- Medical work up: Negative for all known tests, but my hematologist is suspicious of some type of blood disorder. You know, the undiscovered kind...just my luck
LDA: Both my MFM and OB suggested I start LDA prior
Diet & Exercise: As best as I can. I bought an elliptical and was more cognizant of food choices/portions
Folic Acid: Before I found out I was pregnant, my RE placed me on extra folic acid. Little did we know I already had a baby in the making at that appt
Metformin: For PCOS. I HATED my metformin. It totally messed with my cycle. I ended up with 60+ day cycles...it was not fun when TTC. I was on it until 12 weeks (as some evidence shows it provides a level of protection in the first trimester). I am off it now but will go back after the baby is born.
I have tried the NuvaRing in the past, which is fantastic. But because it is a traditional birth control (that is an estrogen-bearing medication) it does increase your risk of blood clots. So while I loved the NuvaRing, it is not recommended for those with a history of preeclampsia.
And I may be wrong, but spermicide alone is only 80% effective when used correctly. Risky odds, if you ask me.
If you are just planning on waiting a few months (7-8) like we did, maybe the minipill is a good bet. It is a progestin-only type of birth control. Estrogen is the hormone you have to worry about with blood clotting. Bring it up again with your OB (and make sure he/she isn't after your money if they push the IUD, which is $900 for the IUD alone). The mini-pill just seems to be a good short term solution to hold you off until you are ready to TTC.