After not counting on any Drs to help me for the last few years (after seeing a few that did nothing for me, I had given up hope!) I went to Iowa City yesterday and saw an Endocrinologist. I tried to express to them that while I do really want to have another baby (therefore I don't want to be on Birth Control), my biggest goal right now is to try to stop the irregular and heavy bleeding I am experiencing. I explained that I feel extremely blessed to have Xavier and so I can live with it if I never have another child. I can deal with that (I don't want to have to, but I can), but I cannot continue to live with the heavy bleeding causing me to be so tired and irritable. They said my problem seems to be that I am not producing enough of my own progesterone, so my body doesn't know when to shed the uterine lining. So what we are trying is taking Provera every 30 days (for up to 10 days each time), so if my body wasn't going to shed the lining on its own...it will know to do it with the Provera. That hopefully will help me to have regular periods that aren't long and heavy. Added to that she has me on 1500 mg of Metformin a day to try to help me ovulate. She also have me a 3 month prescription of Femara. She said it is a newer med than Clomid but one of the side effects it doesn't have is that it doesn't thin the lining out like Clomid. I a going to wait a 2 or 3 months to take it though. I am going to see if the Provera and Metformin help. She did tell me something that was a bit scarey....she said with periods as irregular and heavy as mine I now (because I am in my mid 30s) run a higher risk of uterine/cervical cancer. So every few months I have to have a vaginal u/s to check the thickness and appearance of my lining. If it gets to thick or uneven, they will biopsy for precancerous cells. She said currently it looks fine, so no worries. She did however tell me some good news, they aren't concerned with DH's semen analysis. She said it isn't as bad as the local drs have made us feel. That was great to hear! Does anyone know anything about Femara, or has anyone taken it?? I was shocked that one month was $210! But even more shocked when our insurance company paid all but $20. They don't cover fertility treatments, only testing. But I read on the pamplet that came with it, that it is a breast cancer med. So I am guessing they don't realize they are using it to treat infertility....
I took Clomid, not femara. Femara is newer than Clomid, but it's typically used to treat cancer. I have heard rave reviews about it and I know my RE recommended it over Clomid as well (it was prescribed by my regular OB/GYN.) I've heard it also has a lot less in side effects, no hot flashes or weight gain. Clomid is much cheaper than Femara, but if you have a copay, you should be good regardless. I haven't heard of any negative effects over Clomid, so I would definitely give it a try. What dose did they put you on? They usually slowly increase the dose each month it doesn't work, same as clomid. I believe the femara starts in increments of 5 mg whereas clomid starts at 25, with the max dose of clomid being 250. I also had to take 2550 mg of metformin to regulate my cycles and man, what a difference! I'm guessing you won't need provera too often if they can get you regulated and you to ovulate normally. I'm really excited that it seems you're going in the direction you need to go! Did they mention also taking baby aspirin? It helps with conception and reduces possibility of miscarriage with PCOS, along with the metformin. I'm glad you have a plan now!
Last edited by Beertje; 10-23-2010 at 01:34 AM.
DD Twins: 8/4/09 @ 35 Wks - No NICU, woot!
I have no experience with any of this, so nothing to add about the meds, but I did wnat to say that i too hope that this helps your heavy bleeding and that you will be able to get pregnant once things get on track. It all sounds very promising.
Married to my best friend 10-16-1993
DS #1 08-16-1999
Sounds like you're headed in the right direction! I hope a BFP happens very soon for you!
I took Clomid a few years ago when trying for Miles, and it was nowhere near $210. My insurance helped, but not much. I had to pay $7 or something for it.