Wednesday, May 5, 2010

More surprises....

Last time I posted, I was waiting for the results of my thyroid tests. I was also going in for a sonohysterogram ultrasound the next day. My own fertility doctor performed the ultrasound so I was able to ask about my thyroid tests while I was there. She said my TSH was around 3 and that she was not concerned about it. She was more concerned about my FSH level being 36- she told me that they like to see it below 10 on CD3.

The sonohysterogram was uncomfortable but when it started getting painful, I told my doctor and she stopped. She said that she had enough information and didn't need to continue any further. My uterus and tubes looked fine on the test - good news!

So my next step was to wait for AF to show up again so I could go back for CD3 blood work and ultrasound. I didn't need to wait very long - that cycle was only 20 days long. CD1 was on April 25th. On CD3, I went back into the clinic for my tests. The nurse said I could start Clomid if my FSH levels were below 14. I had my fingers crossed all day! I got another surprise with the results the nurse phoned in to me later that day. My FSH was 14 so I could start the Clomid. Good news! Now, I finally felt like we were doing something.

There was also some bad news - one of my thyroid hormones was a bit low and the doctor was calling in a prescription for levothyroxine for me to start right away. I was disappointed with this. I know it means more blood tests and possibly several dosage adjustments to get my hormone levels balanced. Hypothyroidism can cause infertility and hypothyroidism in pregnancy can cause some serious problems. On the other hand, I am glad I am starting the medication now with the hope that the hypothyroidism will be under control soon. I've been on the medication for a week now and I will need to go back in 4 to 6 weeks for another blood test to check the thyroid hormones.

I took my Clomid this cycle from CD3 to CD7. I didn't really feel any different. I wasn't even sure the Clomid was doing anything. On CD 8, at 8:15 on a Sunday morning, I was back at the clinic for more blood tests and an ultrasound. The clinic was really busy and I was surprised. But in the fertility world, timing is everything!

The blood technicians have been having a hard time getting my blood. A few times they have taken it from the back of my hand which can be quite painful. A friend of ours, who is a fertility clinic veteran with twins, gave us a suggestion. So, this time, I brought my new best friend with me to the clinic:

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Yes, it is a reusable heat pack. I had it on my arm all the while Mr. Pharmasaur was driving us to the clinic. And the tech was able to get my blood without a problem! I was so relieved!

During the ultrasound, the doctor observed one follicle on my left ovary and that my endometrial lining was thin. That wasn't a concern as it was still early in my cycle.

Later on CD8, the nurse from the clinic called me back. This was another surprise. The original plan was for me to do a LH test on Monday morning at home to rule out an early surge, and then go back to the clinic for blood work and ultrasound on Tuesday morning. I was having my LH surge already on CD8 which means that ovulation would most likely follow in 24-36 hours. They told me we should have sex on Sunday and Monday. Then, in two weeks, I should get a blood pregnancy test done. I am now concerned about my thin endometrial lining but I am hoping it will thicken up as my cycle continues. The clinic did not seem to be optimistic about my chances of conception for this cycle. The nurse has given my chart to the fertility doctor for review and to make a plan for next cycle.

I have an appointment to see the fertility doctor on May 17th with Mr. Pharmasaur. I am hoping the results of his sperm analysis will be back by then too. At least we will have more information. I will also get my blood pregnancy test done then. So, I am officially in the 2 week wait now.

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Actually, no, I don't have any patience. I really wish I did though! It would sure come in handy for these next 2 weeks. One of the biggest things I have learned throughout my TTC process is how impatient I am. If anyone has any tips on developing patience, I'm all ears!

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