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Welcome to cycle 16 - Elizabeth Unexplained
Lots of data but no answers
greyautumnrain
greyautumnrain
Welcome to cycle 16

Last night what had been threatening to happen for nearly five days happened. Sigh. Its ironic that I used to be so relieved to get my period, back when I didn't want to be pregnant. All that anxiety for nothing, no to mention the money I was evidently wasting on birth control.

Even though I had plenty of warning, I always find myself holding out a little bit of hope, right up until the bitter end. If there's no blood you can always let yourself believe that this month it might have worked. Sadly its now plainly evident that it did not.

Warren and I talked about it last night. Of course, during out talk his mom called wanting to know if we had any news. I'm glad he was the one who talked to her. She's a bit pushy about wanting us to give her another grandchild, even though she already has two. My parents are much better about it, even though they don't have any yet. They realize that at this point I'm doing everything I can on that front, and pestering me for news is just likely to be annoying. My parents are really great that way.

Warren and I are pretty much of one mind. We both think the issue is clearly my luteal phase, and we both think the fertility specialist is a dipshit for giving me a perscription for Clomid instead of progesterone suppliments. Warren wishes he could go to my regular physical with my primary doctor so we could talk to her about it. She's smart and competant, and she suggested luteal phase defect when she gave me the original referal back in December.

My plan of attack is to go and call in for my final Clomid refill on the theory that it can't hurt (aside from the four day headache, that is), and make my followup appointment with Dr. Dipshit. I also have my annual physical with my regular doctor scheduled for Monday, and I fulling intend to complain to her about Dr. Dipshit. Maybe she can perscribe me some progesterone suppliments on her own, or give Dr. Dipshit a call.

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Current Mood: aggravated aggravated

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Comments
twe From: twe Date: August 16th, 2005 07:38 am (UTC) (Link)
My sympathies.
From: readsalot Date: August 16th, 2005 07:59 am (UTC) (Link)
Warren's mother sounds exactly like mine: one of my brothers got married when he and his wife were still undergraduates, both planning on going to grad school, and they'd said quite firmly that they weren't going to get pregnant until after they'd both graduated and had incomes, and despite all that, my mother regularly asked if anything was happening. She thought she was being cute. (And she never really believed that a woman could want a career. Sigh.)
vorpalbunny From: vorpalbunny Date: August 16th, 2005 09:30 am (UTC) (Link)
Much sympathy. Good luck!
desireearmfeldt From: desireearmfeldt Date: August 16th, 2005 09:38 am (UTC) (Link)
If you're convinced the fertility specialist is doing you a disservice, is there a reason you can't just find a different doctor?
greyautumnrain From: greyautumnrain Date: August 16th, 2005 11:00 am (UTC) (Link)
I don't think he's doing anything *technically* wrong, and we're in an HMO, so switching might be a pain. I will ask my regular doctor about it when I see her next week.

He hasn't mis-diagnosed me as far as I can tell. My diagnosis is "unexplained infertility". I suspect a luteal phase defect, but not only was the one progesterone measurment in the normal range (on the low end, but apparently normal), but luteal phase defect is a controversial diagnonsis. Not everyone in the field believes that it can be a problem.

My problems with the specialist are mainly that he doesn't seem very bright and doesn't seem particularly interested in figuring out what is wrong with me. The thing is, I'm not sure anyone else would be any better. It seems that the industry standard is to do exactly what he did: if in doubt throw three months worth of Clomid at the problem.

The bottom line is I'm not sure how my HMO is going to take me wanting to fire their specialist just because my gut feeling is that he's not as smart as I am.
remcat From: remcat Date: August 17th, 2005 12:35 pm (UTC) (Link)
I saw the new cycle on your lifecycle page -- sorry to hear about it :(.

Does your HMO allow you to see any nurse-midwives? That has been the source of progesterone supplements for me in the past, and they were generally much more interested in hearing my interpretation of my own body ...

I wonder if you need a prescription at all?
greyautumnrain From: greyautumnrain Date: August 17th, 2005 12:58 pm (UTC) (Link)
You know, that's a darn good question, and a darn good idea. That's something else I'm going to have to ask my regular doctor when I see her. She at least was interested in looking at my charts, I'm sure she can understand why I want to see someone else who will take the data seriously.

Its also a good idea because when I finally do get pregnant I've decided I'd much rather have a midwife for that portion of the care. Given the shape of my hips and my general fitness level I see no reason why I can't push a baby out with a minimum of fuss, so being forced to stay in bed with an IV and a needle in my spine is not what I have in mind. I probably still need to go to a hospital because of my blood type, I think that'll be ok. I don't suppose you can recommend any midwives in the Somerville/Medford area?
remcat From: remcat Date: August 17th, 2005 02:21 pm (UTC) (Link)
Well for goodness sake, I didn't know you were local! For some reason I thought you lived way-out in CA. Duh.

You should see if you can get an appointment with Megan of the Mount Auburn midwives. (They deliver at the Mt. Auburn birth center, for when that becomes relevent.) She has appointments at the Mill St. office in Arlington, and I think she might have appointments elsewhere too.

Megan delivered Eli, and is the midwife I saw most often while pregnant with Julian. The number for the Mill St. office is 781 646 1043.

Midwives aren't just for pregnancy and birth -- they're for all your "women troubles" :).
twe From: twe Date: August 17th, 2005 04:12 pm (UTC) (Link)
Well for goodness sake, I didn't know you were local! For some reason I thought you lived way-out in CA. Duh.

Yup, she lives a couple blocks from my old place. It's sad that we're not neighbors anymore.
greyautumnrain From: greyautumnrain Date: August 18th, 2005 06:39 am (UTC) (Link)
Thanks for the contact info. I'll ask my doctor about it. Hopefully Harvard Vanguard will go for it. Letting me have a couple of appointments with a midwife has got to be cheaper that IUI or IVF, which is where I fear I'm headed with Dr. Dipshit.
remcat From: remcat Date: August 17th, 2005 02:31 pm (UTC) (Link)
Here's the website:
http://www.mamah.org/
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