We had RE part one last March, which resulted in 10 vials worth of bloodwork, an HSG, a hysteroscopy, and a D&C. Suffice to say, I was ready for anything when we went into our meeting today.
In comparison, it was exceedingly chill. They didn’t even weigh me. *shakes tiny fist* All that low-carbin’ for nothing.
Granted, last time we went in to figure out what was wrong (Hint: starts with a ‘p’ ends with an ‘cos’). This time, we knew and we were ready to move to the next step.
No bloodwork was scheduled, no more tests, just a quick overview of their process, how he thinks we should proceed from here, and then to call their office the first day of the next cycle we want to try. Easy peasy.
They have no requirements for banks, although he recommended NW and Seattle based on previous experiences the office had had with both. We should get ICI vials because their office will wash it anyway. And we should put a lot of thought and time into the donor selection process, but should definitely pick someone over six foot. Which made me laugh.
He also said we could just do ultrasounds to pinpoint ovulation and otherwise do the cycle natural, wherein I spoke up about my problem with anovulatory surges – that is, I’ll have every symptom of ovulation and an LH surge, only no temp rise. But a few days or a week later, same symptoms, plus temp rise, plus period two weeks later. Of course, this isn’t every cycle, because that would make it too easy.
Anyway, I explained this to him, especially as part of the reason for wanting to do IUIs in the first place, and he still said that we could do ultrasounds, then trigger when the follicle is 14mm+, or we could go straight to clomid/letrozole and trigger.
The problem with just ultrasounds is there is always the chance I won’t ovulate in a timely manner and we’d have to skip a cycle. In my last five cycles, I ov’ed late three times – once after a false surge but three days later, once after a false surge but over a week later, and then this last time because well, I had pneumonia. Not a good track record. So ignoring that last one, that’s still 2 out of 4 times. IDK if either would count as “late” and I should have asked exactly what he defined as “late.”
But would a trigger shot fix this? I have no idea. He sounded confident, but that was contingent upon follicle size, which honestly I don’t know what’s going on with that during these false surges. I need to do some research on this.
Or we could go straight to what would definitely make me ovulate, which would be the clomid/letrozole route. I’m leaning this way right now, but we have two months to decide. It would take the guesswork out of it, and I am absolutely done with guesswork.
But should we? Clomid sounds like a beast to be on, plus there’s the added bonus of a higher twin rate. Twins already run in my family, so that makes me nervous. And the doctor sounded confident that we could probably get good results with just monitor and trigger. I don’t want to use a mallet to do what a hammer could do.
Aggh. How do you guys make these decisions??