welp...

So met with my RE, Dr. P.  I'm more confused now than I was when I went in! Not because of what he said but of what to do from here.  After my initial consultation he said two things.  One: "it's likely you have endometriosis" and Two: "You may have PCOS" which is PolyCystic Ovarian Syndrome.  Uh...well those two things aren't such great things to have!  Luckily there are treatments for both, but we had to do MORE testing to see what's going on in there and see which treatment plan would be most beneficial to me.  Endometriosis runs in my family and I kind of had an inkling that I had it.  I have almost every single symptom of endo.  The PCOS is a new one on me.  I don't have many symptoms, but my ovaries look polycystic on ultrasound.  So, what to do from here?  I have to go back tomorrow after I fast to drink that nasty ass sugar drink and them take my blood before and after.  I have to wait 2 hours after drinking it for them to take my blood.  Looks like I'm in the market for a new good book :) The reason for the glucose test is because apparently with PCOS there's something off with my insulin.  Clearly I'm well versed about PCOS...I have a big day of research ahead of me! What I do know, is if they confirm the PCOS needs to be treated it looks like I will be taking a drug called Metformin to level out my insulin, then take Letrizole to induce ovulation (Dr. P doesn't like Clomid thank the GOOD lord) and will likely do Intrauterine Insemination aka IUI.  IUI is non-invasive.  They basically take Josh's sperm (I suppose I should buy him some decent porn if he's going to have to go at this part alone ;)) and wash it, as in clear the spermies from any seminal fluid and insert it directly into my uterus.  It's not very expensive and apparently not very painful.  I'm cool with that!   Unfortunately I have to have an HSG done...the FemVue I had done a few months ago with the bubbles does not give them a clear enough answer to whether or not my fallopian tubes are open.  Greeeeeeat.  Those things hurt like a mother F**KER.  That will be in about 2-2.5 weeks. 

So, to recap...yesterday they took about 20 vials (not joking) of my blood to test for any and every genetic issue that I could possibly be a carrier of, have told me I likely have Endometriosis and PCOS and also did some tests related to diagnosing me properly with those, did an ultrasound to check out my ovaries (btw my uterine wall was quite thick and I felt like Phoebe "Think Thick!!!") and determined they are polycystic, took a sample of cervial fluid to check me for STD's (heh), scheduled my glucose test, told me how to schedule my HSG when I start, gave both of us a prescription to take before the HSG so we don't "transfer bacteria back and forth to each other" which is disgusting to think about, took Josh's blood to test for STD's also (to which I made a joke about and nobody quite thought I was funny...awkward) and sent us home with pages upon pages of information about Endo, PCOS, HSG, Laparoscopy (which I can't even go into detail about yet...the surgery required to determine the level of Endo...eeeek) and exercise related to Fertility.  Oh yeah...I'm not allowed to do anymore cardio.  I can weight train my little heart out, but no more cardio for this chick.  Has to do with the BMI of a woman, and essentially how we aren't designed to be lean...awesome.  You bet your ass I called my trainer and was like "OMG Dr says I can't do anymore cardio am I going to get fat?!"  (Yes I recognize that's vain...but gaining weight is also not good for fertility...so whatevs) and he assured me that that is not how it works at all.  So long as I'm keeping track of my calories (I haven't counted calories in YEARS bc of my exercise regimen) and continue to weight train I will not gain weight.  WHEW! Plus, I hate doing cardio so this is kind of a win/win for me ;)

Oy...that's a lot of information.  My head is still spinning.  But bottom line is that we have to do MORE testing to get the answers although at the end of our appointment Dr P said, "once we figure out what the problem is I really don't see you having a difficult time conceiving or having a healthy pregnancy."  THAT I like!