Last week, we flew to Chicago for my appt with Dr. K.wa.k-Ki.m. I had been praying that I would miraculously fall pregnant and wouldn't need to make the trip. However, God had different plans for me. It's been 6 months since my last miscarriage and I knew I had to do something to get pregnant and stay pregnant, and so I decided to keep the appt. I had been following the RI Yahoo Group for a while and so I had a vague idea what to expect for the appointment.
We reached her office at 8:30 in the morning and without any delay, they called me in for bloodwork. They took 22 vials of blood for all the RI tests I have never heard of. I was supposed to drink 32 oz water to have a full bladder for the ultrasound. I think I overdid that and I badly wanted to use the restroom. Thankfully, the sonographer didn't keep me waiting for long. She was the sweetest & kindest person I have ever met. I felt totally at ease with her. I was on P+15 and I had already tested to confirm that I wasn't pregnant. Ever since I began Metformin, my cycles have become more regular 28-29 days. Last cycle, I had 4-5 days of mucus and had my Peak around Day 13. I even had a confirmed rise in BBT and so I went ahead and took Progesterone. Since, I was on P+15, I expected my period to begin any minute and hoped that it wouldn't until the appointment was over.
During the ultrasound, she kept telling me that she couldn't find a Corpus Luteum which she normally finds in patients who have ovulated even if they are about to begin their next cycle. She could see layers in the endometrium which is normally not seen after ovulation. It either meant I didn't ovulate or I had a wimpy follicle and the corpus luteum died out too soon. My emotions were all over the place. So much for the mucus buildup and the rise in BBT! She found tiny cysts on both my ovaries and asked me if I had been on Clomid or Femara. I was on Femara for 3 unmonitored cycles and had stopped taking it from July. Either those could be leftover cysts from the Stimulated Cycles or it would mean that my ovaries were polycystic. I almost lost it and was on the verge of tears but I managed to put on a brave face. She checked the blood flow to my uterus and ovaries and it was something around .62 when it should have been around .4. My right ovary had poor blood flow and my left ovary seemed more dominant. That explained why I ovulated on my Left Side on Clomid cycles. I am not worried about that because my left side is the side I have my Fallopian Tube. I asked her if she could see any Endo and she said she didn't see any. Of course tiny Endo cells wouldn't be visible but otherwise, things looked good on the structural front. I also had a very detailed Thyroid Ultrasound and though one side looked a bit abnormal she didn't find anything significant.
After the ultrasound, the Nurse Practitioner discussed my Medial History and I had a Breast Examination. Next, we met with Dr. KK and she explained that my ovaries looked polycystic and the need to go on a Low Carb Diet. She asked me to lose 10 lbs to help with ovulation. Since I was diagnosed with Insulin Resitance by my NaPro doctor, she said it could be causing Poor Ovulation & Immature Follicles resulting in Implantation Failures. Also, I would need to take Lovenox shots to improve Bloodflow to the Uterus. I will have a phone appt with her once she has the results form the bloodwork. She was very realistic and didn't give me any false hopes. I asked her if I should get a Lap done to check for Endo or adhesions but she said that it wasn't needed as of now.
I have been having mixed emotions after the appt. All this while, I thought I was ovulating every cycle but it looks like I wasn't. If I am not ovulating regularly, it means my chances of conceiving are reduced which is the reason why I am sub-fertile. First and foremost, my body needs to have a healthy ovulation. Only then can I hope for a pregnancy. My NaPro doctor (who specializes in PCOS) & other doctors never found Polycystic Ovaries inspite of numerous ultrasounds. I am sure my Polycystic Ovaries and Insulin Resistance are all linked. I feel stupid for getting my hopes high each cycle thinking that I would be pregnant when I didn't even know if I ovulated or not. After each NaPro appt, I would get my hopes high thinking that Progesterone, Thyroid meds, Femara, Vitamin D or Metformin is going to help me. This appt reminded me that I was not in control and that God was the one who was in control. Even if I wanted to be pregnant, I couldn't do it as I wished. What do I do to have a healthy ovulation? I tried Clomid and still miscarried. I wish I had answers.
I am also waiting for my surgery date with PPVI. They have a long waiting time and the nurse told me that it would be atleast 4-5 months before I have a date. Meanwhile, I would need to ship my blood for the hormone panel. Now, I don't know if I want to go for the surgery since Dr. KK doesn't recommend it. How I wish life would have been easier.
My new cycle began on P+18 and I just had 3 days of light bleeding when I normally have 5 days of medium to heavy bleeding. Does it mean that I had a poor lining buildup because of poor ovulation? Since I took progesterone without ovulation, is that the reason for the light bleeding? I am freaking out over here. Do you gals have any idea what would happen if I took Progesterone before ovulation?
We reached her office at 8:30 in the morning and without any delay, they called me in for bloodwork. They took 22 vials of blood for all the RI tests I have never heard of. I was supposed to drink 32 oz water to have a full bladder for the ultrasound. I think I overdid that and I badly wanted to use the restroom. Thankfully, the sonographer didn't keep me waiting for long. She was the sweetest & kindest person I have ever met. I felt totally at ease with her. I was on P+15 and I had already tested to confirm that I wasn't pregnant. Ever since I began Metformin, my cycles have become more regular 28-29 days. Last cycle, I had 4-5 days of mucus and had my Peak around Day 13. I even had a confirmed rise in BBT and so I went ahead and took Progesterone. Since, I was on P+15, I expected my period to begin any minute and hoped that it wouldn't until the appointment was over.
During the ultrasound, she kept telling me that she couldn't find a Corpus Luteum which she normally finds in patients who have ovulated even if they are about to begin their next cycle. She could see layers in the endometrium which is normally not seen after ovulation. It either meant I didn't ovulate or I had a wimpy follicle and the corpus luteum died out too soon. My emotions were all over the place. So much for the mucus buildup and the rise in BBT! She found tiny cysts on both my ovaries and asked me if I had been on Clomid or Femara. I was on Femara for 3 unmonitored cycles and had stopped taking it from July. Either those could be leftover cysts from the Stimulated Cycles or it would mean that my ovaries were polycystic. I almost lost it and was on the verge of tears but I managed to put on a brave face. She checked the blood flow to my uterus and ovaries and it was something around .62 when it should have been around .4. My right ovary had poor blood flow and my left ovary seemed more dominant. That explained why I ovulated on my Left Side on Clomid cycles. I am not worried about that because my left side is the side I have my Fallopian Tube. I asked her if she could see any Endo and she said she didn't see any. Of course tiny Endo cells wouldn't be visible but otherwise, things looked good on the structural front. I also had a very detailed Thyroid Ultrasound and though one side looked a bit abnormal she didn't find anything significant.
After the ultrasound, the Nurse Practitioner discussed my Medial History and I had a Breast Examination. Next, we met with Dr. KK and she explained that my ovaries looked polycystic and the need to go on a Low Carb Diet. She asked me to lose 10 lbs to help with ovulation. Since I was diagnosed with Insulin Resitance by my NaPro doctor, she said it could be causing Poor Ovulation & Immature Follicles resulting in Implantation Failures. Also, I would need to take Lovenox shots to improve Bloodflow to the Uterus. I will have a phone appt with her once she has the results form the bloodwork. She was very realistic and didn't give me any false hopes. I asked her if I should get a Lap done to check for Endo or adhesions but she said that it wasn't needed as of now.
I have been having mixed emotions after the appt. All this while, I thought I was ovulating every cycle but it looks like I wasn't. If I am not ovulating regularly, it means my chances of conceiving are reduced which is the reason why I am sub-fertile. First and foremost, my body needs to have a healthy ovulation. Only then can I hope for a pregnancy. My NaPro doctor (who specializes in PCOS) & other doctors never found Polycystic Ovaries inspite of numerous ultrasounds. I am sure my Polycystic Ovaries and Insulin Resistance are all linked. I feel stupid for getting my hopes high each cycle thinking that I would be pregnant when I didn't even know if I ovulated or not. After each NaPro appt, I would get my hopes high thinking that Progesterone, Thyroid meds, Femara, Vitamin D or Metformin is going to help me. This appt reminded me that I was not in control and that God was the one who was in control. Even if I wanted to be pregnant, I couldn't do it as I wished. What do I do to have a healthy ovulation? I tried Clomid and still miscarried. I wish I had answers.
I am also waiting for my surgery date with PPVI. They have a long waiting time and the nurse told me that it would be atleast 4-5 months before I have a date. Meanwhile, I would need to ship my blood for the hormone panel. Now, I don't know if I want to go for the surgery since Dr. KK doesn't recommend it. How I wish life would have been easier.
My new cycle began on P+18 and I just had 3 days of light bleeding when I normally have 5 days of medium to heavy bleeding. Does it mean that I had a poor lining buildup because of poor ovulation? Since I took progesterone without ovulation, is that the reason for the light bleeding? I am freaking out over here. Do you gals have any idea what would happen if I took Progesterone before ovulation?