Ovulation ... ?

Because my life follows Murphy's Law, I became rather ill during what The Machine told me were my most fertile days. We managed to get some good "work" done before I turned into the walking dead, and then I waited for ovulation.

And waited. And waited.

And then my temperature spiked on a morning after I'd slept fitfully. This was three days after my last peak fertile day, according to the fertility monitor. The previous night I'd slept two hours. I can't be sure if the temperature spike can be attributed to illness, or actual ovulation.

The next day the temperature dropped back down to pre-ovulation numbers. In case you're not familiar with how tracking basal temps works: Your temperature is supposed to spike when you ovulate, and then basically stay high for the rest of that cycle. If the temperatures drop back down, that's usually an indication of low progesterone, according to Making Babies. That's something I've suspected for a while.

But I gotta say, I am suspicious of that temperature spike. I don't think it's genuine. Next cycle's temperature chart will be more telling, as long as I don't come down with The Crud again. But honestly, I don't think I ovulated.

MB says the most common anovulatory condition is PCOS, and that 10 percent of women have it. I've never been diagnosed. Post-miscarriage the ultrasound showed only one unruptured cyst, but that's been seven months now. Who knows what my ovaries have been up to since then.

Most women with PCOS have weight issues (yes), hair in unwanted places (hello mustache), and insulin resistance. I've been tested for insulin issues a number of times -- my sister has Type 1 diabetes and I'm overweight, so doctors probably assume I'm a ticking time bomb. But the results have always come back normal.

However, there are actually two faces of PCOS; one that involves insulin resistance, and another that involves hyperandrogenism -- elevated androgen levels result from unruptured cysts. I don't know if I've ever been tested for that, but you can bet I'll be asking for it. 

MB says the best at-home remedies for PCOS are eating well and exercising. Unfortunately, "eating well" for PCOS means something close to the Atkins diet. The disease responds well to it. And the book says, encouragingly, that the majority of women with PCOS can get pregnant naturally. 

So, as usual, I'm basically self-diagnosing. Something else entirely could be causing my temperatures to be off. In any case, I'm still planning to give it one more cycle, and then it's off to the doctor. I'll reluctantly give low-carb eating a shot for the next month and keep trying to knock off the pounds. Diet, exercise, and The Crud helped me lose another few pounds since last week, so I'm on the right track.