New Bumpie

jyeags2810 · January 2019

Hello everyone! I'm 23 and my husband will be 25 next month. We've been trying for about 2 and half years now and just started with an RE in October. My husband's SA came back normal, not sure of any exact numbers. My blood tests were all fine, except slightly higher androgens. So they have mentioned that I might have PCOS, but decided to go with unexplained infertility. I have super irregular periods and do not ovulate. At the beginning of this month I was taking letrozole 7.5mg and when I went in for my mid cycle scan, I had a 5cm cyst. So my January iui, which would have been #1, was canceled. I have to wait for the start of my next cycle to get an ultrasound and make sure the cyst has gone away before I can try to do my first iui. So I hope to join the February iui board with everyone else! Baby dust to everyone!!

suzycupcake · February 2019

Hey @jyeags2810 Welcome to the IF board

Good luck on your next IUI. I hope that your stay here is short. Have you thought about getting a second opinion from a different RE? It's worth it to. Big cysts suck I know and I'm sorry you had a cancelled cycle because of it. The good news is they can dissolve fairly quickly so I hope it does. Have you been tracking your cycles by checking your basal body temperature?

jyeags2810 · February 2019

Thank you!

I haven't thought about getting a second opinion, mostly because our insurance covers the RE I'm seeing now, but now that you mention it I'm going to look into it! I wear an Ava bracelet at night to track my temperature. By the temps I've had, I thought I ovulated on my own this month but I never got a positive OPK.

suzycupcake · February 2019

@jyeags2810 It would be best since what else aside from one lab being slightly high made them think you might have PCOS? Why did they go straight to unexplained? You don’t want them going ah forget it, let’s just medicate her like a one size fits all, and see if that does the trick. Even with an HMO, you should be able to get a second opinion. It’s written into the rules laid out in your complete plan booklet.

For OPK, did you test twice a day starting with SMU? If not, it’s best to. A lot of ladies don’t have a detected surge with FMU and if you’re one of the ones that has a 12 hour surge, testing once a day will mean you’ll miss it. You’ll be testing 24 hours later and not know that your surge already happened.

What day of your cycle did they check your hormone levels and which did they check?

jyeags2810 · February 2019

Absence of a period, which also would mean I don't ovulate with androgens being slightly high had them mentioning PCOS but never giving me a for sure diagnosis. My doctor said he listed my prescriptions under unexplained. I have tricare and get treatment at a naval hospital so it's difficult to get a referral to another clinic, if it would even be covered by them at all.
I know that I have gotten positive OPKs in the past.. This month I've tested multiple times a day and it was never positive, not sure if the letrozole has that effect or not?
They checked my levels on cycle day 43.. that cycle lasted 74 days and that was only because I was put on provera to start it. I have no idea what hormones they checked, they took 17 vials of blood.

suzycupcake · February 2019

@jyeags2810 It would be really wise to get a copy of your lab work so you can see what hormones they checked. To diagnose PCOS, they also have to look at your ovaries and antral follicle count during ultrasound. There are specific hormone markers, symptoms, and ultrasound findings that are required in order to make the diagnosis. It would be a great idea to know what those things are as well as to get yourself a copy of Taking Charge of Your Fertility as well as a basal body thermometer to track O more accurately. With IF, you are going to have to be your biggest advocate, unfortunately. This is not an easy journey and if you really are experiencing IF, it's not a short road although I hope it is the case for you.

Having irregular cycles or having PCOS does not necessarily = IF, however, it does make active TTC completely difficult and unpredictable. I hope that you'll be able to find a way to get a second opinion soon. It's so hard to navigate various health/insurance systems, but you'll be glad that you did once you get in to see a 2nd opinion specialist. It might even be worth paying a couple hundred dollars to consult with someone outside of the Navy who has great reviews and spends the time going over your health history to tell you what he/she thinks. I wish you guys the best.

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