TTC and PCOS

All of my test results are in and it's official: I have PCOS (polycystic ovarian syndrome). I've been told I might have it, but never that it was a definite. Until now. I wasn't sure what to think about it at first, but as it's sunk the the last few days I feel good about it. Not that I want to have it, but the knowing about it is good because I know what direction I need to go in (not just to get pregnant, but for my overall health). I've been put on Metformin to help with insulin resistance that often goes along with PCOS. I'm also taking Synthroid which is a thyroid medication. In 2005 I had a partial thyroid lobectomy (they removed half my thyroid), but the half that I do have has been compensating so I've never been on medication for it. My levels are actually within normal range right now, but while TTC they like the thyroid to be working a little faster, thus the Synthroid.

As for our next step: AF should arrive any day and we'll begin a Clomid cycle at 150mg/day. We're starting at 150mg because that's the dose I was on when we conceived Carter and when I ovulated last year. A couple things we are doing differently though is that my follicles will be monitored via ultrasound. Once one (or more I suppose) reach 18mm I'll be taking a trigger shot of Ovidrel which will force ovulation within 36 hours I believe. We aren't doing IUI (insemination) this round since we know we can conceive on our own. However, if this doesn't work after two tries IUI would most likely be our next step, followed by IVF.

I feel very hopeful about this upcoming cycle. Besides the medication I mentioned, I'm full of prenatals and more folic acid then you can imagine. I'm also taking the information about PCOS and insulin resistance very seriously. The doctor said I could think of myself as "pre" pre-diabetic. That's not a path I want to go down. Russ and I went out this weekend and bought a lot of PCOS friendly foods and I'm getting more serious about exercising daily. I firmly believe in health at every size, so this isn't about losing a bunch of weight (although the doctor told me that a loss of 5% has shown to help boost fertility). I want my body to be functioning at it's highest level for my fertility now, my pregnancy in the near future and my health for the rest of my life so that I can be the best mother and wife possible.

I never wanted to end up needing the help of a fertility specialist, yet deep down I always knew I would. Now that we're here I know with 100% of my being this is the right path for us and it will get us to the destination we've been searching for...our sweet baby that will be the best addition to our family.

Instead of my diagnosis bringing my spirits down, I'm choosing to find in it a renewal of hope. This isn't the end, but the beginning...and something (or should I say someone) magical is heading our way.