Due Diligence?

Did I do my due diligence in all this infertility stuff? Should I have done more?

Sometimes I think we went about this all wrong. I went off BCP fully expecting what did in fact happen — nothing. Okay, I had one AF the next month, and I thought, cool, what a great time for my body to decide to start working! And then nothing, for the next five months. But the point is that I expected it. And instead of doing something about it — instead of, say, researching fertility diets that promote ovulation or going on any diet just to get healthier and lose some weight — I just waited. I took my prenatal vitamins and I waited until I was due for my annual checkup, and then I went in and got my referral to an IF specialist.

Now I wish I hadn't been in such a hurry. And I wonder, since I'd only been off BCP for six months, why didn't my doctor suggest trying ways to get my cycles going naturally? Or, why didn't she look at me long enough to figure out I probably have PCOS and put me on metformin to see if that helped before sending me off to the specialist?

Even now, one year into treatment, I still haven't got my act together. My attempts at dieting are half-hearted and laughable, really. Whenever I read about a particular diet I get overwhelmed and doom myself to failure before I begin. (The GI diet was great for about two weeks.) Every time I see Dr. L he asks me, "Have you lost any weight?" And I say, "I don't think so," and I feel ashamed.

My long-term plan, assuming continued infertility, is this: I'm going to do four more IUIs, for a total of six, and if I'm still not pregnant, I'm going to take a long break before thinking about IVF. And during that break I'm going to go all out — I'm going to do acupuncture and really commit to a diet and make my body a lean, mean, baby-making machine. And if that doesn't work, I'll consider IVF.

But wait, isn't that plan all wrong? Why am I not taking a long break now and doing all that stuff? Oh, I know. Because now I've been trying for 18 months and now — now I'm impatient.

I'm editing this post to add a footnote: I did lose 30 pounds the year before I stopped taking BCP, and I have somehow kept it off, so technically I'm in the best shape of my adult life. I only need to lose another 20 to fall into "normal" range, and I guess there is a part of my brain protesting that an extra 20 pounds can't possibly be what's preventing me from getting pregnant. But still.