I ended up going back to the clinic on day 3 rather than 2…and I had the fastest ever visit. 20 minutes from the time I arrived until I’d been seen by my doctor (with bloods and u/s done before that). I still had to wait about 10 minutes to then see a nurse and get my drugs, but I’m not complaining. It was fantastic.
My f/s wasn’t too happy with last cycle’s failure. So I told him that my endocrinologist had been adamant that if the TSH was wrong that would be a factor. Then my f/s “remembered” that he had told me to go see an endocrinologist. So I pointed out (politely) that it had been my gp who had referred me, and that he (my f/s) had said my high TSH wasn’t a problem when we went ahead last cycle. But we agreed that since my endocrinologist hasn’t called, my TSH *should* be fine (although I’m debating calling him just to confirm) and that should no longer be a factor.
What I like about my f/s, and the clinic in general is that they don’t wait around for failed cycle after failed cycle- they are always looking to improve things. So we talked through our options, and he reminded me that any cycle with injectables is going to bring with it this risk of multiples due to my PCOS ovaries. Ultimately I said I didn’t want to go back to Clomid and that we weren’t financially or emotionally ready to move to IVF. So he said he wanted to try a slightly different drug protocol- five days of Femara (2mg a day, days 3-7), and the Puregon, starting on day 5 at 75. I’ve got no idea why he thought this was a great idea- can anyone help me out? What is Femara meant to do? I know his main goal is to get a faster cycle, as I still ovulated well past day 14 last time.
He’s also put me on the list to do a laparoscopy sometime in the new year IF I’m still not pregnant, to rule out endometriosis. My original f/s did do some blood tests to look for markers for this (which were negative) but still, I like that fact that he’s being proactive. I have no intention of moving to IVF without having done everything possible to determine that there is no other problem.
So that’s where I’m at. I don’t have to go back in until Tuesday. Hopefully we’ll see some serious follicle action.
Thanks for all your comments. It’s nice to chat to you all again. I’ll try to do some reading and catch up on blogs this weekend.