Fertility Specialist and a diagnosis

Nicole had her baby the day before we went to the specialist.  Here is Avalee Dawn Cook, newest niece!

After having a horrible experience with our fertility specialist in Portland (super condescending, expensive, and uncaring), I was a bit nervous to go back to a fertility specialist.  I had heard lots of good things about Dr. Foulk at the Utah Fertility Center and he didn't disappoint!
We went over the TONS of labwork and tests we had done before as well as my fertility history, all of which showed that we both checked out on paper.  Dr. Foulk went over the 5 main reasons for miscarriages since that has been a big problem for me.  One of the reasons I could be miscarrying would be due to abnormalities of the uterus.  You'd think that would come up in all the ultrasounds or the HSG that I've done, but I guess not.  Next month we will do a water ultrasound that will test for any possibilities such as a polyp, fibroid, or septum.  If nothing is found, we will move forward with an IUI.  If there is something wrong like a septum, we will need to do surgery first. 
My appointment was on cycle day 8 so we did an ultrasound to see if there were any developing follicles as I have been on clomid and took the rest that I had this cycle.  Dr. Foulk agreed that if there was something going on, we might as well not miss this cycle!  There was a follicle developing on the right ovary and also a bigger one on the left ovary, but it was oddly shaped so he said it probably wasn't a good follicle.  As we looked at the left ovary there were a few other egg looking things, which at my Portland specialist, she said they were other eggs developing, just not as big as the main one.  Dr. Foulk looked at it and said, "oh yes, there are some cysts, which is common with PCOS." And I said "WAIT! You're saying I have PCOS?!"  He probably thought I was crazy and that this was obvious, but I explained to him that every doctor I've been too said that I DIDN'T have PCOS, even when I asked them about it.  He was surprised that the specialist in Portland didn't give me that diagnosis and I told him that she not only said I don't have PCOS, she told me that I ovulate because I have a period every month.  Which I knew wasn't true but when the "specialist" that you're paying tons of money to see tells you you're crazy, you start to think you're crazy, even if I know my body well.  I've been wondering for YEARS if I have PCOS but have always been told no, even though I have many of the symptoms.  It was kind of a relief to hear that yes, I do legitimately have this issue that is causing my infertility instead of it remaining unexplained.  In our consultation before the ultrasound, Dr. Foulk told us that the reason we're not getting pregnant is because I don't ovulate.  So take that Dr. B. in Portland!
They took some blood (only 1 vial, woot!) for some bloodwork to check my estrogen levels and figure out if that follicle would be a good one or not and we could do an IUI this month.  The bloodwork came back indicating that it's not a good egg and probably just a cyst so we'll wait until next month.
Dr. Foulk started me on Metformin to help balance my hormones and insulin resistance caused by the PCOS. I asked previous doctors about taking Metformin and they never wanted to prescribe me with it.  So I was happy that he suggested it himself without me even having to ask.  I'll be calling them back on Day 1 to get set up for an IUI and the water ultrasound.  We'll be using Brevelle (FSH stimulant), an HCG trigger shot, the IUI, and progesterone suppositories.  So we have a real plan!!!
I'm excited to make this happen and I feel good about working with Dr. Foulk. He knows what he's talking about and it makes sense to me with all my suspicions about my infertility.  I'm also happy that we'll do the progesterone to help against miscarrying too.
Fingers crossed that next month will be a success!