S.F. asks from American Fork, UT on March 26, 2008
Scared, Concerned, and Want to Get Pregnant
I have never been pregnant, but I want to have kids. You could say being a mom is all I have ever wanted more than anything. I met my husband in June 2004 and we got married in March of 2005. I figured I'd wait a year or so after I got married so that I could get to know my husband better and enjoy him. But now I've been married three years and been trying almost two years since the summer of 2006. I have really bad periods, painful cramps and nausea. Some times its not so bad. My sister in law thought I should go to the doctor because she said I might have endometriosis cause she had it too and her symptoms were similar to mine. So I went in January of 2006 and the doctor said the only way to know for sure if I had endometriosis was through surgery. So the alternative he suggested was a Depo shot to see if the birth control could tame the awful periods. I should have listened to my heart at that moment and not to my doctor and my husband who wanted me to get help with my pain, but I got the shot under the pressure. I spotted for about 8 months after the shot. In the winter of 2006, I bled pretty heavily for like two weeks straight, so I went to go see my doctor again. He said I was fine and that if I wasn't pregnant in a year come see him. I thought I was bleeding so much because I was getting my period back or my hormones were doing something different. Well it's been almost a year and half since then, I'm not pregnant and since then I have learned a lot of stuff about Depo. I think getting that shot is my most regrettable moments. I was mad at my doctor but I don't want to go to a new one and start all over with another doctor, but I think most of my anger is towards myself because I didn't pay attention to the feelings my body was telling me when they first suggested I take the Depo shot. Now I've gone back to see my doctor to help me with my fertility problems. He's having my husband tested but if my husbands okay then my doctor wants me to take Clomid. I kind of don't want to take it because I don't think my real problem with my body is getting fixed and that is the possibility of endometriosis and I think I have unbalance hormones. As much as I want to take the Clomid and get pregnant and have kids, I also want to be healthy myself, and have healthy pregnancies and children, and work with mother nature. I'm scared of taking Clomid because I've had bad experiences with all the drugs I've ever gotten from a doctor before. I don't want to take any more drugs that are going to make body worse. And now that it's not only my body that's a concern, it's my future children's (keep my fingers crossed) bodies, I have to think about. So I guess what I'm trying to say is, I need some advice when it comes to taking Clomid? Should I? Is there something else out there that I should do first or differently?
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M.B. answers from Salt Lake City on March 27, 2008
My sister in law gets on clomid everytime she plans a pregnancy. I don't know much about it but she says it totally works great for her. She gets pregnant within the first 2 months of trying. She adopted her first child, and had 3 on her own & is trying for another one now. I have had quite a few friends have difficulty getting pregnant, some adopted, some did fertility & some gave up and got pregnant on their own. I wouldn't worry too much about getting on clomid- if it helps great. I googled clomid & there is a ton of stuff online for you to research before you take it try this one for starters http://infertility.about.com/cs/clomi1/a/Clomid.htm.
good luck :)
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S.S. answers from Salt Lake City on March 27, 2008
tell your doctor the truth. tell him that you believe that the problem is endometriosis and tell him that you want the surgery. If you feel that your doctor does not have your best interests at heart find another doctor. If you feel that you cannot talk to your doctor, find another doctor. Your OB/GYN knows more about your body and what will happen to you than you will ever know. He will also be the one guiding you to make tough decisions should something come up during pregnancy and delivery. I really think you should change doctors. I could never have a baby with a doctor I didn't like (I actually switched to a midwife with my last 2 kids because my experience with my 2nd child was not great.....I would totally recommend this).
Good luck to you!
A.M. answers from Salt Lake City on March 27, 2008
Wow. This is a close hit to home for me. Why don't doctors teach us women more basics in this area?! You have every right to be frustrated and mad that he's been wasting your time. I just wish some of these basics were taught to more of us sooner. I feel for you.
First, you can begin by taking your temperature every morning the second you wake up before getting out of bed. Record it and plot it on a graph (exactly like we all did in high school--yep, there was really life application to that math we learned). It probably won't make any sense at first but you should begin to see patterns in yourself over certain periods of time and even if you don't it will help your doctors help you better. Your hormones influence your waking temperature so that helps you and the doctors see how/if your hormones are fluctuating normally (there are lots of variations of normal though so don't freak out if it doesn't make sense at first, just do it so you are better armed with data for the doc).
Second, there are a lots of resources out there online and at the library. I recommend the book "Taking Charge of Your Fertility" and the website fertiltyjourney.com. There are even more. Lots more. Getting educated about all of this is helpful but emotional too.
Third, getting a new doctor is not a bad idea. I recommend going to a Reproductive Endocrinologist or a doc who specializes in fertility. The RE tends to be more expensive but they move faster on issues like this because this is their focus. There ARE doctors out there who listen better than yours has. Whatever you do, find one who listens.
Fourth, I know many friends who have gotten pg on Clomid. I think the trouble is taking it for very long though because it can cause greater appetite and can dry out your cervical fluid (not good). Clomid is not bad though if you are not ovulating. Ultimately it is your decision though. Take your temp because that can help you see when you ovulate (your temp will go up) and then you'll know when/if the Clomid is working.
Fifth, lots of docs like to find endometriosis through surgery (Laproscopy) but my RE said that is not the best way to go first. I know of women who have had complications from the laps. Another procedure, hysterosalpingogram (HSG) is less intrusive and can indicate if you have endo. In the HSG you are injected with dye and then looked at with an ultrasound. Ask your doc about an HSG instead of a laproscopy.
Hang in there. Infertility is quite the ride. May you have a very short one.
J.P. answers from Provo on March 27, 2008
There are several really good doctors in AF where you live. I have used some who didn't listen at all when I asked (after 3 m/c) to be put on progesterone. Then I switched and had my hormone levels checked the minute I got pg---yep, low hormones. DUH.
I switched from seeing Lind/Lamoreaux/Melendez (& Richards), and saw Kari Lawrence (in AF.). She is done this month ("retiring" to be a full-time mom.) She's fantastic. Andrea Smith has a practice in AF. She's good---but I don't like Bryan Watabe (in her partnership). Hate him, actually. I *love* Ryan Jones (also her partner). He's great. All of them are under the age of 40, and their offices are next to AF hospital.
My SIL swears by Dr. Parker & Dr. Saunders. Has had all her babies there.
Dr. Wolley in Provo specializes in "high risk" pgs. He's got a nice beside manner, and he's so knowledgeable.
Have you considered seeing a reproductive endocrinologist? They are the people who deal with hormonal issues. I LOVED Henry Hatasaka. He's at UVRMC--works with Dr. Frishnect. They are really, really good.
I had NINE pregnancies---and have 4 living children. I definitely feel your pain. I think I'm clickable/email able if you have questions.
PS: I took clomid twice and got pg both times. I needed the progesterone to STAY pg. Anyway, I have also taken hormones. Do click me/email me if you have questions. It sounds like we've had parallel experiences, and I honestly have dealt with almost every OB in Provo/Orem/American Fork.
H.S. answers from Salt Lake City on March 27, 2008
Hi S.,
Don't beat yourself up about getting the depo shot! You were doing the best you could with the information you had at the time! Honestly your doctor is at fault for not giving you proper informed consent about the ramifications of using depo.
I have had two babies after depo shots so I do know how frustrating it can be. My best recommendation is to get Toni Weschler's book "Taking Charge of your Fertility" read it and begin charting. Investigate some of the herbs that are often helpful for fertility and then find a good doctor that can help see you through this process and onto Clomid or whatever when the time is right. You might try Leslie Petersen ND for a balanced approach.
Good luck!
L.W. answers from Salt Lake City on March 27, 2008
having kids is the hardest thing i have ever done. my advice would be to wait until you are healthy, and then try to have kids.
W.T. answers from Provo on March 27, 2008
Are you in Utah? I have an amazing woman Dr. in American Fork I would highly recommend. All of my girlfriends go there too. She really listens and understands because she is a woman! I would definately change Drs. I question the surgery to find out about endometriosis too. There are other ways of finding out. I know of many women who know they have it but have never had the surgery. I couldn't get pregnant for 4 yrs. and found out it was my thyroid. I had irregular periods too. The thyroid controls the hormones. Whatever you do, listen to your intuition! Your body and your spirit know what is going on and are trying to tell you. If you don't listen, you will get the wrong treatment. Drs. know a lot but they don't know everything! Good luck and if you want the name and number of my Dr., please email me.
C.N. answers from Salt Lake City on March 27, 2008
S.,
You asked for advise about using Clomid. I can't assist you with that. My advise is to listen to your heart. If you feel that you have Endometriosis and your doctor isn't listening to you, Find another doctor that will. Trust yourself enough to know what you feel is right is perfect for you.
Don't hold on to the past, simply learn from it and make a different choice this time.
May the Lord bless you,
With Joy, C.
C.L. answers from Provo on March 27, 2008
While you are probably right and have something else going on that needs to be addressed I think first so far as getting pregnant you should try "Taking charge of your fertility"
http://www.ovusoft.com/
http://www.amazon.com/Taking-Charge-Your-Fertility-Reprod...
Read the book and start charting. You learn a lot about your own reproductive cycle. I personally think all women should be empowered like this. We should know what is so great about us and should have a better idea of what happens to us every cycle and when and why. I chose this route as our birth control/pregnancy achievement becuase I didn't want to mess with hormone drugs and it has been extremely enlightening. It has also worked.
At least armed with the knowledge of your cycles and what is or is not happening you can take that to the doctor. Be warned though many doctors don't hold stake in it becuase it seems to override their "authority". But why shouldn't you know more about your body than the doctor? At least this way you know something at you aren't going blind and helpless as before. Be patient learning to chart takes a few months but it is something that if you learn to do you will want to tell every other woman about... at least that's what happened with all the friends I told about it and they learned it.
Best wishes to you! I hope you find a way to get rid of the pain, an answer at least and a sweet little baby soon!
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