I'm back from my RE appointment. She's concerned about the fact that my periods are all out of sorts, after never having been before. So, we're going to do more CD3 bloodwork, a 24 hour urine collection to rule out Cushing's Syndrome, an ultrasound to check my uterine lining and ovaries, and go from there. According to the lab work from my 3 hour OGTT, I don't have impaired glucose tolerance, so again, she's saying no to Metformin, which is frequently used to treat PCOS. I'm SERIOUSLY frustrated by that at this stage, because I don't know what else to do. Her answer is to change my diet again. She wants to cut my intake back to 1400 calories... which I'm fine with, but I still feel like we're not addressing any of the other problems, like the darkening of my skin, the hair loss, the other annoyingly classic PCOS symptoms.
Long term, she's suggested having my Mirena taken out early next year to have an HSG to check my tubes since I have a history of blockage, then going on OCP to see if my cycles are regulated. Once we stop the BCP, it's 3 months of trying on our own before she declares us officially infertile and suggests help, since we have known fertility issues (my tubes and PCOS). What a freaking mess. On the way out, someone handed me a pamphlet on financing assisted reproductive technology. I suppose that's a sign.