After a wonderful weekend with my mom, Andrew and I are ready to begin WEEK 2 of his quarter. It is funny how we measure life differently in each season. For the next several years, our lives are measured in 10-week increments… in 14 sets of 10-week increments. My mom came up for the weekend for a couple of reasons: she had planned on visiting next weekend anyway, just for us to spend some time together. But when my HSG got scheduled for this weekend, she figured she may as well come a week early so that she could be here for it.
Since I committed to including our fertility journey in the blog, I feel I should mention last week’s doctor’s appointments a bit more specifically than I did in my last post. On Thursday, I went to the doctor for blood work. I had blood drawn at 9am on an empty stomach. Then the nurse gave me an orange sugar drink, had my wait two hours, and then drew blood again at 11am. In the meantime, I met with my doctor, who explained the medication I would be taking. Since I tried Clomid for six months, and to no avail, I will not be taking it again. But as I mentioned in an earlier post, I will be taking Metformin. She explained that, because of the common and harsh side-effects of the medicine, I will gradually work my way up to 2,000 mg per day:
Week 1: 500mg at dinner
Week 2: 500 mg with breakfast, and 500mg with dinner
Week 3: 500 mg with breakfast, 500mg with lunch, 500mg with dinner
Week 4: 850 mg twice per day, with breakfast and dinner
Week 5: 1,000 mg twice per with, with breakfast and dinner
The doctor explained that I can expect the side-effects of nausea an diarrhea to begin about thirty minutes after taking my first dose. She explained that they will last for the first week or so, as I begin to learn which foods I can and cannot eat while taking the medicine. She explained that I must stick with foods that have a low glycemic index; anything too rich, any simple carbs, will worsen the side-effects, while foods higher in fat and protein, and lower in carbs, will help ease the side-effects.
I took the first dose of Metformin on Friday night, after my HSG (which was normal, as the doctor predicted it would be). I experienced almost none of the side-effects the doctor warned me of. About an hour after I took the medicine, both last night and Friday night, I experienced some nausea for a couple of hours. Although it was noticeable, it was slight. I have been pleasantly surprised! My doctor referred me to a dietician, explaining that most women become so miserable when they begin the meds that they need to see her in able to more fully understand how much of a part their diets play in fertility, and in handling and making the most of the medication. She said if I experience severe side-effects, I may need her help in modifying my diet in order to manage the side-effects. But I do not think this is going to be an issue!
The doctor recommended that we try Metformin to 2-3 full months. If we are not pregnant by the end of that time, she will suggest medication (Metformin, I assume) and insemination.