Wednesday was a big day. We had a meeting the new doctor's office, an OB, at the regional fertility clinic!
We've been TTC over a year now and had been on a waiting list to get into the clinic for a few months. The doctor seemed to be a good one, who will be able to help.
Ideally we would like to try out the drug route first and the doctor was most accommodating. He was surprised that I'd found a GP to prescribe metformin and clomid. (I knew I did well in finding him). I have a six month rx for clomid 50mg and a standing order for P4 blood tests each cycle so that the fertility clinic can monitor my ovulation.
I went for my P4 draw yesterday so they could see if the 50mg clomid the GP gave me had worked. I haven't heard back yet as to what the results were. The OB nurse did say that cd21 was a later ovulation then they would like to see and that they would likely increase my dosage to 100mg in hopes for ovulation closer to cd14.
The scary part is knowing that my P4 from my last cycle was super low at only 11.8mmols. The OB says I don't need progesterone supplements. I've read that without adequate progesterone it is difficult to get pregnant and also difficult to keep the pregnancy. With an already increased chance of miscarriage (25%) due to PCO, this makes me quite nervous indeed. I think the OBs logic is that if you can achieve an adequate ovulation you will not need supplements.. Let's hope for the best.
They also scheduled me for an HSG next cycle (I've been told this can be painful) to which I was given prescriptions for two different medications. One for the pain to be taken the day of, 2 hours prior, and one which is to prevent infection that I'll be taking for 5 days. DH is also scheduled for an SA. Both of these tests will come back good, I am quite certain. Although it's always good to have our bases covered. Plus knowledge is power and one less thing we need to worry about.
I'd been a bit afraid that the OB was going to jump to extremes like some type of surgery, IVF, or that somehow they'd end up tying my tubes. I know, I know, crazy but after the year I've had with GPs it wouldn't have surprised me much. I'm planning to now default to the OBs expertise and trust that he knows what he is doing.
This week my FF chart got CHs and my temperatures seem to have gone way up. Yesterday's was 36.9c! Highest ever! I was also fighting a sore throat so I'm not sure but it could've had something to do with it. Todays temp was still fairly high and I started taking the progesterone supplements. Hoping that tomorrow mornings temperature (& the rest of this week/9 more months for that matter) will be high and solid.
