Sunday, August 30, 2009

What happens next?

That's the big question right now. It was asked at my mid cycle appt what our plans are for after the study is over if this final round does not work. To be honest, I'm not sure yet. I know I need a break. I do not want to pursue anything more over the winter months. I am thinking that if it doesn't work, maybe I'll try to be more aggressive about things in like March or April. I did however make an appt for Oct 15th with the PCOS clinic. Its going to be for my yearly exam, and to talk with the dr about ways to help control this PCOS till I'm ready for ttc again.
I'm not sure I want to do birth control or not. In a way, I know I need something that will regulate things while I wait. But then I worry about what if with more weight loss things start working out of nowhere? What if I miss my only chance because of the pill? And I don't know if I can mentally handle taking it every day and not feeling upset by the fact that I have no possible chance because of it.
So I was thinking a little more about the herbal route. It's probably about the same cost wise as if I was going to do treatments. I'm not sure if I want to do that now or not. I also though of adding acupuncture to things. I've heard a lot of good about it, and it would be good for overall health to probably. The problem with that is not too many around here will do it for infertility. The closest is an hour away. And that's like $300-400 a month. The point of a break is to save up as well.
And, after this final round is over, I'll find out what med I was on. If they say clomid, then I know why it was such a crappy go. I was maxed out before with it and no response. So it's not that shocking that it didn't work. So that means if it was clomid, I want to try femara on my own.
Mostly right now I know that I'm not going to be able to say I'm done. I refuse to give up. It happened before, and it has to happen again. All I'm asking is for one more time. What I don't understand is how I was able to respond on the lowest dose. And what gets me even more is all the suggestions in the past of losing weight. In the past 2.5 yrs, I lost a total of almost 40lbs. I am 20lbs lower weight than when I got pregnant with K. So the whole weight loss thing is a joke. At least for me.
Anyway....I just need to think of my options. Because I'm not giving up. This is not it. I refuse to give in. I WILL WIN.

2 comments:

  1. It will be interesting to hear what drug you were on. I'm hoping it was the clomid just so that you can maybe get a shot at femara before going to the really expensive stuff.

    I don't buy the loosing weight lines either... there are plenty of healthy weight women with PCOS... that said, being at a good weight is always a good thing. I was in the best shape of my life and very healthy several years ago and went off the pill just to see if I could get a period and never did, so I don't know that weightloss is the key for me either.

    Acupuncture is pretty expensive... I was paying $50 a session (which sometimes felt like a ripoff since it only too about 5min and 50 cents worth of needles, but it still felt good). So 4 sessions a month was $200 and definitely a bit of a load on the pocket book. But I also looked at it as something that might help me avoid more expensive treatments. I may have just been lucky but it's hard to tell.

    Have you ever actually had a GTT done specifically to check for insulin resistance? I'd had them done before in the past by endocrinologists, but they never checked my insulin specifically and only looked at glucose (which was always fine). My RE finally checked the insulin and found it. It was interesting. You know me, I <3 metformin, and if it can help you too that would be great.

    I hate to see you go back on the pill in the meanwhile... now that I've lived 'pill free' for awhile, I definitely see some benefits, but if the only other option is provera and you don't do well with it, then the pill may be the best option. At least we have the option.

    I think a break is probably a good idea if this cycle doesn't work. Everyone needs a break every once in a while and the last several months have been a lot to deal with. Do whatever feels right. Good job with the determination, it will happen again, and hopefully you're just a couple of good cycles away.

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  2. Yes, the did check the insulin and glucose levels checking for insulin resistance and said I'm all normal there. Apparently I'm just a very "unpredictable" pcos patient!
    I do want to try the acupuncture though.

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