However, I must confess I left the office today unhappy and concerned about the protocol for my cycle. The RE did the ultrasound and spoke in general terms about the cycle, but then I met with a nurse who went over the meds. I was surprised to find out he wants me to start clomid on cycle day 4 (50mg), take that for 5 days, and then take 75ius of Menopur cycle days 9-11. I've heard of the starting days are typically 3 or 5, but 4 doesn't seem too strange. However, for somebody like me who tends to ovulate really early, I started to feel worried that my body would start doing it's thing before the meds and throw off the cycle.
Then she wants to schedule me to come in for my FIRST monitoring appointment on CYCLE DAY 12. Alarm bells went off in my head and I started freaking out.
Here's my history:
- Without meds, I have been ovulating on cd 10 for the last year.
- IUI #1: I was on 100mg of clomid cd 3-7, had a 22mm follicle on cd 8 so I was triggered that day.Ovulation, therefore, was cd 10.
- IUI #2: 50mg of clomid cd 3-7, 75iu's of Menopur cd 7-9. However, I was so nervous about ovulating before my first scheduled monitoring appointment that I begged to go in on cd 9, found out I had 4 potential follicles ranging from 12-16mm, so he had me skip my third/last dose of Menopur (coasted). Went back the next day on cd 10 and triggered that day with 2 mature follicles, and I ovulated on cd 12.
Do you see the pattern?? Do you see how going in on cycle day 12 freaks me out that I could have already ovulated before even getting to the doctor? *sigh*
My other concern is that I had 4 potential follicles on the same dose of meds. He coasted me on the last night so only 2 matured. If I go in on cd 12, I could have 4 mature follicles, and I don't think I would be comfortable doing an IUI with that many.
I couldn't help but wonder if they were conveniently attempting to push my cycle back so I won't come in over Thanksgiving weekend??? My first monitoring appointment is schedule for the Monday after.
I tried to ask the nurse about all of these things, but she just said this is what the doctor wanted and gave no specific answers. Their office was packed this morning, so I figured I would call the RE himself at lunchtime so he could call me back in the afternoon when things were slower.
A nurse ended up returning my call and said the RE had already left for the day - boo. She said starting on cycle day 4 is just fine, and not to worry about ovulating early since the clomid will delay ovulation. *sigh*
After getting out of the RE's at 10:15, I had so much to do..... I had two big projects (one at each of my jobs) that HAD to get done today. We are also trying to refinance our mortgage right now, and the stress of talking to the loan people, gathering papers, and bargaining for that low rate could be an entire (boring) post of its own. It was a looong day.
Needless to say, I am so glad it is Friday. I'm just going to start the clomid on Sunday (cd 4) and then call next week and insist I get an earlier monitoring appointment. Part of me feels guilty for not "trusting" the RE on this, but I just can't shake it the feeling that the timing could be problematic. Worse case, I get an extra u/s to confirm things are moving along nicely, right?
Sorry this post so long and boring - thanks if you made it through! Happy Friday!!