Here I am blogging again. This is a two-year record!
As you may have guessed, if you saw my last post, the last TWW ended in a BFN. We were both disappointed. It was strange because L’s period came really early, which is never how her body acts. It came on Monday and we were going to test on the following Saturday. Strange indeed. L’s MD does not prescribe prog.esterone as a matter of course and did not do a blood test after insem. Previously, blood tests always showed she had low proges.terone and she would be put on it, but not this time. We have wondered if this factored into the results.
Folks inquired about the differences between this time and last time and I would say that the lack of monitoring is one of the biggest. We had an initial appointment with the MD which was very comprehensive. At that appointment she gave L a prescription for Fem.ara and the instructions on the protocol. This was a couple of months before we actually started trying. When the month came that we were going to start, L talked to the nurse to check in and followed the protocol. The Fem.ara seemed to work like a charm. Day 14 ov.ulation, day 15 we went in for the insem. They didn’t do an ultrasound, just a simple stirrups and syringe affair. Then we were sent home to wait. It all felt a little too easy (if it worked) and like we had too little information about what was actually happening. We have to travel about an hour to the appointments so the lack of daily/any monitoring has its benefits, but it would be nice to feel like we know more about if/how the meds are working, how many follicles there are, etc.
For this next round, L requested that she be put on proge.sterone and the MD promptly prescribed it. The dose of Fem.ara was doubled. I wonder if they will do an ultrasound this time. I hope so. L has PC.OS so, from what I read, her body could be doing anything with the meds and I just want to know what we are dealing with.
The other major difference is that in NYC we saw the MD at every appointment. This time, the MD works between two distant locations and we haven’t seen her since the initial appointment. L has talked to her on the phone, but mostly to the nurses. This has been frustrating, but perhaps one of the things that happens when you decide to move out of the city.
My job recently moved because my building was destroyed by tropical storm Irene. Sadly, I now work 45 minutes from home, rather than 15. My new location is also in the opposite direction of the hospital. If we have to go in on a work day, it would mean missing at least half a day. We are thinking about changing doctors to one that is on this side of the state, but doesn’t have as good a reputation. Although, they did knock up a friend of ours, which is all that really matters. We are impatiently waiting for ov.ulation and will do the next insem. with our current practice, but we are concurrently working on seeing the new MD if this round is another BFN. Ideally, we could switch without having to miss a month of trying.
Have any of you had experience with Fem.ara? This is our first time. It makes L less crazy than clom.id, which we all appreciate, but she is on double the dose this month and ovula.tion is happening much much slower. Is that normal?