Unfortunate timing as our doctor was out of the office for a week after our lab-work and then booked the following.

…. so after a much-anticipated wait (haven’t I heard somewhere that patience is a virtue?), we have had our follow-up appointment with Dr. G. to find out more about our lab results and hear what he thinks our next steps are for treatment.

No surprise, Hubby’s swimmers look great and the anti-sperm antibodies are negative. No issues on his end and I’m extremely grateful for that.

As for me, here’s the list I can recall-

• THS- normal
• Uterus- normal
• Egg quality/ quantity- normal
• FSH- normal
• LH- REALLY HIGH
• Estrogen- normal

DRUM ROLL….

Conclusion: NOT hypothalamic amenorrhea and NOT PCOS (although some of the symptoms and criteria fit with PCOS such as high LH, my testosterone levels are not elevated).

Is this good news?

For the most part, it is. Grateful not to have either of the two but where does that leave me? Somewhere in the middle, Dr. G says.

Diagnosis: Anovulation, not otherwise specified

Treatment: Get me to ovulate!

Dr. G. pretty much nailed my concern. Regardless of what we call my ‘condition’, the bottom line is we just need to get me to ovulate and Dr. G feels all the rest will come together.

He’s positive because I should respond to the medication because I don’t have hypothalamic amenorrhea and because I responded to the Clomid over the past several months.

I’m feeling pretty good about all this news. There isn’t anything major going ‘wrong’ in me, it’s just a matter of helping my bodywork.

What about the Heart shaped uterus?

Dr. G isn’t concerned. Wait, what? That’s great news.

Although on the HSG it looked like a septum, the 3D ultrasound, which is much more accurate, shows a mild arch and nothing needs to be removed)

No surgery necessary!

Wahoo! Grateful, grateful, grateful.

Treatment-

• Begin on Letrozole. This will be used to make more FSH (to increase eggs)
• Start with the midway dose which will mean I will take it for 7 days
• Look at follicles and lining and then trigger
• timed intercourse (IUI won’t be necessary at this point, Hubby’s happy)
• Test for progesterone levels (add suppository if necessary)
• Add estrogen towards the end of cycle, if needed to thicken the lining

Dr. G wants to do this with 3 successful ovulatory cycles. If we are not pregnant, he will then up the dose and add IUI.

Breath of fresh air… this is good news!