The Appointment

I went to my first afterward doctor’s appointment this morning.  I left Elizabeth with the neighbors (and how I do love living somewhere that we can do that) which was nice because my appointment took more than two hours.

First I waited in the waiting room for forty-five minutes.  They were more crowded than they usually are.  Then I went into the back room and watched the nurse read my chart.  Then we moved into another (freezing) room because she’d put me into the other doctor’s room instead of the doctor I was supposed to see.  She did all the normal doctor’s visit stuff.  (My blood pressure was surprisingly good.  Normally I have a tad of white coat syndrome and especially during a high pressure appointment.)

Anyway, the doctor and I discussed things like causes.  The short answer is: no, we don’t know and we probably never will.  The doctor suspects it was a chromosomal problem, even though that is a lot less likely with as far along as I was.  All my chromosomal screening tests came back normal (I had gotten them done the week before), as did the pathology on the placenta.  We weren’t able to do any testing on Luke since he had already been dead so long.  There was no answer to him measuring behind, as it was still within the normal ranges.  We are planning on testing for a clotting disorder too, but I have to check with the insurance company first since I’ve “only” had two losses.  (Plus, Elizabeth makes the clotting disorder a lot less likely.)

My favorite part about the appointment was when the doctor asked me if they had given me any information about the local support groups when I left the hospital.  I told her no, but that it was okay because I had a blog and us blog people have our own support groups.  She wrote “good support” on my chart and didn’t argue.

I also took almost five years worth of fertility charts with me to this appointment.  She agreed with me that I likely have a luteal phase problem.  She also agreed that I do not likely ovulate each month, even if I have short to (occasional) regular cycles.  (My last OB insisted that since I didn’t have long cycles, that I HAD to ovulate regularly.)  Basically, she agreed with me and treated me like I have a brain, something that my last two OBs have not done.  I almost cried when she told me “if you aren’t pregnant in three months, come back in and we will do an endometrial biopsy and see about Clomid and luteal phase support.”

If we decide that we want to try again right away, we don’t have to struggle alone this time.  I was believed and my opinions were respected.  This is how it should be, but for me, this is not how it has been.