Man, this babymaking process (or, rather, in my case, the figuring-out-what’s-happening-with-my-body process) takes a long time. I know we’ve only been off birth control for 6 months, but it feels like it has been a constant cycle of one step forward, two steps back.
Alas, here we are. The tests have been done and the requisite weeks have been waited. Next Wednesday we (finally!) get to meet with Dr. P (our reproductive endocrinologist at Boston IVF) to discuss the results and prepare a treatment plan.
At our initial meeting, Dr. P’s working hypothesis was that my lack of ovulation might be caused by “Lean Polycysitc Ovarian Syndrome” (or Lean PCOS). I had read about PCOS before, and was confused by the idea that this could be my diagnosis, as I don’t have most of the symptoms that generally characterize that condition. PCOS is often identified by hair loss or excessive hair growth (I don’t have that), weight gain (nope), too much insulin or insulin resistance (don’t have that), breathing problems while sleeping (nope, not that either), pelvic pain (no), and/or high blood pressure (mine is actually very low). The only symptom I do have is anovulation. Dr. P discussed with me, though, that Lean PCOS is slightly different, and is characterized by having two out of three of the following symptoms:
- a high level of male hormones (androgens)
- polycystic ovaries
This is why he ordered some of the blood tests that he did, as well as the ultrasound (to check for cysts). While I still don’t know what the nurse saw during the ultrasound, I did receive the results from my blood tests, and I do not think I have a high level of androgens (thanks to some Googling to understand what a normal level is). For those who are interested (or want to compare notes!), here are my stats:
Total Testosterone: 39.3 ng/dl (6 – 86 is normal, above 50 is elevated)
Estradiol: 53.4 pg/mL (25 – 75 is normal)
Follicle Stimulating Hormone (FSH): 6.78 mIU/mL (3 – 20 is normal, under 9 is good)
Prolactin: 9.47 ng/mL (<24 is normal)
Thyroid Stimulating Hormone (TSH): 2.04 uIU/mL (.4 – 4 is normal, average is 1.7)
By the numbers, I’m looking good, right? Hopefully Dr. P can find something more meaningful in the test results and can get me ovulating ASAP. We’ll find out next Wednesday…