I went to Portsmouth yesterday for my first appointment with an actual infertility specialist. After going over a quick list of questions and informing me that she thoroughly went over my file the day before, she decided to do a quick scan herself. I got a quickie with the dildo wand and all I heard was her counting. What was she counting, you ask? Somewhere between 15 and 20 cysts on one ovary. She moved to the next ovary an didn't even bother counting because it looked just as bad as the first ovary. She informed me that my high LH and prolactin levels, my lack of menstrual cycles, and all the cysts mean I have PCOS.
Getting the actual diagnosis was bitter sweet. I am so incredibly happy to have an actual diagnosis so we can effectively treat the problem. However, at the same time it is sad to know that something is actually wrong with you.
Soooooo, we are starting a new treatment plan. The doctor prescribed prenatal vitamins (she is the first doctor to do so), Provera to start my cycle, and Metformin for the insulin resistance. Up side, the doctor said the Metformin should aid in weight loss. Woot! On the first day of my cycle I am to call my doctor to schedule a mid-cycle scan. On day three I go in for fasting blood work. On day five I will begin taking my Clomid until cycle day 9. Between cycle day 12 and 14 I will go in for the mid-cycle scan. This scan will be used to see if the Clomid did its job. If it did I should have produced follicles. These follicles will be measured, and if everything goes well, we will be doing our first round of IUI. If the Clomid does not work we will try Letrozole with the next cycle. We plan do four rounds of IUI before deciding to evaluate our other options.
I really hope this works...