“HA and TTC” is page that I’d like to devote to my husband and I preparing and trying for a baby. In March I went off the pill in order to get my body hormonally back to its natural state and to start regulating itself. I had been on the pill for about 10+ years and in July 2011 was diagnosed with Hypothalamic Amenorrhea, and most recently hormonal PCOS (a form of infertility). Here is where I will blog about the steps I will take in order for me to cycle in the hopes of me ovulating and to very soon become pregnant 🙂
February – March 2012: Met with an Endocrinologist and through hormonal testing am diagnosed with hormonal PCOS. Will have to start Clomid (treatment for ovulation) in order to get pregnant. Keeping up with my lifestyle changes and weight maintenance.
December 2011 – February 2012: Still trying to regain my cycles and start ovulating – reduced exercise down to only walking – 4x per week, 40 min. max. Maintaining a very relaxed diet with healthy foods, treats, and healthy fats. Gained to a healthy weight – 5’7″, 140 lbs., 22 BMI
October – December 2011: Still trying to regain my cycles and start ovulating – adjusting workouts to a lower intensity/duration and keeping up with the addition of more healthy fats in my diet.
September 12 – 16, 2011: Entire week of rest days. Added a serving a full fat dairy daily to increase fertility.
July 18 – September 11, 2011: Cut back on workouts from 6/7 days per week to 5 days per week. Limited workouts to an hour max.
July 13, 2011:
Received an email from my gynecologist with lab results concluding the following:
“Your labs are consistent with “hypothalamic amenorrhea” which we discussed in clinic. This is likely due to your level of exercise and calorie/fat intake. Your thyroid and prolactin hormones are normal.”
And for those that are unfamiliar with what Hypothalamic amenorrhea is, here is the text book definition:
Hypothalamic amenorrhea — Women with hypothalamic amenorrhea are sometimes able to resume normal menstrual periods after making certain lifestyle changes, such as eating a higher-calorie diet, gaining weight, reducing the intensity or frequency of exercise, and reducing emotional stress.
My instincts and the pit of my stomach were telling me that this was most likely the problem. Though I pride myself on being a fitness enthusiast and have exercised at this level of intensity and duration for many years, but body is obviously telling me differently and I have to listen to it – as well as of course the doctor. When you think about it, the body is an amazing being…I am not menstruating therefore not ovulating because (though I may not be physically feeling “stressed”) it’s obviously in a “state of stress” and knows that it can’t keep up with this type of intense exercise while creating a human being. And although I’m at a healthy weight (5’7″ @ 132 lbs.) and feel that I’m getting an adequate amount of calories, I most likely some days fall short of that along with very important nutrients. With that being said, I am going to reevaluate my diet to be sure I am getting the most healthy balance of calories and macronutrients (fats, proteins, and carbohydrates).
I also have to admit that I am relieved this was the issue and that it was not something more serious (i.e. my thyroid or a serious healthy condition). Having hard evidence from my lab results with what the issue is leaves me feeling relieved in knowing that my infertility is in my control – I have the control to make changes through something I have much experience with – diet and exercise.
I will use this section of the blog as a way to document and keep myself accountable to these changes. By documenting my meals and work outs, it will allow me to see that I am getting enough calories and nutrients, and that I am lessening the duration and intensity of my exercise. And knowing that all your eyes and ears are on me, will keep it exciting and keep me on track during this journey… 🙂