PCOS & Infertility: Part II

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Hey y’all! This is Part II to my PCOS & Infertility journey. If you haven’t read Part I, please go back and do so. You can find it here.

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My next appointment was the worst visit I had with this gynecologist.

At this point, it’s been 7 months of us trying to get pregnant with no success. Seven months of disappointment. When I get to my appointment, I was already feeling crushed. I haven’t lost as much weight as I would have liked and obviously the medicine wasn’t working.  My weight was the first subject the doctor brought up. “You are so pretty. We must work on the weight,” she said. “If you could lose weight, your body will probably jump-start itself and it would be easier to conceive.” Now, I’m not saying that she is wrong, but at this point I had changed my lifestyle trying to lose weight and it was working, but very slowly. Seventeen pounds isn’t the best, but it is something. She reluctantly agreed to go ahead and let me start taking Clomid.

I started taking Clomid in October 2015. The first month I started at 50 mg. Not knowing what to expect while taking Clomid, I researched some of the side effects to prepare myself for the worst, but nothing happened. No side effects, no ovulation. The next round, she bumped me up to 100 mg of Clomid and 1000 mg of Metformin. I had routine visits with the doctor and 21 day blood work done. The following months my Clomid dosage increased to 150 mg. And still nothing. Not even a little.

The Medicines

If you haven’t had to take Clomid or Metformin, let me just take this moment to tell you how much I loathe them. Clomid did not work for me as far as making me ovulate; however, I did have many side effects as my dosages were raised. These side effects ranged from emotional breakdowns (random crying, depression, and fits of anger) to hot flashes and intense nausea. I figured if I felt this bad then it had to be working, but it didn’t.

Metformin was/is the worse for me. Metformin is a diabetes medicine that also helps women with PCOS. Great! Except for one major side effect. Diarrhea. Instantaneous diarrhea. Running to the bathroom and praying you make it. I once told a friend of mine how the medicine was making me feel and she said it is similar to the effects of having your gallbladder taken out. FUN! They say that if you eat healthy and manage the amount of carbs you eat then you should be fine. That is not the case with everyone. On the plus side, once you’ve taken the medicine for a while it doesn’t happen as often.

Finding a New Doctor

While still taking the Clomid, I decided that it was time to find a new doctor. She was a great doctor who has helped two of my friends get pregnant, but it wasn’t clicking for us. This move made me extremely anxious since I had already started a treatment plan with her, but my appointments with her caused me so much anxiety that I decided that it was time for a change. I already stress more than the average person and this added stress was making me a little crazy (just ask my husband). I wasn’t sleeping well and on edge all the time, so I began the search for a new doctor and I needed a doctor who could tell me more about what was going on other than I was fat and needed to lose weight to get pregnant. That I knew. Tell me something useful, please.

All doctor referrals were welcome, but I had decided that I was not settling for just any doctor. I wanted someone who wasn’t going to judge me based on my weight and who understood what I was going through.

And thanks to my hubby, I found her.

I found my current doctor through my husband. To my chagrin, he was speaking with a friend about all we were going through and, unbeknownst to him, she also has PCOS. So she recommended her gynecologist since she was pregnant with her second child thanks to this doctor. I started doing my research. First with my insurance company (between blood work, ultrasounds, and medicine things were already adding up) and secondly, searching the internet for reviews about this doctor. My search came back with all positives so I made an appointment.

After meeting her and discussing my concerns, I knew she was the doctor for me. We talked about what PCOS is, what I should expect from the medicine, how is the best way to lose weight with PCOS, and how will my anxiety effect the medicine. We decided to start a new medicine, Femara, and to continue taking Metformin. Same routine as the Clomid, but the Famara is known to work better for women with PCOS.

I have taken two rounds of Femara with Metformin. I started with 5 mg and 1000 mg of Metformin. My bloodwork results showed that I still hadn’t ovulated. We tried one more round taking 10 mg and 2000 mg of Metformin. Again, nothing. My progesterone levels were the highest that they have been (3.3), but still not as high as they should be (12-13).

The Next Step

And that is where I’m at right now. The next step is to see a fertility specialist in September. I know what options are left and I hope and pray that they will have success.

I will be updating this thread as things unfold for us. Fertility issues are not openly discussed and those going through it need to know that they are not alone. If you are going through fertility treatments, I urge you to find a support system if you don’t already have one. I know that with the love and support of my husband, family, and friends I would have gone postal by now.

What are your experiences with fertility treatment? Let me know in the comments. I look forward to hearing from you!

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