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Life can surprise you sometimes.  The day after I wrote and posted the previous conclusion I got a positive home pregnancy test!  I had my blood test today and everything looks good.  Can I owe any of this wonderful news to this experiment?  There is no way to know for sure, but I would like to think so.  If you remember my story, I did two Femara cycles last summer after a few months of Metformin and I did not conceive on either one.  Flash forward 5-6 months and I am pregnant with only one round of Femara and no Metformin.  Perhaps I just needed a few more months for my body to recover from breast feeding.  There’s no telling.

So, the real conclusion to this experiment is ambiguous, but who the hell cares?  I am pregnant with minimal intervention and I did not have to take horrid Metformin to get this way.  I can’t see it any other way but a total and complete success!

I broke the news of the Femara cycle to my acupuncturist last week, and, as usual, she was all for it and quickly switched gears to tailor my treatment plan accordingly.  The TCM herbs I’ve been taking for several weeks now are still the correct ones to be taking.  We also went down the list of my supplements to make sure that all of them were safe to take while trying to conceive.  We found nothing that needed to be changed for now.  So far nothing has changed in regards to this experiment either.  I am still eating and exercising as before.  I’m also trying to stay in a good place emotionally and take time out of my day to do some deep breathing or meditating.

As I mentioned before, I induced a period with Provera.  I’m currently on CD 4, and the period has been encouraging.  When I did the two Femara cycles this past summer (right before I started this experiment), the Provera induced period was so light, it was almost nonexistent.  I was only about 8 weeks past breastfeeding at that point and there were a lot of signs that my body and hormones had not recovered yet.  I was not 100% surprised when neither cycle worked.  Things are already starting off better with a normal period and a now fully recovered body from pregnancy and the hormonal suppression of lactation.  Obviously my hormones are not balanced and perfect, but at least they are present in enough quantity for the fertility meeds to actually do something with.  Today I take my second of five days of Femara.  I am taking 4 pills per day (10mg/day) this cycle.  I took 7.5 mg/day on my last 3 Femara cycles, including the one that I conceived my son on.  The goal is earlier ovulation this cycle.  I go in for my first ultrasound monitoring appointment a week from today on CD 11.

I realized that a lot of the anxiety I was having, just in general, and in regards to jumping on the TTC bandwagon again was about the great unknown.  Would my doc insist that I be on Metformin again?  Would my new insurance cover treatment again?  Can I continue my experiment while I undergo conventional fertility treatments?  Will I be able to stay sane enough to be functional and “present” for my 21 month old toddler?  I started this experiment because I was really having a hard time with the fertility medications and being a good Mom through it all.  I’m turning 34 next month and that only leaves one year between me and “AMA” or Advanced Maternal Age.  To make a long story short, the anxiety of not actively TTC is starting to override the anxiety of going through a medicated fertility cycle.

I decided to put a call in to my insurance company and it looks like they will pay for some monitored cycles.  I then called my fertility doctor’s office and told them that I wanted to do another Femara cycle, this time monitored.  I’m now taking Provera to induce a period so I can take the Femara.  There was no mention on Metformin, whether I was still taking it or if I should be, so that’s one worrisome question answered.  I see my acupuncturist tomorrow and we will form a new game plan for using acupuncture/herbs/supplements to compliment conventional fertility treatments.  This is my acupuncturist’s specialty.  What I am hoping is that all of my hard work with this experiment has created a hormonal profile that is mediated enough from PCOS that I won’t need Metformin.  I’m willing to take it again if absolutely necessary, but it will definitely be a last ditch effort.  Obviously I will continue with my eating plan and will exercise every other day, or 3-4 times a week.  I plan on taking all of my supplements and herbs until a pregnancy is confirmed (unless explicitly contraindicated while TTC or in the luteal phase of a TTC cycle)

Four months of this experiment have now come and gone!  This has seemed like the fastest month by far, probably because this lifestyle change has become a habit that I don’t think about it as much as I did in the beginning.  I just keep a general framework in my mind and try my best every single day to work within it.  I am spot on for a few days and then I may not get the chance to exercise for 2-3 days in a row.  Instead of trashing the whole endeavor, I just start right back up and make up for lost time.  It’s making good choices most of the time that makes the difference.

‘Tis the season for all manner of diet blunders, but I have been successful in resisting the temptation to fall off the wagon.  I enjoyed Thanksgiving without so much as an added pound, which I did, not by turning down the delicious meal, but by remaining moderate in my food choices and continuing to work-out, even when out of town.  I used to be fairly frustrated about the fact that I have not lost many actual pounds, despite lots of effort, but I now know that each pound lost is backed up by lean muscle gain and is stable, meaning the scale does not fluctuate wildly anymore.  When I lose a pound now, I’ve really lost it.  Because of this, I no longer feel like a slave to the scale or a rigid diet that cannot include an occasional treat (within reason).  I trust myself and my body.

My supplements have changed quite a bit this month with the addition of D-Chiro-Inositol, myo-inositol, and a weekly prescription of Chinese herbs.  I have not been taking any of them long enough to report much change yet, but I am very hopeful.  I sincerely wish that I could report today that I have recorded an ovulation, or even gotten a spontaneous period, but more time is needed it seems to get those kind of results.  Here’s a link that details my supplements and all of the changes that have been made along the way.

Despite feeling impatient at times in regards to my progress this month, I generally feel such gratitude for the positive changes this experiment has made in my life and for my husband and baby as well.  I look great, but better than that, I feel great too.  My interest in life is filled to the brim and I feel my creative juices flowing again.  I periodically catch myself smiling, almost giddy with happiness and excitement for the year ahead of us.  I am feeling more confident about being able to handle the responsibility of having two children.   I am actually just starting to feel ready to be pregnant again. This goal, I am confident, will be met in 2011.

So, I guess we should take a look back at the original success criteria for this 6 month experiment, noting my progress since last month:

1) Ovulation and Menstruation – It had been a while since my last period, and I began experiencing some signs of Estrogen Dominance (constant fertile cervical fluid, ferning on ovulation microscope every day).  I started an oral natural progesterone supplement called Progon B, and 8 days later I started spotting and got a very light period lasting about 4 days.  I have since started Chinese herbs and acupuncture to stimulate ovulation, but no rise in basal body temps. yet.  This goal is still a work in progress, but I have never felt closer to this goal than now since it was with Chinese herbs that I was able to regain my cycle back in 2006. Very hopeful to see what the next few weeks bring.

2) Stable weight and body measurements –  I am wearing clothing that I have not been able to in many years.  I once had a pretty remarkable wardrobe from my fashion design days in NYC, and thankfully I kept some of my more timeless pieces.  The clothes not only fit, but they look really good.  This thrills me to no end!  The big news is that I now have a waist!  I have not been able to wear anything that accentuated it in many years.  I actually pulled out a belt and wore it over a dress for the first time in as long as I can remember.  I have been fighting a puffy Insulin Resistance belly since childhood.  I still weigh myself most days and I hover around 112-113.5 lbs with very little fluctuation.  This goal has been met and exceeded!  See my body measurements below.  Despite not losing many more pounds, my measurements keep going down.  YES!

3) Little or no acne – Similarly to last month, I have had some success and failures this month in regards to my acne.  Myo-Inositol has helped me fight the urge to pick at and scrutinize my pores, but I have since screwed with the dosing too much and so the jury is still out as to if it can help my OCD-type preoccupation with my skin/acne for the long haul, enough to make a lasting difference in my face.  I was hoping that I would know something more by the time I wrote this, but I’m still not sure enough to make any grand declarations.  Hopefully the picture, and my face, will become clear enough to make an accurate report.  This goal is still a work in progress.

4) Stable and positive emotions – I’ve had some resumption of some roving anxiety that I have suffered with in the past on several occasions this month (likely low blood sugar from new supplements), but for the most part I have felt very even keeled and happy.  I feel confident and much more take-charge than maybe ever before.  I’m not shying away from things that used to intimidate or scare me.  I’m ready to take on more responsibility in my life.  This goal has been accomplished yet again!

Body Measurements:

1) Natural waist:
a- 27″ on 10/7
b- 26″ on 10/23
c- 25″ on 11/23
d- 24″ on 12/22

2) Lower abdomen (around fattest part of tummy):
a- 32″on 10/7
b- 29 1/2″ on 10/23
c – 28 1/2″ on 11/23
d- 27 1/2″ on 12/22

3) Lower hips (around largest part of butt):
a- 35 3/4″ on 10/7
b- 35″ on 10/23
c- 33 3/4″ on 11/23
d- 33 1/4″ on 12/22

4) Individual thigh circumference (around thickest part of one thigh):
a – 20 3/4″ on 10/7
b – 19 3/4″ on 10/23
c – 18 3/4″ on 11/23
d – 18 1/2″ on 12/22

A Change of Plans…

Whether it is justified or not, I’ve reached the point where I am getting a little anxious about my progress in this experiment.   I’ve given my current supplement regimen 3+ months and I just don’t feel like we’re (my acupuncturist and I) on the right track.  When I first started doing acupuncture, way back in 2006, my practitioner was fairly traditional and I boiled a weekly tea made from Chinese herbs that I would procure from China Town in NYC every 4-5 days.  It was only then that my stubborn amenorrhea and anovulation came to an end.  Heck, I even became pregnant naturally, although it was not with a healthy egg.  After we moved away from NYC, I’ve tried several other acupuncturists, but have never gotten the same benefits as I did originally.  I brought all of this up to my current acupuncturist and she agreed that it was time to shake things up, so as of yesterday, I have gone back to taking Chinese herbs.  For starters, she has put me on a Nourish Ren & Chong Formula (Jia Wei Gui Shao Di Huang Wan) plus a few other herbs for yin deficiency.  It’s been fun reading up on the different herbs and their usages.  I’m not about to begin to understand the intricacies of Traditional Chinese Medicine, but I do know that it worked for me before, so I have faith that it will work for me again.

In addition, I will continue to take Chaste Tree (Vitex), NAC, myo-inositol, D-Chiro-Inositol, Gymnema, fish oils, antioxidant blend, and lots of daily supplements for general health and illness prevention during cold and flu season.  Everything else about this experiment remains the same – diet, exercise, etc.

Three months are now completed in this PCOS Experiment!  This month the experiment went from a highly regimented plan to a sustainable way of life.  I’ve been so self-disciplined since this experiment began that I no longer felt the need to record my progress daily, and so I ditched my daily format.  I was feeling stressed until I could stop and type out everything I had eaten for the day, and with a toddler, finding the time was getting tough.  The new, free-form blogging is much better suited to where I am in my progress.

I decided to take my exercise requirements down just a slight notch, from 5-6 days a week to working out every other day, alternating cardio and strength/resistance training.  I also started adding in a little bit more complex carbohydrates in the form of gluten free rolled oats a few mornings a week.  I made these changes in the hopes that I will be able to not only finish this six month experiment, but to keep it going for the rest of my life.  I’ve been afraid of burning out as things in my life become more complicated and prevent me from adhering to a strict lifestyle.  I have only seen the scale go down since I made these amendments to the original plan.  I started the month a solid 115 lbs and now I’m seeing the scale hover around 113 lbs most mornings.   I’ve continued to find my clothing slowly getting looser and more comfortable.   I just did my body measurements since the last monthly report and I have dropped more inches (see below).  Wow, that is satisfying to see!

Since last month I’ve noticed my weight being less vulnerable to restaurant meals and changes in my diet.  This weight stability gives me a lot of confidence when we do have a family dinner out or I want a glass of wine or a square of dark chocolate as a treat.  I might have seen the damage to the scale a few months back, but I have come far enough now that it’s no longer a problem.  I’m assuming it’s because I have raised my metabolism and healed a fair amount of insulin resistance.  The other more noticeable change since last month is the appearance of my face.  I have a quite naturally fleshy/full type face and even at times of being thin, it looked chubby, especially in photos.  I can see the reduction in puffiness and fullness in the mirror and can see it in photos too.  What an awesome and unexpected side effect of this experiment!

Since I am not reporting on my diet and lifestyle daily anymore, I want to give a synopsis of the things I am still currently doing on a weekly basis to help control my PCOS symptoms and to help my body heal.  I continue to add a splash of apple cider vinegar to every glass of water I drink.  I have half a grapefruit several days a week.  I drink green and spearmint tea once or twice a day.  I work out every other day, doing both cardio and strength training.  I go to acupuncture once a week.  I try to reserve a few minutes a day for a relaxing bath, usually with Epsom salts and essential oils.  I’m still eating very cleanly, with an emphasis on low carbohydrates and whole foods.  I eat small snacks that contain protein in between meals to keep my blood sugar stable.  I take a wide range of daily supplements prescribed by my acupuncturist to help my body heal my PCOS.  I record all info about my supplements here, including changes as they occur, and there is lots of change monthly.

So, I guess we should take a look back at the success criteria for this 6 month experiment, noting my progress since last month:

1) Ovulation and Menstruation – This month I started having almost daily fertile signs and symptoms which has lead both my acupuncturist and myself to believe that I am now experiencing some Estrogen Dominance (a build up of estrogen that is never balanced by progesterone because of the lack of ovulation).  I started experimenting with a saliva microscope and it shows that I am in the presence of increased estrogen every time I use it.  A week ago, I started back on Symplex F for two weeks to try to stimulate ovulation.  I had my first high temperature this morning, so this is not proof of ovulation, but a girl can hope.  Suffice it to say, this goal is an ever evolving work in progress.

2) Stable weight and body measurements – Overwhelmingly, this goal has been met and exceeded!  I started this experiment at 117 lbs, went down to 115 lbs for a while, and I’m now around 113 lbs consistently.  My abdomen is pretty darn flat and not reactive to eating.  See my reduction in body measurements below.

3) Little or no acne – I’ve experienced both total clarity and an upsurge in acne at different points this month.  I had not experienced a completely clear face at any point in the months prior, so I would say that I have had at least some success in this department.  When I don’t fuss about and pick or squeeze on my face and keep it clean and doctored up with my various acne preparations, I can now have relatively clear skin.  Even with that though, I still had some breakthrough pimples that surfaced no matter what I did to prevent them.  This goal, while I’ve seen moderate improvement, is still a work in progress.

4) Stable and positive emotions – Like my acne progress I spoke about above, my emotional health has been both very good and wavering at times as well.  I’ve had some mild depression and reduction in motivation in regards to this experiment during this month, but I really think I solved this problem by changing the parameters of this experiment as I mentioned earlier.  My self-assurance and confidence has been quite good and I have felt more like reaching out to people and less introverted.  I am going to call this goal accomplished for now, especially since I’m no longer dealing with rocky emotions on a daily basis, just in isolated drips and drabs.

Body Measurements:

1) Natural waist:
a- 27″ on 10/7
b- 26″ on 10/23
c- 25″ on 11/23

2) Lower abdomen (around fattest part of tummy):
a- 32″on 10/7
b- 29 1/2″ on 10/23
c – 28 1/2″ on 11/23

3) Lower hips (around largest part of butt):
a- 35 3/4″ on 10/7
b- 35″ on 10/23
c- 33 3/4″ on 11/23

4) Individual thigh circumference (around thickest part of one thigh):
a- 20 3/4″ on 10/7
b- 19 3/4″ on 10/23
c – 18 3/4″ on 11/23

Something has come over me since we got back home.  It feels sort of like a reduction in motivation to exercise and eat right and a stronger motivation to hunker down, baby myself, eat more heartily, and hibernate.  I’ve been doing a little online research about this and it is indeed a common phenomenon as the days gets shorter and the cold weather moves in.  After all, we are animals too and are part of nature and so why would we not respond to the changing seasons?  I plan on getting outside with Jude as much as weather permits this winter so we can absorb as much sunshine as we can.  I am hoping this can help keep spirits up and motivation high.

I spoke to my acupuncturist today about my new fatigue, spotting, and headaches, and so she revised my supplements to start working on a “cycle”.  I will stop taking the Symplex F for two weeks and then start it or the Ovatrrophin PMG again for two weeks.  The two weeks on and off of the ovulation supplements will hopefully replicate a natural menstrual cycle and help my body start one of it’s own.  I will make notes for this on my PCOS Supplement Regimen page.

Exercise – Crunch: Burn and Firm Pilates DVD with 3 lb. weights

Mind/Body – I got a very short Epsom salt bath before I heard Jude crying.  Not much time for relaxation today.

Diet – 114 lbs.

Breakfast – large iced green tea with milk, 2 fried eggs, 2 chicken breakfast sausages, 1 scoop of cottage cheese

Lunch – two black bean/cheese/avocado chalupas, topped with fresh salsa and strained greek yogurt

Dinner – Coconut milk braised chicken thighs with garlic/ginger/onion/zucchini/shitake mushrooms.  Served over lentil pilaf.

Snacks – 1/2 plum and a handful of raw almonds, half a small apple spread with almond butter, one mini Reeses peanut butter cup