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11-25-11 Doctor Appointment

Nov 25, 2011 - 12 comments
Tags:

irregular periods

,

abnormal uterine bleeding

,

annovulatory cycle

,

fsh

,

LH blood test

,

estradiol

,

progesterone levels

,

Female Infertility

,

PCOS



1st: I have to say that I really like my doctor. He is always willing to go the extra mile to find answers for me and it keeps me at ease.

2nd: I am NOT pregnant. I took another HCG blood test today and the results were negative. I am okay with that because I knew I wasn't pregnant. Don't get me wrong, I was hopeful but in my gut, I knew I wasn't. I am just relieved to have an answer.

3rd: My doc did a vaginal ultrasound of my uterus lining and both of my ovaries.

Lining looks normal with some extra cervical mucus.I told my doctor about the eggwhite cervical mucus I have been having the past 2 days and he said that it is not always a sign of fertility, it can happen at any time but it can sometimes mean ovulation has recently occurred but its not accurate enough to go off of when TTC. Which makes sense because I have even seen ewcm mixed with my period blood before. He said in one of my ovaries he saw what looked like it could be a follicle beginning to grow to prepare for ovulation but that it was so small he could not say for sure. Therefore he ordered the below blood test"

FSH (FOLLICLE STIMULATING HORMONE): A follicle-stimulating hormone test measures the amount of follicle-stimulating hormone (FSH) in a blood sample. FSH is produced by the pituitary gland.In women, FSH helps control the menstrual cycle and the production of eggs by the ovaries. The amount of FSH varies throughout a woman's menstrual cycle and is highest just before she releases an egg (ovulates).The amounts of FSH and other hormones (luteinizing hormone, estrogen, and progesterone) are measured in both a man and a woman to determine why the couple can't become pregnant.The FSH level can help determine whether male or female sex organs (testicles or ovaries) are functioning properly.

LH (LUTEINIZING HORMONE): In women, LH helps regulate the menstrual cycle and egg production. The level of LH in a woman's body varies with the phase of the menstrual cycle. It increases rapidly just before ovulation occurs, about midway through the cycle (day 14 of a 28-day cycle). This is called an LH surge. Luteinizing hormone and follicle-stimulating hormone levels rise and fall together during the monthly menstrual cycle.

ESTRADIOL: Estradiol is the most commonly measured type of estrogen for nonpregnant women. The amount of estradiol in a woman's blood varies throughout her menstrual cycle. After menopause, estradiol production drops to a very low but constant level.

PROGESTERONE: A progesterone test measures the amount of the hormone progesterone in a blood sample. Progesterone is a female hormone produced by the ovaries during release of a mature egg from an ovary. Progesterone helps prepare the lining of the uterus to receive the egg if it becomes fertilized by a sperm. If the egg is not fertilized, progesterone levels drop and menstrual bleeding begins.

All of which will determine if I am indeed in a new cycle at the point of being fertile in preparation for ovulation.

4th: I asked if my spotting from last week was considered mid cycle spotting from my period that started on 10/31 or if it was indeed a start to a new cycle. He assured me that if the blood work comes back to match his speculation that I am currently at mid cycle getting ready to ovulate than that means that my spotting which began on 11/15 was indeed the start of a new cycle. However, if the blood work does not match up to what he believes he saw during my ultrasound, then we will have to figure out the next step. Maybe some more blood work and another ultrasound. But we wont know until we get my blood results and hopefully they will come in by Monday 11/28.

5th: I told him how this has NEVER happened to me before and he said that since I am irregular, that it is very possible and considered normal for me. And that if I am indeed in mid cycle of a new cycle then the 2 week cycle I had between 10/31 and 11/15 is just considered irregular without ovulation. This would be the better outcome of my situation. If not then we will have to figure out why I was bleeding last week and why my new cycle hasn't started.

So all in all, what I experienced last week 11/15/11 through 11/20/11 was NOT implantation bleeding because I am not pregnant. Its either irregular spotting for someone reason OR it could just be the start of a new cycle (what I am hoping for). It all results in my hormones not being balanced. Its amazing to me how hormones are what causes all of this confusion and being irregular.

I will keep everyone updated on my situation as I go along. My honey is leaving for work tomorrow and he will be gone for 14 days, so we are going to bed again tonight just in case this is a new cycle and just in case I am fertile.

THANK ALL OF YOU SO MUCH FOR BEING THERE FOR ME THROUGH THIS CRAZY RIDE BECAUSE I COULD NOT GET THROUGH THIS WITHOUT YOU! NO ONE ELSE GETS IT OR EVEN UNDERSTANDS ALL OF WHAT I JUST WROTE. LOL. SO THANK YOU AGAIN SO MUCH FROM THE BOTTOM OF MY HEART <3


Warm Regards,
Jess xoxo


11/25/11 LAB RESULTS:

FSH (FOLLICLE STIMULATING HORMONE): MY RESULTS = 7.9

Normal

The normal values listed here—called a reference range—are just a guide. These ranges vary from lab to lab, and your lab may have a different range for what’s normal. Your lab report should contain the range your lab uses. Also, your doctor will evaluate your results based on your health and other factors. This means that a value that falls outside the normal values listed here may still be normal for you or your lab.

Follicular phase: 1.37 – 9.9 international units per liter (IU/L).

Midcycle peak: 6.17 – 17.2 IU/L

Luteal phase: 1.09 – 9.2 IU/L


LH (LUTEINIZING HORMONE): MY RESULTS = 5.1

Normal

The normal values listed here—called a reference range—are just a guide. These ranges vary from lab to lab, and your lab may have a different range for what’s normal. Your lab report should contain the range your lab uses. Also, your doctor will evaluate your results based on your health and other factors. This means that a value that falls outside the normal values listed here may still be normal for you or your lab. Ask your doctor for normal values of your luteinizing hormone test.

Follicular phase: 1.68–15 international units per liter (IU/L).

Midcycle peak: 21.9–56.6 IU/L

Luteal phase: 0.61–16.3 IU/L



ESTRADIOL: MY RESULTS = 357.1

Normal

For girls and women between puberty and menopause, estrogen levels vary throughout the menstrual.

The normal values listed here—called a reference range—are just a guide. These ranges vary from lab to lab, and your lab may have a different range for what’s normal. Your lab report should contain the range your lab uses. Also, your doctor will evaluate your results based on your health and other factors. This means that a value that falls outside the normal values listed here may still be normal for you or your lab.

Women before menopause: 20 – 750 picograms per milliliter (pg/mL).

Women after menopause: Less than or equal to 20 pg/mL



PROGESTERONE: MY RESULTS = 0.70

The normal values listed here—called a reference range—are just a guide. These ranges vary from lab to lab, and your lab may have a different range for what’s normal. Your lab report should contain the range your lab uses. Also, your doctor will evaluate your results based on your health and other factors. This means that a value that falls outside the normal values listed here may still be normal for you or your lab.

Days 1–14: Less than 1 nanogram per milliliter (ng/mL) or 0.5 – 2.3 nanomoles per liter (nmol/L)

Days 15–28: 2 – 25 ng/mL or 6.4 – 79.5 nmol/L


According to all of my lab results, I believe I am in the follicular phase, which would be a good thing because then it means last weeks bleeding was the start of a new cycle and hopefully I will be ovulating this upcoming week. I will have more of an answer on Monday when my doctor contacts me after he looks at the lab results himself. I do feel better knowing that my results look normal for where I feel I should be in this new cycle. It lets me know that last weeks bleeding wasn't abnormal. It just means I did not ovulate at all last cycle. My honey left for work today and will be gone for 17 days now and so although we did bed today and yesterday, I am not too concerned with me getting pregnant this month because I don't think the sperm will survive that long until I ovulate, if I ovulate. I would be more than happy to know that my cycle is normal. Because we are planning for IUI when we get the chance anyway.

I will update my journal again on Monday. Thank you for reading, all comments are appreciated =)


11/28/11 UPDATE =)

Hi Ladies,

I received an email from my doctor stating that I was indeed in the follicular phase of a new cycle and that I will, (if I haven't already), be ovulating this cycle. I asked him if I had PCOS and he said its possible but for now to keep track and see if my period comes in 2 weeks and we will go from there! I am just super relieved that the bleeding I had was indeed the beginning of a new cycle of which I am now mid cycle and ovulating =). I believe I ovulated today or possibly yesterday. I am not really tracking it but I can tell because of my cm.  My honey is gone for work, so hopefully the bedding we did Thursday and Friday night did something, other wise we will have to wait until next cycle. Its terrible that I would ovulate as soon as he leaves, just our luck. Oh well, I believe things are happening this way for a reason. I am hoping his swimmers stay alive long enough to reach the lil egg. But ultimately we are going to go for IUI asap.

Thank you all so much for being so supportive and helping me through this rough patch! I couldn't have gone through this emotionally without you! Now its the 2ww.

Love ya, appreciate ya and enjoy ya!!

Jess xoxo





Comments
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by baby2929, Nov 26, 2011
Your doctor sounds very good indeed, he is leaving no stone unturned for you. I think you are doing the right thing with all these tests ect with your doctor and you never know, it may be while your distracted with that that you end up with a BFP. Im glad you have a good doctor, keep us posted on the other results and stay strong. SSBD to you xx

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by Risa615, Nov 26, 2011
Jess,
Did your dr do an ultrasound and look for follies? Did he tell you how think your lining was?
Risa

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by beddajess, Nov 26, 2011
@ baby2929,

Thank you so much! You always know the right thing to say and it always uplifts my spirits. I am truly blessed with a great doctor. My bf leaves for work tomorrow morning so we are hoping we made good timing "if" I am fertile. If not, when he gets back, we are going for iui. We have taken a long enough break. Thank you again for being so supportive. I will keep you updated :).

Jess Xoxo

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by beddajess, Nov 26, 2011
@ Risa,

Yes he checked both. I wrote about it in the beginning of my journal ;). He said my lining looked good with some cervical mucus. And he said that in one of my ovaries, there looks like there might be a follicle but he had me take the blood tests to confirm. I will know Monday but we bed just in case ;).

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by Risa615, Nov 26, 2011
Jess, if you were close to ovulation, then he would have been able to measure your follies and they don't need a blood test to do that.  Lining should be near 10 if you are close to ovulation, see if you can get a number next time.  If they can't measure your follies, then you are in the beginning of your cycle.  Some times a big follie is a cyst and they would measure your estradiol to determine that.  I will be interested in your blood work results on Monday.  If you progesterone is under 1 then you haven't ovulated.  I would not pay attention to your FSH since you don't know what day you are in your cycle and that test is best done around cd 2 or cd 3.  Once you figure out where you are in your cycle, an IUI would be a good idea, good luck!
Risa

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by beddajess, Nov 26, 2011
Hi Risa,

He did measure what looked to be the beginning of a follie growing but wanted to confirm through blood work that I am indeed in the Follicular Phase. If this is a new cycle for me, yesterday would only be CD 11, so probably the very beginning stages of becoming fertile. Im thinking thats why he said come Monday he will let me know if I need to do more lab work or another ultrasound. Which makes sense because by Monday I would be closer to ovulation. I know for a fact that I have not yet ovulated and that I did not ovulate last week which "should" have been mid cycle for me but instead I seemed to have started a new cycle. That is what it is looking like to me. My doc usually doesn't give me any numbers on the lining of my uterus, so I am not sure about that. He did say it looked healthy and like I had cervical mucus building. I did get my test results back online because its through Kaiser. But I am going to wait and see what my doctor says come Monday. According to my results from what I read, I am in the Follicular Phase which would be really good because then it explains last weeks bleeding as being a new cycle and not just some random unexplained bleeding, ya know? I am hopeful. I will update this journal with the results and what they mean.

Thank you so much for all of your advice it means so much! I know what you mean about throwing in the towel. But I honestly feel like continuing to try and keeping faith is all we have. If we give up now because of so many "failed" attempts then we are giving up on what could be and we will never know if it could be if we give up. =) I am keeping you in my deepest thoughts and prayers always xoxo

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by thosenewmans, Nov 26, 2011
Thanks for the update! It sounds like your doctor knows what he is talking about and that he will get it all sorted out! :)

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by beddajess, Nov 26, 2011
I sure hope so!! I still can't believe I only had a 15 day cycle. That has never happened to me and it through me for a loop. So I am really hoping that I did indeed start a new cycle last week and I am hoping my body becomes regular somehow. I am anxious to hear what my doctor has to say. I will continue to keep everyone updated. I know this journal is long but I feel its very informative for anyone who is going through similar changes. ;-)

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by Risa615, Nov 26, 2011
Jess, I go to Kaiser too. I really like the online stuff. I am lucky to have coverage for iuis. I will try and get in on Monday, but since I will be out of town Dec 5-8, it might be tight to get in another iui. Usually my iuis are around cd 12-14, but I usually go in cd 10 to see how I am doing.
I have had a 16 day cycle before, April 2010 you can check out my chart. Anyway, hope you get your body back on track, sounds like you are on the way. Progesterone does show you have not ovulated. Fsh is good too!

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by beddajess, Nov 26, 2011
Risa,


I just love Kaiser! They are awesome as far as online stuff and their infertility department goes. I don't have full coverage, however, I do have 50% coverage, which helps tremendously =) We have not tried any treatment since May. The last thing I had done was a polyp removal on 8/1. I really hate being irregular, it just makes me feel out of wack. I will definitely check out your chart for reference ;) Thank you for telling me that! And yea I agree, I have not ovulated yet but everything looks good, I hope! I will keep you updated!

I know what you mean about everything being a tight schedule to try and fit in the IUI, thats why we haven't done ours yet, but hopefully soon and who knows, maybe you and I will be going through that at the same time ;-)

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by JennyB0125, Nov 27, 2011
Wow that was a lot of great info!!  I am glad you are in the normal range for everything, I bet it eases your mind some, and the fact you have a doctor you trust is awesome!! Keep me posted & good luck!!




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by beddajess, Nov 27, 2011
@ Jenny,

Thanks so much girl =) I know its a lot of info but I want to try and help any other woman going through what I am right now ya know? It def eases my mind a bit. I am trying to stay positive, thats all I can do. My honey will be gone for 17 days straight because of work, so I am pretty lonely. This also means that the baby stuff isn't gonna work out to well because of timing and all but hopefully we can try IUI sooner than later. I am learning to give it to God! Thank God I have you ladies on here cuz others just dont get it ;-)

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