Yoo hoo :::waves arms::: Yoo hoo Dr. Corely? Please come back. :::long sigh::: Why is my luck such crap? I'm determined though to focus on the positives too.
So...not crazy "in love" with Dr. Peters...at least not yet. I'm really curious as to what Dr. Corely would do from here. So in short this was our conversation:
The Good:
1) Dr. Peters most importantly listed to me. Which is half the battle with most doctors. He spent 40 minutes on the phone with me.
2) He was informative. A lot of what I've read though so nothing too, too new.
3) Since last speaking with Dr. Corely, the only thing discovered was the MTHFR. He said that is easily treated with extra folic acid. It doesn't seem like he will want to treat the MTHFR with lovenox or heparin. Which I'm totally fine not doing at this point.
4) He wants Mike to have a semen analysis asap!!
5) I'm set up for Sept 20th, to have a fluid ultrasound, NK assay, cervix culture & for Mike to have a SA. We will also have my FSH & E2 blood work completed at this point.
6) He acknowledge that I'm too young to have as many m/c's as I have had.
The Bad & The Ugly: (I'm combining these because I don't know what is what, it all fits)
1) Right away he was talking IVF. At this point there is no reason to go down that road, other then being able to genetically test the embryos before implantation. I mean I'm able to get pregnant. I have one healthy child. Why on earth would I want to do IVF and spend thousands of dollars?
2) My tone totally changed after we talked about this and made me a little disgusted. I asked about what he thought about LPD and explained the whole NaPro thing at this time and what we discovered. He responded 20 years ago he would have said yes its a possibility. However, in 1998 he was part of a huge study on LPD and did 1500 endometrium biopsies on women. Done were proven to have LPD. As you and I know you can put 5 lab specialists (radiologists, doctors, lawyers, vets etc) in one room and not come up with the same diagnosis. He said modern medicine does not believe so much in LPD. He said it may be that we just don't have the technology to discover it yet. (SERIOUSLY?!?!?!) So his suggestion if we do suspect that is we do progesterone no matter what after I ovulate. :::sigh::: Once again here we go treating the symptoms and not looking further into it.
For example, if I have a pt who has knee pain, I don't just treat her knee. Sometimes the knee is from weak hip muscles, poor footwear, poor body mechanics, SI dysfunction, etc....there is sooo much that could be causing that knee pain and I look at all these factors (well the PT does, the doctor should but half the time misses it). If I or the PT overlook these issues and just strengthen the knee musculature sure the knee will get better. More than likely that patient will be back in a year with the same damn problem. Sometimes its appropriate to say ok well if this doesn't work than lets try xyz & if not we'll try abc.
Getting to my point I feel like if they just give me progesterone just because they are only treating the symptom and maybe not the underlying cause. Again let's refer to this article, inciid.org
"Should progesterone levels prove to be low, the temptation is often to "treat the symptom" by giving the patient progesterone supplementation during the luteal phase. In the case of inadequate corpus luteum performance, progesterone support may indeed be the appropriate solution. However, inadequate follicle development may also be causing the low progesterone levels. Thus, it is important to measure midcycle follicle size (via ultrasound) and estradiol levels (via a blood test)."
He was talking how biopsy's are rarely done now due to the inaccurate results. And I get that, I get that they are unreliable. I'm not asking for that. So it may be up to my new ob/gyn, Dr. Daggs to diagnose this properly and see WTH is wrong with my hormones.
3) He doesn't like that Mike is taking T. I don't blame him. But what can we do at this time?
I think that's it for now. Welcome to the good, the bad & the ugly.
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