Up In the Air

March 28th, 2011.  CD2.

To medicate, or not to medicate... That is the question.

After spending the day yesterday with two of my best friends and their fourteen- and seven-month-old girls, I have a renewed sense of determination to have a family of my own… Despite the week-long setback Aunt Flo has thrown in my way.

I called Dr. Awesome this morning to let her know that the two cycles of Clomid she initially allowed me had not resulted in a pregnancy, and to inquire about where the husband and I should go from here.  Her assistant informed me that Dr. Awesome will not be back in the office until Wednesday, which will put me at CD4.  If she okays another round of Clomid for me at a higher dosage, there won’t be a lot of time to think about it at that point.

Without monitoring, there’s no way (that I know of, anyway) to tell if my uterine lining is being thinned too greatly by the Clomid, which is apparently a very common side effect.  I’ve read that taking one month off will reverse any thinning of the lining caused by the drug, so I suspect that Dr. Awesome will suggest at least one-month respite from the meds.

If I could be certain that my lining was not being thinned too greatly, I would love one more month on the Clomid at least to see if it can extend my luteal phase another day or two.  Because although neither Clomid cycle was successful from a conception standpoint, the meds did help to lengthen my LP by a full two days in as many months.

I may not have gotten the results I wanted out of this experience, but I can appreciate the small blessings.

I also have the feeling that Dr. Awesome is going to bring up the idea of referring me to the RE, which is something I knew would be coming eventually.  I’d really prefer not to see the RE only because I don’t want to pay for every single visit out-of-pocket.  Insurance won’t touch anything having to do with fertility, and stepping foot in the office of a reproductive endocrinologist will surely set off alarm bells.

I know that IUI is something that even Dr. Awesome has brought up more than once, and I have confidence that it’s a fairly simple procedure that has a nice success rate…  I’d just rather not have to go there if it’s not absolutely necessary.  Then again, there’s no way to know if it’s absolutely necessary without seeing an RE.

Damn you, catch 22.

I suppose there’s no sense in dwelling on hypothetical answers to questions that haven’t even been asked yet, so I will (attempt to) wait patiently for Dr. Awesome’s phone call, and move forward from there.

I may not have all the answers, but there is one thing of which I am sure:  after TTC unsuccessfully for over two years, there is no way I’m giving up now.

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5 comments on “Up In the Air

  1. Joni
    March 28, 2011 at 11:11 am #

    I was on 100mg of Clomid for 4 months in a row before I got preggo with Savannah. I think there’s still a good chance for the Clomid to work for you. You’ve only been on it for 2 months so far. I know a girl that had IUI done & it was VERY expensive (not as much as IVF, but still…). I hope you can talk the doc into another month of the meds. I’m here if you need anything. Love ya 🙂

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    • Tracy
      March 28, 2011 at 11:19 am #

      Thanks, Joni, as always! 🙂 I think that through the fertility clinic my OB refers to, the cost is somewhere in the $400-$600 neighborhood after all’s said and done. I’m not saying that I WANT to pay that amount… but I would if it came to that.

      The issue I’m having trouble with is that in order to tell if my lining is being thinned by the Clomid, I need to be ON the Clomid… right? So even if I end up being monitored by the RE, I will need to get back on the meds to see how they affect me.

      Oy. My brain hurts almost as much as my uterus right now…

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      • Joni
        March 28, 2011 at 11:33 am #

        Exactly. It seems like you’ll have to be on it either way, so it would seem like the OB/GYN could just give it to you again. Maybe you could get her to up the dose and then see if that helped. IDK…it just seems like a waste of money if you have to see the RE only to be on the clomid anyway.

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  2. ~kboo
    March 28, 2011 at 3:17 pm #

    I say the sooner you can get to an RE, the better. OB’s don’t really know that much about fertility and tend to just throw Clomid at everyone and hope it helps. An RE may do different tests and look at your past results and decide you need something entirely different altogether. Yes, it’s expensive, but sometimes you get what you pay for, kwim?

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    • Tracy
      March 28, 2011 at 3:38 pm #

      I know you’re right, kboo, but ugh. My OB specializes in fertility issues, but of course she can’t be as thorough as an RE would be.

      I actually spoke with the fertility clinic about IUI pricing this afternoon when I called to request a copy of the #s from DH’s SA. They said that their pricing for IUI includes some bloodwork that I could probably opt out of if the RE is comfortable with letting me chart and use OPK’s to test for ovulation rather than having a blood draw every cycle. If it gets to that point, it could save me some of the cost… I hope!

      Like

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