Forming an Attack Plan

I’ve been trying to decide what to do about the absence of my period. I’ve been trying to decide if it’s a big enough deal to worry about. I’m a little on the fence, but here’s what I’ve decided:

It’s a big enough deal. Not like I’m in danger or anything, but it’s not normal. It’s not okay. And while I’ve been putting off dealing with fertility doctors I feel like I’m at the point that I can’t put it off anymore. So here’s my attack plan:

If by March 1st I have no bleeding, I’m calling Dr. T and talking to the nurse. I’m going to tell her that I’m very bothered my period still isn’t here. It was supposed to come months ago. I’m clearly not pregnant. I’m going to ask her to discuss with Dr. T if there are any tests he would like to do, because if they can’t do anything to try and figure this out I’m moving on to the fertility clinic and would like for them to recommend a doctor to me.

Honestly, my preference would be to see an endocrinologist, just a regular one (covered by insurance) first. I feel like there might be some testing that could be done there before I move on to the fertility doctor, and I might mention this to them. It’s ridiculous that because of our healthcare system I can’t even get my period without paying a fertility specialist to help me do it. I’ve never felt the need to be pushy with Dr. T before because for the most part he’s done what I’ve wanted and we’ve been on the same page about things, but this is pretty messed up. Lupron was supposed to wear off in October. It’s mid February. And I’ve taken two rounds of Prometrium. Obviously something isn’t right.

Someone once told me that you have to be your own advocate. Infertility will convince you of that.

So come on Aunt Flo-I’m giving you two more weeks. Then I’m bringing in the big guns.

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9 thoughts on “Forming an Attack Plan

  1. I think an RE (or any doctor) can give you Provera. I think that’s supposed to induce a period.

    I think yes, you absolutely must be your own advocate.

    Also, before I saw an RE, I went to a regular endocrinologist. She ran bloodwork and told me to switch from generic to brand name synthroid. Otherwise, she was of no help. She didn’t know the answers to any of my fertility questions. Maybe she was just a bad doctor, but it was an expensive co-pay to find out nothing.

    • I had Provera a LOOOONG time ago (or it feels long ago now, it was two years ago at the BEGINNING of my IF journey, before I knew anything about it really). My GP at the time gave it to me. Dr. T is very anti-provera, he thinks it’s a terrible, horrible drug. He’s never given me much reason. He just says prometrium is much better because it’s a natural progesterone. It may be better FOR you, but it’s certainly not better at inducing a period.

      • Makes sense. I generally feel that way about all fertility drugs. I’ve never taken Provera, but REs are always like, just let me know if you need it. Drug pushers, those people.

      • It’s definitely something I’ll mention to Dr. T since it did succeed in giving me a period two years ago. I know I can be my own advocate, but I also know I can’t demand a drug that he feels ethically opposed to giving-and I don’t blame him for that. He’s doing what he thinks is right by me.

  2. So glad I found your blog. We seem to be battling the same demon. Ugh.

    I just got my referral yesterday for the fertility specialist. We’re in the same boat. Show off those big guns so AF will show up! 🙂

  3. The RE (reproductive endocrinologist) is the ideal person to consult about balancing hormones for fertility purposes–regular endocrinologists may or may not be up-to-date (depending on who you talk to). My only qualm about RE’s is that they tend to push IVF prematurely, as it’s a “cash cow” for them–but even the pushy-est RE will concede to a handful of IUI’s, since Chief’s SA was good. So there you have it, if it were me I would get the ball rollin’ with an RE (cuz I’m horribly impatient to begin with). XO

  4. I had a situation somewhat like your. I was on Clomid but for some reason I didn’t respond that time so my RE decided to put me onto Provera for ten days and start another cycle. Well that didn’t happen I waited the 14 days after the last dose and called. They had me come in for an ultrasound where a different RE, mine was not in the office. He suspected a cyst until the ultrasound which showed nothing. He said my lining was kind of thin but I should still have a bleed. So he decided to put me on another course of Provera, I was not happy. I finished that round and all I got was some spotting but nothing to call CD1. So I went back to see my RE. She said my body was saying it was ready for another cycle she checked me with the ultrasound and said I was ready to go. I did another round of Clomid which was unsuccessful but that might be from my lining going to crap but I did get a period. I know how frustrating it is I was a complete mess. You have dealt with this pretty well from what I have read. I just wanted to share my experience with you since I couldn’t find anyone who it didn’t work for at all.

  5. I think an RE would be the way to go too… I’m really wondering if I’m not going to have to start there myself. My mom has Hashimoto’s and since it’s genetic and I have similar symptoms as when she first found out, I got checked by a regular endocrinologist, who said I was on the “low end of normal” but I don’t know if that really means “normal”

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