On Thursday, September 15 we had our first meeting with Dr. James Richards with Walnut Hill OBGYN Associates. There are about six OBGYN in their practice and all of them are also fertility specialists. I really feel comfortable with Dr. Richards. He delivers at Presbyterian Hospital, which is right across the street from his office.

So we started talking about our options and what to try, etc. We are starting with all of the tests, upon tests, upon tests... ok not really, but that's what it feels like. Here's the rundown of tests:

• I had bloodwork done that day
• Jack has his "job" to do at the lab
• I have a prescription for Prometrium that I'm supposed to take for 12 days (started that on Sunday, September 18).
• Once I finish the 12 days of Prometrium, I should start a period that will "clean out" my uterus.
• On the first day of that period I have to call the office and schedule a Hysterosalpingogram for after the period is over
• When the period is over, I'll have the Hyesterosalpingogram where they inject dye into my uterus and watch it flow through my fallopian tubes. This will tell if there are any blockages that we need to be concerned about

I also have an appointment with an endocrinologist, Dr. Bressler, in November - that was the first available appointment for new patients. Dr. Richards referred me to him to check me out for PCOS and insulin resistance. I know that I've had cysts on my ovaries in the past, and that is a cause of infertility, so we're going to get that checked out. Plus I have a family history of diabetes, and have had some borderline glucose results in bloodwork. Also, Dr. Richards thinks that it would be beneficial for me to get on Glucophage. Glucophage helps with glucose levels, but also has side effects of weight loss and increased fertility.

Our next steps after we know that the testing is ok, and see if the Glucophage helps, then we'll look at other options such as Clomid, etc. So just pray that the Glucophage will work! Insurance will cover Glucophage if it's prescribed by the Endocrinologist, but not from the OBGYN. Oh yeah, that's the other thing... Insurance will cover any testing, but not any treatment. So that's why we're trying to do all of the testing first, so we don't pay for any treatments that aren't necessary.

So that's the synopsis of where we are and what we know. I'll update once we know more... which will probably be next week sometime.

~Heather