Well, I was lucky to find an amazing acupuncturist last Spring. My acu is very supportive, honest, and really knows his stuff. My body has improved and things have gotten better since I've started seeing him. However, it just wasn't enough. He can't fix everything wrong with my body, the things that are stopping me from conceiving.
I have been to two different RE's. The first one IVF only and I'm dismissed. The other one also, IVF only, but I'll humor you since your insurance covers IUI. Well, I found out today that the clinic made a mistake and it does not cover IUI. I got a bill from the insurance company, so I need to back pay for last cycle, but what I did find was finally, my RE!
I am not seeing Dr. A and he comes highly recommended from tow sources. One is a parent who's child I work with. Her child is the product of IVF at the hands of Dr. A, but only after other treatments were tried. The other recommendation is a woman currently undergoing treatment. I am so happy to have found Dr. A! I feel like I have my team now. Okay, I just realized my acu is also Mr. A. So, I'm now going to refer to them as the "A Team", lol! And who doesn't want the "A Team" on the their side?
So, what is so awesome about Dr A??? Well, the first words out of his mouth were not, Do IVF. Nope. For the first time ever a medical doctor actually took the time to ask questions about me and my body. He wanted to know about my gastric bypass, my AF, pains, cramps, twinges, everything. He told me he doesn't see where I was tested for PCOS. He said he noticed my breakouts on my face and said that he wants to test me for PCOS, because while it is incredibly rare to have both PCOS AND DOR, it is possible. He was also interested in my blood sugar level. He wants to do an insulin resistance test tomorrow. Many years ago I had one before my gastric bypass surgery and I was considered "insulin resistant I also had it again after the gastric bypass and I was considered hypoglycemic. He said either way it can def affect fertility and so he really wants me tested for it to see how that's affecting me. He also brought up the possibility of endo. He said he doesn't have a reason to do a lap right now but he wants to do a blood test that will come up positive in 40% of people who have endo as well as some saline test. He said he's looking to see if there's a reason to perform a lap or not. He also plans to thoroughly test my thyroid levels. Throughout my life I've only been thyroid tested at my annual and I think it's just a basic test. He's going to test all of it because many times people have asked me about my thyroid as I think I have some attributes of thyroid issues such as my extreme coldness. I live in Texas and even in August, you will find me with a hoodie.
So, long story short, he wants to do more testing and figure out what is going on. He wants more info. That does mean I will be sitting out this cycle, but it's for a good cause and I am okay. He also uses Femara rather than Clomid, so yay! He says depending on what he finds he might do a Femara/injectible combo, but he wants to know everything first. He said definitely not IVF right now. He was mostly concerned with my age and why I haven't been able to conceive and has a least to most approach. He also said in general DOR aren't a good IVF candidates since by nature not many eggs will be retrieved, so he likes to really use that as a last measure.
So, right now I am pleased. We will be trying naturally this cycle and I do expect a BFN, but at least when AF comes, I know we'll have a good plan and be ready to go with something good. I trust Dr. A and DH did too. Oh, he also recommended some supp's for DH's sperm that my acu already gave him, so I liked that consistency a LOT!