Consult Monday!!! (small update)
Hey Girl,
Well, I like the doctor, but I feel somewhat overwhelmed with the visit. I kind of feels like a deer caught in headlights...The whole visit took me a couple hours to digest.
Dr. Payer is a very nice, thorough GYN/OB doctor. I like her, and she spent about a good hour with me. She really took the time to explain things, and I thank her for that. I do intend on staying with her.
Honestly, I'm kind of disgusted with myself - my body, really. I wish I could just keep my head and can the rest. Actually, my brain is just as messed up so forget that idea too. I'll just take a whole new body, please...
I do have PCOS for sure. Actually in her terms, "I am beyond that..." She believes that I am ovulating, but that my eggs are of a poor quality. That would have been enough for me, but she then looked over my 2-hour glucose test from 1 year ago. I thought she was about to fall off the chair. My 1-hour post was 212, and my 2-hour post was 160ish. She asked me IF I was on anything for diabetes, and I told her that I wasn't because my CF and diabetes doctors said that I didn't need anything. She said that they must only be looking at my passing A1C (5.7); however, my glucose test clearly states that I need insulin. And not just insulin, but insulin shots. She stated that Metformin wouldn't work for me, and that shots were what I needed. She is refering me to one of her associates February 6th for consultation purposes. I will be starting insulin that night...
On pelvic exam, she didn't feel any large cysts on my left ovary but stated that I will have an ultrasound in 1.5 weeks when I get my period.
She also ordered an EKG (don't know why), a vision check appointment (been 2 years), and bloodwork for 3-5 days into my period. I go back to see her March 16th.
There were some things that concerned me, though. She was telling me about another CF girl she just delivered a second baby to. She said that she wanted her to gain 25-30 pounds!!! She couldn't do it and ended up getting ng-tube feedings...I thought I'd pee my pants. I can gain 10-15 pounds but 25-30!!! Is she crazy!?!?! In general, isn't that unrealistic for a CFer???
She kind of scared me, honestly. I feel more messed up now then I did yesterday. I was hoping for a nice, little pill not shots. She went on further to say that the insulin will make the quality of my eggs 'better', but she pretty much gave the impression that IUI would probably be needed...That isn't happening. Jake agreed with me to meds at least for now.
My main goal is to start insulin, get my sugars under better control, and have more bloodwork done 'til I see her again.
She basically said that because I have ovulating that I should have been pregnant within 3 years...Yes, my eggs are crappy, but I'm ovulating...Even a miscarriage would have offered hope that I could conceive.
<b>She also said something that I NEVER heard before...She said that some CF women's tubes are unable to pickup the egg when its released. She questions that with me despite the clear tube test...</b>
I don't know. I'm overwhelmed, but I got answers. I just wasn't counting on the whole diabetes/insulin hangup. It's always something...
We are going to give it a couple months naturally with insulin. Then, we are going to move to oral Clomid for a couple months. If that fails, then my only other option is medicated IUI. I don't see going that far...
