The Razor’s Edge

Depression is a beastly motherfucker. 

This morning I had my first appointment with my new doctor. The first doctor I’ve ever had who immediately wanted to treat my PCOS in spite of me not wanting to try to conceive. 

I came in for a referral to an endocrinologist, a prescription for spironolactone, and maybe something to help my increasingly frequent migraines since I’m allergic to the number one migraine med. 

I left for hours later, my pee in a cup, my blood in some tubes, and my chest on an X-ray. I carried one prescription for metformin, one for spironolactone, and one for Topamax. Within an hour I had an email with an appointment with an endocrinologist. 

That part went well. 

Bullshit #1: I’ll tell you, I was super pissed that I couldn’t get into the endocrinology clinic any time within the next year with a referral from the family practice clinic in the same hospital, but let them take one phone call from a different clinic and it’s see you in November, Mrs. April

We dropped our prescriptions off and were told an hour. We went home. I got the text that mine was ready. Even though Ian hadn’t, it had been nearly two hours, so we went to pick them up. 

After a bunch of back-and-forth about names and can’t-find-yours-sir and insurance, we left the drive thru missing one of mine and one of his, and one that he got only had half the number of pills it was supposed to. I said park it, and went inside with righteous fury. 

Bullshit #2: The only prescription I really cared about, the spironolactone, wasn’t in the bag because they thought the dosage said 2/5mg and the pills come in 25mg. And nobody answered at the doctor’s office. And no one called them back from the doctor’s office. And they sent the it’s ready text anyway because the three prescriptions that were on the same single sheet of paper were entered at different times today. 

I’m sure. I’ve been using this pharmacy for eleven years without problems. You had two hours to call them. And then you sent me a text that all of my prescriptions were ready. And you weren’t even going to tell me anything about this? Because we were just handed the bag in the drive thru with a thank you. No explanation. Nothing. 

I wanted to scream at her. Look at my face, lady. Do you see this fucking beard? I didn’t shave it today because I wanted the doctor to see its fucking luxuriousness. Do you think I like walking around looking like this? I have an appointment next week for my first round of laser hair removal. I can’t do anything to this bastard but shave it right now and it’s making me fucking crazy. I have to look in the mirror every day at this black reminder of how I have shit ovaries that ruined the one thing I wanted to do with my life. Every fucking day. And I hate it, and it makes me hate myself. So go fill the 25mg pills. I’ll wait right here. 

I wanted to make her cry so she could feel one tiny fraction of everything that I was feeling, because I knew she was lying with her tedious explanation. I do it to customers all the time. I bullshit them just like she was bullshitting me. 

But I didn’t. I took the other half of his prescription and I took her explanation that they were out of his blood pressure meds until tomorrow and I left. Because I knew if I started in on her I wouldn’t be able to stop. 

I’ve spent the past two hours in bed being alternately angry and sad. Crying and playing a stupid coin push game on my phone and shutting out the world with extra loud dubstep in my headphones. Because on top of all this I had to unpack a bottle of metformin to put on my counter and look at every day, just like the fucking beard, and it brought back all those years of miserably failing to conceive. All at once, on top of me. 

And then I got up and I fucking shaved and I came to tell you about this. 

 I’m so sick of hating my body for letting me down, but I don’t know how to stop. 


Why PCOS Sucks

I know now that my PCOS was incredibly well controlled for close to a decade by simple birth control pills. Basically, I came off those, and all hell broke loose.

Now, I have a whole list of symptoms, but my acne isn’t bad, I can deal with cysts, and struggling to lose weight isn’t that big a problem. Obviously, the infertility part is a huge concern, but there are two symptoms that cause me the most daily distress.

Hirsutism
You can call me shallow all you want, but this seriously bothers me. Every new dark, coarse hair I discover symbolizes to me how screwed up my body is. Being blonde and fair skinned only makes it worse, because for most of my life, you would have been hard pressed to notice hair on my arms at all.

20120121-215335.jpgAnd now look at this Sasquatch-y monstrosity! I feel grotesque. These bastards are everywhere. So I shave, and I pluck, and I lotion, and all that only serves to remind me how barren I am. It sucks.

Hypertension
And then there’s the apparently never ending struggle with my blood pressure. Literally days after stopping birth control, it was higher than it had ever been, but fortunately I used to run pretty low. And it just kept creeping up.

Finally, about a year ago, one of my doctors started me on methyldopa, which worked absolutely fantastically until they started canceling my appointments and I couldn’t get a refill. So I was out for about a month, and now it’s not working as well, even with ever higher doses.

I’m apparently one of the lucky ones who’s pretty sensitive to blood pressure fluctuations, so if it’s even a little too high or too low I’ll get headaches, fatigue, weakness, and dizziness, all of which are also side effects of my medicine and renew themselves every time my dosage increases.

So it’s like I’ve had mono for the past two months or so, and that just makes me feel guilty. Guilty for not being able to take care of everything I would be able to take care of if I felt better, guilty for having a body that doesn’t work right, guilty for being boring because I never feel up to having fun, guilty for wanting to have children at all, because if I didn’t, I’d still be trucking along on birth control with not a damn thing wrong with me.

And then I feel angry at myself for feeling guilty. Which is just another thing to feel guilty about. Stupid vicious cycles.

Also: I take metformin. Doesn’t help.