Thursday, March 8, 2012
3 week re-check
Today I went to see Dr Crawford for a 3 week check up from the last time. I do not have "classic" PCOS, but I do have it and though I may not be full of cysts, it has worsened. My ultrasound was fine and my uterus and ovaries look great! No cysts this time, but they can always come back at anytime. Dr Crawford looked at my charting I did this month in my cycle and he said that just by that, I am not ovulating. He also pulled my labs from that dumb Dr I first saw when I got here, the one who said I ovulated. He showed them to me and explained it. He said there is no way I ovulated. I knew that and I knew she was an idiot. He told me some ratio between my FSH and LH hormones and what it should be. Mine was WAY off! I don't remember the ratio, but I know he said my percentage should be 1.5% and mine was 14.52% (this was worse than 1 year ago. nobody ever explained it, but I do have copies of my labs), whoa! BUT my insulin was fantastic, however, PCOS is starting to take a toll on my cholesterol and it is high. He said it is normal for PCOS paitents to have high chloesterol. I just can't figure out that when I weighed 200 pounds, I had low cholesterol and now 50 pounds lighter, I have high chloesterol. FUCKING PCOS! Also, he has increased my Metformin to 1000mg 2x daily, from the 850mg 2x daily that I've been on for well over a year. He said by my labs in Oct, that should have been done, so we are taking care of that now. This is the big news (to me at least) I AM GETTING PROGESTERONE FINALLY! He prescribed me Prometrium 200mg! He said I need it bad and if we ever want a baby, I am going to need to be on it. This could literally change a lot of the hormonal shit I have been dealing with for a long time and I am so happy that this may change. I can't start it for like a month though. I am instructed to take it cycle days 17-30. I have blood work on Tuesday and then blood work in 30 days. I see him again on April 10th and we will do Clomid at 100mg at that time. He wants me on the Metformin 1000mg and Prometrium for 1 months before we start that. He sounds very confident. He is going to put off the Ovarian Diathermy procedure for now. If Clomid at 100mg doesn't work, then it will be raised in 50mg increments. I have already done 50g this summer and it didn't do shit, which part of that could be because I needed progesterone. So small steps, but in my mind they are big steps. I think if we were still in KY, I wouldn't be getting the help I need. Dr Crawford knows his shit. So even if all I do is feel better with these treatments, I will be happy.
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