April 2013 Appointment

I kept my April 2013 appointment, even though I ended up having a cycle which pretty much ended my symptoms from the Mirena Crash. I was already feeling a little antsy about the nurse practitioner/ midwife practice, so I was beginning to feel like they were on thin ice with me.

However... SO much of the literature about conceiving says 1) don't worry about it (hard to do, but trying), and 2) worry once you haven't conceived after a year of trying. So, if you ask "why didn't you just switch doctors?", my response is "well, it felt like I had been trained to not worry and wait a year." Come April, we'd only been trying for a little over 4 months, so complaining felt like 1) worrying, and 2) being very impatient. I really didn't want to come across like the preppy whiner who was complaining that she couldn't instantaneously get pregnant. I feared I'd look ignorant and like I hadn't read my materials (that there is only a 15% chance each month of conceiving, etc).

So, I went to my April appointment. And I cried in the office out of frustration.

Side note: I'm not normally a crier. I was just FRUSTRATED. Nothing was working-- my cycles were all out of whack. 80+ day cycle, 60+ day cycle, 45+ day cycle, 60+ day cycle. And, as I'll write about later on, never a positive ovulation test. 

One would think that a crying woman (whom has previously been composed and optimistic in all prior appointments) would alert the nurse practitioner/midwife that maybe I should be forwarded to a specialist. Nope.

I should also add that at this appointment, as well as the appointment when I had my Mirena removed, the walls were so thin that I could easily hear the ultrasound and heartbeat of a happily pregnant woman in the next room.

The nurse practitioner decided to have a blood panel ordered to measure my progesterone levels and check my thyroid. It had to be done on a specific day of my cycle (day 21) because I SHOULD have ovulated at that point and thus have a high progesterone count. Thyroid could throw my cycle off kilter too, so that's why that was tested. And, of course, I had a pregnancy test thrown in to the bloodwork(sigh).