I went to another RE yesterday for a second opinion because being dismissed the way I was by the 1st one just didn't sit right. Boy am I glad I didn't just sit down & shut up! Here's the lowdown on what happened:
In looking @ my bloodwork my CD3 estradiol was on the high side of normal. Also, although my fasting glucose was fine, my insulin production was also on the high side of normal. She asked if I had had my thyroid checked & I told her no, so she's checking that, especially after I told her that my father's mother has had a thyroid issue for most of her life.
They took 8 vials of blood from me & 2 from Vid. He was very nervous as usual but did fine, unlike the guy before him who passed out cold. I have a date with the "dildo cam" (transvaginal ultrasound) next CD 3. I told her we are going to Vegas & may be there for CD3; she said she might be able to arrange to have it done out there. This will make for a very memorable vacation!
Her theory is although it looks like I ovulate according to my charts & OPKs I may be surging in several waves throughout my cycles & not be experienceing "quality ovulation" which would explain why our perfect timing every cycle has always resulted in BFNs. I don't have the classic PCOS signs (body hair, acne, etc.) I am obese & my borderline insulin levels make her want to explore this possibility more, hence the dildo cam & more bloodwork.
In the meantime I've been put on Metformin which will help regulate my insuling levels & in turn may help me with the weight loss. She does not think the medical liquid diet would give me good long term outcomes & instead recommended going back on Weight Watchers or South Beach since as a vegetarian they have lots of options & would teach me how to eat food properly rather than jus drink it. Thank God! Although my dad lost 80 lbs. on the medical liquid diet, I tasted the shakes & they were just plain awful.
Once the dildo cam is done & the all clear is given, I'll be doing a monitored Clomid cycle with a Ovidrel trigger & IUI. If you know what that means, you've probably been through it before; if not, consider yourself lucky that you got pregnant the old fashioned way.