What if I can't have kids...

So in many of my classes, instructors ask "what are your goals in the next 5 years?"  I instantly think children.  But it is sinking in, what if I can not have my own children?  Am I cut out to adopt?  What will that do to my marriage?  If I would have known that earlier would I have even gotten married?  The answer to all of these is that I do not know. 
I realize I haven't posted in awhile so let me fill you in on what has happened.  I have gone and seen an endocrinologist to see if I have CAH.  When I saw him, he retested all of the hormone levels tested last spring that led them to say I have PCOS and low and behold all of my levels came back normal.  I have one last test to take and see if I have CAH and then I see the endocrinologist again and see where we go from here.  It is great my levels are normal but then it makes me wonder why am I not ovulating?!?!? Where do we go next? and What does this mean when it comes to having children? 
When I think about my future I always see being a mom and if you take that out I do not know who I want to be or what I want to do.  I realize I am jumping the gun a bit here but it just has been making me think lately and has kind of been bringing me down.  My husband and I have been talking about when we want to start trying to conceive like we have a choice which is what makes me laugh and I'm sure makes God laugh as well since I don't think we really have too much of a say in the matter.  We can just do everything we can and want to try and have a child but at the end of the day God is the one that makes it all happen.  This should give me comfort that it is all in God's hands and he has a plan for me, but to be honest it doesn't.  I am a planner and this is one thing I can not plan.  I hope I learn of better news that I can share next time.  I guess this is all just part of the journey ...

Polycystic ovary syndrome (PCOS) vs. Nonclassical adrenal hyperplasia (CAH)

Polycystic ovary syndrome (PCOS) vs. Nonclassical adrenal hyperplasia (CAH)..... wow I know big, scary words but I have become a bit more educated on both of them and the differences in the past week or so and have a feeling I am going to learn a lot more in the weeks, months, possibly years to come.  Why do I have both of these listed you may ask? Well because they may be very related for some individuals.  Apparently there are some instances where an individual is misdiagnosed with PCOS when they really have CAH.  How this happens is because CAH has many of the same symptoms as PCOS such as abnormal hair growth, sever acne, abnormal periods, infertility, and male patterned baldness just to name a few.  The thing is they have the same symptoms but they are caused by very different activities in the body.  Just to break it down into very simple terms, CAH is caused by an enzyme deficiency where as PCOS is caused by the insulin/glucose regulation in the body (again this is from what I understand when it is broken down into simple terms).  So since the symptoms are caused by different reactions occurring in the body, naturally there are different methods of treating them. Why I bring this up is because I have never heard of CAH, I had only heard of PCOS so when the first doctor said 'Hey, you have PCOS' I never questioned them for a second and trusted them completely with my treatment until I have been treated by my most recent doctor who looked over my previous labs and said 'Hey, some things are not quite matching up' needless to say last week I got tested for CAH and low and behold my labs were way off.  I am going in for another test this week to confirm my doctors theory that I actually have CAH.  Now as she says, I can still have CAH and PCOS so we will have to figure that out a bit later depending on what unfolds in the weeks to come but it is still movement forward into figuring out what my body is doing. 
Why I share what tests and theories have come up in my life is because it is my hope that you too may learn from what I am going through and may go and talk to your doctor about CAH if you have any twinge of a doubt on your treatment or diagnosis with PCOS or vice versa if it applies.  I figure it is always nice to learn through others when possible instead of making our own 'mistakes' if you want to call it that.  The initial test for CAH is quick and painless (from my experience), it is a simple blood test which can tell your doctor if you need further tests.
From what I can tell so far most doctors will prescribe birth control to "fix" both PCOS and CAH but I have to put this out there that I do not believe in taking birth control to "fix" medical issues.  I see it as just a band-aide that hides the underlying problem.  I believe in using actual medications that work with your body to actually fix the problem instead of using birth control and working against it.  When looking for a treatment for PCOS or CAH other than birth control, you will be taking different medications that work with the individual diagnosis to help your body to start running a bit more normal.  So with this in mind there are different methods to treat CAH and PCOs that should help your body cope with the diagnosis, you just have to decide which one fits better with your beliefs.
I will post more as I figure it out but I hope this post at least gets you guys thinking thinking a bit differently about PCOS diagnoses ...
If you want to look more into CAH here is a site that helped explain it a bit more for me (make sure you read about the nonclassical type not the classical type) National Adrenal Disease Foundation
Also for those that want to read more up on PCOS visit the Mayo Clinic site

Best way to turn anyone into a runner that hates running (and other workout ideas)

Well one thing I kept reading over and over and over again when I researched about PCOS when I was first diagnosed was that you need to get your weight down to a healthy BMI and you need to do it the good ol fashion way of eating right and working out.  Now I have tried everything in the book for both, and today I am going to share what I have found works best for me in the workout arena (I will save nutrition for another post).  Now the first step is to figure out what your BMI is anyway since it is different for everyone.  A helpful tool for this is found at the National Heart and Lung Institute's website.  It simply asks for your height and current weight and then calculates your BMI from that.  Then you take that number and compare yourself to this chart:

BMI Categories:

• Underweight = <18.5
• Normal weight = 18.5–24.9
• Overweight = 25–29.9
• Obesity = BMI of 30 or greater 

Now as with everything in life there are many circumstances for why you may have a higher or lower BMI than what is considered "normal" and this is where your doctor comes in.  As well I should also throw out there that before trying to change your lifestyle significantly, like changing diet and adding exercise, you should check with your doctor to make sure your plan works for your body and your individual circumstances!
Why I bring up your BMI as a good starting point is because with today's media, it is hard to even know what a healthy weight is anymore.  As women we tend to get in the groove of always saying "I need to lose weight" "I am too fat" and maybe this isn't true or maybe we end up on the other end of the spectrum and say "I am average/normal" and maybe we are overweight (I fell into this category).  In any case, we need to strive to get to a healthy point for our own bodies.  As we learn with PCOS, it is very important to get to a healthy weight to help with our other symptoms.
So now that we have our goal (our healthy BMI weight) we can gauge how much weight we want to lose and maybe a realistic timeline for this.  Here are some workout ideas...

1. Join a gym (if you are spending the money for the gym you may be more likely to go) try doing this with a friend so that you can hold each other accountable!
2. Join a fitness program like Farrell's Extreme Body Shaping Program.  It costs quite a bit for 10 weeks but it is 5 days a week and they hold you accountable and work with you to make sure you lose the weight!  

My warning for the above options is that they can cost a lot of money!!! and frankly you can get great results without shoveling out the cash.  I observed Farrell's because I was amazed at some of my friends results that did it and wanted the same results for myself but after watching, you ca create the same workout plan at home for ALOT cheaper but you will not have the accountability that you have with Farrell's(They call you if you do not show up and you have a coach)  This is where you decide works best for you and your personality!

Now for those of you that want to try and save money or like working out at home, here are some options for you (this is where I fall)...

1. Try buying workout DVDs.  I personally like Turbo Jam  it is a fun set of videos that works with your ability level.  They have 20, 35, and 45 min workouts.  They have great music that makes the time just fly by.  The trick to using these and getting the same results as a body shaping program, is doing it 5 days a week! other DVDs friends have tried is The Wave, The Ab diet,  and Carma Electra's workouts DVDs
2. Try joining an athletic league like sand volleyball or softball.  You are having so much fun playing that you forget that you are getting a workout.  Unfortunately to get really good results you will probably have to supplement this with something else though :(
3. NOW on to my personal favorite and workout of choice! The Couch to 5k Running Plan this was introduced to me about 6 months ago and has changed my life!  I should first start by saying that I hated running.  In middle and high school I was a three sport athlete and I still HATED running with a passion but that is what is great about this program, it turns you into a runner if you give it a chance and use it the intended way.  The other great part of this program is that it is FREE!!!  How it works is that it is a 9 week program that you download onto your Ipod.  Each week you run three days allowing for a day of rest in between.  The runs are only 30-45 min long so it is totally manageable.  The first week you start out by just simply running for 60 sec/walking for 90 secs and do this back and worth with a 5 min warm up and cool down.  Then the weeks to follow it just increases the amount of time you are running compared to walking until at week 9 you are running for 28 min.  There is music in the podcast to match your speed to and then the narrator tells you when to run or walk and gives you words of encouragement through out the run.  Remember I HATED running but after just 6 weeks of following this program, I actually stared to enjoy it and was able to run and not think about the pain or why I was putting my body through it but be able to think about how my day was going and what I needed to do later.  I really vouch for this program because it is free and can be adjusted to your needs (if you need longer you just keep running the same week program over and over again until you are ready to move on to the next one).  If you want to give it a try, it can be downloaded from itunes.  Just search "couch to 5k" and click on podcasts and find the one that that is made by Robert Ullrey.  

When I started my workout journey I was considered overweight by my BMI (I knew I could lose some weight but never thought I was actually classified as overweight by my doctor) so I started with the turbo jam videos because they were cheaper than a gym membership and I could do them in my home so I didn't have to feel embarrassed. After simply adding in working out since I was not doing any before, and watching that I did not over eat, I lost 20 lbs.  Then I switched over to the couch to 5k program this past spring and lost an additional 10 lbs.  I am back to my weight in high school (and a normal BMI) which I never thought was possible and I am feeling great!      

I hope this gives you some ideas on how to jump start your own workout routine and how to make realistic goals.  Some important things to remember are that sometimes weight is genetic so don't get too down on yourself if it takes a lot more work than your friend to lose the weight also PCOS can make it a bit harder to lose the weight as well.  The most important thing is that you try, with PCOS we are at higher risk for getting diabetes and cardiovascular disease and working out is one way to help prevent that.  Also remember to eat right when you are making these changes.  Don't throw away all your hard work by putting a ton of sugary and fatty foods into your body.  This takes time but if you believe in yourself and put in the work, it will pay off.  So talk to your doctor and get started!

new findings on acne and fatigue

Okay so I have had some new revelations when it comes to PCOS and my body.  I figured I would post them because you yourself may find them helpful as well.  First topic, the dreaded acne that sometimes comes with PCOS.  Well as posted previously, I have had acne for somewhere around 11 years and trust me I have tried just about everything out there from Accutane to all natural products and nothing has gotten rid of the acne.  As I have researched different suggestions for treatments of acne for patients with PCOS I kept coming around the drug Spironolactone which helps with the androgen levels.  I mentioned this to my doctor and she said she would be willing to put me on it but I could not get pregnant on it and also would have to get my blood drawn to check my potassium levels.  This all made me quite nervous so I talked to her a bit more about it and she asked if my acne ever got better when I was on Yasmin or ortho tri cyclin to which I replied no.  Recently the only thing that has made my acne better was going on UTI medication which is a bacteria fighting medication.  She informed me that all of this information makes her think that my acne is more from bacteria than the androgens then since both of the different kinds of birth control that I had been on where supposed to help with androgen levels as well and they did not help my acne at all.  So I am now on a topical cream that seems to be helping a bit.  I guess why I bring this up is because you have to find a doctor that can communicate well with you and look at your previous history and put the pieces together to find what will work for you.  I also say this so you can think back at what you have taken and if your doctor is not putting the pieces together, maybe you could bring up trying a different treatment.
My second finding has to do with fatigue.  Apparently if you have PCOS you are also prone to have thyroid issues.  Yet again my previous doctors did not take all of the tests necessary to make a correct diagnosis until my current doctor who is finally listening.  I mentioned that I tend to always be tired and I get the 7-8 hours of sleep a night religiously and I work out and so on yet I still get to the point that I feel like I NEED a nap.  She looked at my previous records and said they tested my thyroid but only one level and it was normal but there where two others that should be checked. lo and behold one of those was low in me so she is checking me for adrenal fatigue as well as thyroid dysfunction.  I just am taking my temp and filling out a questionnaire.
So these have been my latest findings, I will keep you updated on any new ones until then stay strong and know you are not alone with PCOS! 

Background on what brought me to this place in my life

Hello all, I was diagnosed with PCOS in the beginning of this year and it answered a lot of questions I had about my body. Let me first say that I had to push to be tested for PCOS. I had many of the symptoms for it and yet no doctor thought it was important to test and treat it. Here are the symptoms I had:

• sever acne since 4th grade (if you can do the math that is 11 years with acne)
• abnormal hair growth (one place being my face)
  
• Not having a period until 16 and then having a lack of periods since then

Through the first two doctors the answer always was "if you don't want to have a child now then take birth control and we will just check to make sure you don't have diabetes or cardiovascular disease" and then they would send me on my way. It took me changing doctors three times before I found one willing to do the tests but after the tests were done and they concluded I did indeed have PCOS, they still only wanted to put me on birth control pills.
Here is my problem with birth control pills:

• first off it is just covering up the problem and is not working with my body to try and get it to ovulate on its own in preparation for when I want to have a child
• second off birth control pills do not work with my other symptoms
• third problem is that I am catholic and I would like to try and find other options if at all possible than birth control to deal with PCOS

So some of these issues would not be such a BIG issue if I had not gotten married this past summer and my husband and I are looking at having children once I graduate December 2011. We wonted to know what were the chances we could have a child. I talked to many friends about our problem and then someone at church introduced me to the creighton model.
With the creighton model you chart your fertility and then by the results that you have on your chart, doctors can treat you while working with your body. It seemed like it was worth a try so I started the creighton model in May and low and behold have not had a period that whole time so I was referred to a doctor that works with the creighton model and that brings you up to speed with where I am today. I had my first doctors appointment yesterday and finally worked with a doctor that acknowledged PCOS and wanted to treat every part of it including starting to try out different methods to try and get me to start ovulating on my own.
It is extremely refreshing but also has stirred up a lot of emotion. The doctor said it will be very hard for me to get pregnant and that even if I do I have a high chance for miscarrying. That makes me want to start trying to conceive today! but then my husband pulls me in and reminds me that I still have school to finish. I feel like people do not understand my worries and my need to start now no matter the circumstances because they do not have PCOS that may make them infertile. The most important thing in my life is having a family so I feel like I am between a rock and a hard place. The doc has given me a couple of options:

1. Start trying to conceive by taking progesterone three days after I ovulate for 10 days and taking Clomid to help me ovulate while taking vitamin B6, folic acid, and Metformin
   
2. Hold off to start trying to conceive until April 2011 and just take progesterone day 18-27 of my cycle to help me have a period for good health while taking folic acid and Metformin
   
3. Hold off to start trying to conceive until April 2011 and just take progesterone day 18-27 of my cycle to help me have a period for good health while taking folic acid, Metformin, and take SPIRONOLACTONE to help with acne and abnormal hair growth but be VERY careful NOT to have a child while on it because it is harmful to the child in pregnancy (reminder that with the creighton model it is basically natural family planning)
   

So which option should I choose??? On one hand I am only 22 and in school and then on the other I want a family and do not know how long and how hard it will be to conceive with PCOS. So what should I do???? Also with option 3 there can be negative side effects but the selfish part of me wants to take it because I am SO sick of looking in the mirror and feeling ugly because of having a face full of acne! I do not know anyone with PCOS so I do not know what is recommended with this condition. Anyway I have typed a lot here so I will leave with some questions for you
Do you or someone you know have PCOS and how have they treated it?
If you were me would you start trying to conceive now or wait until school is over?
Please share your stories because I think it can be empowering to feel like you have a network of others that are in the same place as you are in life!