the time I did (I learned baby's hb stopped at 8w4d on 1-8-07). I will be thinking of you during this season as I know I won't be the only one that is sad. Thanks again.
Hi! Clicked on your blog from ttc#1 12-24 mos. :)
The really crappy thing is that as my RE told me, you can BE IR and have it not show up on the GTT. Mine goes more on symptoms and difficulty ttc and keeping a pregnancy. I don't know why he wouldn't start you on the lowest dose and see how it goes. That's what mine did. I agree with Yoda.. sooooo frustrating.
Maybe when you get your RE, you'll be able to go on the met. More RE's tend to prescribe it I think. Mine resisted at first b/c I was thin (though up from what I used to be.. started having trouble keeping weight off) and he says thin cysters have problems with s/e's. But I had none!
Anyway.. best wishes.
B
(Barl5)
Yay for a behaving ute!
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