I have always worked to be a bit of an overachiever, but sometimes I really outdo myself. I met with my OB/GYN/RE today and he had spent a lot of time studying my labs. He found that my luteinizing hormone (LH) and my follicle stimulating hormone (FSH) are very low and based on these findings, it seems that we will be taking a slightly different approach.
Basically, PCOS can originate from two different factors. In the end, you have much of the same result as far as the effect on the ovaries and reproductive system. Because the factors causing the PCOS differ, the ways of treating the two types will differ also. About 95% of women with PCOS have peripheral factor PCOS, where the syndrome is ovarian in origin. The other 5% have central PCOS, where the amenorrhea originates from a central endocrine problem triggered by the hypothalamus and/or pituitary gland. My labs reflect a central origin and I will need to have an MRI to take a look at my hypothalamus and pituitary gland before I have the ovarian diathermy.
We will still move forward with the diathermy and injections in two weeks unless something really crazy shows up on the MRI. It will set things back a couple of weeks, but all in all it does not have a huge effect on our timeline.
Here are a few things I learned today:
- Although the central factor PCOS is much more rare, my doctor actually has a higher success rate in helping couples dealing with this type of infertility.
- I won't be getting that nap.
- I am a little resentful that I had to do a pre-op phone call and tell someone how much I weigh. I have to do the call again in two weeks and will have to utter my weight again. Not cool.
- People in waiting rooms are annoying. I was sitting in the waiting room with a couple obnoxiously speaking in a high volume whisper tone. My very loud 3 year-old's inside voice is quieter than the whispers these people were letting out and I had to work hard to maintain my composure. Suppressing your laughter for 30 minutes is very difficult. They got up and were replaced by gum popping couple. It was sort of like a SNL sketch, but much, much longer.
- My new injection regimen will consist of FSH and LH, increasing the chance of multiples. Fortunately, my doctor will scan me daily during the injections to make sure we aren't getting too productive.
- With the new likely diagnosis, my doctor is even more baffled that we have Lily. I am not sure how it can be scientifically explained that I ovulated for what might have been the only time in a 15 year period. I do know that I was earnestly praying and that she came at a time when we had significant loss in our family and she was a perfectly bright spot. What a special girl!