Just got back from my appointment with my RE. We discussed basically two options at this point since the femara didn’t work the second round. We would be skipping over TI and going to IUI next with both options because it will give us the best odds.
The first is straight injects/trigger/IUI. The second is slower and slightly less OOP (whatever insurance doesn’t cover) with clomid/injects/trigger/IUI.
Obviously, my first question when he mentioned clomid again was why. I asked why we would use clomid at all if I didn’t respond the first 3 times. He said the reason to use clomid is so we can go slowly. The clomid would not be expected to do all the work, just get things moving and add in injects. He explained that this way I would be less likely to overstim and lose out on a cycle.
This then made me ask what happens if I do overstim – cycle gets cancelled. They do not convert to IVF that late in the cycle. Fine by me, at least I know this ahead of time.
So before I go and explain every detail of my appointment as I already have started to, I’ll let you ladies know what is next for us and see if you have an opinions/suggestions. We are going to do the first option because I’d prefer to reduce the chance of overstiming. So I will be doing CD3 monitoring/bloodwork, clomid CD3-7, monitoring CD8, 150 Bravelle starting CD8, monitoring every day or every other day until Ovidrel trigger, 36 hours later is IUI.
I had 6 viles of blood taken today, did a financial sitdown for OOP costs, and did a nurse teaching sessions for how to do the injects at home. More than I was scheduled for but when I told my RE I already finished Provera he wanted to get this part done so I don’t risk missing out on this next cycle. DH will go in tomorrow morning to get some bloodwork done as well.
I’m trying to take this all in, I’m also trying not to forget anything since I have to explain everything to DH tonight. We have a plan, and I was expecting to have renewed hope with it, but I’m not experiencing it yet.
I want to also thank you all for being around the last year, following all of your journeys helped me to understand a lot more today then I ever would have otherwise.
ETA: I just remembered (not that it matters much), but once IUI is done they will start me on progesterone suppositories... ew.