Menfolk, you have been warned. Himself is inured to this by now (I am a biologist), but lots of you are squeamish about these things, and so you don't have to read it.
1. Had the mid-cycle ultrasound today. The nurse was excessively concerned that I didn't have a follicle larger than 12-13 mm (mature are at least 18). I tried explaining that even though it's cycle day 16, I was still at least three or four days away from ovulating, that I don't have difficulty getting pregnant (which should be obvious after six miscarriages), and that my post ovulatory blood work showed low progesterone (hint, damn it, hint!). She was still 'concerned'. I'm more concerned over her poor grasp of how the female reproductive system functions. Stupid black hat OB/GYNs.
2. A black hat is a hacker with malicious intent. When I call an OB/GYN a black hat, I mean he has little to no interest in the healthy and proper functioning of the female reproductive system. He can break it so that it doesn't work, or he can hack it to force it to work, and he does both in such a fashion to seperate as much money as is possible from his patient. The whole thing turns my stomach.
3. I hadn't really thought my opinion of this office could sink further, after they scheduled me for an invasive procedure (for which they did not give me an explanation of the risks) without asking me if the day was acceptable, or even telling me that they'd scheduled me until four days before the procedure was to take place. But look, it just did.
4. I am starting to wonder whether I have a strict luteal phase defect, or both luteal and follicular phase defects. There was a really bad article I read in New Scientist a while ago that claimed women could ovulate multiple times a month. But the article in Fertility and Sterility on which they were reporting actually only observed multiple (as many as three) seperate waves of follicular development. When some women released two eggs in a cycle during the course of the study, it was always within the same ovulation event. And really? It surprised New Scientist that some women released two eggs during one cycle? Where did they think fraternal twins came from, storks?
Anyway. It seems to take an unusually long time for me to mature a follicle, even though my uterine lining is nice and thick with the three layers they want to see on the ultrasound. So is my lining degrading before an egg matures, and therefore progesterone can't sustain a pregnancy because the lining with the progesterone receptors is too old? Or is it a basic case of progesterone deficiency? Or both of them at once? It looks right now that my uterus and ovaries are working on different timelines. But on the other hand, I have blatently short luteal phases, low progesterone, and my only term pregnancy was supplemented early on (~six weeks) with progesterone as a precautionary measure. I don't know how to untangle this.
5. I'm seriously considering a trip to the Vitae Clinic in Austin, but I have no idea whether we could afford it, and I can't figure out how to write that introductory email. I hate making cold emails, even to people I know. But it's misery to be in constant life or death scenarios that none of your doctors take seriously. The head of this clinic has a specific interest in recurrent miscarriage. I wonder if we'd get along.
6. GeekBaby took a lot more interest in the ultrasound this time. I have a feeling we're going to get the “where do babies come from?” question sooner rather than later. Best to start thinking about answers now. Maybe I can detour him into cellular biology to distract him from mechanics.
7. I guess this isn't strictly gynecological, but I do love this Saint Andrew Chaplet. I didn't discover it till mid December last year, and so had trouble sticking with it through to Christmas, but this year I'm determined.