More diagnoses

Hello everybody. I’ve been gone for a while, haven’t I. Well I’m back just for a quick post to update my sitch–

You know that we have had trouble conceiving #2. In May I saw an infertility doctor and last week I had a saline infusion ultrasound. It found a uterine polyp, which I am having surgically removed next week. It also found polycystic ovaries. Given my short luteal phase and tendency to put on weight, the doctor officialy diagnosed me with polycystic ovarian syndrome and put me on metformin and a low carb diet. So that’s where I am.

Not much more to say about it, really. “Low carb” is only moderately low carb, 100-130 grams carbohydrate per day. I am on my third day of metformin and feeling much better than yesterday, when I had a crazy bellyache in the night and felt run down all day. Metformin makes me thirsty so I’ve been careful to drink lots of fluid since I started feeling poorly yesterday.

What a miserable diagnosis. I’ve always kind of enjoyed talking about Hashimoto’s disease, but PCOS feels humiliating. HEY EVERYBODY I have a disease that makes me fat, spotty, furry, and bald. Great. Oh also my ovaries are full of marbles.

I was 14 when I was diagnosed with Hashimoto’s disease, and had enough of a sense of humor to laugh about it. I am now 33 and just being diagnosed with PCOS. I feel nothing but grumpy.

Cycle 12, no luck

My hormones were in overdrive on this first cycle after the miscarriage. I really hoped that this one would be a winner. But this morning my basal body temperature crashed a full degree from yesterday… so it isn’t. Onward and upward I guess. One more cycle before we’ll have been trying for a year. 13 cycles, 3 early losses (so far). A deep down part of me feels sure that it won’t ever happen, and I’m working on being at peace with that.

Weekly weigh in 3/3/2013

Last week’s weigh-in: 197.6
Lowest observed weight this week: 195.4
This morning’s weight: 197.0

Weekly overview: I did well at the beginning of the week, then slowly went off the rails as pregnancy testing began in earnest. I struggle with caring about much else, here at the end of a cycle. I think I am seeing faint positives and I’ve been taking Prometrium the last two nights. It’s an emotional rollercoaster. I’m happy to be down just a little bit from last week, this morning.

Weaknesses: didn’t even count points for five days this week, gave up on trying to eat lots of fruit and vegetables the last two days. So, basically, not even trying to lose weight for most of the week.

Strengths: I tracked and got hungry overnight the first couple of days, and kept up eating fruit while cooking dinner which put me at 195.4 midweek.

Plans for the coming week: I think I’m seeing shadows on my pregnancy tests, like I said, and I’m preoccupied with that and also with an upcoming vacation that we leave for mid-week. This isn’t going to be a Weight Watchers week. I’ll keep trying to eat more fruit and vegetables, and I have healthy dinners planned until we leave. Healthy dinners that leave lots of leftovers for breakfast and lunch.

Our little fertility problem

Because it’s tied up with weight loss and also women’s health, I think I’m going to start blogging about baby making here. I know it’s a subject with limited appeal, but it’s a big part of my head space right now. If you’re bored with it, don’t read these posts.

I’ve always had a feeling that my hormonal balance wasn’t quite “right”. It started when I was twelve and came down with Hashimoto’s disease, an autoimmune disease that in my case started out as a high fever with no other symptoms. It lasted two weeks and left me feeling tired, so tired. Then my periods began to get long. Then one lasted for several months, and idiotic 13-year-old me was afraid to tell anyone. Then I passed out on the living room floor one evening (anemia I guess), my mother took me to the emergency room, and I was diagnosed with Hashimoto’s disease. I was put on Synthroid to treat that and birth control pills to treat the bleeding, and that was the end of it.

Until I was twenty-nine and wanted to have a baby. I was sure it was going to be a big hairy deal. I hadn’t had unregulated cycles as an adult, ever. I went off the pill. I got pregnant on the second cycle. I had a flawless pregnancy, no problems at all, and delivered our beautiful baby daughter the day before my due date. Happy story.

Fourteen months later, said baby daughter began to sleep through the night consistently, and we decided we were ready to have #2. I went off the pill again, and like an idiot, bought myself some new maternity clothes. Sigh.

My luteal phase was short, only eight or nine days to start with, which is supposed to be a problem but it had been that way last time around and didn’t slow me down, so at first I didn’t worry. Something like 25% of women with no fertility problems have a short luteal phase, my doctor said.

On our fourth cycle of trying I got a positive pregnancy test. Two days later I started to bleed and the test was negative. Chemical pregnancy.

It happened again on cycle eight.

By now I was mad, and made an appointment with my OB-GYN to talk about it. She gave me a Prometrium prescription to start taking as soon as I got another positive test, and sent me for a pelvic ultrasound to make sure I didn’t have fibroids. Since nobody has called me about it in three weeks, I assume that ultrasound went just fine.

We are on cycle eleven now. My cycles are short, so it still hasn’t been a year of trying, but I am frustrated. Have I gotten too old? Am I really broken after all? Was our daughter a huge piece of good luck? Do no other babies want me for a mom? And darn that age gap between her and her possible sibling–it gets bigger and bigger every cycle. I wanted them to be closer together. Now they won’t be; best case scenario is 2 years 8 months apart. Rats.

Two chemical pregnancies could still be bad luck; something like 50% of pregnancies fail early. I probably have a low progesterone level, though. The short luteal phase points to it, the early losses point to it, and my CD21 progesterone draw in August put my level at 5.2, and the normal range is 5 – 18. So yeah, low-ish progesterone level.

And guess what can cause that? Being overweight. Being sedentary. Poor diet. ALL my fault.

So there’s one more reason I want to lose weight. As if there weren’t enough already.