Great news! I was approved for an insurance change last week. After researching my new policy, I learned that I have open access for "diagnosis of infertility" and women's health care. I also looked at the formulary for prescription drugs, and some of the meds I may need are covered, such as progesterone in oil injections. My plan is to milk the maybe-you-have PCOS thing for as many tests and treatments as I can.
So, I made an appointment with the MN Center for Reproductive Medicine. The doctor that I am scheduled to meet with founded the clinic, and has a fairly decent reputation with the Choice Mom community. The feedback about him is that he isn't very warm and fuzzy per se, but he does lay out the facts and gives you all the information you need. I've heard some ladies on the SMC/CM boards saying that their doctors don't give them their lab values, follie size, etc; they just say that they are "good." I need a doc that will give me facts, and answer my questions. It sounds like this one will. We shall see...
I want to put the question out there about what to expect for the RE. I know that he will probably examine me, and maybe do another ultrasound. He'll order day FSH/estrogen, maybe a TSH and probably hormone levels to check for PCOS. I'm wondering what questions I should ask. I started out with this last year thinking I would maybe need some progesterone to prevent miscarriage, and maybe a trigger shot. Now, it looks like I may need to induce ovulation. I'm wondering which is better: Clomid or Femara? I've read about the benefits and risks of both, and it seems there are an equal amount for either drug. And, what about synthroid or metformin? Also, this is a big newbie question, but I know that my ovaries are already covered in follicles, so how can they use U/S to see when I ovulate? The radiologist said the cysts were "small," but they looked pretty large to me, esp. when I compared them to other images I looked up online. So, how can the doc tell which follies actually have eggs in them? This may seem like a silly question, but will they put me on suppressors or BC to get rid of them, and then use meds to stimulate new growth? And what are the benefits and risks of that? I think I have a lot of research to do before that appointment....any feedback anyone can give me will be helpful.
Some may not think this is as humorous as I do, but my dad is coming with me to the initial consult. It's not exactly a Daddy/Daughter thing, but he's my biggest supporter at this point. So cute; he actually put two pairs of knitted baby booties in with my Christmas present. I think he's excited to be a grandpa. I keep remembering how he told me he wanted to be a grandfather, but he wanted it to happen on my terms when I was ready. I'm so thankful for that.
So far, things seem to be falling into place the way I need them to. I know that this is just one hurdle in a long line of hurdles that have to be jumped over, but I'm happy to be moving forward.