Clomid (Clomiphene)

Clomiphene, the active ingredient in Clomid, stimulates ovulation, the release of an egg. Clomid generally works in women who produce eggs, but aren't producing sufficient amounts of hormones needed for egg maturation. They aren't able to ovulate because the eggs don't mature enough to be released. Clomid is dispensed in 50mg tablets only, that is the lowest dose. It is taken for 5 days and is started at the beginning of a cycle, usually around day 2 or 3. Ovulation is likely to occur about 5-10 days after the last dose is taken, if this does happen then the Clomid was successful. If you do not get pregnant afterwards, but you did in fact ovulate then the Clomid worked and the dosage was correct, it's job is to stimulate ovulation. If ovulation did not occur, your doctor may prescribe a higher dosage of the Clomid, it is not recommended to try clomid anymore after 3 cycles if ovulation doesn't occur.

As with almost all medications there maybe side effects when taking Clomid, medical attention should be immediately sought for any severe and ongoing reactions. I've only ever experienced hot flashes, although they were annoying in the middle of the summer, they went away quickly. Clomid does dehydrate you, so drinking loads of water is key, I've been drinking about 20oz every 2 hours, and spend a lot of my work day in the bathroom. After a successful round of Clomid, comes ovulation and with ovulation comes PK and IUI. Posts coming on those topics

Breakthrough bleeding (BTB)- any vaginal bleeding outside of your normal period, as long as it isn't the result of an injury of course.

BTB can be as light as simple spotting, full flow like ur normal period, or even heavier. In my case it's the latter. Usually the introduction of some type of birth control is the culprit, because it can take up to four cycles for the body to adjust to the birth control and that's usually when the BTB disappears. When it appears and you are not on any birth control then its always best to contact your doctor, the BTB could always be a symptom of some underlying issue going on. In my case the BTB is the result of my endometrial lining (the lining of my uterus) which usually builds up to prepare for ovulation and releases during a period, along with the unused egg. Since I don't ovulate, the hormones don't signal my lining to release on a monthly basis as most women so it continues to build, and at some point (never really the same point) it begins to shed and I have the BTB. During my recent visit to my gyn she did an ultrasound on my ovaries and uterus and told me that the lining looked good and wasn't too thick, however, in the blood work the hormone levels were too low to try for conception. So, a regular period must be brought on when the BTB is done, as if this wasn't enough blood.

After a long day of work and a dr.appt I wanted to unwind with a warm chocolate chip cookie, I could have walked the 8 blocks to wawa and got it, but I opted for the more effective method of baking my own. This was my first time not using premade dough and I must say these are tasty. I already had the Nestle Tollhouse chocolate chips so I just went with there recipe. This is definitely a must try, check out their website

I definitely apologize for the lack of updates over the weekend, but this week will be full of them....

Thanks for the support
Zay

• Diet- a particular selection of food, especially as designed to improve a person's physical condition or to prevent or treat a disease
  
• Blood sugar- the quantity or percentage of  glucose in the blood 
• Exercise- bodily or mental exertion, especially for the sake of training or improvement of health 
  

Being the lover of food that I am, it should go without saying that I am NOT a fan of a diet that forces me to give up something that I want to eat. Now I am for adjusting my portion sizes and creating healthier versions of my favorite recipes. While I do love to eat, I'm not a big fan of the sluggish, 'itis', feeling you get after fairly large, predominantly starchy meals. So if I could capture all the same flavors in lighter versions then I'd definitely be on to something. Now while the body is made up of many parts they all work together, like a team, if one part slacks the others might pick up. Naturally if anything does a little more than what it was to designed to, it will be prone to damage from over exertion. Which brings me to blood sugar, PCOS can inhibit the way insulin is used in the bloodstream. Insulin carries sugar from the blood stream into the cells, to be converted into energy. When insulin's' effect on sugar weakens then more insulin is needed to get the job done, cause the pancreas to work harder. When the pancreas works harder too much insulin is released into the bloodstream, and it causes the ovaries to produce more androgens, worsening the PCOS. 

I walk a lot, but I'm not as active as I used to be and exercise is a great way to help manage the symptoms of PCOS. By working the muscles through exercise, the body burns the stored glucose, thus helping along its breakdown, this is called muscle cell activation. Exercise also helps to release testosterone, yes that predominantly male hormone, it can be over-produced in woman with PCOS. Testosterone imbeds it self in the body, mainly the muscles, but is easily released through muscle exercise. Running, jogging, and brisk walking is good for the legs and organ enhancement, the circulation and aerobic activity when kept in a daily routine can help glucose elimination.

While trying to adopt a healthier lifestyle I cam across this salad recipe it involves several of my favorite foods, shrimp, cheese, & spinach.

Caribbean Shrimp Salad
2 cups Baby Spinach (or greens of your choice)
2 Oranges
1/4 lb. Raw Shrimp
1/4 cup Shredded Carrots
1/4 cup Shredded Cheese (I prefer Sharp Cheddar or Parmesan)
1/2 tsp. Turmeric
1/2 tsp. Garlic Powder
1/2 tsp. Ground Cumin
1 tbsp. Olive Oil
1 pinch Ground Ginger
1 pinch White pepper
1 pinch Sea Salt




Citrus Vinaigrette:
1 Small Shallot (finely chopped)
3/4 cup Olive Oil
1/4 cup Rice Vinegar
3 tbsp. Fresh Lemon Juice
2 tbsp. Fresh Orange Juice
1 tbsp. Cilantro (finely chopped)
1/2 tbsp. Mint (finely chopped)
pinch of Kosher Salt
pinch of White Pepper

Juice an orange and set it aside for later use, Slice the remaining orange into segments and set aside until plating. Combine cumin, turmeric, garlic powder, white pepper, sea salt, and ginger together in a bowl, mix well. Sprinkle over raw shrimp until well coated, discarding any excess spice mix, cover and refrigerate while vinaigrette is prepared. Combine all vinaigrette ingredients in a jar, shake until well blended, add salt and pepper to taste. Refrigerate dressing and remove the shrimp. In a hot skillet add 1 tbsp. of olive oil, and pan sear the shrimp on med-high heat careful not to over cook them. Once shrimp are done assemble all remaining ingredients on a place topping them with the orange segments, drizzle the salad with desired amount of vinaigrette and enjoy!!

The endocrine system is the system of glands, each of which secretes different types of hormones directly into the bloodstream to maintain homeostasis.

•  homeostasis-  a process in which the body's internal environment is kept stable.

Glands & Hormones

• Pituitary Gland- master of glad of the human body. 

Growth hormone, thyroid stimulating hormone, adrenocorticotropic hormone, beta-endorphin, follicle stimulating hormone, luteinizing hormone, prolactin, melanocyte-stimulating hormone, oxytocin, vassopressin

• Thyroid- controls how quickly the body uses energy, makes protein, and how sensitive the body is to other hormones.

Triiodothyronine, thyroxine, calcitonin

• Adrenal glands- release hormones in response to stress

Glucocorticoids, mineralcorticoids, androgens, adrenalin, noradrenalin, dopamine, erikephalin

• Pancreas- a mixed endocrine and exocrine gland; it secretes both enzymes & hormones

Insulin, glucagon, somatostatin, pancreatic polypeptide

• Testes-reproductive organ that produces sperm and androgens, mainly testosterone

Androgens, estradiol, inhibin

• Ovaries- ovum (egg) producing reproductive organs

Progesterone, androstenedione, estrogens, inhibin

Since PCOS is an endocrine disorder, I felt it was important to share a little about just what exactly the endocrine system is and what role it plays in our lives. Hormones not only affect our ability to reproduce but also our moods, and how we deal with stress. While a GYN can deal with the issues PCOS may cause in your reproductive system, a healthier lifestyle and endocrinologist can help you stabilize the rest of your hormones as much as possible.