Sunday, January 25, 2004

Well, it looks like I did ovulate on CD 13. That's good in one way - that means my cycles haven't gotten any worse, and my dieting didn't really affect anything. It's bad though because I had an ultrasound on CD 12 and they said the eggs were too small and immature. So even though I ovulated, they would not be able to be fertilized.

Also, my fertility monitor didn't pick up an LH surge, so it didn't give me any peak days. This means my LH surge was really weak, which appears to be my major problem.

The nurse originally said that she thought I had PCOS because the ratio of FSH to LH was 3:1. However, in women with PCOS, the LH is almost always higher. Plus, my ultrasound did not reveal any abnormal cysts on my ovaries (yay!). You actually don't need cysts on your ovaries to be diagnosed with PCOS, but I really don't have any symptoms of PCOS other than slightly elevated insulin. She still might diagnose me with PCOS however, just to give my problem a name. :)

I've looked all over the internet and this is all I've been able to find about low LH levels:

"An inadequate LH release can cause a decrease in androstenedione from the theca cells. Less substrate results in a decrease in estradiol and, subsequently, lower progesterone levels. Additionally, a suboptimal LH surge at ovulation causes deficient progesterone because of inadequate luteinization of the granulosa cells."

That doesn't really explain why my eggs are immature (as evidenced by my ultrasound), because my FSH levels were fine.

Anyway, like I said before, the treatment will be the same, really. Metformin for elevated insulin, and Clomid to strength ovulation. 75% of women on Clomid ovulate, and if you ovulate you have a 40% chance of getting pregnant each cycle.

So, this 40% number really has me excited. I kind of feel a renewed interest in the whole pregnancy thing (I guess my interest was fading slightly this month because I was basically told I would not be able to get pregnant, plus I thought I wasn't ovulating).

I went out and bought some books yesterday, and I have my eyes set on a pregnancy journal where I can record all the events of my pregnancy. I will not buy it until I'm actually pregnant though. :)

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