Come on APRIL!

Hello loves!!


I know I haven't posted since I informed you all that I was indeed, NOT pregnant.  It's been a bit of a whirlwind and I know I told you all that I would be doing IUI this cycle, but we actually are not.  When I went to schedule my baseline ultrasound, the nurse informed me that the doctor wanted to discuss some things before proceeding with another round of IUI.  Then she told me she couldn't get me in until the next week.  I'll admit, I was a bit frustrated with having to sit this cycle out, but maybe it was divine timing and it just wasn't my time to do another IUI.

Well, I met with my doctor yesterday to discuss some things.  Now I know I told you guys in an earlier post about the uterine abnormality that was found on my HSG, but I honestly didn't know what it was called and I was actually a bit confused on what it was.  I actually have a cross between an uterine arcuate and a septated (partial) uterus.  Here is a picture--- 

Mine are the two that are circled.  The problem with this, is that it can make it harder to implant and can increase chances of miscarriage of the embryo implants at the top of the uterus.  The theory is that the top of the uterus doesn't have a very enriched endometrium, therefore it doesn't provide enough nutrients for the embryo to continue to grow.  According to my physician, mine case isn't the worst he's seen, but he wanted to discuss surgical options.  We talked about if I have another miscarriage, that surgery is an option that he definitely wants to visit, but for now, he doesn't recommend that I have surgery (THANK GOODNESS). 

The second thing that he wanted to discuss, was changing my medications to make me ovulate.  On my first round of IUI I was doing metformin, letrozole and an HCG trigger shot, but I only produced one 18mm follicle.  We discussed potentially switching to Follistim, but due to the cost of the injection alone and the fact that we would be increasing my monitoring (more ultrasounds and bloodwork), which would increase the cost even more, we decided that wasn't a road my husband and I were ready to go down.  We decided to try clomid instead.  Here is the layout for my next round of IUI that should start in April:

Day 1- Period starts, baseline ultrasound to confirm that I don't have any cysts on my ovaries.  Start 1500mg of Metformin.
Days 5-9- 100mg of Clomid
Day 14- Midcycle ultrasound.

The rest of the cycle will depend on my midcycle ultrasound.  If you remember, my last midcycle ultrasound was on day 12.  We realized that I didn't respond the medication as quickly as others do and that I'm not actually ovulating til much later in my cycle, so he switched my days around.

My doctor seems positive that IUI will work for us and he told me he just knew I was going to get pregnant from IUI alone, but first, we needed to beat up Mother Nature a bit.

I hope everyone has been well & have a safe St. Patty's Day weekend!