October 1st, 2008, 02:26 PM
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Platinum Supermommy
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Join Date: Nov 2007
Location: WI
Posts: 12,793
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I didn’t call ahead to check if my RE was running on time because I knew I was the second patient of the morning. I assumed they couldn’t be running too far behind. I was really wrong! The first patient showed up late and they still saw her. They told me to show up early for paperwork, so I ended up waiting about 75 minutes to see the doctor. In the end though, I feel like it was worth it. The doctor is super straight forward and tells me things as they are. She didn’t beat around the bush about anything. I liked that, but I can see how some people would be easily offended by her.
The RE spent a lot of time with DH and me, asking questions and explaining options. I could tell she was pretty upset my OB/GYN had wasted 4 cycles of clomid without monitoring. She’s not convinced I Od all cycles, but she doesn’t have proof of that. I think it’s just a gut feeling. She thinks my body went through the motions, but may have not released any eggs. She did an ultrasound to check my ovaries. Everything looked normal. She is a bit concerned about the possibility of endometriosis, even though I don’t have any signs. One ovary was a little out of place, but she said we wouldn’t worry about it unless it stays there over the course of multiple ultrasounds.
My choices were to go straight to injectables or do one more round of clomid and use it as a diagnostic cycle as well as a chance to get pregnant. As little as I want to be back on clomid, that seemed liked the best option. She’s upping my dosage to 100 mg (from 50mg). I’ll be taking it cd 5-9 as long as my progesterone levels drop. I always have too little progesterone. This month I had too much, even though my LP was super short. Basically, my body makes no sense. I think it didn’t know what to do without the drugs this cycle. I have to go back tomorrow morning for a blood draw to see if the progesterone has dropped and if I can start clomid on Friday. If I do start Friday, I’ll go back in for a diagnostic blood draw on Wednesday. They checked a bunch of hormone levels yesterday and want to make sure I’m responding appropriately to the clomid and that my ovaries are working right. If I am responding, I’ll go for an ultrasound on Friday to check my follicles. They’ll decide what day I need the trigger shot or what day I have to go back depending on the follicle size. If I haven’t responded enough to the clomid, they’ll give me 5 more days of it before checking follicles again. At the end of it all, she plans on doing an IUI. My CM sucked on 50 mg, so I can’t imagine it’ll do well on 100. She wants to bypass my CM issues. She’s also prepared to give me an additional drug or two if need be to help stimulate my lining as we know it may be an issue. She explained that thin people have a harder time with clomid’s side effects caused by low estrogen production because they don’t have as much estrogen stored in fat cells.
They drew so much blood, it was like I was donating to the red cross. I wish I’d counted the number to know for sure how many there were. The RE wanted me tested for so many things, including chlamydia . I laughed when I saw she wanted me to get that. I figure it’s routine for her to test for it, but there’s no possible way I’d have it.
If this cycle doesn’t work and I decide to continue, I’ll be moving onto injectables.
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