Well, I am not bleeding and not pregnant. I spoke to my midwife yesterday, and we concluded that the most likely explanation is that my progesterone suppositories (left over from almost a year ago) had lost potency and 6 doses weren't enough. The way to test this hypothesis is to take more prog. and see what happens, but because I have in the past had serious side effects from too much prog. I'm wary of that. I asked about bloodwork or ultrasound, and midwife said a better option would be endometrial biopsy. (A small amount of uterine lining will be removed w/catheter thru the cervix and sent to a lab for analysis.) This will provide a history of what's been going on in there in the 4 months
since my last period.
I never knew this was an option before! I had seen the term "endometrial biopsy" but assumed it was a test for cancer. I have seen 8 different doctors about my menstrual problems, including 2 REs, and none of them ever mentioned this relatively safe, easy test that provides some history of uterine function and hormone levels! They would rather guess (often incorrectly) or stuff me w/drugs just to see what happens (often bad stuff, including some reactions nobody could explain) or just tell me to stop bothering them!!!
So, has anybody here had an endometrial biopsy before? It sounds like it will be uncomfortable but probably no worse than the sonohistogram (fluid injected into uterus thru catheter for an ultrasound) I had when I had a fibroid. Midwife recommended taking a bunch of ibuprofen before and after. Any other tips?
Jodie, I think it's pretty sad that your dr. refuses to do the tests he really ought to do before prescribing Clomid. He would rather let you suffer side effects--possibly serious ones if you have a problem that contraindicates Clomid, like an ovarian cyst, uterine fibroid, or liver dysfunction--that do tests that are inconvenient for him or expensive for your insurance!
I respect your decision for yourself. I know it was difficult and that you probably don't want to second-guess it. I wish you minimal side effects and a healthy happy pregnancy!
Andra, I hope your tests come back with encouraging results! I think it's unconscionable for your dr. to suggest ovarian failure on so little evidence! That's happened to me too! What are they thinking?!?! In my case, I didn't get upset because I KNEW I'd ovulated 2 weeks prior to that annual exam. The dr. snorted derisively and rolled her eyes when I told her that!! I got my period the next day, and the test results came back showing my hormones had been at perfect "Day 28" levels, but did she apologize? NO!!! This was the same dr. who brushed off symptoms that turned out to be caused by a fibroid for 10 months by telling me that I'm "just not normal" and therefore everything that happens w/my reproductive organs is explained by that and doesn't need further investigation! This is why I switched to a Certified Nurse Midwife.