New, looking for encouragement


#1

Hi, my husband and I have been TTC a year. We were actually successful our first try, but had a miscarriage at 10 weeks (the baby didn’t grow past 6 weeks).

After the miscarriage, my periods went wacko (12 weeks, 8 weeks, 8 weeks, etc) so we went to a specialist. She put me on 50 mg of clomid, which didn’t do much. We went up to 100 mg on the same cycle, and then did an hcg trigger and IUI (a little over two weeks ago). I just started my period yesterday, and I’m feeling pretty low.

Our stats are OK; my FSH is pretty low and my AMH is super high (7.8) but my LH:FSH ratio is high-ish (almost 2). My androgen levels are normal. My doctor suggests that I don’t have PCOS, but I have PCOS-like symptoms. My husband’s numbers are OK; moving sperm were something like 10 million on a regular test, and they were 6.4 million during the IUI (b/c our doctor told us to have sex the day before the IUI). I’m 33 and my husband is 49.

I guess what I’m looking for is some empathy and/or encouragement. Anyone out there with stats like ours who were ultimately successful?


#2

Although my situation is different, I can offer you some encouragement!

First, your age is a great factor. At 33, you can expect to have a higher percentage of ‘normal’ eggs. This makes everything easier! Your ‘stats’ look good, too. There are numerous women on these boards who have gotten pregnant and delivered a healthy baby with numbers that are not nearly as rosy.

Another positive is that you were able to get pregnant. It is very sad but some pregnancies just don’t continue… and end in a miscarriage. I hope that you took some time to be sad, to grieve. A friend is going though this right now and she’s just starting to see the light at the end of the tunnel.

I would talk further with your doctors about the PCOS-like symptoms. How do your ovaries look, is your AFC high, do you struggle with cycsts, etc? It would also be wise for your doc to make sure that your uterine environment has fully cleared from your miscarriage. This can affect implantation and any future pregnancies.

It is odd that your doctor suggested having sex the day before your IUI. Usually they recommend abstaining for at least two days, not more than five. Maybe something in his numbers looked different though…

In any case, if I were you I’d get a second opinion from another RE sometime soon. I felt helpless with my first RE, like I was in the dark. So I had a consult with two others. It was money well spent. Comparing expert opinions is enlightening and empowering - it made me feel like I was making an informed decision.


#3

Thanks, Hopeful_in_CA. (I’m in CA too; any recommendations for REs in the bay area?) I certainly grieved a long time after the miscarriage, although I was impatient to “get over it” and get pregnant again. This whole process is a hard lesson in patience for me.

We didn’t test AFC, can you tell me what it is and what it has to do with PCOS? My ovaries are relatively cyst-y, although apparently not “ring of pearls” cyst-y.

I’ve also been doing acupuncture since January, although it doesn’t really seem to be “helping.” (Any acupuncturist recommendations in the bay area?)


#4

[QUOTE=Felicia_two]Thanks, Hopeful_in_CA. (I’m in CA too; any recommendations for REs in the bay area?) I certainly grieved a long time after the miscarriage, although I was impatient to “get over it” and get pregnant again. This whole process is a hard lesson in patience for me.

We didn’t test AFC, can you tell me what it is and what it has to do with PCOS? My ovaries are relatively cyst-y, although apparently not “ring of pearls” cyst-y.

I’ve also been doing acupuncture since January, although it doesn’t really seem to be “helping.” (Any acupuncturist recommendations in the bay area?)[/QUOTE]

I’m in the Bay Area (Marin), and I am a Kaiser member (and employee), so I went to RE docs at KP San Francisco. As for others, I’m not sure.


#5

AFC means antral follicle count, which is usually higher in women with PCOS.

This is such a hard lesson in patience, isn’t it?! Some days I feel strong. Other days I want to cry. I have found that the more information I have, from doctors, books and non-scary websites, the better I feel. I’ve also gotten more confident about pressing my doctors for information and explanations.

I would encourage you to look into your possible PCOS and get a solid diagnosis. It seems like you have some indicators. You deserve a good workup! And having PCOS has health implications outside of fertility.

For acupuncture, I am going to Balance Restored in Mill Valley. They focus on fertility and I really like them. I’ve seen Anne (and Susan, when Anne is not available). I go once a week and take an herbal formula when not cycling. Since I started, my average antral follicle count has gone up by 2 follicles and my luteal phase lengthened by 3 days. It helps me to feel calmer.

I also cut out caffeine, cut back on a hectic schedule and started eating all organic foods. So who knows what affected what. I was hoping to get pregnant naturally but after learning about my endometriosis we decided to go with IVF.

For RE’s in the area, Dr. Lane at Lane Fertility really impressed me. I would have gone with her but I have some immune issues that prompted me to go out of state. I am waiting for a consult with Nova and have heard great things about them. I did not like Pacific Fertility or UCSF because they felt so large. I know volume = experience but it didn’t feel ‘right’.

I hope this info helps!!


#6

Thanks, Hopeful_in_CA; especially thanks for the RE recommendations. I’m feeling intimidated by all the information out there, and especially by all the women on this website who have been struggling for so long.

Is there anyone out there who had long cycles for whom acupuncture helped to shorten them? I went to acupuncture for 6 months, and my cycles are still insanely long. For the last 14 months I’ve cut our caffeine, for the last 12 months I’ve cut out alcohol, for the last 7 months I’ve been going to acupuncture, for the last 7 months I’ve been meditating daily, and I also have stopped running (my favorite exercise activity) and replaced it with swimming (fine, but doesn’t give me a high like running does). I’ve always eaten healthy, and I have always had a healthy BMI (between 20 and 21). I wish there were some secret formula!!!