I had a doctor’s appointment on Tuesday to discuss the next plan of action for growing our family. Five minutes into my appointment, I was reminded why it’s worth the 45- to 60-minute drive to be her patient. Some of you probably remember, but for those of you who are new, I will enlighten you.
This is the doctor who helped us get pregnant with Zoey. When I was about 12 weeks pregnant, she delivered the bad news that she would be moving to a new location that was quite a drive for me. At first, I was devastated. She told me she totally understood if I needed to stay in town and switch doctors, but obviously she would love to help me finish the pregnancy. I had to really pray about it and think hard on what the best decision would be. At the time, I had no idea that my pregnancy would become high risk. At the time, I had no idea that my placenta was slowly splitting into two parts. Something in my gut told me, “stick it out, the drive won’t last forever,” so I made the decision to follow her. I am so glad I did. I credit her for helping save my daughter’s life – and mine.
I hear all too often that people’s OB’s push their own personal agendas, don’t support VBAC, speak to patients as if they know nothing… but I can honestly say that my doctor is none of those things. She is a great listener and an advocate for what her patient desires. I 100% trust her to exhaust ALL options before moving on to something I am not comfortable with.
On Tuesday, as usual, she listened to me. I told her that I started charting again, and according to the chart, I might have ovulated on CD 6. She was floored by what she saw on the chart, but decided it would be best to run blood work to be sure. I’ll reveal the results in a moment. We made a plan. We talked about Femara and I shared with her how I have several PCOS friends who love Femara, but none of them responded to doses below 7.5 mg. Her response was, “I love Femara. I haven’t had a patient not respond to the 5mg dose yet, so let’s try the 7.5.” When I asked her how long we can do the 7.5 before taking a break, she said, “for as long as you want.” THANK. YOU. She didn’t question, she never said, “Oh, I’ve never done that so let’s not,” she was supportive and proactive with my choice. In addition, she doubled the estradiol that we’ll do to thicken my lining, and gave me the samples I need. She also has a trigger shot in stock that she is planning to give me free. She was straight up in Santa Claus mode, because she also gave me a sample pack of birth control just in case I end up with a long cycle again. I left the appointment with everything I needed and a script for Femara in hand, as well as a, “I want you to get pregnant. Then you can VBAC to your heart’s content!”
The blood work was… interesting. The day she ran the tests, I was on CD 12. All of my levels should have been in the follicular range, but they were all in the luteal range, meaning I did ovulate insanely early. My lining was probably paper thin considering I had just come off my period, but I ovulated. This means the maca and vitex is doing something. Speaking of that, I am weaning myself down – I am only taking 2 maca and 1 vitex a day now. I can’t take them along with Femara so I am planning on being completely off both of them before starting. I think my body is at least getting more sensitive so I hope this regimen I have been on at least jump-started things.
Our plan is to wait for this cycle to end and to start Femara. We’re going to try CDs 5-9. We’ve gone back and forth on that and what might work better, but we’ll try. If my follie checks are still really bad and I don’t get pregnant by January, she wants to add Dex to the mix… which, I can’t remember exactly the full name… who has taken that stuff? She’s hoping we won’t need to add that. It just depends on how I respond to just 7.5mg of Femara. Anyway, that’s the plan. If we’re still not pregnant by the time Zoey turns 4 at the end of March, I think I will take a break because at that point she wants to move on to injectibles, and the thought of that FREAKS. ME. OUT. When Zoey turns 4, we’ll be TWO YEARS in on working towards growing our family.
Please, God, let this work.