Friday, February 15, 2008

Not PCOS

Well, the blood tests revealed that I don't have PCOS. For several years now I was pretty sure I had PCOS, and the doc seemed pretty sure as I had so many symptoms, but it turns out that most of my hormones are pretty close the normal. The only one that is out of whack is testosterone.

So I have high testosterone levels. The normal range for a woman is 25-75. (Please don't ask me what the units are because I simply don't know.) Doc said she almost never sees higher than 50. I'm at 100. This is not disastrously high. If it were 200, she's send me for a CAT scan to see if a tumor was causing overproduction. So hey, that's good news -- no CAT scan.

So what to do? She recommends a high-protein diet. I guess protein binds with testosterone, which makes it less effective. She prescribed metformin to regulate my blood sugar and help me lose weight. And she prescribed the pill -- as in The Pill, birth control.

What? Birth control when I'm trying to get pregnant? Yup. If I want to get pregnant ASAP, she recommends two months on the pill to "reset" my cycle followed by Clomid to trigger ovulation. This is my best shot to conceive quickly.

I can also try two months on the pill followed by no Clomid to see if that works. This appeals to me as Clomid has a 1% chance of twins. Not interested in twins, thank you.

And finally, another option is to try the pill for two months and then continue for even longer if I'd like to try to lose more weight before getting pregnant. I did have some problems related to my weight during the last pregnancy, and because I'm only 33, Doc feels I still have some time before conceiving could become truly elusive.

Not sure what we're going to do.