A Date with the Dildo Cam

I went to the local RE's office today to have an ultrasound and to discuss my blood work results from the tests done last cycle.

I came out of there with a smile so broad, I'm sure I looked ridiculous. In the car, I even let out a little "Wooo!" of glee.

It's been awhile since I had the pleasure of an external ultrasound as well as the good ol' dildo cam. Oh joy. It wasn't anything that I wasn't prepared for; I guess having gone through so many tests and so many years of IF, it's not a shock for me. I hear that some women are terribly traumatized by the dildo cam. I can understand that; certainly if you're not ready for it or you feel violated or invaded. I never really did, and I've learned to guide technicians to the right spots to best view the ovaries. (You know you've done this too much when...)

Anyway, the tests were finished, and I went from the ultrasound room on the main floor to the offices upstairs for my appointment with the RE.

He opened my file and blinked. And I quote:

"Wow. Gil. This is great. You have the LH and the FSH of a teenager."

I'm so lucky. In the same breath he told me he'd seen a 36-year old earlier this week who is in early menopause. My heart sank for her, and her hopes of having a family with her own eggs. I don't know what that's like but I do realize that so many of us do.

Anyway, I suspected that my results were good, as I had obtained a copy of them from my GP a couple of weeks ago. But I didn't think he'd consider them quite that good. So I'm really pleased with his reaction.

And better yet, I have TEN (count 'em!), TEN antral follicles! I am super pleased with that bit of news! I still have that functional cyst on the right but at the moment my estradiol is not reflecting elevated numbers so it's not affecting the hormone levels. That bodes well for aspiration of that cyst prior to starting a cycle, sort of like we did the last time around.

Would you believe he shook my hand and said, "Good luck. We know you're fertile so I really hope the second time around works as well as the first."

Fertile. Oh my. I've been called a number of things... some good, some rather derogatory, but "fertile" is not a term that I'd apply to myself. That's for sure. In fact, we are definitely infertile; we NEED IVF to create our family. That's never easy. But it's something we can do. So we'll look at pursuing it.

Again.

We've cleared the first hurdle.

Good thing. Because regardless what opinion the local RE has, I guarantee you, I'm no teenager.

Blood Work Results and More Appointments

So after a consult with a local RE awhile ago, here's where things stand.

If we're looking at trying again (and I'll be honest, I'm seriously debating this at the moment), we're better off going to Montréal again, back to McGill. The local RE (at OFC) is quite happy to liaise with them and monitor here in Ottawa as required. I called McGill and made an appointment for May; we'll see what happens.

In the meantime, the RE here started some preliminary blood work. Here are the results that I discussed with my GP this morning.

Sample taken on March 23, 2012 (CD3) with the following meds:

1.0 mcg synthroid (for hypothyroidism) and 0.75 mg sandoz-diclofenac (for psoriatic arthritis, which is quite bad at the moment)

LH -- 1.0 (LOW for Follicular phase; 2-13 = normal)

FSH -- 6 (6-9 = good... while under 6 is excellent)

TSH -- 3.06 (personally too high for me)

Estradiol (E2)-- 185 (70-530 normal) * Note for my American readers: This converts to 50 in American levels.

Ferritin -- 42 (31-72 indicateds REDUCED iron stores, but it's better than where I was!)

Moving forward, my GP has prescribed Metformin again (to regulate the PCOS). She increased my dose of synthroid; my TSH is way too high for me to be comfortable. I knew weeks ago that something was off. My face is puffy; my eyelids are swollen in the morning and I'm biting the insides of my cheeks daily which is a huge sign for me that my TSH is too high. She discussed stopping the diclofenac just prior to doing the IVF (as we know it can be harmful in pregnancy). And she is not concerned with the iron levels, even though they're somewhat reduced.

From what I also see, my LH is low, but that can be regulated in an IVF cycle. And I believe that my FSH of 6 is not too shabby for a woman who will be *gulp* 42 next month. I will discuss these things with the RE when I have an ultrasound later this month to check antral follicle counts and discuss the blood work results.

More blood work to follow before our appointment in May: upcoming is Prolactin, CBC, HIV, HbsAg, HCV, and Rubella... along with the blood group (which I know is A+).

I don't know. I just don't know if this is the right path at the moment. But I need to follow this road a little and see where it brings us. The plan was always two. But can we? Should we? Does this make sense? I don't know. I truly do not know and I'm torn this time around. WE got so lucky. Who's to say all hell won't break loose this time around? That terrifes me, to the point of freezing in stasis and just letting time pass until it's too late.

I just don't know...

But on my way home, I'm picking up my prescriptions and I'll up my dose of synthroid and get back on the Metformin. We shall see...

Blood Work Results

(TMI incoming folks. Get ready.)

So here's the scoop:

Yes, I know I have a cyst on the right side. A lovely big (painful) thing measuring about 3.7 x 3.7 x 4.2 cms. How fun.

Yes, I know I have menorrhagia; as mentioned before in this blog. Technically, my RE wrote "Menorrhagia ++" on my form. How fun x2.

Not.

So even taking the iron supplements, my iron is still "depleted." No wonder I'm bleeding like a stuck pig every month. And in between too. Seriously. This month, if I didn't know that Hubby was azoospermic because of a vasectomy, I would have truly thought I miscarried, the clot was THAT big. No joke. Like large egg sized.

My LH is low, and probably affected by the cyst.

My E2 is high, and definitely affected by the cyst.

And my progesterone is unchanging from CD3 to CD21, sitting at 1.1 and 1.0 respectively. With luck, the PIO injections that I'll do with an IVF cycle will correct that.

Other than that, all is good. TSH is perfect at 1.9. Fasting glucose is great at 5.5 (Canadian values of course). FSH is 4.0 (YAY!) and prolactin, DHEAS, and all the rest are perfect.

And we move onward to our December 14 appointment in Montreal. It's approaching fast.

For those curious, I updated my earlier post with the numbers and normal values are in brackets.

A Memorable Birthday (27w2d)

A quick check of Petit today at the OB's office revealed that all is well.

My weight is down 4.5 lbs, for a total loss of 1.5 lbs over the course of the pregnancy so far. That's superb! My TSH bloodwork came back at 1.3 which is perfect! My fasting glucose came back at 4.7 , and normal fasting is between 3.6 and 6.0, so that's great.

The numbness in my upper thighs is normal and although it may get worse over the next few months, it ought to improve or disappear after Petit arrives.

The baby is active and kicking frequently and the OB is pleased with how things are progressing so far. And my next appointment is on June 11.

Honestly, this is the best way to celebrate my birthday. I'm blessed beyond belief and I could not be more thrilled to finally, at the ripe old age of 39, be expecting our first child. It's my best birthday ever. I am grateful for everything I have and the glimmer of hope that we are experiencing right now.

To my husband: thank you for everything you give to me and for being my rock. I am honoured to be your wife, and I am so happy to be looking forward to welcoming our child into our lives. And yes, the roses are beautiful. I love you.

IPS Results

For the clinically minded, here are the details of our IPS results.

AFP level = 10.9 ug/L (0.54 MoM... low)
uE3 level = 2.47 nmol/L (1.02 MoM... normal)
Total hCG level = 28.7 kiu/L (1.45 MoM... high)
NT measurement = 1.7 mm (1.06 MoM... normal)
PAPP-A level = 0.38 iu/L (0.39 MoM... low)

The low AFP, the high hCG and the low PAPP-A give us the 1:75 risk.

I also know that a higher hCG level is frequently present in women who've undergone IVF.

Additionally, my high TSH (thyroid) levels might throw this out of whack. And I've not yet had the OGTT so any blood sugar problems might throw it out of whack too. I'm still worried for Tuesday and until I get these results back, it's going to be really hard to concentrate on doing anything to prepare for Petit's arrival.

For all I know, Tuesday may be the last day I get to see Petit at all... as there is a chance of miscarriage following an amnio. Before that needle goes in, I am going to have a photo of our baby in my hands; it may be the last one I get.

The Vampires' Results

The results from the rest of last week's bloodwork have come in. Except for the karotyping; that will take 6-8 months apparently. Anyway, I picked up copies this afternoon; I will need a copy to see the RE here next week.

Anyway, the results are as follows. Normal values and details in parentheses.

Tests from March 24
CD4, synthroid (25 mg)
TSH - 3.24 (0.3-4.7)
T4 Free - 14.0 (9.1-23.8)
T3 Free - 4.3 (2.5-5.7)
LH Serum - 1.3 (follicular = 2.4-6.6) **LOW**
FSH Serum - 4.4 (follicular = 3.0-22.0)
Testosterone 1.9 (adult female = 0.3-4.0)
Estradiol - 181 (follicular = 0-921)
Prolactin 7.6 (3.3-26.7)

Tests from March 25
CD5, synthroid (25 mg), 12-hr fasting (unless indicated)
Insulin Fasting - 180 (40-190)
Insulin 2 hour - 1290 (120-1240) **HIGH**
Glucose Tolerance Fasting - 5.0 normal (3.6-6.0 normal; 6.1-6.9 impaired; >6.9 possible diabetes mellitus)
Glucose Tolerance 2 hour - 7.7 normal (3.6-7.7 normal; 7.8-11.0 impaired; >11.0 possible diabetes mellitus)
APTT - 34 (26-37)
INR - 1.0 (0.9-1.3)
Homocysteine - 9 (5-15)
Anti dsDNA - 5.0 (0-19.9 negative)
Antinuclear AB (ANA) - 1:40 **POSITIVE**; Titre - 1:40, Pattern - homogeneous, speckled
Anti-Thyroid peroxidase - negative
Anti-Thyroglobulin - negative
Lupus anticoagulant - negative
Russell Viper Venom - negative
Protein S Free - 1.04 (>0.40)
Protein C Function - 1.35 (0.75-1.60)
Act. Prot. C Resist. Ratio - 2.8 (2.3-3.6)

Here is what I draw from these results:

• The high insulin resistance is PCOS. Even the fasting levels are high in the normal range, so to me, it's rather obvious. I expect that this will require Metformin again, likely at 1500 mg/day, whereas all my previous doc would prescribe was 500 mg/day. NOT enough. This might help us in quite significant way.
• The Positive antinuclear AB (ANA) test indicates autoimmune disease. With the other tests, lupus and a variety of other things are ruled out. I think it hearkens back to the thyroid and it might even indicate Hashimoto's Disease. I expect that the RE will want to increase my dosage of synthroid, likely up to 50 mg/day.
• My TSH is still over 3.0. Again, I was told that they wanted to see it at 1.0 to get and maintain a pregnancy. So... yeah, synthroid (see above).
• LH levels are way low. Thank heavens for Clomid and injections; that ought to correct that problem.
• At least my FSH levels are good. That's nice to know.

Anyone else have thoughts? We'll know more after seeing the RE on Tuesday. I may need to be seen by a simple endocrinologist as well. That will be determined next week.

Estradiol (Estrogen) Conversion

For future reference, and so all the bloggers know:

How do I convert my Canadian Estradiol (E2) numbers to American measurements?

In Canada E2 levels are measured in picomols and in the United States E2 levels are measured in picograms. If you want to compare numbers, here is how to convert them:

Canadian E2 ÷ 3.67 = American E2
American E2 x 3.67 = Canadian E2

Taken from IVF Connections.

Tests and Results

January 19, 2016
currently taking the following medications:
-- (presc) Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
-- (presc) 137 mcg synthroid (hypothyroidism)
-- (presc) 0.75 mg diclofenac (psoriatic arthritis)
-- (presc) YAZ and YASMIN birth control (to regulate hormones, headaches)
-- 3 days per week, equate stool softener
-- 4 days per week, Metamucil fibre capsules
-- Vitamin D 2000 mg
-- Vitamin B12 500 mg
-- Centrum Chewables from the USA, 2 per day
-- Calcium Citrate Bariatric Advantage 1000 mg per day
-- potassium 3 days per week, 99 mg (for leg cramping)


Heart Rate: 66
Blood Pressure: 122/78
Weight: 177.6 lbs


RESULTS
Ferritin -- 66 (11-307)
TSH -- 2.26 (0.3-5.6)
Na (sodium) -- 138 (136-145)
K (potassium) -- 4.1 (3.5-5.1)
Cl (chloride) -- 102 (98-107)
CO2 (bicarbonate) -- 28 (21-32)
AGAP (anion gap) -- 8 (5-12)
Ca (calcium)  -- 2.18 (2.12-2.52)
Mg (magnesium) -- 0.87 (0.74-1.03)




June 2, 2015 (16 months post VSG bariatric surgery)

currently taking the following medications: 
--(presc) Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
--(presc.) 150 mcg synthroid (hypothyroidism)
--(presc.) 0.75 mg diclofenac (psoriatic arthritis)
--docusate sodium with senna (stool softener/laxative 1 per day)
--Metamucil capsules (1 per day)
--Vitamin D 2000 mg
--Vitamin B12 (500 mcg)
--(presc.) Yaz birth control pills (to regulate hormones, stem loss of iron and reduce flow)
--2 multivitamins per day (Centrum Chewables from the USA)
--Calcium citrate (Bariatric Advantage 500-1000 mg per day)
--Ferrous Sulfate (325 mg)
--Vitamin C (500 mg, with the Ferrous Sulfate)
--potassium (99 mg per week as needed, to help with leg cramping)



RESULTS


Ferritin -- 64 (11-307) docs say it's "okay"
Vitamin B12 -- 530 (133-675) docs are really happy
TSH -- 0.79 (0.3-5.6) prescription refilled at 150 mcg

January 5, 2015 (11 months post VSG bariatric surgery; *fasting*)

currently taking the following medications: 
--(presc)Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
--(presc.) 137 mcg synthroid (hypothyroidism)
--(presc.) 0.75 mg diclofenac (psoriatic arthritis)
--docusate sodium with senna (stool softener/laxative 1 per day)
--Metamucil capsules (1 per day)
--Vitamin D 2000 mg
--Vitamin B12 (500 mcg)
--(presc.) Seasonique birth control pills (to regulate hormones, stem loss of iron and reduce flow)--2 multivitamins per day (Centrum Chewables from the USA)
--Calcium citrate (Bariatric Advantage 500-1000 mg per day)
--Ferrous Sulfate (325 mg)
--Vitamin C (500 mg, with the Ferrous Sulfate)
--potassium (99 mg per week as needed, to help with leg cramping)

RESULTS
Na (Sodium) -- 140 (136-145)
K (Potassium)  --  3.8 (3.5-5.1)
Cl (Chloride) -- 107 (98-107)
Glucose Fasting -- 4.5 (3.8-6.0) 10 hours fasting
HbA1C -- 5.2 (4.8-6.0)
Urate -- 199 (155-357)
Creatinine -- 80  (22-75)  HIGH
eGFR (MDRD) -- >60 (>/=60)
Ca (Calcium) -- 2.13 (2.12-2.52)
Mg (Magnesium) -- 0.74 (0.74-1.03)
Albumin -- 34 (34-46)
Bilirubin total -- 24 (3-17 ) HIGH
AST -- 16 (15-37)
ALT -- 37 (17-63)
ALP -- 54 (50-136)
GGT -- 22 (5-55)
Ferritin -- 31 (11-307) *docs want to see it higher*
Vitamin B12 -- 491 (133-675)
Serum Folate -- greater than 55 (greater than 10.0)
Cholesterol Fasting -- 4.6 mmol/L (3.5-5.2)
HDL Cholesterol Fasting -- 1.89 mmol/L (>/= 1.3)
LDL Cholesterol Fasting -- 2.0 mmol/L (</= 3.5)
non HDL Cholesterol Fasting -- 2.7 mmol/L (</= 4.5)
Total Cholesterol (TC) : HDL Fasting as a Ratio -- 2.4 mmol/L (</= 6.0)
Triglycerides Fasting -- 1.59 mmol/L (</= 1.70)
TSH -- 2.81 (0.3-5.6)
Vitamin D -- to follow... (75-250)

June 4, 2014 (4 months post VSG bariatric surgery) 

currently taking: 
--Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
--colace (stool softener, 2 per day)
--senna laxative (1 pill per day)
--Metamucil capsules (2 per day)
--vitamin D 2000 mg
--Vitamin B12 (Spring Valley, 500 mcg)
--2 multivitamins per day (Centrum Chewables from the USA) (currenly unavailable)
--Calcium citrate (Opurity 1200 mg)
--inulin fibre (5-6 tsp per day for constipation and fibre intake)
--Ferrous Sulfate (2 x 300 mg)
--Vitamin C (500 mg, with the Ferrous Sulfate)
--1.75 mcg synthroid (hypothyroidism)
--0.75 mg diclofenac (psoriatic arthritis)


RESULTS:
HGB (Hemoglobin) --  144 (120-160)
HCT (Hematocrit) --  0.43 (0.350-0.450)
WBC (White Blood Cell) --  5.4 (4.0-11.0)
RBC (Red Blood Cell) --  5.06 (4.0-5.10)
MCV --  85.4 (80.0-100.0)
MCH --  28.5 (27.5-33.0)
MCHC --  333 (305-360)
RDW --   14.0 (11.5-14.5)
Plaetelet Count --  165 (150-400)

Neutrophil --  3.3 (2.0-7.5)
Lymphocyte --  1.5 (1.0-3.5)
Monocyte -- 0.3 (0.2-1.0)
Eosinophil -- 0.2 (0.0-0.5)
Basophil --  0.0 (0.0-0.2)

Vitamin B12 -- 582 (198-615)
Serum Folate -- greater than 30 (greater than 10.3)

Glucose Fasting -- 4.5 (3.6-6.0) 13 hours fasting
Creatinine -- 72  (45-97)
eGFR (MDRD) --76 (60-89)

Na (Sodium) -- 139 (135-147)
K (Potassium)  --  4.1 (3.5-5.5)
Cl (Chloride) -- 107 (100-110)
Urate 331 (150-390)
Bilirubin total -- 29 (less than 22 ) HIGH
AST -- 18 (7-31)
ALT -- 23  (10-44)
ALP -- 69  (45-129)
GGT -- less than 10 (12-43) LOW

Calcium -- 2.26 (2.15-2.60)
Albumin -- 41 (35-50)

Cardiovascular Risk Assessment
Triglycerides -- 1.01 mmol/L
Cholesterol -- 3.38 mmol/L
HDL Cholesterol Ratio -- 1.12 mmol/L
Cholesterol / HDL Ratio -- 3.0 mmol/L
LDL Cholesterol -- 1.8 mmol/L
non HDL Cholesterol -- 2.26 mmol/L

TSH -- 0.84 (0.30-4.0)
Ferretin -- 38 (10-291)
Hydroxy Vitamin D -- 102 (75-250)


March 26, 2014 (7 weeks post VSG bariatric surgery) 
currently taking: 
--colace (stool softener, 2 per day)
--Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
--Vitamin B12 (Swiss Natural) 1000 mcg
--2 multivitamins per day (Centrum Chewables from the USA)
--Calcium carbonate (to change to calcium citrate) + Vitamin D 1500 mg
--inulin fibre (5-6 tsp per day for constipation and fibre intake)
--1.75 mcg synthroid (hypothyroidism)
--0.75 mg diclofenac (psoriatic arthritis)

Blood Pressure = 112/70

WBC -- 6.3 (3.5-10.5)
RBC -- 4.63 (3.5-5.0)
HGB -- 133 (115-155)
HCT -- 0.411 (0.380-0.500)
MCV -- 88.8 (80.0-100.0)
MCH -- 28.7 (25.0-34.0)
MCHC -- 324 (315-355)
RDW -- 13.3 (11.5-15.5)
Plat -- 183 (130-380)
MPV -- 11.0 (9.0-14.0)
Neutrophil -- 4.2 (2.0-7.5)
Immature Granulocyte -- 0.0 (less than 0)
Lymphocyte -- 1.3 (0.8-3.3)
Monocyte -- 0.5 (0.1-1.0)
Eosinophil -- 0.4 (0.0-0.5)
Basophil -- 0.0 (0.0-0.1)
Na -- 142 (136-145)
K -- 3.9 (3.5-5.1)
Cl -- 107 (98-107)
CO2 -- 26 (21-32)
Anion Gap -- 9 (5-12)
Creatinine -- 70 (22-75)
eGFR (MDRD) -- greater than 60 (greater than 60)
Urea -- 5.8 (2.1-8.0)
Bilirubin total -- 18 (3-17 HIGH)
AST -- 17 (15-37)
ALT -- 46 (17-63)
ALP -- 69 (50-136)
GGT -- 5 (5-55)
Ferritin -- 32 (11-307)
Vitamin B12 -- 556 (133-675)
TSH -- 0.51 (0.30-5.6)

Feb. 5, 2014 (two days post-VSG in hospital)
WBC -- 7.0 (3.5-10.5)
HGB -- 111 (115-155 LOW)
HCT -- 0.343 (0.380-0.500 LOW)
RBC -- 3.76 (3.5-5.0)
MCV -- 91.2 (80.0-100.0)
MCH -- 29.5 (25.0-34.0)
MCHC -- 324 (315-355)
RDW -- 12.6 (11.5-15.5)
Plat -- 167 (130-380)
MPV -- 10.2 (9.0-14.0)
Neutrophils -- 4.3 (2.0-7.5)
Immature Granulocytes -- 0.0 (less than 0)
Lymphocytes -- 1.8 (0.8-3.3)
Monocytes -- 0.5 (0.1-1.0)
Eosinophils -- 0.4 (0.0-0.5)
Basophils -- 0.0 (0.0-0.1)
NA -- 139 (136-145)
K -- 3.9 (3.5-5.1)

February 22, 2013 (CD8)
currently taking:
--1.75 mcg synthroid (hypothyroidism)
--0.75 mg sandoz-diclofencac (psoriatic arthritis)

Glucose Fasting -- 5.3 (3.6-6.0)
HbA1C -- 0.054 (0.040-0.060: normal, non-diabetic)
TSH (sensitive TSH) -- 0.76 (0.35-5.0)
Creatinine -- 68 (45-97)
eGFR -- 82 (normal)
Uric Acid -- 330 (150-390)
Sodium -- 141 (135-147)
Potassium -- 4.5 (3.5-5.5)
Chloride -- 105 (100-110)
Ck (aka Creatine Kinase) -- 61 (29-165)
ALT -- 26 (10-44)
Alkaline Phosphatase -- 75 (45-129)
Bilirubin -- 20 ( less than 22)
Albuminin -- 43 (35-50)
Hemoglobin -- 140 (120-160)
Hematocrit -- 0.44 (0.35-0.45)
White Blood Cell Count -- 6.7 (4.0-11.0)
Red Blood Cell Count -- 4.87 (4.0-5.1)
MCV -- 89.5 (80-100)
MCH -- 28.7 (27.5-33.0)
MCHC -- 321 (305-360)
RDW -- 12.8 (11.5-14.5)
Platelet Count -- 193 (150-400)
Absolute Neutrophils -- 4.0 (2.0-7.5)
Lymph -- 1.9 (1.0-3.5)
Mono -- 0.4 (0.2-1.0)
Eos -- 0.3 (0.0-0.5)
Baso -- 0.0 (0.0-0.2)

Lipid Assessment 
Cholesterol -- 5.25 (HIGH; less than 5.2)
HDL Cholesterol -- 1.63 (greater than 1.3)
Triglycerides --3.34 (HIGH; less than 2.3)
LDL Cholesterol -- 2.10
Cholesterol/HDL-C ratio -- 3.2 (Low risk less than 10%)


June 15, 2012 (CD3)
currently taking 1.75 mcg synthroid (hypothyroidism)
0.75 mg sandoz-diclofenac (psoriatic arthritis)
1500 mg metformin (PCOS prior to cycling)

Fasting glucose -- 5.1 (3.6-6.0 normal)
HbA1C -- 0.055 (0.40-0.60 non diabetic)
TSH -- 1.0 (0.35-5.0 normal; McGill wants less than 2.5 or optimally, less than 2.0)
Creatinine --  73 (50-100 normal)
(eGFR) -- 76 (>= 60 normal)
Uric Acid (Urate) -- 399 (HIGH; normal is 140-340)
Sodium -- 139 (135-145 normal)
Potassium -- 4.1 (3.3-5.1 normal)
Chloride -- 102 (95-108 normal)
Albumin -- 42 (35-52 normal)
Lipid Assessment
  -Cholesterol -- 4.95 (less than 5.2 desired)
  -HDL-C -- 1.46 (greater than 1.3 normal)
  -Triglycerides -- 2.37 (HIGH; less than 2.3 normal)
  - LDL-C -- 2.4 (normal)
  - Chol HDL-C ratio (TC/HDL-C Ratio) -- 3.4 (low risk)
Hematology
  - Hemoglobin -- 134 (115-155 normal)
  - Hematocrit -- 0.39 (0.33-0.45 normal)
  - RBC -- 4.35 (3.6-5.01 normal)
RBC Indices
  - MCV -- 89 (80-99 normal)
  - MCH -- 31 (27-32 normal)
  - MCHC -- 346 (320-360 normal)
RDW -- 12.7 (11.5-15.5 normal)
WBC -- 5.8 (4.0-11.0 normal)
Platelets -- 172 (145-500 normal)
MPV -- 8.3 (7.4-11.3 normal)
Differential WBCs 
  - Neutrophils -- 3.42 (1.8-7.0 normal)
  - Lymphocytes -- 1.86 (1.0-3.2 normal)
  - Monocytes -- 0.29 (0.0-0.8 normal)
  - Eosinophils -- 0.17 (0.0-0.4 normal)
  -  Basophils -- 0.06 (0.0-0.2 normal)
Prenatal
  -ABO & RHD (Blood group and RH factor) -- A Positive
  -Antibody Screen (titre and ident if positive) -- No clinically significant antibodies detected.
Prolactin -- 6.0 (<24 normal)

LH -- 1.0 (LOW for Follicular phase; 2-13 = normal)
FSH -- 6 (6-9 = good... while under 6 is excellent)
Estradiol -- 138 (a little low; local RE hoping for 150)

HIV test --
Hep B S Ag --
HCV serology --
Rubella --

Pelvic Ultrasound Report: (June 15, 2012; CD3)
Day 3 -- check cysts (LMP June 13, 2012)
Uterus:
Position -- anteverted
Dimensions -- Length 8.2 x 5.0, Transverse diameter 5.4 cm
Shape -- Regular
Endometrial Lining -- 5.1 cm
Other -- endometrial cyst of 1.2 x 1.0 xx 0.9 vs. myometrial cyst
Right Adnexa: seen
Dimension 2.8 x 4.2 x 2.9 cm; showing a cyst measuring 2.4 x 2.1 x 1.6 cm
AFC -- 6
Left Adnexa: seen
Dimension 3.1 x 3.0 x 2.7 cm
AFC -- 4
**YAY! 10 antral follicles!)
Free fluid in pelvis: No
Day 3 of cycle. The uterus is anteverted and regular with a length of 8.2 x 5.9 cm with a transverse diameter of 5.4 cm. The endometrium is 5.1 mm thick with no polyps or hyperplasia. ?? Endometrial cyst of 1.2 x 1.0 x 0.09 vs. Myometrial cyst.
The right ovary is 2.8 x 2.4 x 2.9 cm with an AFC of 6.
The left ovary is 3.1 x 3.0 x 2.7 cm with an AFC of 4.
No free fluid noted.
Scheduled for SIS on June 19, 2012.


March 23, 2012 (CD3)
currently taking 1.0 mcg synthroid (hypothyroidism) and 0.75 mg sandoz-diclofenac (psoriatic arthritis)

LH -- 1.0 (LOW for Follicular phase; 2-13 = normal)
FSH -- 6 (6-9 = good... while under 6 is excellent)
TSH -- 3.06 (personally too high for me)
Estradiol -- 185 (70-530 normal) * Note for my American readers: This converts to 50 in the USA.
Ferritin -- 42 (31-72 indicateds REDUCED iron stores, but it's better than where I was!)



December 8, 2011
currently taking 1.0 mcg Eltroxin (hypothyroidism)

Ferritin -- 53 (31-79 indicates reduced iron stores)
TSH -- 2.45 (0.35-5.0) *a little too high to undertake IVF; needs to be under 2.0 or 1.5 to be optimal*
Hemoglobin -- 143 (115-155)
Hematocrit -- 0.43 (0.33-0.45)
RBC -- 4.83 (3.6-5.01)
RBC indices MCV -- 89 (80-99)
RBC indices MCH -- 30 (27-32)
RBC indices MCHC -- 331 (320-360)
RDW -- 12.9 (11.5-15.5)
WBC -- 9.0 (4.0-11.0)
Platelets -- 226 (145-400)
MPV -- 8.1 (7.4-11.3)
Differential WBC's Neutrophils -- 4.86 (1.8-7.0)
Differential WBC's Lymphocytes -- 2.88 (1.0-3.2)
Differential WBC's Monocytes -- 0.81 (0.0-0.8) ABNORMAL
Differential WBC's Eosinophils -- 0.45 (0.00-0.40) ABNORMAL
Differential WBC's Basophils -- 0.09 (0.0-0.2)

December 22, 2010 - bloodwork (CD 15)
HbA1C = 0.056 (normal = non diabetic)

December 13, 2010 - endometrial biopsy
Clinical Information: polycystic ovary syndrome. Endometrium thickness increased.
Clinical Diagnosis: polycystic ovary syndrome. Thick endometrium.
Specimen: Endometrium
Gross Description: The specimen is received in formalin in one container labelled with patients name. It consists of fragments of pinkish grayish tissue with blood clots measuring 2.5 x 1.2 x 0.3 cm in aggregate. Submitted in toto in one cassette.
Diagnosis: Endometrium Biopsy - Proliferative-type endometrium, slightly disorganized, with breakthrough bleeding
CODE 1

November 6, 2010- bloodwork (CD21)
1.0 mcg synthroid, +/- 150 mg iron supplements, 1500 mg metformin, b/c pills for cyst

Progesterone -- 1.0 (LOW for Luteal phase; 5.3-86.0)


October 20, 2010 - bloodwork (CD 3; Fasting since 11 p.m. night previous)
1.0 mcg synthroid, +/- 150 mg iron supplements


Fasting Glucose -- 5.5 (3.6-6.0)
TSH -- 1.19 (needs to be under 2.5)
Free T3 -- 4.4 (2.6-5.7)
Free T4 -- 16 (12-22)
Iron (Ferritin) -- 29 (LOW: 12-30 = depleted iron stores; currently taking iron supplements but anemia is still present)
FSH (may be affected by the cyst) --4.0 (4-13)
LH -- 1.0 (LOW for Follicular phase; 2-13 = normal)
Estradiol (aka E2) -- 489 (aka 113 in US measures) (46-607, somewhat HIGH for follicular; could be the presence of the functional cyst that is causing the high E2 levels)
Prolactin -- 7.0 (less than 24)
Progesterone -- 1.1 (0.6 - 4.7)
Free Testosterone -- 2.1 ((ND - 7.0)
Testosterone -- 0.6 (less than 2.0)
DHEAS -- 4.1 (1.65-9.15)
HIV -- negative
Hemoglobin -- 137 (115-155)
Hematocrit -- 0.4 (0.3-0.45)
RBC -- 4.64 (3.6-5.01)
RBC indices MCV -- 87 (80-99)
RBC indices MCH -- 30 (27-32)
RBC indices MCHC -- 339 (320-360)
RDW -- 12.9 (11.5-15.5)
WBC -- 8.9 (4.0-11.0)
Platelets -- 223 (145-400)
MPV -- 8.3 (7.4-11.3)
Differential WBC's Neutrophils -- 5.79 (1.8-7.0)
Differential WBC's Lymphocytes -- 2.31 (1.0-3.2)
Differential WBC's Monocytes -- 0.53 (0.0-0.8)
Differential WBC's Basophils -- 0.09 (0.0-0.2)
Blood group and RH Factor -- A positive
Rheumatoid Factor -- less than 20 (less than 20)
HIV1/HIV2 screen -- Negative (non-reactive)
HIV Final Interpretation -- No HIV1/HIV2 antibodies detected
Hep B Surface Antigen -- Non-reactive
Hep B Surface Antibody -- Non-reactive
Hep B Core Total (IgG+IgM) Antibody -- Non-reactive
Hep B Virus interpretation -- No evidence of Hep B infection; No evidence of immunity to Hep B Infection
Hep C Antibody -- Non-reactive
Hep C Virus Interpretation -- No evidence of antibody
Rubella IgG -- Reactive
Rubella Interpretation -- Evidence of past infection/vaccination; evidence of immunity.
Rubella (immunity) -- Reactive; evidence of immunity







August 18, 2010 - bloodwork (Fasting since 10 p.m. night previous)
1.0 mcg synthroid, anti-inflammatory for heel bursitis (to run out in five days)

Fasting Glucose -- NOT DONE (grrr!)
TSH -- 1.5
CK -- 116 (less than 190)
ALT -- 29 (less than 36)
Lipid Assessment
Cholesterol -- 4.27 (less than 5.2)
HDL-C -- 1.4 (>1.3)
Triglycerides -- 2.04 (less than 2.3)
LDL-C -- 1.93
Cholesterol/HDL-C ratio -- 3.1 (Low Risk less than 10%)
Vitamin B12 -- 272 (>220)
Ferritin -- 25 (DEPLETED IRON STORES, doctor recommended 300 mg iron supplement daily; -12 iron deficient, 12-30 Depleted, 31-79 Reduced, 80-300 Normal, 300+ Overload)
CBC
Hemoglobin -- 128 (115-155)
Hematocrit -- 0.38 (0.33-0.45)
RBC -- 4.3 (3.6-5.01)
RBC indices: MCV -- 88 (80-99)
MCH -- 30 (27-32)
HCHC -- 338 (320-360)
RDW -- 13.1 (11.5-15.5)
WBC -- 7.0 (4.0-11.0)
Platelets -- 169 (145-400)
MPV -- 8.9 (7.4-11.3)
Neutrophils -- 4.2 (1.8-7.0)
Lymphocytes -- 2.03 (1.0-3.2)
Monocytes -- 0.35 (0.0-0.8)
Eosinophils -- 0.35 (0.0-0.4)
Basophils -- 0.07 (0.0-0.2)
Free T3 -- 5.4 (2.6-5.7)
Free T4 -- 15 (12-22)

March 17, 2010 - bloodwork
0.75 mcg synthroid only

Glucose - 5.1 (3.6 - 6.0=normal)
Hemoglobin A1C - 0.054 (non-diabetic = 0.040-0.060)
TSH - 2.3 (0.35-5.0 = normal; I subsequently asked to increase synthroid to 1.0 as I wasn't feeling quite right)
LD - 142 (110-215 = normal)
CK - 62 (less than 190 = normal)
ALT - 16 (less than 36 = normal)
Alk Phosphatase - 3 (33-122=normal)
Hemoglobin - 131 (115-155 = normal)
Hematocrit - 0.38 (0.33-0.45 = normal)
RBC - 4.42 (3.6-5.01 = normal)
RBC indices
MCV - 86 (80-99 = normal)
MCH - 30 (37-32 = normal)
MCHC - 343 (320-360 = normal)
RDW - 13.4 (11.5-15.5 = normal)
WBC - 8.1 (4.0-11.0 = normal)
Platelets - 166 (145-400 = normal)
MPV - 8.4 (7.4-11.3 = normal)
Differential WBCs
Neutrophils - 5.02 (1.8-7.0 = normal)
Lymphocytes - 2.27 (1.0-3.2 = normal)
Monocytes - 0.49 (0.0-0.8 = normal)
Eosinophils - 0.24 (0.0-0.4 = normal)
Basophils - 0.08 (0.0-0.2 = normal)
Lipid Assessment - NOT DONE
Cholesterol
HDL-C
Triglycerides
LDL-C
Chol/HDL-C ratio


August 20, 2009 G (Dr. Black) 39 weeksHeartrate 140s
My weight +1.5 lbs (+9.5 lbs total)
Blood pressure = 136/76
Protein/Glucose = negative
Petit's head is still far down against my cervix and still engaged
Cervix is "far forward" and dilated a fingertip; stripping of the membranes offered but I declined

August 13, 2009 G (Dr. Black) 38 weeks
Group B strep treatment = 3 x 500 penicillin per day until labour; 1 every four hours during labour
Heartrate = 148
My weight = +3 lbs (+8 lbs total)
Blood pressure = 136/78
Protein/Glucose = negative
Petit's head is far down and engaged (based on abdominal palpitation)

August 6, 2009 G (Dr. Black)
Group B strep = POSITIVE (argh!!! How to avoid the IV?!)
Heartrate = 150s
My weight = -2 lbs (+5 lbs total)
Blood pressure = 130/86
Protein/Glucose = negative
Ultrasound:
Petit was moving and the tech said the baby is obviously "happy" with all the movement he/she does. In the last 24 hours, Petit's movements have decreased but I'm still counting and so far, all is good.
Petit's estimated weight = 5 lbs 14 oz(low normal range)
Petit's head circumference = 32.1 cms
Petit's head is engaged and very low
Petit's abdominal circumference = 32 cms
Amniotic fluid normal
Femur length = 6.6 cms
Score 8/8
Gestational age = 37.3 weeks

July 30, 2009 G (appt. with Dr. Newton)
(Dr. Black on vacation)
Group B strep taken
Heartrate = 144
My weight = +4 lbs (+7 lbs total)
Blood Pressure = 136/80
Protein/Glucose = negative

July 22, 2009 G (appt. with Dr. Rousseau)
Heartrate = 144
My weight = +3 lbs (+3 lbs gained total)
Blood Pressure = 136/84
No protein or glucose in my urine
Measuring (as usual) 4 weeks ahead at 39 cms.

July 9, 2009 G (ultrasound and then appt. with Dr. Black)
Heartrate = 152
My weight = down 7 lbs (0 lbs gained/lost over the pregnancy)
Blood Pressure = 136/74
No protein or glucose in my urine
Ultrasound:
Petit was moving as usual. Cyst on the outside of the uterus on the right side, measuring 8x6 cms. Fibroid no longer visible.
Cervix length = 3.5 cms
Petit's estimated weight = 4.7 lbs
Petit's head circumference = 30 cms (10 front to back, 8 side to side)
Petit's head is low, near the cervix
Petit's abdominal circumference = 29 cms
Amniotic fluid is high, within the range of normal
Femur length = 6.2 cms
Score 8/8
Gestational age = 33.3 weeks


June 26, 2009 G (with Dr. Haebe)
Heartrate is good, in the 140s range (listened on the doppler)
My weight = up 6.5 lbs (+7 lbs total over the pregnancy)
Blood Pressure = 138/78 (normal for me)
some trace protein in my urine, attributed to the cold, sinus infection and pinkeye infection endured over the last week

June 11, 2009 G
Heartrate is good, in the 150s range (listened on the doppler)
My weight = up 2.0 lbs. (+0.5 lbs total over the pregnancy)
Blood Pressure = 130/82

May 28, 2009 G
Heartrate is good, no rate given (listened on the doppler)
My weight = down 4.5 lbs. (-1.5 lbs total over the pregnancy)

May 12, 2009 G
Blood sugars as measured by sister in West Virginia with glucometer
Fasting = 80
2 hours post-prandial = 96
*Sis asked that numbers be below 100.

May 6, 2009 G
Bloodwork after fasting; taking prenatal vitamin, 0.75 synthroid, 3x500 metformin, docusate sodium, low-dose aspirin, 1000 mg Vitamin D
Glucose serum (fasting) - 4.7 (3.6-6.0)
TSH - 1.32 (under 2.5 is needed for pregnancy)
T4 free - 10 (10-20)
Free T3 - 4.5 (2.6-5.7)
Hemoglobin A1C - 0.048 *The presence of HB S or C may interfere with the results of this assay.
Hemoglobin - 120 (115-155)
Hematocrit - 0.35 (0.33-0.45)
RBC - 3.94 (3.6-5.01)
RDW - 13.3 (11.5-15.5)
WBC - 10 (4.0-11.0)
Platelets - 172 (145-400)
MPV - 8.2 (7.4-11.3)
Differential WBCs:
Neutrophils - 7.9 (1.8-7.0) HIGH *frequent with p/g women
Lymphocytes - 1.3 (1.0-3.2)
Monocytes - 0.6 (0.0-0.8)
Eosinophils - 0.10 (0.0-0.40)
Basophils - 0.10 (0.0-0.20)
RBC indices:
MCV - 89.7 (80-99)
MCH - 30.4 (27-32)
MCHC - 339 (320-360)

May 1, 2009 G (23 wks 3 days; Petit measuring 23 wks 2 days)
BP = 135/85
Weight = -1 lb (+3 total)
Petit's Heartrate 146
Cervix Length = 3.5 cm
Small cyst on the brain; usually a soft marker for Down Syndrome but after the amnio, we know it's no problem. This is common and frequently disappears before birth.
Got some great shots of the face; we can see cheeks and a chin now! And it looks to me like Petit is gonna be wearing PINK although I can't be 100% sure.
Petit moved, flipped, got a great profile and side view. Felt lots of movement. Tech says the baby is just gorgeous!

April 9, 2009 G (20 wks 3 days)
BP = 138/78 (first was 140/80)
Weight = +2.4 (+4 total)
Petit's Heartrate = 154
Petit was moving, punching, kicking but wouldn't flip for the spinal measurement; another ultrasound is scheduled for May 1)

March 7, 2009 G (15 wks 4 days)
AFP level = 10.9 ug/L (0.54 MoM... **LOW**)
uE3level = 2.47 nmol/L (1.02 MoM... normal)
Total hCG level = 28.7 kiu/L (1.45 MoM... **HIGH**)
NT measurement = 1.7 mm (1.06 MoM... normal)
PAPP-A level = 0.38 iu/L (0.39 MoM... **LOW**)

Risk of Down Syndrome = 1:75
Amniocentesis scheduled for Tuesday, March 17, 2009
*High hCG could be because of IVF.
*TSH is not regulated at the moment; it's high at 3.3.
*OGTT not yet done.

March 5, 2009 G (15 wks 2 days)
BP = 138/78
Weight = +1.5
Easy to hear heart on fetal doppler

February 18, 2009 G (13 wks 2 days; IPS testing, Part 1)
Crown to rump = 7.08 cms
Heartrate = 154 bpm
Moving, wriggling, flipping; I could see fingers and the spine, the nasal bridge as well as major bones, the brain and a number of facial structures.
NT = 1.7 mm (excellent; low-risk)

same day, blood work
TSH - 3.33 (0.35-5.0)
T4 Free - 12.0 (10-20)
Free T3 -insufficient sample!
Hemoglobin -129 (115-155)
Hematocrit - 0.37 (0.33-0.45)
Red blood cell - 4.19 (3.6-5.01)
RBC indices
-- MCV - 88.3 (80-99)
-- MCH - 30.7 (27-32)
-- MCHC - 348 (320-360)
RDW - 13.9 (11.5-15.5)
WBC - 11.6 (4.0-11) **HIGH**Platelets - 225 (145-400)
MPV - 7.7 (7.4-11.3)
Differential WBCs
-- Neutrophils - 8.35 (1.80-7.0) **HIGH**-- Lymphocytes - 2.44 (1.0-3.2)
-- Monocytes - 0.46 (0.0-0.8)
-- Eosinophils - 0.23 (0.0-0.4)
-- Basophils - 0.0 (0.0-0,2)
HIV screen - non reactive HIV 1 & 2; no antibodies detected
Hep B - non reactive Hep B; no detectable Hep B surface antigen
Rubella IGG - Reactive Rubella; evidence of past infection/vaccination. Evidence of immunity.
T.palladium (IgG/IgM) - non reactive
Syphilis - Negative Syphilis; no serological evidence of current or past infection.

February 6, 2009 G (IPS testing, Part 1)
Crown to rump = 4.29 cms (needs to be 4.5 cms min to do the test; postponed)
Heartrate = 171 bpm
Moving legs and arms

February 5, 2009 G (Dr. Black, OB/GYN)
BP = 136/80
Weight = + 3 (+1.5 from original weight; first time with digital scale)
No ultrasound

February 4, 2009 G (Dr. B's)
BP = 128/80
Weight = -1.5
Crown to rump = 4.08 cms
Heartrate 168= bpm
Bouncing up and down!

January 20, 2009 G (Dr. B's)
BP = 134/82
Weight = maintained
Crown to rump = 2.05 cms (8 wks 4 days +/- 4 days)
Heartrate = 164 bpm
Recommended 3 weeks stress leave (3 days taken)

Bloodwork:
Glucose Serum Random - 4.0 (3.6-7.0)
Ferritin - 41 (31-79= reduced iron stores, 80-300=normal iron stores)
T4 Free - 13 (10-20)
Free T3 - 4.1 (2.6-5.7)
Hemoglobin - 135 (115-155)
Hematocrit - 0.39 (0.33-0.45)
RBC - 4.43 (3.60-5.01)
RBC indices: MCV - 88.6 (80-99)
RBC indices: MCH - 30.5 (27-32)
RBC indices: MCHC - 344 (320-360)
RDW - 14.1 (11.5-15.5)
WBC - 13.1 (4.0-11.0) **HIGH**
Platelets - 264 (145-400)
MPV - 8.3 (7.4-11.3)
Differential WBCs: Neutrophils - 9.69 (1.8-7.0) **HIGH**
Differential WBCs: Lymphocytes - 2.49 (1.0-3.2)
Differential WBCs: Monocytes - 0.66 (0.0-0.8)
Differential WBCs: Eosinophils - 0.26 (0.0-0.4)
Differential WBCs: Basophils - 0.0 (0.0-0.2)
Folate, RBC - >3000 (>775)
MISSING TSH!!!

January 16, 2009 G (Dr. F, family doc)
BP = 122/76
Recommended 2 weeks stress leave

January 13, 2009 G (ultrasound clinic)
Heartrate = 175 bpm
Only one embryo (VTS?)

January 5, 2009 G (Dr. B's)
BP = 130/90
Weight = initial weight taken
Heartbeat visible; possibly two embryos!

December 22, 2008 G
17dp3dt; synthroid (50), metformin (1500), prenatal vitamins, low-dose aspirin, B6/12 + folic acid complex, estrace, PIO injection, folic acid 5mg
Beta HCG - 355 (still p/g), doubling time of 55.92 hours


December 18, 2008 G
13dp3dt; synthroid (50), metformin (1500), prenatal vitamins, low-dose aspirin, B6/12 + folic acid complex, estrace, PIO injection, folic acid 5mg
Beta HCG - 108 (p/g!!!)


August 29, 2008 G
CD7; synthroid (50), metformin (1500)
TSH - 1.74 (0.30-4.70) Recommended for P/G is under 2.5
T4 Free - 13.4 (9.1-23.8)
T3 Free - 4.6 (2.5-5.7)
Cholesterol (Random) - N/A


August 27, 2008 G
CD5; synthroid (50), metformin (1500)
Blood pressure - 114/92


May 7, 2008 G
CD23; synthroid (50)
TSH - 2.0 (0.30-4.70)
T4 Free - 13.5 (9.1-23.8)
T3 Free - 3.0 (2.5-5.7)


March 25, 2008 G
CD5; synthroid (25), 12-hr fasting
Insulin Fasting - 180 (40-190)
Insulin 2 hour - 1290 (120-1240) **HIGH**
Glucose Tolerance Fasting - 5.0 (3.6-6.0 normal; 6.1-6.9 impaired; >6.9 possible diabetes mellitus)
Glucose Tolerance 2 hour - 7.7 (3.6-7.7 normal; 7.8-11.0 impaired; >11.0 possible diabetes mellitus)
APTT - 34 (26-37)
INR - 1.0 (0.9-1.3)
Homocysteine - 9 (5-15)
Anti dsDNA - 5.0 (0-19.9 negative)
Antinuclear AB (ANA) - 1:40 (**POSITIVE**); Titre - 1:40, Pattern - homogeneous, speckled
Anti-Thyroid peroxidase - negative
Anti-Thyroglobulin - negative
Lupus anticoagulant - negative
Russell Viper Venom - negative
Protein S Free - 1.04 (>0.40)
Protein C Function - 1.35 (0.75-1.60)
Act. Prot. C Resist. Ratio - 2.8 (2.3-3.6)




March 24, 2008 G
CD4; synthroid (25 mg)
TSH - 3.24 (0.3-4.7)
T4 Free - 14.0 (9.1-23.8)
T3 Free - 1.3 (2.5-5.7)
LH Serum - 1.3 (follicular = 2.4-6.6) **LOW**
FSH Serum - 4.4 (follicular = 3.0-22.0)
Testosterone 1.9 (adult female = 0.3-4.0)
Estadiol - 181 (follicular = 0-921)
Prolactin 7.6 (3.3-26.7)


January 25, 2008 G
synthroid started later that day... (25 mg)
TSH - 2.95
T3 Free - 4.0


January 8, 2008 G
Thyroglobulin AB - negative
Microsomal AB - negative
TSH - 5.02 **HIGH**
T4 Free - 11.2


September 12, 2007 G
HIV 1/2 - nonreactive
HIV1 & HIV2 - no antibodies detected
HTLVI & HTLVII - no antibodies detected
Varicella-Zoster IgG EIA - reactive (evidence of past infection/vaccination; evidence of immunity)


March 26, 2007 G
CD23, luteal phase
TSH - 3.82 (0.30-4.70)
T4 Free - 11.2 (9.1-23.8)
Insulin Random 117 (30-1980)
T3 Free - 4.0 (2.5-5.7)
Vitamin B12 - 235 (>131)
RBC Folate - 1516 (>372)
Ferritin - 28 (13-145)
LH Serum - 1.1 (0.9-9.3) **LOW**
FSH Serum - 2.0 (1.0-14.0)
Free Testosterone - 6.8 (<9)>

March 6, 2007 G
CD3, follicular
LH Serum - 1.4 (follicular 2.4-6.6) **LOW**
FSH Serum - 4.8 (3.0-22.0)
Estradiol - 232 (0-921)


April 20, 2004 G
Syphilis Reagin Screen - non reactive, negative


April 17, 2004 G
Free Testosterone - 4.0


March 9, 2004 G
CERVIX CULTURE: No neisseria gonorrhoeae isolated. G.C. Culture reincubated for 24 hours. Further report to follow only if positive.
MYCO/UREAPLASMA GEN CULT: No mycoplasma isolated. No ureaplasma isolated.
CHLAMYDIA URO-GEN SWAB: Negative for Chlamydia trachomatis by Nucleic Acid DNA probe Hybridization.


March 5, 2004 G
HSG
Contrast was introduced into the uterus which showed normal appearances. There was good filling of both fallopian tubes with bilateral peritoneal spill indicating bilateral tubal patency.
CONCLUSION: Normal examination.

~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*


September 12, 2007 D
HIV 1/2 - nonreactive
HIV1 & HIV2 - no antibodies detected
HTLVI & HTLVII - no antibodies detected


September 13, 2007 D
HEP B Antigen - negative
HEP C AB - negative


July 5, 2007 D
Semenanalysis
Colour: Normal
Viscosity: Normal
Sperm count: 0
Viability: N/A
Fructose: Present (Absence of fructose in seminal fluid indicates bilateral absence of the vas deferens and/or seminal vesicles or an obstruction fot he vas deferens distal to the seminal vesicles.)
No spermatozoa noted in the seminal fluid.




Doctors
Urologists
--Dr. Peter Chan (McGill), March 31, 2008: intends to do aspiration near the head of the testes rather than in the vas, 99.9% plus positive that we can use hubby's sperm with no trouble at all. Hubby's testosterone is a little low but won't affect the sperm.
--Dr. Stuart Oake (Riverside), November 2006: reiterated that a second attempt at reversal would likely not work because vas is too short and can feel some scar tissue
--Dr. Collins (Ottawa), October 23, 2003: performed vasectomy reversal. Failed.

OB/Gyns
--Dr. Doug Black (Appletree Medical on Bank), Fall 2005-Spring 2006: agreed to remove cyst via laporoscopy, cyst removed April 2006.
--Dr. Beshara, Fall 2005: refused to do laparoscopy to remove ovarian cyst (right side 5x5 cm)

Bariatric Surgery
-- Dr. J.-D. Yelle (Ottawa Weight Management Centre), February 2014

REs
--Dr. Arthur Leader (Ottawa Fertility Centre), March 2008
--Dr. Seong Tan (McGill), February 2008
--Dr. Norman Barwin (Ottawa, February 2004)

Other
--Dr. Patricia Gervaize (Ottawa Fertility Centre), Infertility Psychologist, May 2008

GP
--Dr. Nicolette Fellegi (Greenboro Medical Centre)