Saturday, October 22, 2011

Plan of Action

Today was an eventful day. First thing this morning I got the call that my lap/hysteroscopy is scheduled for Thursday November 10th. I go for my pre-op testing on the 2nd and then I have to meet with the doctor later that afternoon to do my history and physical. The RE doing my procedure is not my usual one. Since they wanted to get me in ASAP for this, they put me with the RE that has the first available OR time. This RE is also very nice (very sweet bedside manner) and he actually did my last in-office hysteroscopy and endometrial biopsy.

Today was also the day that I met with my new Endocrinologist. When he first walked in I was a bit put off by him as it seemed like he already had his agenda set for my appointment. I then started going into my history and his total demeanor changed. He became very engaged and seemed rather interested. By the end of the appointment he was thanking me for making him think out of the box and even gave me his email address so we can stay in touch about things as they develop. We discussed the issues I have been having with my blood sugars, my almost non-existent LH and FSH, and my fluctuating thyroid levels. After putting everything together this is what he came up with:
  1. He is pretty sure that I have insulin resistance. He said that even though I don't have obvious PCOS he said that I have a lot of the traits associated with it. For this he is starting me on Glucophage which I am starting in the morning. 
  2. He isn't sure what to make of my declining FSH and LH levels. He is planning on doing a scan of my pituitary gland but he wants to wait until all of my meds (including the Prednisone) are completely out of my system from the last cycle. 
  3. He is concerned about my thyroid. He doesn't like how much my TSH levels fluctuate. He also said that my thyroid felt quite large. Again, once all of the meds have had time to clear my system, he is going to do further tests and a scan to take a look at everything. 
I go back the week of Thanksgiving to see him again so we can schedule this testing. He said that it was best if I didn't do another IVF until we got through all of this and figured it all out. I am fine with this. I have a feeling anyway with the protocol that Dr. Braverman will most likely start me on, that I will need to wait anyway. At this point, I don't care. I just want to make sure that my body is in the best possible condition to do another IVF. IVF #5... 

4 comments:

  1. It sounds like you've got a great doc to work with. Best of luck to you!

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  2. How wonderful to have a doctor work with you in partnership - I agree that you should get your body into the right place before starting the next IVF. Good luck!!

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  3. I have to tell you...of everything I've done so far, the lap was the easiest. That's not to say I wasn't scared, because I was! But even the recovery was easier than the time leading up to it. The pain was so bad, and then the lap helped! Good luck!

    Happy ICLW.

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  4. Hello from ICLW. Sounds like you've found a good endocrinologist. I hope the lap goes well and you are able to get everything with you FSH/LH, insulin and thyroid figured out.

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