As we came to the decision to not make another NaPro appointment, it was with the understanding that we are leaving options 'on the table' so to speak. Here is where things stand:
Reproductive Hormones/Parts (all will be left as is without further treatment):
Progesterone - within normal ranges throughout the cycle
Estradiol - normal for pre-peak, low-normal for post-peak
FSH/LH - ratio of 3:1, should be 1:1
Ovulation - one ultrasound series that shows my body is capable of 'typical' ovulation
Endometrial lining - low-normal thickness for post-peak
Fallopian Tubes - open as of surgery in February, 2014; history of both sides being blocked in both surgeries
Condition of uterus - endo removed, adhesions removed, chronic inflammation observed
Diet - Gluten-free (mostly)
Insulin Resistance - reversed with diet and exercise, will maintain diet/exercise plan
Male hormones (androgens/testosterone/DHEA) - some normal results, other non-normal results, one thing that was to be investigated if we continued with NaPro
Brown bleeding - both pre and post AF. Not as much as it used to be but still more often than not.
Other hormones/issues/symptoms (will continue to assess and determine how to manage these):
Thyroid - treated with Armour
Adrenals - some normal, other non-normal results
Chronic urinary tract infections
We are in the process of finding a local endocrinologist (not a reproductive endocrinologist, just a regular one) and/or a naturopath to manage my thyroid/adrenal issues. We are mostly concerned about long term effects of leaving these hormones unmanaged. The same for the chronic urinary tract infections, we are seeking both holistic approach and a local ob/gyn to investigate a way to prevent these. I am also considering food intolerance testing because chronic inflammation cannot be good for long term health either. Though the thought of removing ice cream from my life is terrifying.
We will chart CD1, the first day of externally observed CM, and peak day. That will let The Man know where we are in my cycle, and will let me know if there would/could ever be a reason to suspect pregnancy. Unless there becomes a problem with our intimacy, we will not directly TTC or TTA as far as timing intercourse. In some ways I wish I could forget everything I've learned about NFP.
My thoughts on this:
Four years ago I had no idea I had any health problems. My charts looked mostly good with some occasional brown bleeding. I've always been tired and cold, but nothing I couldn't manage or ever thought much about. I was more concerned that my joking about having adult ADD wasn't really a joke, but was rather real and was getting ready to see about being evaluated for that, but ultimately didn't because I knew I couldn't take those meds if TTC, nor was I really excited about daily meds. I've mostly managed and provide entertainment when I do something less than intelligent that is out of character for me, so there wasn't really much to worry about.
Four years ago, I'd never been under anesthesia. I've never broken a bone. I was a once-a-year ob/gyn patient and that was it. I don't even get seasonal allergies or colds. The worst thing I experienced were the occasional UTIs that were annoying, but I could usually predict them because I chose to not go to the bathroom immediately after intercourse.
I honestly thought my prayer for grace was needed because I would be *that* person who started TTC and was successful right away. How would I have gracefully handled that in the face of all the beautiful ladies' whose blogs I was reading who were infertile. Oh, how God has a sense of humor.
And here I sit, 4 years later, infertile and looking back over the last years asking myself "Who am I and how is this my life?"
I am also so aware that for many of you reading this, this timeline and list are very short if compared to your own. You have done and/or will do so much more for so much longer. I am in awe of your strength and your ability to persevere. No matter how much we have in common with our faith and our infertility, we each must walk our own path. We must follow the road He is laying before us and while these roads intersect and are similar, they are also very different. One is not better or worse than another. One does not indicate a greater desire or faith than the other.
For us, this part of our road is over.
The medical plan ends.
His plans are better than my dreams.