A couple of months ago I called this new endocrinologist to ask for an appointment. The first date available was at the end of January. Luckily someone cancelled so I went yesterday!
She is really nice and explained things very clearly. She will also talk about things directly to my gynecologist, which is an advantage. Going to see her also made me feel a tiny bit more enthusiastic about trying IVF again next year.
Here is what came out of the appointment:
– Since I have both PCOS and hypothyroidism, I need to make sure that if I ever get pregnant, the moment I see a positive I also need to increase the doses of the thyroid drugs. She explained that this is often a cause of early miscarriages.
– She said she’ll check my immunology results and see if we need to change the treatments post transfer.
– I’ll have to do a test to check my insulin resistance. If I am insulin resistant, she will talk to the gynecologist about metformin, which the gynecologist didn’t want to prescribe because of the heavy side effects.
– She also gave me food suggestions, without prescribing a proper diet. In a nutshell I have a total veto for sugary stuff (cookies, candies, chocolate, sugar in coffee, sodas, …), I need to have some carbs every day in moderate quantities, tiny bit of fat every day (e.g. a spoon of oil), some milk products and a maximum of two portions of fruit per day. This last restrictions is a bit hard. I love fruit! All this in 3 meals + 2 snacks a day.
I’m still confused about the carbs. I know “brown carbs” are better but I was told I should still have pasta, rice or potatoes. I thought I was meant to cut them out but she explained that some are needed, especially for the purpose of TTC. Some sugars are needed and fast ones, like chocolate, are bad as they make your sugar level spike. Carbs are better sugars since they avoid the ups and downs.
I also haven’t fully understood what I should eat more exactly. Like, what’s a good snack if I can’t eat too much fruit?
I think I need to do some more research on PCOS diets. And I feel there may be a difference in a PCOS diet to lose weight and for TTC.
Anyone has any suggestions? Especially on stuff I can read?