Back Up and Ready for More Punches

Remember those punching bag inflatable things from when you were a kid? The bottom was filled with sand and the rest with air. I remember getting one for Easter one year. I think it was a bunny and I remember feeling bad hitting it too hard. I'm sure you can figure where I'm going with this. That punching bag that quickly pops back up? Yeah, that's what I feel like.

I've recently taken some harder hits than I threw as a kid. But, I'm back up and ready for some more abuse. I'm just hoping I don't pop anytime soon.

Today was an insanely long day. My appointment was at 7:30 and after I had to drop off paperwork at my boss' house. From there I saw 8 kids for therapy. There was a meeting thrown in there as well and a cancellation I wasn't informed of, so I still drove all the way to the daycare. I came home and took a nice nap on the couch.

My appointment was fine today. They drew blood and checked all of my levels: progesterone (0.6), estrogen (<20), LH (.47), TSH (2.45) FSH (4.1), and HCG (4.1). I asked about polyps and that being a possible factor in a chemical pregnancy. The NP said she didn't see any on ultrasound. I then informed her that I had them in the past and that they were only visible with the hysterosonogram. She asked if that was something I was interested in repeating and I said it was. 

I was given the all clear to start estrogen today since my HCG level was low enough. I am supposed to take it 3x's/day. With my last frozen transfer I took it once a day and remember it made me pretty nauseous. I hope it is better this time around. I also start back up on baby aspirin and dexamethasone. It was a nice 4 days off. 

I have another appointment this Thursday to recheck my HCG levels and to do the hysterosonogram. I am hoping I don't have any polyps, but I need to do this for my own peace of mind. I have another appointment for the following Wednesday where they will check my lining and I will do intralipids. It is an IV and takes about an hour and a half. W is requesting the afternoon off from work so he can be there to keep me company. From there, as long as everything looks good we can schedule the transfer. The NP today a possible day could be the 19th. Looks like I will be spending some of my 2WW in Mexico. Yes please!

Not Sure

I have an appointment tomorrow for an ultrasound to check my thyroid. I've been trying to get my doctor to order a full panel for thyroid testing, but he wasn't in today so it hasn't happened yet. I will call the office again tomorrow morning and request it again. 

My TSH levels were 1.07. I've found anything between .3 and 3.0 to be within the normal range. I just don't get it. Smack dab in the middle. I know I had them tested previously and they were normal as well. 

I called my fertility clinic today to ask them about the thyroid thing. They told me it probably wouldn't be the best to do an IVF cycle if my thyroid is all out of whack. I'm supposed to start Lupron on Monday and I have a suppression check in 11 days. I asked if they were to put me on Synthroid how long it would take to work. They said at least 6 weeks. This means potentially delaying another IVF cycle. Delays are not something I have dealt with well in the past, I'm not gonna lie. 

I'm so frustrated! I really need to be able to make an informed decision about whether to continue with this cycle or not before Monday, but I'm not sure that is going to happen. I can't make a decision based on my emotions alone. 

I don't understand how I've been to 2 RE's and neither of them have mentioned my thyroid. I've already done an IVF cycle and don't think my thyroid has anything to do with it failing. Yes, I've had a miscarriage, but I'm pretty sure that was due to low progesterone levels and not my thyroid. 

I've done some (understatement) research and found that the most likely thing is Hashimoto's Thyroiditis. I don't really have any of the symptoms and found that treatment is controversial. Some think if your TSH isn't elevated there is no reason to treat it. Others show that treatment helps. 

I just feel lost and not prepared to handle another delay. I know if there is a problem that needs to be dealt with it is best to do before cycling again. It's just hard to accept that and wait another couple of months. Hopefully I can get some kind of answers tomorrow regarding the ultrasound.