Thursday, July 22, 2010

Prayers Welcome...

Fingers crossed, prayers said, baby dust ***we had good news today!

We went in for the follicle scan ultrasound and we were hoping for a follicle between 18-25mm, and on the right side. And guess what? We have one very large 23mm follicle on the RIGHT side! I am on cd13 and should ovulate within the next 2 days or so! This will be the earliest (most normal time) I have ever ovulated. So I am thinking I love Femara! And we are so lucky it is on the right side this month.

So say a prayer for us, maybe this will be THE month. :)

Tuesday, July 20, 2010

HSG Results- official

Kelli (my nurse) called yesterday and said that the HSG results appeared to show that my left tube was closed, but then she said some other things I did not understand but basically that it is inconclusive. Ok? So the next plan is to go ahead with this cycle of Femara and have my ultrasound on Thursday. This will check that an egg is forming, showing the Femara did induce ovulation. And they will also be able to tell which side I am going to ovulate from (right side would be best for obvious reasons). Then if I don't get pregnant this month we will plan for a laparoscopy (surgery) to try to open the left tube and check/treat any endometriosis. So hopefully the ultrasound looks good and I get pregnant this month...we'll see.

Friday, July 16, 2010

Bad news for me...

So we are well into our new plan I guess you could say. We got Gaylon's tests back and he has super sperm, literally. The nurse was giving us his counts for everything and then told us the normal range, he was off the charts in almost everything. Yay for him, suck for me. I feel bad sometimes that he married someone who can't get pregnant and has all these problems. He thinks I am being silly of course, but still I can't help but think that anyway. He has been beyond supportive and way more hopeful than me. I am starting to let this really get to me.

Okay on to my tests. The ultrasound on Tuesday showed that I still had a cyst but it was much smaller and I was ok to start Femara that day :) So I am on 5mg/day for 5 days. There was some confusion at CVS bc they didn't understand why I was taking Femara for infertility bc it is really used to treat breast cancer. She was dumb. Then they couldn't read the slip right and accidentally thought I should be taking 10mg, which I knew was too much! So anyway, I think I will go to a different pharmacy next time. However they were able to bill it so that my insurance would pay for it saving me about $100.

Femara is much better than Clomid, the hot flashes are much more manageable and no headaches.

BAD NEWS... I went in yesterday for my HSG to xray the uterus and fallopian tubes. First of all it was very painful! Second, although being able to watch the xrays right then and there was cool- it was not so cool when I could clearly see that the right tube was filling up and spilling out (good sign, shows an open tube) but I could see nothing down the left side. I asked the technician if that meant that my left tube was blocked. She skirted around the issue and said that it could just be inconclusive. But I don't think she can say since she is not the radiologist but it was very clearly not working on the left side. UGH...blah...sigh..weap...

I am just waiting to hear from my RE about what the Radiologist says. I don't really know what the next step would be with having both PCOS and a blocked tube?? I never thought I'd have a blocked tube bc I have never had an STD or any other pelvic infection. I thought it could maybe be a possibility with my appendicitis surgery in China, but that would have been on the right side and my "blocked" side is on the left. Crazy. So I have no clue what they might suggest next. But this makes sense bc this last month I ovulated on my left side and no pregnancy. So...I will update again when I hear from my RE.

I used to want like 3 kids, but now it seems like just one would be a miracle. The whole thing is getting pretty depressing.

Thursday, July 1, 2010

On the new path...

We went in yesterday to see Dr. Berger (had to change doctors bc of insurance) and it was very informative. A lot of new information to take in, but I feel good about what we are doing. She took us into her office and did a medical history on both of us. During that we talked about my painful periods and the likelihood that I may also have endometriosis. Gaylon's past surgery may have also caused him to have sperm antibodies. We had not heard of that, but it is basically when your body does not recognize sperm as part of your body and try to attack it. This causes antibodies to attach to the sperm and impair mobility and the ability for them to break through the egg. So he is going to have that tested this next week. Hopefully he is good to go and nothing is wrong there, bc if it is, we have to move on to IUI or IVF sooner.

So after our medical history she talked with us a little bit about a newer medication called Femara. She said many people who do not respond to Clomid may respond to Femara. This is a less expensive option to injectible hormones so we are going to try that first. We then did an ultrasound, which was much more detailed than the one I had before. Found a lot of fluid around my right ovary and a large cyst on my left. She is hoping that the cyst is one that will go away through this cycle, but we will have to check on it once I start my period to make sure. If it is gone, my blood work is normal, and Gaylon's semen analysis is good, I will start Femara next month while we finish up testing.

I will still need to have a Hysterosalpingogram done to check my fallopian tubes. It is where they put dye into your uterus and then you take an x-ray to see if you have any blockage. We could wait to start Femara until after this test, because if it shows I have blocked fallopian tubes, Femara won't do much for that. However, we decided to take a chance and start it concurrently with the HSG test.

So....sigh...lots of information...lots to do, but I feel like we are on the right path.

This week- had appointment with Dr. Berger, set up semen analysis, and get blood work done.
When period comes: call Austin Radiological Association and set up HSG fallopian tube test, go back in to Dr. Berger and do ultrasound to check that the cyst on my left ovary is gone. (if gone get prescription for Femara and take it cd3-7)
CD 10: go in for HSG test