I went in for more blood work and another transvaginal ultrasound, which was hardly painful at all thanks to the prescription muscle relaxer I took about an hour before my appointment; of course, when I got home I wound up sleeping the rest of the day and I still feel sleepy, because I'm very sensitive to muscle relaxers and prescription pain killers.
My blood work was basically fine, aside from a high level of a "stress" hormone. The doctor who saw me today asked me if I was under any stress and I had to laugh like hell; I replied "Not anymore than anyone else in New Orleans!" Honestly - what a stupid question! If he had suggested I try to reduce my stress level I think I might have walked out of the examination room, pants or no pants.
By the time he asked me that, I was already annoyed beyond belief with this doctor and right now I'm feeling very thankful that I'm seeing Dr. Lu instead of him! You see, I have a huge number of follicles on both my right and left ovaries, but only three on each are mature or close to being mature, yet he insisted that I cancel this cycle! At one point he said, "I'm glad you're being so understanding about this," and I replied, "Well, I don't know if I'm going to be understanding about this or not," but he completely ignored that and brushed aside anything else I had to say. I understand that I run the risk of conceiving multiples, and I understand that I could experience ovarian hyperstimulation syndrome (OHSS)
, but I am absolutely not
willing to cancel this cycle and waste all the time, money, and emotion I've invested in it so far!
Dr. Lu's nurse took me aside when he was going over the post-coital test with me to supposedly talk to me about OHSS, but once we sat down in a private conference room she laughed and said, "Well, Dr. Lu isn't going to cancel your cycle." I asked her and apparently this older doctor is always very conservative; in fact, he suggested that I was one of those women who will be fertile in to her forties, so I have plenty of time to try to get my ovaries to ovulate on their own with just metformin and clomid! I was bewildered and appalled by the suggestion! I explained that none of the women on either side of my family have ever had children beyond their mid thirties, but my family history was not going to change his mind about canceling my cycle and switching back to clomid and metformin, on which I have already failed to ovulate.
He also tried to convince me to move on to in-vitro fertilization and was shocked when I explained that it was too expensive. He wanted to know why I didn't have insurance that would cover it, so I explained that my health care is provided through the New Orleans' Musicians Clinic and that I am otherwise uninsurable. Because he was so quick to advocate in-vitro, I have a feeling that he was more interested in getting more money from us than in giving us a healthy pregnancy, or else that he just does not understand PCOS and insulin resistance as well as he should.
Fortunately, Dr. Lu reviewed my chart as well as the other doctor's notes and has not chosen to cancel my cycle, despite the large number of follicles on either ovary. He had me take a shot of Ganirelex (to prevent ovulation) tonight and wants me to go in for more tests tomorrow morning, because he'd like to see my estrogen levels
before attempting IUI (intra-uterine insemination).
We would have just attempted to time sex correctly, but my cervical mucus is apparently hostile to sperm (somehow I'm not really surprised), so IUI just makes better sense for us.
I should undergo IUI sometime this week!