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[personal profile] prairiemama
Went to the doc earlier this week for a checkup and to talk about getting an IUD. I'd heard iffy things about this doc (gave bad BFing advice) but she's convenient to our house so I went with her anyway. I kind of liked her, she was nice and I felt like she was good at flagging potential problems. She asked me a lot about the fatigue I experience and talked to me about options for dealing with potential depression (and highlighted counseling and yoga/exercise before saying that a low-dose antidepressant was also an option). I guess my thyroid is a little prominent so she had some bloodwork done (I guess it must be normal, they were supposed to be back yesterday and she said she'd call if it was abnormal... but maybe she's busy). She's also checking my vit D levels and some other stuff as well. She recommended that I lose some weight (but was sure to ask me what weight I would feel comfortable with and that I could maintain). I mean, yes, I'd love to weigh 130 instead of 150, I just don't know when I'll squeeze this yoga and exercise into my day. But I will try to at some point in the next whenever. I know she's right, I *would* feel better. Ugh, stupid good advice.

She agreed that I'm a great candidate for the IUD, gave the whole spiel, and then said "sometimes they won't approve it for contraception but will approve it for menstrual problems, so, have you had any problems with your period?" And I was like "yeah, it's really heavy, right?" which was funny. So once it gets approved I'll get it inserted (weirdly nervous about this). I'm really excited about having a condom-free sex life. Now if I could only manage to be awake enough to have sex...

Holly's sleep is crappy! I think I broke her. I think I made the same mistakes I made with Robin and now she'll only sleep 45 minutes at a time and freaks if there's no boob in her mouth. FUCK. I don't know how to fix this, either, without making her cry, and Holly's cry BREAKS MY HEART INTO TEENSY PIECES because she is SO SWEET AND LOVING. She seems to take it really PERSONALLY that there's no boob (whereas Robin just seemed insulted). Siiighhh.

She's sitting up on her own for a minute or two at a time. Still a little unsteady but really close. She's so excited about this. She's getting mad when I put her in the Bumbo :P.

Date: 2010-07-09 01:58 pm (UTC)
From: [identity profile] lutheranchick.livejournal.com
Prolonged progesterone problems can cause problems with the thyroid. My thyroid was swelling up huge several times a week yet an ultrasound and lab results said everything was fine. Turns out that my progesterone levels were so low they weren't even registering for the lab. Ah hormones, I have a love/hate relationship with you.

Date: 2010-07-09 06:44 pm (UTC)
From: [identity profile] lolacat.livejournal.com
good to know, thank you!
From: [identity profile] lutheranchick.livejournal.com
I don't think we've talked much about the whole progesterone thing before. Did your doctor (are you seeing a specialist?) say that you have low progesterone or that you have an estrogen dominance? Because from what I've researched, it's the same thing.

It's also tricky since low progesterone (can I call it LP?) has almost the exact same symptoms as hypothyroidism. This is why it took me over 9 years to get a real diagnosis and treatment. Ugh, I hate that I was suffering for that long and no one could figure out why. Huge amounts of stress make the whole hormone thing much worse (hooray!) and I've really seen that true looking back at when I felt the worse. But decreasing stress is never easy for anyone.

Since my son was born I've had huge amounts of anxiety (which I've always had a fair amount since I could remember but never sought treatment for) and bouts of depression. Which LP and thyroid can cause both of those. I've found that since taking the natural cream (and natural meds to help me sleep) has really helped those symptoms, but not taken them away.

My doctor upped my progesterone dosage when I last saw him a month and a half ago. He said that I'm already double what he would normally give a person my age (27). My thyroid has swelled 3 times since I started the cream 4 months ago. It was swelling to painful levels 2-6 times a week. Perhaps you could talk to your doctor about a higher dosage? I wrote down every single symptom I could think of that I had before starting the cream (it was a long list and I found lists of symptoms from google and then put them all together) and if it had improved or not and by how much. Then I took that in and said, this is what I can live with and this is what I can't live with. Sleep was a major one. My son was sleeping pretty okay during the night and I was awake for several hours every night. Talk about torture for a mom with a young child, being allowed to sleep but couldn't! The other ones were mental fogginess (which is why I haven't written in my lj for months, I just can't string enough sentences together to make sense) and exhaustion.

I'm sure you've done research yourself about this stuff so I don't mean to imply that you don't know any of this. It's just nice to have a sounding board of someone else who gets how unbelievably awful this lp is and how much it affects a person. I guess I have it pretty severe and was suffering greatly from the side effects.

I found these links helpful to me:
http://allonhealth.com/natural-progesterone/hypothyroidism.htm
http://digitalnaturopath.com/cond/c8769.html
http://www.infertilityworkshop.com/articles/hormonalhealth/thyroid.htm
http://www.hormone-healthy.com/Symptoms_of_low_Progesterone.htm

Date: 2010-07-09 04:00 pm (UTC)
From: [identity profile] muirichinnahali.livejournal.com
Aww, don't think that you broke her. It seems to be very common for this to happen. Especially with the teething and milestones... Nicky was the same way for a while. It drove me batty but it wasn't permanent.

Date: 2010-07-09 06:44 pm (UTC)
From: [identity profile] lolacat.livejournal.com
thx. it was permanent w/ robin :P :P guess i'm gunshy.

Date: 2010-07-09 07:15 pm (UTC)
From: [identity profile] muirichinnahali.livejournal.com
definitely understandable. :P i feel that way when nicky has rough nights (of which there have been a lot more lately), thinking that we're totally screwing up the same ways we did with zeke. except that he keeps coming out of the phase and sleeping fine again for a few days. and when i start thinking about it, i don't think it's anything we're doing or not doing with each of them. we're not willing to let them cry it out, and i do think that the things we've done are the best way to nighttime parent. it's just their own personalities and quirks. zeke's always been a terrible sleeper and i think that he would have been no matter what we did. nicky seems to have rough nights with teething, but then goes back to sleeping pretty well. so.... i don't know. just rambling here, sorry. haha

Date: 2010-07-09 07:59 pm (UTC)
From: [identity profile] lolacat.livejournal.com
It was kind of gratifying when Robin started STTN on her own because I was like -- ok! She just had to wait until she was ready, no amount of CIO or whatever could have forced that to happen earlier. I am going to hope that Holly improves, and if she doesn't, maybe try some stuff when she's a bit bigger. I think she's dealing with some developmental stuff (sitting up as of today!!) so of course she's going to need that. Plus 6 mo growth spurt. KIDS.

Date: 2010-07-09 04:28 pm (UTC)
From: [identity profile] warcat.livejournal.com
I had an IUD. It took while to adjust to it, but after the first three months everything stabilized and my periods stopped completely. Those first three months I had a period almost every day. I recently took it out because I wanted to see if I would lose some weight and get my sex drive back. So far, the jury is out.

Date: 2010-07-09 08:00 pm (UTC)
From: [identity profile] lolacat.livejournal.com
Well, my sex drive is already in the crapper so it can't make it worse :P :P ;)

Date: 2010-07-09 05:22 pm (UTC)
From: [identity profile] mosscollection.livejournal.com
My midwives won't place IUDs in breastfeeding mothers b/c since the uterus is softer, there is greater risk for uterine rupture. Apparently each of the midwives (there are 4) have had at least one patient who this happened to, so they decided to stop the practice. They told me to come back when I'm not breastfeeding.

Not trying to scare you, but I just thought I would let you know I was told that so you can research it yourself if there is any concern.

I went ahead and took their advice, but I also plan on having another baby before 5 yrs now, so it turns out it was the right choice for me.

Also, since I just had my thyroid checked, as you already read, I was reading more stuff online about it, and having hypo or hyperthyroidism can also cause depression. So maybe there could be a link there for you too?

Date: 2010-07-09 06:21 pm (UTC)
From: [identity profile] lolacat.livejournal.com
Fucked up, that sounds terrible. My doc mentioned the possibility of perforation to me but said she's never had it happen. A couple of mom friends on lj have them and overall the opinion is very positive. I think I'm going to try it. The chances of us wanting a 3rd are slim to none, and I don't want to wait around for Brian to get a vas. Plus, I like the idea of lighter periods.

Yes, I know thyroid problems can be linked to fatigue and depression. It all makes sense. I just got a message from my doc's office but they're to lunch (FANCY) so I won't know what the deal is there until they call back. But she said they'd only call if something was "abnormal" so I'll find out soon enough if I do indeed have medical issue.

Date: 2010-07-09 06:47 pm (UTC)
From: [identity profile] mosscollection.livejournal.com
Even though it sucks to find out you might have a medical issue, it really does feel nice to just know about it, once and for all.

Re: uterine perforation. Yeah that sounds awful right. Glad to hear that your doc has never had it happen. I'm sure my MWs are just erring on the side of caution. Every time I have mentioned this to anyone else, they say they have heard that it's exceptionally rare.

Date: 2010-07-09 06:48 pm (UTC)
From: [identity profile] lolacat.livejournal.com
I'd be gunshy if I perforated someone's uterus, too!

Date: 2010-07-09 06:49 pm (UTC)
From: [identity profile] mosscollection.livejournal.com
true story. although I don't think it is the MWs who perforated the uteri, rather they placed IUDs and then at some point in time the IUD made its way through the uterine wall. Either way, OUCH, and I don't really blame them.

Date: 2010-07-09 07:48 pm (UTC)
From: [identity profile] sandokai.livejournal.com
You should ask for your TSH levels. Sometimes they'll do nothing unless they're over 5, but from what I've read if they're over 3 it could still mean some thyroid dysfunction.

Also, vitamins. I really think the D and B-complex is making a notable difference...

Date: 2010-07-09 07:58 pm (UTC)
From: [identity profile] lolacat.livejournal.com
Just found out I am still D deficient, despite taking some! And I've run out of B but that was def. helping. Thanks...

Date: 2010-07-09 08:32 pm (UTC)
From: [identity profile] sandokai.livejournal.com
I was reading that people taking recommended doses (like 1000 or 1500) will still not go up much.... (sigh)

What was your level and what are they considering a good level?

Date: 2010-07-09 09:00 pm (UTC)
From: [identity profile] lolacat.livejournal.com
I can't remember the exact number, but it must have been below 30 since she said the range was 30 to 80 and the ideal was to be closer to 80.

Date: 2010-07-10 01:48 am (UTC)
From: [identity profile] sandokai.livejournal.com
I just wondered since mine was 22. In some latitudes they'll count 25 as normal but I too have read it should be above 60...

If yours was below 30 that could be a bit part. When mine tested at 22 I was having all sorts of crazy nonfunctional problems that are similar to the hypothyroid ones (insomnia, cloudy thinking, lack of focus, depression, etc.)

It's interesting how so many of these things seem to have the same symptoms...

Date: 2010-07-09 09:59 pm (UTC)
From: [identity profile] lutheranchick.livejournal.com
Do you go outside very often? My chiropractor (who is a health nut) was telling me that just taking the vitamin D supplement wasn't enough but that it needed sunlight (15-20 minutes every day without sunscreen) to actually cause it to be absorbed. I thought it was interesting, but I never looked into it further.

Date: 2010-07-10 02:09 pm (UTC)
From: [identity profile] ewake.livejournal.com
get copies of labs for your files! and thyroid interpretation is so variable (reference ranges for TSH range from 0.45-5 to 1-2.5 and everything in between), so you'll want to know the actual numbers.

we generally put IUDs in at 6 wks postpartum and i haven't heard anything about perforation in bf mothers...

Date: 2010-07-10 03:01 pm (UTC)
From: [identity profile] maggie-maybe.livejournal.com
Just wanted to say that I'm sorry about Holly's sleep! Enduring those issues for 2 babies in a row....omg I can barely even think about it!

Date: 2010-07-11 03:05 pm (UTC)
From: [identity profile] thesaturdaygirl.livejournal.com
Every time Illy fights sleep I am like I AM NEVER FUCKING DOING THIS AGAIN, I CANNOT SPEND SO MANY HOURS IN A DARK ROOM IN MY LIFETIME OR I WILL DIIIIIIIIIIIIIIIIIIEEEEEEEEEEEEEEEEE.

Luckily he is okay with sleep, but like every newborn, has his moments.

Date: 2010-07-11 03:51 pm (UTC)
From: [identity profile] thesaturdaygirl.livejournal.com
I think you look great. :) And speaking as someone who is also still above pre-preg weight (13 over where I was when I got pregnant with Ilan -- which is, I think, just about my perfect weight -- and like 20 over where I was when I got preg with Wren -- but I was too too skinny then and looked like a stick with a giant bobble-head) I know how you feel re: "Yeah, of course I'd like to be 13lbs lighter." I do work out regularly (4-5 days a week) but even so I am RAVENOUS when breastfeeding so it's hard to lose weight -- of course I am only 10w postpartum so I think my appetite will slow down in the coming months. The working out DOES make me feel SO much better though; it really helps our days when I go in the morning. But I totally understand how hard it is to prioritize when they are so many other things to balance. I know in the spring I basically stopped going -- not because I was so pregnant but because I had to devote every child free moment to writing if I wanted to make deadlines before Ilan came.

How tall are you?

Date: 2010-07-11 04:34 pm (UTC)

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