Tuesday, November 4, 2008

First Infertility Appointment

Yesterday was our first appointment with Dr. Kopher, the infertility Doctor. I was a little nervous because everyone told me before the appointment that either people like him or they hate him. However after meeting him, we liked him! He is very intelligent, calming and very nice. Everyone in the clinic was very nice to us.
We first went over all of my history and surgeries as well as Eli's too. He also said that from looking at the ultrasound he would say it is definetly PCOS. However, he wants to do more testing to see if I have the diabetes part of PCOS. He explained everything very well to us. I guess the ovaries produce some male hormone in every woman which in turn creates insulin. The more male hormone the more insulin?? The more insulin the harder it is to ovulate. Those with PCOS create more male hormones. I think this is what he said...its so confusing to explain. Anyways, so I went the lab this morning and did a glucose challenge test. I had to fast for 12 hours and get my blood drawn in the morning. Then I had to drink this horrible barium drink. I chose orange and at first it was okay but then I got really nauseated. After the drink the took blood an hour later and then 2 hours later. I thought I wasn't going to make it half way through but I kept it down! She said if you throw up they have to stop the testing and do it another day and I didn't want that. Dr. Kopher also ordered some other labs that were done.
We also went over new lifestyle changes that I need to make. He wants me to start a low carbohydrate diet and avoid sweets! Basically a diabetic diet. This means no candy, no pasta, potatoes and rice! That is stuff we eat all of the time. Its going to be hard but I know I can do it. I have been looking online and doing research on such a diet and there are alot of subsitutes for things that I like to eat.
He also said that he was a little worried about the scar tissue on my left ovary from surgery. He said if he feels it is affecting the process he will want to do a laproscopic surgery to go in and try and scrape some of it away. But he isn't concerned a whole lot right now, just something to consider.
We also went over Eli's sperm test results and he is above and beyond perfect, and boy was he bragging! The nurse and Dr. Kopher said something about how unbelieveable it was. The nurse said that Eli could help about 20% of the patients they see. Dr. Kopher said when we do start to get me ovulating Eli will be dangerous to my fertility!! He said he has an exceptional sperm count, one that he rarely sees. So I guess this is one thing going for us!
I did ask what the chances are for someone with PCOS ever getting pregnant and he said after they start ovulating about 95% chance. That was good news. He did go over with us the amount of time we are looking at. He said we need to have patience and it could take up to 6 months or longer for us to find what works for me. He also said that when I do start ovulating each month you only have a 10-15% chance of becoming pregnant. Patience will be hard but I have a very supportive husband.
We have our next appointment with Dr. Kopher a week from today, next Tuesday. We will go over my test results and then make a plan. He did say he would like to start me on Metformin, a diabetic medication and try Clomid again. He said many people who aren't successful with just Clomid are successful with Clomid and Metformin together. I am very happy with the route we are on and feel like Dr. Kopher has the help we need.
<3Kristen & Eli


Anonymous said...

I am SO happy that you may finally find some closure and some luck in your journey! GOOD LUCK to you and Eli! I wish the best for both of you!

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