So metformin is working its wonders on me and being kind so far. Thank you, God. I do realize that I am on a very low dose. Very low. I take one 500 mg pill once a day. I'm not sure why I'm on such a low dose and, of course, I didn't ask. Add that to the list of questions that didn't occur to me until I left my doctor's office.
Now that a few days have passed and I've had sufficient time to ponder the incredible amount of information that was thrown my way at my doctor's appointment, I've realized something important - I ovulated in May. Somehow I managed to overlook that until now. It's weird how that happens. Almost seconds after my doctor announced it, I brushed it off like it was old news. "Ya, I'm an ovulator. Big deal." Seriously. I entered the club of ovulating women like I had always been a member. Not until tonight did it hit me - it is a HUGE deal. In the days leading up to my appointment I remember telling my husband, "wouldn't it be amazing if the saliva test shows I ovulated?" which I always followed up with, "but that would be too good to be true. It will never happen." But it did! And I barely noticed!
I have a new theory. My new theory is that I wasn't ovulating before May. I personally believe that I ovulated in May because it was the same month as the start of my diet. I began my diet on cycle day four. There is some proof to back up this theory: Last July, my ultrasound series clearly showed my follicle did not rupture. I grew to a size that a follicle should be at when it ruptures, but then it stopped growing and just stayed there, unruptured. We don't know what happened each cycle between July and May, but I doubt I was ovulating. My charts looked just as screwy as ever... until May.
It might not have been my diet alone. I started taking bromocriptine for my high prolactin in March and I've read it takes two months to work. My April 28th blood work shows my prolactin was normal, as was my testosterone (how did that go down, by the way?), so a lot was beginning to work in my favor.
I should have asked my doctor if he thought I've been ovulating all along. Actually, I think I did ask him, but what I should have done was remind him about my ultrasound series last summer. And, at the time that I asked him about ovulating, I hadn't yet told him I started the diet. Ugh! Doctor's appointments go so fast!
The good thing about not ovulating until May is that it means I haven't had a real shot at conceiving until now. It means something is moving in the right direction, rather than just being screwed up all along. It means things are improving. I think I will go with that, rather than thinking I've always ovulated. That's my story and I'm sticking to it.
Thursday, June 26, 2008
Apparently I ovulate
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ovulation
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Great news on the improvement!
ReplyDeleteYour story sounds perfectly reasonable to me! Congrats on the ovulation! That really is a big deal! =)
ReplyDeleteAlso, fyi, your doc probably started you out at 500mg of metformin to ease you into a higher dose. If you start at a low dose and slowly work up from there you have less chance of having intestinal "issues" associated with the met.
As far as your testosterone evening out when your prolactin became normal, I have a theory. My doc always talks about how all the hormones are related. If one is off then others can/will follow suit and be off. If you start to get some of your hormones back on track often others will follow. That's why taking met can eventually affect estrogen and progesterone, even though met only directly affects insulin absorbsion.
That's my 2 cents for today. =)
Yay, I'm so glad you are feeling better! It is definitely important to focus on the positive sometimes. Congrats on your awesome progress with the diet! I think that the diet with the Metformin will be just the right combination for you! And you're right...now that you're ovulating, you could get pregnant any day now! I will keep praying!
ReplyDeletewanttobeamom - I don't see my dr. again for four months, so I assume this is the dose I'll be on until then.
ReplyDeleteIs that odd to be on such a low dose for so long?
I would call their office, hon. Maybe in the middle of getting all the news, he said something about increasing your dose and you don't remember(?) But it wouldn't hurt to ask, anyway. I'm no Dr, but 500mgs seems pretty low to be on for so long.
ReplyDeleteAnd YES! Great attitude about the ovulating!! I constantly have to remind myself that I've "started over" and this is really only my 3rd cycle of TTC (since unblocking my tubes, removing my endo, and giving my ovaries a tummy-tuck, lol!) I really do think you have a much better chance now than ever :)
I would definitely call your dr's office about the low dose of met. 500 is the "beginner's" level to slowly ease you into higher doses until you reach the level you need to be at... I've discovered that for most PCO sufferers, this level ranges between 1500-2000 mg/day. I'm really glad that it's being good to you. No side effects at all? Are you on the regular or extended release? Even a small amount like 500 makes my stomach react in more ways than one and it's miserable. I wish you luck on it.
ReplyDeleteAnd CONGRATULATIONS on ovulating! That's a HUGE deal! :)
yay ovulation! woohoo!
ReplyDeleteyay ovulation! woohoo!
ReplyDeleteYeah, it is a huge deal! You are another step closer!
ReplyDelete