We met with Dr. B (aka the RE) to talk about our next steps. R and I told him that we wanted to be as aggressive as he thought we could be at this point so he gave us three options.
- Try IUI with oral medications (Femara) and an hCG trigger shot to push the ripe eggs out.
- Try IUI with injectibles and an hCG trigger shot.
- IVF. Enough said.
He said that although he would approve us for IVF, he didn't think that we needed to go that route quite yet and he was leaning more towards the less invasive procedures (1 or 2). So, he said that because I ovulate on my own and R's counts weren't terrible, he thought option number 1 was the best choice. He said that we could go that route for two months and then see what happens after that. The lucky part is that I'm on CD2 today, and I would have to start the meds on CD3, which is TOMORROW. Thank God I called for the appointment when I did. Otherwise it would have been one more month down the drain.
As for R's counts, we got a bit of a surprise: they were 14 last month but 38 the month before. Holy CRAP. That's more than a 50% drop from one month to the next. I'm wondering if it's because we had sex two days before the IUI last month. Who knows. But it was still good to hear that his numbers were better last month.
So, the protocol for the upcoming month is this: take the Femara for CD3 to CD7; ultrasound and bloodwork on CD12. If everything looks good, give myself the trigger shot on or around CD13 to prep for the IUI on CD 14-ish. Get pregnant. That's it.
It's going to be hard to give myself shots. I never thought I'd be going this route but here I am. Maybe if I just give myself over to all of it, it'll work. Just accept and embrace the fact that I'm officially infertile and move on with it. Get pregnant and move on.
So, funny parts of today? I had to get a pregnancy test. Isn't that just a laugh! So after avoiding that negative beta like the plague, I still have to do it, even after getting my period. (If this blog had a laugh-track, you'd be hearing it right now.) I also had to do another baseline ultrasound to check the ol' eggs out. I have five on one side and seven on the other; I can't remember which side had which. But at least they're there. Ready and waiting. I wonder how many I'll have in ten days?
I'm keeping a clear head about all of this. I'm trying not to get my hopes up. A lot is going to happen in the next few weeks including finishing school and trying to get pregnant. Oh, and working and taking care of E. One step at a time, right?
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