We had our first appointment at the fertility clinic last week and it left me feeling hopeful (Part of me wonders if everyone leaves feeling that way? Is that the fertility doctors job? To make us feel better about the situation? Or will they be honest and tell us the real truth?). Anyway, We finally have a treatment plan in place!
Our appointment began with a meeting with our new doctor. He was kind and thorough. He explained everything in detail and gave me honest answers. He seems to think that even with PCOS, we shouldn’t have to result to the “big tools” as he calls them. He believes we should get pregnant with a combination of medications and timed intercourse. The doctor told me I should try “light” dieting (nothing extreme) and that my husband should cut back on his tobacco usage. He also recommended my first step to be a HSG test (which I am terrified of).
After meeting with the doctor, my husband and I went our separate ways; I went to have a vaginal ultrasound and Pap smear and he went to do the semen analysis.
After those were done, we met with the Nurse Practitioner and she went over our actual treatment plan. We will start progesterone to jump start my period and then I will take letrzole to help with ovulation. I will take 1500 mg of metformin to help as well. I will have the HSG test once my cycle starts and then I will return on CD 14 for labs and ultrasound to check the follicles. If all goes as planned, we will be sent home to “get busy” for the next three days.
My lab work results came back and my thyroid levels are off and my vitamin d. So I will also start taking synthroid and vitamin d supplements.
I’ll be honest, I warned my husband before going in that I would probably leave crying. I just imagined myself having a breakdown while sitting in there. I must say, things went the opposite way. We laughed while waiting on the doctor to come in. We laughed on the way home about the awkward semen analysis. Overall it went along better than I imagined.
“A goal without a plan is just a wish.”-Antoine de Saint