What's Next?

Our "rest" cycle ended on Saturday with the arrival of AF. Oh the joys. I did O, it looks like CD16 with a positive OPK on CD15. Things get confusing because I had a big temp rise on CD14, dip on CD15 and it rose again on CD16. My LP seems to confirm a CD16 O. So, there it is.

Despite great timing of the baby dance, the use of Pre~Seed and Guaifenesin we had no luck. 16 cycles down without even the faintest of a positive pee stick.

I was really tempted to take another rest cycle. . . in fact, I waffled all the way up until I picked up my clomid prescription at 7pm tonight (CD3 and day 1 of clomid). I decided I would take clomid CD3-7 (150mg), have a scan on CD12 and do a trigger shot. Then we will do timed intercourse and pray for the best. This cycle will only cost about $500 (which insurance will cover half of) since we are having 1 scan instead of 2 and no IUI/sperm prep. Typical cycles have been running $1200 + meds.

We have an IVF consult scheduled for May 2nd. This is a "what if?" appointment. . . it's not a set in stone this is what we are doing thing. I'm still not sure we can afford it (or justify the cost if we decide we have the cash), and I'm not sure I'm morally willing to go there.

We are also on the wait list for donor embryos. This is a pretty cost effective option at our clinic. There are no legal fees (embryos are surrendered to the clinic for adoption). It costs $3800 + meds for one cycle (vs. $8850 + meds for one stimulation cycle). The problem is that the wait list is long (two+ years). For us, it's good that the wait list is long as hubs isn't sure he is on board with the idea. I figure if we still haven't conceived by the time our names come up on the list, he will probably be much more open to the idea. And once we've been given embryos, we don't have to transfer right away. . . we can wait for a while and even pass up the chance to the next couple if we decide against it.

So, that's where we are at. I honestly cannot believe that we aren't pregnant yet. Last Easter, we were a few months into our TTC journey and I was convinced we would have a wonderful Easter surprise. Instead, AF visited. Here we are a year later with the same outcome. This infertility journey has lasted longer than my first round (baby #1 took 12 cycles). Granted, I was a dozen years younger and the only apparent issue was anovulation. Now we have a whole host of "issues". Awesome.

Fertility Center Appointment and What's Next

This morning was our first appointment with the fertility center... I feel like things went well and instead of being sad (as I usually am when I discover I'm not pregnant), I feel empowered. Now, we finally have a plan of action (and I'm an action girl).

So... I am on day 36 of this cycle. That's 18dpo since I ovulated on CD18. By all signs, that should mean I am pregnant. But I'm not... I took FIVE HPT (3 different brands). At my appointment this morning, we did a blood draw for pregnancy as well (they are also checking for rubella immunity and progesterone levels). When the results come back this afternoon, we will know that's its okay to proceed with our "plan".

It looks like I have a fabulous corpus luteum cyst. That means I ovulated like I should have... the corpus luteum produced progesterone like it should have... but instead of going away after my LP, it hung around still producing progesterone. Awesome. The progesterone level will confirm this.

Now we will down regulate for two weeks (which will squash the cyst and get menses started), then start clomid on CD3-7. I will begin using OVUKIT (Clear Plan Easy) to detect the very beginning of my LH surge. When I see that first faint line, I will call the clinic and prepare to come in bright and early the next morning for IUI, swimmers in hand. :-)

In other news... when I got home from the RE, I noticed a tinsy bit of spotting has started... this could mean that AF will show up on her own, likely tomorrow. If that's the case we will shave two weeks off for the down-regulating.

Dr. agrees that a laparoscopy may be needed, given my past and increasing pain issues... BUT that those issues may not be affecting my ability to conceive. We know that I have a damaged cervix that is not producing happy cervical fluids which combined with slightly slow swimmers is our main issue. If we aren't pregnant after 3-4 medicated IUI cycles then we will dig a little deeper.

Infertilty Recommened Reading

A Few Good Eggs
TCOYF (Recommend reading for all women)
How to Make Love to a Plastic Cup (For Dad to be, although I enjoyed it as well!)
Real Food For Mother and Baby

(The links will direct you to Amazon, I've included them purely for reference... I have nothing to gain by your use of them.)