TW: miscarriage/weight gain/bloodwork
Hi everyone! First I want to say I’m very sorry for this long post. I need a place to go that isn’t my husband for the 70th time today, not that he minds. I’m also aware I need to talk with my OB and PCP, I don’t see them until 10/29 for an ultrasound.
I’m really struggling with continuing with TTC. It exhausts me and every time I feel like there’s a light at the end of the tunnel, something gets thrown on top of me.
My husband (25M) and I (24F) have been TTC for 14 cycles now. 10/25 of last year, we conceived and found out 11/5, by 11/19 I was already miscarrying. This month has been especially hard for us since we’ve wanted a baby so badly at this point. It’s heartbreaking. In August of this year, I decided to see an OB/fertility specialist.
I started letrozole this month, CD3-7 at 5mg once a day. I have had a flashing smiley face on my CBAD tests for 4 days now. This isn’t normal for me, I normally have a negative test and out of nowhere it turns out positive.
I had labs drawn the day after I started letrozole, CD 4. I just received them today CD13 and they aren’t as good as I’d hoped.
I have low estradiol, and I mean LOW. It couldn’t give me a number but it did say that I was <5.0 pg/mL. It says I am lower than the lowest range for post menopausal patients. I know that starting letrozole can halt estrogen progression, but I’m not feeling super hopeful. I also have lower progesterone but still within normal limits for the follicular phase (0.3 ng/mL)
TSH, FSH, LH, glucose, insulin and etc are all normal for my follicular phase. A1C is higher end of normal at 5.6 and AMH is 7.13. What really concerns me is my lipid panel.
My results (mg/dL):
Total Cholesterol: 208 moderately high
Triglycerides: 315 HIGH
HDL (Good Cholesterol): 42 low
LDL (Bad Cholesterol): 114 slightly elevated
VLDL: 52 HIGH
I’ve been told it’s most likely because my OB told me to start keto.
My PCP says she isn’t worried about these levels. She’s also aware I’m TTC and offered to put me on tirzepatide.
I am 24F, PCOS, Insulin Resistance, 5foot 9inches, 239lbs with a BMI of 35.4. I have gained 40 lbs since we lost our baby. I have tried many different health journeys and am at the point where I fear I won’t be able to have a healthy pregnancy.
I don’t want to start tirzepatide and still TTC. I feel like that’s wrong. But my PCP did not seem to have any issues with it, my OB shares the same system and is aware she put in a request for Tirzepatide and did not say anything. I will check with him, but I’m at the point where I feel like I need to just give up and take a break. Focus on my immediate health and go from there. I don’t want to get pregnant and immediately have complications because I couldn’t handle it.
I feel broken.
tldr: bad blood work results, overweight, been TTC for over a year and deciding whether I should stop and do tirzepatide and focus on myself.
Edit: typos