Or: Troubling Numbers
The hits just keep on coming these days, Peeps. At this point I’m reaching the keeping-my-head-above-water stage. If you’re not familiar with the day three test and what it means, feel free to read my rambling thoughts:
Here
Here
and Here
All caught up now? Great. My numbers are back.
FSH - okay, at 6.4 (anything under 12 is okay)
LH - okay, at 9.2 (6 - 30 is normal, so it’s on the low side of normal, but still extra… normal(1))
TSH - okay, at 1.33 (values should be 0.27 - 4.20, so that’s good)
But my Inhibin B came back at 31 pg/mL
Anything under 45 pg/mL “indicates poor ovarian reserve”.
Essentially, the first three tests are the surface tests for ovarian reserve problems and they came back normal. If we’d have done those test and only them, we would conclude that there is nothing wrong and my hotflashes were caused by the Cymbalta (which may stll be the case).
The Inhibin B test is basically testing a hormone that is more sensitive to ovarian reserve problems than the other three. So the simple test is normal, but the high-octane test indicates a problem. It indicates that perimenopause, and perhaps the Big Show, may be more immanent than what is normal for a woman my age.
The hardest part of these results is that it’s unlikely that we’ll ever know exactly what this means. If the numbers were off enough that we were worried about me going into menopause now, or if TT and I were ready to have a baby now and had trouble, then they’d do follow-up bloodwork.
There won’t be follow-up bloodwork in this case because, really, there’s not much more information we need if we’re not trying to get pregnant.
There’s no way to quantify the problem. My problem isn’t yet pronounced enough so that the basic tests will pick it up, but it’s there. It’s there, lurking. The end of my eggs. Which also implies a quality drop.
Right now, if we were trying to have a baby, it would be a mild concern and a reason why it might take longer to hit the jackpot, or why I might have an early miscarriage. Right now it would be an eensy bit worrying. Something to think about and to take into account(2).
Two years from now? We have no idea. I could be in perimenopause or full menopause. I could be out of eggs. I could still have eggs, but be out of good ones. Or, I could happen to ovulate one of my good eggs just at the time we’re ready to conceive and never know that we have a problem. It could be a non-issue.
There’s no way to summarize the problem in a way that makes action imperative one way or the other. It’s a problem, we don’t know how bad. I think know that if my doctor were here right now, she would strongly advise not waiting if we want another child. In fact, I can hear her voice in my head at the moment because she’s said it to me a few times, “Don’t wait”. At this point, I don’t feel we have a choice. We cannot afford school and another child, period, and I’m all set up to start school.
It’s bothersome. In a perfect world I’d stay at my job another year, we’d have number two and then I’d go back to school. Of course, in a perfect world I’d be 25, I’d have the ability to defer school for another year, and money would be plentiful.
It’s very, very strange to be 32 and feel like I’m running out of time.
(1) Massive points to anyone who recognizes the quote.
(2) As a datapoint, I had an anovulatory cycle this past month coming off the pill. While it is not unusual in the universal sense, that is the first time that it’s happened to me. Usually my first cycle off the pill is a superovulator cycle. Something feels different.
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