15 Weeks

Cancelled

Due to the most recent storm moving across the entire state of New York, we were forced to cancel our first ultrasound appointment with dr. B. We had even purchased DVD players for the girls in the car and booked a hotel room in preparation. Luckily, we were able to cancel the hotel and reschedule the appointment.

This means waiting until Friday. I rescheduled for that day because it was most convenient for W to get the day off. I didn't however realize it's Friday the 13th. Great. 

This Friday I should be 7 weeks. So far I've been feeling tired in the afternoons and nauseous like crazy in the middle of the night and in the early mornings. The past three nights I woke up I got sick. It's not fun at all to feel so awful but it's also somewhat reassuring at the same time. I actually emailed dr. B this morning asking about taking zofran with metformin because I'm not tolerating the metformin well. 

W has been so helpful and great. He's been helping as much with the girls as he is able. Having him feed them breakfast is so nice since looking at food that early in the morning makes me feel sick. He's really been so helpful and I appreciate it. 

Now, to make it to Friday...

Hormones

Lately my hormones have been feeling all over the place. I've had 2 periods since the girls were born. I have no idea the length of my first cycle and my second one was 51 days long. I'm currently on day 60 with no period in sight. I feel so irritable and have little patience and I've am having issues with insomnia for the first time in my life. I am still breastfeeding and know that that can affect hormone levels. 

Recently I purchased ovulation tests to try to see what my body was doing. We're not trying to get pregnant, I just wanted to see if I was ovulating, and if so, on what day of my cycle. I never really used them consistently and always heard they aren't reliable with PCOS. I will have to agree. I didn't really take too many but I got 2 clear positives this current cycle. This tells me that my body is having LH surges but likely not ovulating= more ovarian cysts. 

I realized I needed to make an appointment to see some kind of dr, but just wasn't sure what kind. My ob? A regular endocrinologist? A reproductive endocrinologist since it's related to my reproductive health and hormones? I feel like a RE is the most appropriate person, yet most are just focused on fertility treatments and getting women pregnant. That's not my goal right now.

So, I have an appointment scheduled with my ob for next week. I emailed Dr. B last night just to get his input. He suggested taking progesterone every 3 months to get a period. I read more about progesterone to help manage PCOS and that seemed like a popular treatment. 

The thing is, I'm wondering if there are ways to restore regular cycles (ovulation) and minimize the PCOS symptoms without birth control pills. Due to blood clotting issues I was told I shouldn't ever use an estrogen based birth control because it will increase my chances of developing a blood clot. I'm currently taking 1500-2000 mg a day of Metformin, more often the 1500 since I have a hard time tolerating the full dose. I also don't want to go on birth control. We've both talked about it and we'd be fine with a spontaneous pregnancy. In fact, I'd love it if we got pregnant on our own. 

I know I have to do something. Having 50+ day cycles isn't healthy or normal and I feel like my mood and patience aren't in a great place. So, we'll see what my ob says next week and what he suggests. Has anyone else regulated their PCOS without birth control pills? Any suggestions or ideas?

CD1?!

Yesterday I woke up to a unpleasant surprise. I thought for sure since I was still nursing at night I wouldn't get my period. Pair that with PCOS and irregular cycles to begin you and you can imagine my surprise. As much as I don't welcome it back, I've had a long break. This is my first period since December 2012. Crazy, huh? 

I've been taking metformin since about 8 weeks post partum. I've been slowly increasing my dosage as that stuff can be rough on the GI system. This week I started my dose at 2000 mg. I don't think this is what brought my period on. 

Don't get the wrong impression when I put CD 1 as a post title. It doesn't mean we are trying to get pregnant. I'm not on birth control but I also didn't think I was ovulating. I guess I should start paying closer attention. We also aren't having much sex to be completely honest. 

My sister came out Tuesday night for the night with my nephew Benny. Yesterday we went to the zoo with the babies and by the time I got home I had a horrible headache. Shortly after it turned into a migraine. 

Since having the girls I've gotten 2 really bad migraines. I'm debating going to my primary about it because I literally can't function when it happens. Thank god for a great and capable husband. Anyone have experience with migraines? Any tips or advice?

Follow-Up Chat/WTF Appointment

My appointment didn't go exactly as I had hoped, but it was pretty good overall. My plan was to let my RE (Dr. Greene) tell me what he thought before asking any questions. Well, he came into the room, introduced himself (even though I've met him 3 times already), and immediately asked me what questions I had. 

So first I asked why he thought I was having chemical pregnancies. He said that he thought it was likely genetic. He explained that at the point that we transfer the embryos they have only made simple determinations as to what type of cells they are going to be (placenta, fetus, etc.) but it's not very complicated. The cells are multiplying and dividing, but not getting too detailed. He made an analogy to a book. It is as if the embryo copied all of the chapter titles of the book, but didn't yet get any words. He said that as things progress the embryo needs to make more complicated divisions and the cells determine exactly what everything will be (liver, brain, blood vessels, etc.) This is where there appears to be a problem. 

He didn't recommend donor eggs, donor sperm, or PGD at this time. He recommended we just keep trying. This I found somewhat frustrating. It's not that I want to do any of these things, but I wish we had more concrete answers. 

His recommendation was to do the FET before moving on to another fresh cycle. He said the quality isn't great for the ones we have, but it is best to focus on this as our next step. When the embryos were frozen both were graded 4CC. 

He then said grading is just a beauty contest. It's not that he doesn't give the embryologists credit for the amazing job they do, but he and the other doctors at the practice don't care as much about the grade. He said it probably means more to me than it does to him. Dr. G told me a story about a woman who had only 1 embryo to transfer that the embryologists graded as so poor they didn't even recommend transferring. This woman got pregnant and her son now speaks 3 languages and plays 2 instruments. He said even though our embryos didn't get a great grade on their report card there's no reason to believe they can't turn out to be perfect babies. The grading plays no part on what the child ends up as, it's just a simple way of judging them when they are at such an early stage. Once they implant there is no reason to believe they will be inferior or imperfect. 

He also said he did a study which compared embryos with PGD. He said often the best looking ones were the ones that were the most abnormal. His theory was that the ones that don't look as great could have had a simple problem during division and they already corrected themselves, giving them a less than perfect appearance. 

Dr .G didn't seem to think the coasting had much of an effect on my eggs. He said the HCG trigger is what is responsible for the final maturation and not the other meds. He did say that one option is to do a staggered cycle. This is when you don't coast at all but you freeze all embryos and transfer them in a subsequent cycle. 

He didn't see any problems with egg quality, sperm quality, or embryo quality. This is pretty good because I was worried about my eggs and embryos. My last clinic told me that all of our embryos were slow to develop. He said this wasn't the case with my past 2 cycles. He compared it to puberty. Just because people go through it at slightly different times doesn't mean either are better or worse off. 

I asked about my thyroid since my levels vary a bit. Since they are always (more or less) within the normal range he didn't think any further testing was necessary. He said TSH levels can affect a person's ability to get pregnant, but don't typically unless they are grossly abnormal. 

I asked about doing a panel for RPL but he said it wasn't going to change anything we are doing. It is just more testing and more money, but it won't change our current protocol. He was skeptical about Lovenox, but said the other doctor in the clinic highly believed in it. He said there weren't any specific studies to prove it is effective. He seemed to be on board with intralipids and Metformin to help reduce miscarriage rates. 

I really wanted a plan for our next IVF, but he was more focused on the upcoming FET. He said he could sit down and look specifically at my past cycles and make a new plan, but he didn't feel like we should focus on that yet. He said I could email him any time and I plan to (if necessary) about this rather than booking another appointment if our FET doesn't work.

The dialogue part of the appointment was pretty short and a nurse popped her head into a room at one point and I heard something about someone being ready for an HSG. He pretty much wrapped things up and said to stay positive and focus on our next FET rather than trying to plan for our next IVF. 

I then asked if I was going to get an ultrasound. He said I could if I wanted one. I explained that I was wondering if this cycle was ovulatory or not and wanted to get a prescription for progesterone if it wasn't. 

They brought me into another room and I waited a bit. I'm guessing he did the HSG in that time. Then he came in and did the ultrasound. First was my lining. It was a bit thin for me at 7.5. He then went to my right ovary (the one with a tube) and there was a great looking follicle which measured about 17 mm. On my left ovary (the one without a tube) there was another one which was larger and a little bigger than 20. I asked about a natural FET and he asked when my HCG came back negative. I think how recent that was paired with my thin lining made him say it wouldn't be a good cycle to do it. He said I should pick up ovulation tests and start using them. He then said we should definitely try on our own this month.

To find out I was actually ovulating was pretty great. There are some perks to going to a fertility clinic, such as getting a peak inside even when you are not actively cycling. In total, W and I only tried on our own 3 months. One was the first month before we saw a RE, and 2 cycles were post D&C so I don't even know if they were ovulatory. Sometimes I wonder if we could do this on our own, but it's hard to have faith in my body at this point. Dr. Greene did say that often women get pregnant in the cycles immediately following an IVF cycle. This is because the eggs are exposed to a more favorable environment preceding final maturation and ovulation. I would certainly take a natural pregnancy at this point!

I know this post is thorough and I may have bored the crap out of you, but I wanted to document and remember as much from the appointment as possible. I'm a seeker of information and always try to understand as much of this process as I can. 

I've been peeing on OPK's for a few days now. Since I have so many and they are cheap, there is no concern with using more than 1 per day. This afternoon the line was darker than it has been and there has been an abundance of EWCM. I'm hoping I get a positive soon and I will keep you posted. 

Today's Appointment

I really need a cure for fertility clinic anxiety. The mix of Metformin, Estradiol and stress/anxiety is not working out so well for me. The estrogen leads to nausea which leads to Liz not eating a whole lot these days. The plus is that this also leads to my pants being a little looser, leaving a little extra room for our Thanksgiving feast. 

Any tips or hints to combat fertility clinic anxiety?

The clinic was empty today and I was the only person there. They had me undress from the waist down, gave me a real sheet to cover myself with, and I waited for Dr. S. He didn't take too long and immediately asked about the bleeding when he entered the room. I told him it's still going on and is heavy like a period. 

He then did the scan. My lining measured 6.5 and had a trilaminar stripe. He said this didn't correspond with me having a period. We talked about the dates I had spotting, how I had a positive OPK in October, and the plan for the future. He was confused that I was bleeding despite what my endometrium looked like. I never cease to have unexpected problems. 

We came up with a plan. The plan is for me to continue on the estradiol (vaginally rather than orally to help reduce nausea) and rescan on Monday. He sent me for blood work to measure progesterone, estrogen, and Vitamin D (per my request). If I am still bleeding or my lining has decreased on Monday we will cancel the cycle and look to do the FET with the Lupron protocol probably some time in January. If the bleeding has stopped and my lining is thicker, we will continue as planned and consider this bleeding "breakthrough bleeding" which apparently sometimes occurs on estrogen. I really don't know what the plan is if my lining stays the same, I guess that isn't very likely. 

So, my Monday will be spend at two different fertility clinics, getting two different ultrasounds. Doesn't that sound like a ton of fun? At least they aren't back-to-back. One appointment is at 8:30 and the other is at 2:00. Hopefully I can get some work done in between those times.

Until then I will be cooking, entertaining, black friday shopping (eek), spending time with family, relaxing, and trying to step away from thinking about this whole thing. I will instead focus on all the positive and great things I have going on in my life. I fully appreciate these things and am incredibly thankful. I got the sweetest card from a family of a little boy I work with today. It literally brought tears to my eyes (maybe hormones played a part) and made my day. A card like that beats any present any day. I hope everyone has a GREAT Thanksgiving!!

I missed you

Progesterone that is. Well actually, not at all. I am starting to think I was crazy for requesting progesterone with this IUI, but when I was pregnant my levels were always in the low-average range. When I asked my RE about this he said it could have been because the Lupron suppressed everything. I did not miss the leaky feeling or constant use of panty liners. Oh well though, a pretty minor complaint.

When I woke up yesterday my boobs were super sore. Most likely it was a result of ovulation since it was before I had started the Progesterone. I have had some cramping on and off the past day or so and my stomach has been off. I'm not sure if that is the Progesterone of Metformin. I've also been getting up in the middle on the night to pee. It is amazing how the trigger shot gives you pregnancy symptoms. I'm sure this will subside as the HCG works its way out of my system. 

We planted most of our garden yesterday and put in carrots, zucchini, yellow squash, winter squash, red green and orange bell peppers, jalapenos, oregano, parsley, basil, rosemary, cilantro, melons, yellow and green string beans, eggplant, 3 varieties of tomatoes, cucumbers, red and yellow onions, broccoli, cauliflower, spinach and lettuce. We also planted some sunflowers and marigolds. It was a LOT of work, but we are hoping it all pays off and we have some delicious veggies in a few months. We still need to plant our potatoes and peas and will do that as soon as the weather cooperates. I did a lot of squatting to plant rather than kneeling since the ground was so wet, but my hamstrings and inner thighs are KILLING me today. Walking fast or doing stairs has been a little painful.

We went and saw the movie Bridesmaids today and it was really funny. I had some gift certificates to the movies we have been meaning to use and it was nice to have a complete distraction from the 2ww. I will be really busy with work the next few weeks and we have W's graduation on Sunday. Saturday my boss has this event at the museum in Syracuse that is a sensory friendly day at the museum for children who have sensory issues. We are planning to do that Saturday and then have graduation on Sunday. Our party is coming up in a few weeks and we really want to paint our mud room (newly renamed the sun room) that W tiled last weekend. I should post some pics of the updates around the house. The 2ww is always good for house projects, especially with an upcoming graduation/housewarming party!

IUI #2 CD 6 (sick)

Yup, I have an ear infection. I was resisting going to the doctor all week, but decided this afternoon my ear wasn't going to clear out the fluid on its own. It was a little difficult disclosing all of my current meds to an unknown nurse, and she didn't know what Gonal-F was so I had to explain. She also asked me if I was diabetic due to the Metformin and when I told her I wasn't she asked me why I was taking it. All in all, no biggie. I left with some antibiotics and filled it this afternoon.

I am hoping this will help me feel better since I have been off all week. Hoping the amoxicillin doesn't interfere with the Gonal-F, but my nurse said I was fine to take anything at this point. My main concern is that it runs 10 days and I might be PUPO at that point. Any input?

Yay, more meds!!

Happy May Day

I don't really know what May Day ism and when I think of it I think of a distress call, but happy May Day! I can't believe it is May already and spring has definitely sprung around here. The trees are all in bloom, the grass is green, and flowers are aplenty. It is amazing how fast it happened, we just needed a few warm days. 

I appreciate all of the feedback from my post on Friday about when to take the gonal-f. The reason I didn't call my clinic is because they are not open on the weekend, and my first shot is tonight. I am planning to do it around 7 and hoping for the best. My hubby is a pro at the little syringes at this point, but that big pen will take some getting used to. I am looking forward to starting tonight and much more hopeful for this cycle. 

My Dad came out yesterday and we worked on some gardening. Since we have an acre lot, we have a lot we could do. We went to the store and as a housewarming present he bought us a ton of bulbs, seeds, a magnolia tree!!, some herbs, fertilizer, etc. He also brought out some plants from his garden including catnip. We were busy, busy working until 8:15 planting last night. I was sad he didn't stay the night, but we got a lot accomplished. We put in a walk way a few weeks ago (an entire weekend project) and we added some plants along there. Here are some pics of our recent landscaping projects:

This was our walkway before. It would get extremely muddy when it rained, so we found stepping stones in another part of the yard and moved them here. See the big tree to the left? Can you say LOTS of roots below the ground. W became a pro in no time with the axe. 

Here is is with the stones and newly planted items alongside. 

We also worked on this flower bed last weekend which already had the daffodils growing in it. It also had a ton of coal which we raked out. 

Yesterday we worked on this flower bed. We put down the plastic and plan to mulch when the bulbs pop up. Growing there will be calla lilies, beebalm in numerous colors, stargazer lilies, iris, peonies in three different colors, and day lilies.

Before:

With plastic down and no mulch yet. Not exactly instantly gratifying. 

We also tilled and fenced in an area for our veggie garden. 

Today we planted the Magnolia tree:

I know all of our house improvements aren't extremely exciting, but those are the updates in my life. I have been feeling pretty crappy between my period coming and having a little cold. I usually don't get sick despite work with little kids, but in the last month I have gotten two different minor colds. Last night my throat was killing me and my neck was super sore (still is today). I am hoping it feels better tomorrow. Also, the Metformin is definitely having it's "effect", but nothing too bad. So far it is tolerable. 

Vacation

So we are home and it's Sunday night which means I have to go back to work tomorrow. Don't get me wrong, I love my job, but the end of vacation is always a bummer.

We had a great trip full of lots of sunning, swimming, reading, drinking, eating, relaxing, and enjoying each other. Our room was great and the weather was fantastic. The food and drinks were both consistently great and I had my first bahama mamma (it was absolutely delicious!)

The resort was about an hour and a half away from the airport in Santo Domingo and we had a shuttle arranged. It was interesting to see more of the country and it didn't seem overwhelmingly poor. Unlike Costa Rica there wasn't much wealth either. The biggest thing I noticed was that the street and sides of the streets were covered in garbage. One of the coolest things was that the red lights had a timer to let you know how much time you had left. It seemed like red lights were optional and the driver of our van was very "horny" in that he tapped the horn quite often.

The resort was pretty far back from the road and was very nicely manicured. The beach area was a bit small, but had chairs to sit in. There were a lot of topless women on the beach (not me), and my hubby and I would give out our own award to the best set seen. The waiters even came to the beach to get drink orders and I drank a good amount of frozen alcoholic beverages.

The last day I called MSED (maximum sun exposure day) and am peeling as a result. I got a little burned here and there, but nothing too bad by the last day.

Here are some pictures from the trip:

In other news I started my Metformin last night. I haven't had any extreme side effects, just minor disturbances. I am hoping it stays this way. I had a pretty bad headache all day but so did W, so I'm thinking it was more out of withdrawal from beverages.

Of course I couldn't complete ignore the issue of our trying to start a family on the trip. We had some conversations (less than usual) and I brought ovulation prediction tests with me (of course). I wasn't counting on ovulating this month, but was given the green light to try if I did. I am so confused and frustrated by the test strips since it looks like I got a positive, but in reality I don't think it was. The test strip is darker, but only a portion of the line. When I looked online it said it had to be 50% or more of the line to be positive, so I don't think it counts. What do you think? I'm pretty sure it doesn't count as a positive.

The thing is, even when this test appeared positive, I didn't feel like I was ovulating. I did have some increase in CM the week before but hadn't bought the OPK by then. I really don't think I stood much of a chance ovulating this month, but I may ask my RE to run progesterone levels in order to see since I have to get blood work anyway. 

I am supposed to call me RE this Thursday to tell him whether or not I have gotten my period. It's not that I don't think I would get it if I just waited, but I'm not feeling particularly patient these days. If I haven't gotten it by Thursday (4 weeks post D&C) then he will prescribe Provera to induce it. I don't feel like my period is close as all, but if I did ovulate then I would want to know for sure whether I was pregnant or not before taking it. I'm not feeling like this is very likely, but you never know, right?

 Any experiences with Provera? I've never taken it before. I will probably schedule an appointment for this week to talk about Clomid and I still have to go back for more blood work to check HCG levels and testosterone levels. Ahh, back to reality!

RE appointment 3/11

Today was my follow-up appointment for my D&C and laparoscopy with my RE. I was annoyed because they hadn't gotten my blood work results from the lab, but they were able to call over and get them faxed. The downside was that the insulin levels weren't included. They had the glucose and HCG levels, but no insulin results. My HCG was 10 on Wednesday and my fasting glucose levels were well in the average range (83). My RE checked the incision and everything is healing well. I find it pretty funny I didn't think anything of it or flinch when he moved my underwear down to check the smaller incisions. 

We talked about a timeframe and I am supposed to call the clinic on March 24th (4 weeks post D&C) and tell whether or not I have gotten a period. At first he talked about waiting 6-8 weeks after surgery to see if I got a period, but he changed his tune. If I haven't gotten my period in another 2 weeks he will put me on Provera to induce it. I am hoping it comes before then so that I won't have to use anything, but who knows. He first talked about Clomid alone and using OPK's to monitor, but as soon as I asked about IUI's, he was totally willing and said it wasn't a bad idea. Often times, Clomid changes your cervical mucus, so the IUI would bypass that problem. 

I reminded him of the meds I have from our IVF cycle that never happened, and he then said that we could try two months of Clomid with IUI's and then move on to injectables if we don't get a great response. He reiterated that OHSS is not something I want and is very dangerous. Women with PCOS are very prone to it and that risk would be increased with injectables. I guess you can even get it with Clomid, but it is rare. 

He then wrote me a script for Metformin. I don't have to green light to start taking it until he gets the insulin levels, and he doubted I would demonstrate insulin resistance. I also don't want to start taking it before going on vacation. I signed a waver about using the drug "off label" and will start when we get back. I am supposed to call the clinic when I get back to be sure.  

The pro's of this visit/good news:  

If I were to ovulate this month we can try and don't have to use birth control. I'm not really counting on it, but good to know.  

The full pathology report from the tumor/cyst was fine. Although what I had was rare, it was completely benign. 

Even with one tube it is possible to ovulate from the other ovary and get pregnant. Something about          transmigration (he explained it and I understood, but I can't repeat it). My RE treated a woman who had one ovary on one side and one tube on the other and was able to get pregnant. 

We will do an IUI the first cycle and don't have to just try Clomid. My insurance covers IUI's which is great. Also, we will do 2 IUI's per cycle.

We won't be looking at the same "game plan" as previously and could move on to injectables after 2 months of trying Clomid. 

My RE is as confident as I have seen him about me getting pregnant. He seems to think we will be successful quickly, but never gives percentages or absolutes. 

The cons/bad news:

I will be going on Metformin and am terrified of the side effects and how it will affect me. 

More blood work: HCG repeat (until it is below 5), testosterone, and DHEAS levels. 

IVF is still a possibility in the future. 

Recovery

So the surgery went as well as surgery can go. We got to the hospital at 6 AM and were admitted right away. By 7:15 they came to wheel me down to the operating room. I saw my RE before and he talked to me about his plan and I gave my hubby a kiss. They gave me something before I got to the operating room and it started to work quickly. I remember moving from one bed to the next and seeing a HUGE round light above my head. The next thing I knew I was waking up in the recovery room at it was 12:15. I was shivering and my teeth were chattering, but they brought me about 4 warmed blankets which seemed to help. I felt OK and witnessed this guy "Frank" in the bed next to me waking up in a bad place. I heard one of the nurses say they hadn't seen someone waking like this in 21 years. He was trying to get out of the bed, sit up, and pull the oxygen out of his nose. He had about 6 nurses around him and this made me feel like a good patient. I didn't throw up either!! That was pretty great. That ended up coming later unfortunately. 

About 12:45 they brought me back up to my room. I felt much better this time and napped for a bit. My hubby and mother-in-law were in the room and were willing to help in any way possible. They brought my a bagel and some juice. The juice ended up being a bad thing and when they brought me the wheelchair as it was time to leave I got really nauseous. I throw up most of the juice but felt fine after and haven't gotten sick since. The nurse said OJ probably wasn't the best idea, but it was delicious. It was a Nantucket Nectar Orange Mango and I really enjoyed it on the way down. I guess I got a little over zealous and drank too much. 

The pain wasn't too bad but I was bleeding quite a bit. My hubby gave me a short run-down of what the doctor told him after, but I did eventually talk to my doctor about it all. He didn't really say much about the D&C, just that it went fine. He talked more about the laparoscopy and how that went. He said when he went in he tried to just remove the cyst but once he got in open he saw there was more growth into my tube that looked like "cauliflower". He said he was initially very concerned and called it a tumor (this was a bit surprising). They sent it to pathology and got the results as I was still in surgery. Everything was benign, but he did remove it all. I ended up losing my left tube, but it wasn't really functional before. He said the right tube looked healthy and clear and that both ovaries looked great. He said I have everything I need to get pregnant and he is confident I will get pregnant. 

He then talked about where we will proceed in the future. Since my remaining tube is open and my ovaries are fine he said it is similar to an engine needing a jump start in the winter. He seemed to think the Lupron has a flare effect initially and that is what made me ovulate. I was a bit disappointed to find out it hadn't just happened on its own. Oh well, I knew we would need help and I didn't want to just try on our own anyway. I knew I wasn't ovulating regularly, so it is no surprise we will need help to ovulate in the future. 

He wants to do a 3 month plan. First, he was saying we could just do Clomid and see how that worked for 3 months. He then said we would do Clomid and IUI for another 3 months to see how that goes. After that we could try 3 months of injectables and IUI. Injectables are more risky because they pose a higher risk for multiples. I feel like with only one good tube, that risk has got to be decreased. I'm not sure exactly how I feel about this and I think I would rather be more aggressive about things. We go back for a post-op appointment in about 2 weeks, so I will be able to talk to him more about my feelings then. 

He said he will probably put me on Metformin. He wants to do the fasting glucose test, but regardless of the results will probably lean towards putting me on it. Does anyone have any advice or experiences with Metformin? I am not thrilled about this prospect, but know it reduces the risk for miscarriage. 

I have been feeling OK. We got home around 6 PM last night and I immediately went to bed. My hubby brought me some soup and I slept most of the night. I got up a few times to use the bathroom and was in a lot of pain once the pain killers wore off. It is worse than last time because I have two additional incisions and they removed my tube and the cyst rather than just draining it like last time. I am a little bummed about losing my tube and being so young, but am looking forward to trying again. My RE said I will get my period soon to shed the lining of my uterus and will probably get another one in either 4 to 6 or 6 to 8 weeks (I don't completely remember.) If that doesn't happen, he can give me something to induce it. I haven't ever had a problem getting my period, so I am hopeful it will happen naturally. 

Otherwise we are just hanging out and have 6 movies we rented as well as Netflix so we are planning to take it easy. It is snowing and looks pretty crappy outside so I am glad to have an excuse to do nothing and stay inside.