I was so nervous because I feared that I wouldn't know what to say or what to try and demand. It's tough getting appointments with her sometimes and I just didn't want to waste any more time. After a long night of reading and studying (it felt like preparing for a college final all over again), I headed into the doctor's office that day with a binder full of key information and an outline of what I wanted to ask and insist on.
In the end, it didn't really come down to insisting. My doctor was actually very in tune and seemed aggressive about wanting to get me on track. The conversation went a bit like this: So, you've been trying to get pregnant since April. Yes. And when was your last period? 2 weeks ago - I have been charting, if that's helpful to see. Oh, you're on the ball. Yes, let's have a look at that. Ah, so you're last cycle was 67 days long - that's too long. And... let's see... you've definitely not been ovulating. If you were, you'd see an obvious shift... your temps aren't showing any sign of matching this shift. Let's get you started on metformin. This will help to regulate your cycles and encourage ovulation. If we need to go with clomid at some point, we might do so, but let's see how this does. Sound good? Sure does. Do you think we should do bloodwork again? Well, it has been almost two years since we did it last... let's go ahead and have it done. You can schedule it today in our office, if you'd like.
Long story short, they took my blood and checked for FSH, LSH, and something else... can't remember right now. The two tell-tell levels were very out of balance. I think my LSH was 3 x the FSH level, but I'll have to double check that.
I started metformin and so far so good I guess. I'm hoping my temps level out and I start seeing something normal. Wish me luck!