My appointment was at 2:30, but Joey and I got there a little early. We were taken back right away and I met with a resident OB/GYN from the local hospital that specializes in care for women and babies. My BP, pulse, and weight were taken, and the resident asked me a few questions about my history with TTC.
Then, we were led back to the exam room. I was chided for not having my six-month follow-up pap (multiple times), and I'll be making my appointment this week since they couldn't do it there. The resident did do a very brief pelvic exam before she led us back in to meet with Dr. T.
Dr. T was amazing. We were in his office for about an hour. He went over all of my previous test results from my doctor in Tennessee. Here is what he thinks:
- Endo is still a possibility, but he also thinks I could have PCOS. I have to go in on CD 2, 3, or 4 (which should be any day now, since AF looks like she's about to arrive) for an u/s and a second pelvic exam that could give me an official diagnosis.
- Blood work. Lots and lots of blood work. Luckily, there's a place here that does it on Saturdays, because one of the things he wants me to do is a glucose test. He said it might also shed more light on whether or not PCOS is a possible cause of my infertility.
- He wants Joey to have another SA and start taking 800 mgs of folic acid. His current multivitamin has 400, so we'll have to get supplements, but he's confident that Joey's morphology isn't the major issue.
After my exam on CD 2, 3, or 4, I'll go on Clomid (monitored) and progesterone. We'll do this until the end of the year. If we still haven't gotten pregnant by January, then he'll do a LAP and we'll move on to IUIs.
Speaking of IUIs, the financial people at this place are awesome. While I met with the doctor, they called my insurance and worked through my coverage. My insurance agreed that, though they wouldn't pay for medication or actual procedures with the IUI or IVF, they would pay for all monitoring. This means that if we have to move forward with IUIs, they will only cost us about $380 (plus meds). Much better than I imagined.
They also do a pretty interesting deal with IVF. If you have viable eggs (and they are sure I do), they will let you do a "swap": you give another couple half of any eggs they retrieve and that couple pays for half of your IVF treatment.
Overall, I feel good. I'm ready to hit the ground running. Mostly I am just so thankful to all of you for your thoughts and support today. The comments and the e-mails and the text messages have been amazing! And for all of you who are on this journey with me, know that I'm rooting for you just as hard!!!
More later . . .