Let’s Get Luteal (Visit With The Spesh: Part III)

It’s been way too long since I’ve talked about my ovaries. I know you’ve been waiting in anticipation, so I won’t leave you hanging any longer.

First things first: this visit was not as awesome as the last two. The doctor was an hour behind and rushed and short with us. I know she doesn’t need to be our best friend or anything, but since fertility is such a sensitive and intimate subject, it’s upsetting to me when doctors are anything less than friendly and focused.

I showed the doc my data for the last three-and-a-half months and all looked well. Except: the luteal phase. The luteal phase is the time between when you ovulate and when you get your period. Ideally, it should be around 14 days, but no less than 10. Mine were about 8, on average. The theory is that if your luteal phase is too short, an embryo might not have enough time to implant, even if the egg is fertilized.

Thanks to this great book called Taking Charge of Your Fertility, I had suspected this luteal phase business was a problem way back when, long before I saw the specialist. But I was hoping that since I had recently stopped taking birth control pills at the time, my body would regulate itself after a few months. Obv, it didn’t happen.

The doc gave us three options:

1. Do nothing for three more months. I could still get pregnant despite my short luteal phase.

2. Have my cycle monitored for a month to provide the doctor with more accurate data. This would require an ultrasound every other day from day 12 ’til whenever I ovulate. Then take no further action for the next two months.

3. Have my cycle monitored for a month and take a progesterone suppository for three months. Not enough progesterone after ovulation often causes short luteal phases, so the suppositories would hopefully take care of that. This third choice is the one the doctor was leaning towards.

At the end of this three-month journey, if I’m still not pregnant, she wants us to try Clomid, which is a medication that makes you ovulate earlier. It also has many side effects, including a 5-10% rate of multiple births. 10%? Um, that’s one in 10. That’s kind of a lot. And sure, twins would be sweet. But twins also mean a potentially more complicated pregnancy and that is scary stuff.

She also emphatically said to not take the herbs my acupuncturist prescribed me. I am particularly bummed about this because I really wanted to try them. In the end, though, I don’t feel comfortable going against her super-strong recommendation. She says the herbs aren’t regulated or tested, and I see her point, of course. But Chinese medicine has been around for thousands of years. It’s got to be doing something right, no?

So that about sums it up. I found myself crying in the car after this visit. Part of it was probably because of the rushed manner of the doctor, but I don’t think that’s enough to justify tears. Tim asked me if I could pinpoint why I was so upset, and at the time I really didn’t know. But now that I’ve had some time to think, I’ve arrived at this conclusion: short of doing nothing, either option we choose means I am officially starting down the scary road of fertility treatments. And even though I can get off that road whenever I want, it still feels like I’m choosing a path and I’m committing to following it.

Also, while Tim and I can talk to death about which option to choose, ultimately the final-final decision comes down to me. Because it’s my body. And right now that feels like a lonely place to be.

What will we do? I don’t know. They always say to listen to your gut on these things, but right now my gut is a jumble of confusion. They also say that doctors don’t know everything and you don’t need to listen to them all the time. And this is true, but doctors also have the benefit of knowledge and experience that I don’t, making it really tricky to know when not to follow their advice.

Should I do something or do nothing? Should I be patient or proactive? Am I starting down the road to fertility treatments too soon? And finally, do any of those other things matter if there’s a healthy baby at the end?

These are valid questions, but right now I have no answers.