Archives for posts with tag: Clomid

So I had a cycle monitoring appointment this morning, which entailed blood work and a VERY uncomfortable date with Dildo Cam. Ouchie mama. Was it the technician? I don’t know. I figured it was because my ovaries were just BURSTING with follicles on account of the Puregon.

I guess I was wrong.

My doctor wasn’t overly thrilled with what he saw, and upped my dosage to 100 mg from the 50 that I’ve been taking for the past week. Okay, I think. Not sure what that means, but I guess it’s okay.

Then I get a phone call this afternoon. My blood work was reviewed and Doctor Man wants me to go up to 150 mg tomorrow and Friday, then come back to see him on Saturday.

Obviously, I started googling like crazy. What did my blood work say? What’s going on? What’s wrong with my ovaries? I responded well to both Clomid and Femara (always had at least one juicy follicle in there), so I really didn’t think I’d have any issues with the injectables. Those are supposed to explode my ovaries, aren’t they?

So…uh…why aren’t my ovaries exploding with juicy follies? Why do I have to take more of this stuff?

Any help, blogging friends? I’m freaking out a little (but I’m filled with the best salad I’ve ever had-so it’s not entirely bad).

-Wake Up, You Ovaries! Regular Van.

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Today was our first IUI for this cycle. My doctor’s away this week, and it’s been kind of nice hearing different perspectives.

So far, this has been a longer cycle than the previous ones I’ve done at the clinic. I didn’t get triggered until yesterday (CD 18). I has a little follicle in there that was hanging around the 16 mm mark, and the visiting doctor was hoping it would mature before either the trigger or my own surge. It measured at 17 today, so that little buddy is trying! I’ve got my “juicy” one (thanks, new doctor!) at 22 mm today, and a “beautiful lining perfect for an egg”, she told me. I’ve never heard this before! Lining measured at 11 today–the thickest it’s ever been. Hopefully that makes a difference.

This marks the first cycle that i’ve been on the metformin for the full dose for the full month. It’s also the first month with all the naturopath supplements.

Fingers crossed…back again tomorrow for round two.

-Hopeful Regular Van.

Cycle monitoring – Cycle Day 3 – Duration: about half an hour

I’m writing this blogpost from a tasty breakfast place near my fertility clinic. Their logo is a smiley sun, which is exactly what I need to see right now.

I had a hard time at my cycle monitoring appointment today. I haven’t been so close to tears with the doctor since our first appointment. It didn’t help that the lab tech taking my blood is 7 months pregnant, or that my doctor looked genuinely sorry for me when he saw me again.

I think he sensed my desperation when I asked what else we could do to get this thing going. He mentioned male vitamins, but said he only really suggested those for guys with low sperm counts, which is not my super spermed J.

“It’s all me”, I said, half joking.

We came up with a plan, though. All is not lost, and he told me each cycle tells us things, in my case, positive things. I responded well to the Clomid, my lining thickened up nicely, everything was in track.

He took more time than usual today with my chart, which I appreciated. We talked about my thyroid, and thought maybe it was time to look at again. U have a sneaking suspicion my prescription is going to get bumped up, as I feel no different than I did before u started the meds.

He talked about antibodies and how these suggest something potentially autoimmune going in inside me. Not sure how I feel about that, or what it could be, but I’m not overly surprised. He suggested I start a daily regimen of baby aspirin, so that’s been added to my ever-increasing pill box.

Clomid starts today with two pills, same dose as last month. Next step if things don’t change by June: laparoscopy.

I feel emotionally exhausted. I can see it in this post, I can feel it in myself. The sadness from the failure of last month’s cycle is lingering, and I’m not sure how to shake it.

Meh.

-Sulky Regular Van.

Cycle monitoring – Cycle Day 10 – Duration: About 2 hours

Blood work, ultrasound, doctor. Rinse, repeat.

I’m totally old hand at this. I have even learned to walk quickly out of the elevator, as that will get me on that ultrasound list ASAP (longest wait of all 3 aspects of cycle monitoring).

I was feeling pretty good while waiting for my cycle monitoring today. J and I had a nice weekend together–we had a spat on Sunday, but talked about it and it was nice to connect emotionally and have some tender time reminding each other how much we love the other.

Then I met with the doctor. He explained at length why I had seen a different doctor last Sunday (I wasn’t really bothered, actually), and then proceeded to look through my chart to see if any new results were in (there weren’t any). He said he wanted to talk about J’s sperm, and I told him that J had super sperm, of course, just like he’d told us last time. Well, turns out he isn’t as super as we had thought. The DNA frag assay came back at 15.9%–“normal” is under 15. He didn’t seem overly concerned, but said that often when there is an issue on both the women and men’s side, telling people when to have sex doesn’t always cut it. We may need to try what’s called an IUI, and that’s when…

I’m going to stop you right there, doctor.

“We tried that last month. It didn’t work.”

Oh…rrrrrrrrrriiiiiiiiiigggggggghhhhhhhtttttttt…

I know the doctor sees about a bazillion people, but that put me off a little bit. He even did the IUI! I felt slightly offended that my vajayjay didn’t stand out from the thousands he’s likely seen.

Anyway, he said it was still early days, so he doesn’t want to see me again until Thursday. I left feeling slightly deflated, and wondered what had happened to the positivity I had felt earlier.

Lately, my emotions have been somewhat yo-yoish. I may be experiencing the Clomid mood swings, but who knows. I think I’ve already referenced Kristen Bell on my blog, but I’m doing it again. If I’m not between a 4 and a 6 emotionally, I am in tears. This is my life, the life of a delicate flower. Please watch this if you haven’t already:

So Yo Yo Ma! That’s how I’ve been feeling lately.

Blah.

-Yo Yo Regular Van.

Cycle monitoring – Cycle Day 2 – Duration: 3 hours

Here we go again. Cycle monitoring began today, preparing for our second round of IUIs (hopefully).

I went through the regular battery of assessments (blood, transvaginal ultrasound). J came with me this time and managed to nap through most of it. I was thankful to have him there, though. I sort of tore him a new one last month when I called after my appointment and he couldn’t talk because he was “too hungover”. He has since learned. Good boy.

My regular fertility doctor wasn’t working today (thank heavens, the man actually DOES have a day off!), so I saw the doctor who did my HSG test. This was kind of good for me, as it allowed me to ask questions that I was sort of afraid to ask my doctor. Namely, how did he come up with a PCOS diagnosis? I still wasn’t convinced. He showed me the results of the blood work from my AMH test (I think it was 4? Does this make sense?), and my antral follicle count was 54 (both indicators of PCOS). Also, I guess my left ovary is kind of a beast, so that was enough to convince me.

Then he started asking me about fucking facial hair again.

Ugh.

Anyway, he upped my Clomid to 2 pills a day (I think that’s 100 mg now), and talked about Metformin again. He said it took awhile to kick in, and J admitted we’re kind of desperate at this point, so if it’s going to help, we may as well try it. So I’ll add that to my meds cocktail this evening for the first time. It’s incredible to think that before all of this insanity started, I hadn’t seen a doctor in years and years. I was firmly anti-drug, definitely anti-big pharma, yet there I was today, buying an AM/PM pill box.

This doctor told me to be patient. He said I was young, and he promised me it was going to happen. No one has said that to me yet. He also acknowledged how hard it is to go through this, and to get the call with a negative pregnancy result. This meant so much to hear from a doctor. I nearly cried (but I was brave–I held it together!). I don’t know if my face showed my stress or irritation to be back going through all of this again, but for whatever reason, he somehow knew that’s all I needed to hear.

So…Metformin starts tonight, Clomid starts tomorrow, and Synthroid is ongoing. The good news? Not a suppository in sight. At least…not for a few weeks.

I’m off to camp with my students for the next 3 days. I think it will be good for me to be outside, though I’ll miss my dearie husband. I love him extra hard today for some reason.

-Soon-to-be-drug-filled-but-always Regular Van.

Cycle monitoring – Cycle day 3 – Duration: about 4 hours (wait time nearly 3 hours)

So I went for my first cycle monitoring session last week. Here’s what it entailed:

I arrived at the clinic about 8:30 with a coffee in hand, knowing I was going to have another ultrasound so I would need a full bladder. I knew I also had to have more blood work done. When I entered the clinic, I was shocked at the number of people around me. The place was rammed. I couldn’t help but wonder, “Who in the hell is having babies on their own?”. It was comforting and disturbing at the same time: lots of people in our boat=good – we’re not the only ones; lots of people in our boat=bad – why are so many people struggling?

I put my name down on the sign-up sheets for blood work and ultrasounds, and found a comfortable place to settle. The number I drew for my ultrasound was a looooooong way away. Soon after writing my name, I was called for my blood work. They drew way less this time than they did during my initial appointment.

I returned to the waiting room to continue waiting for my ultrasound. I downed my coffee, wondering if I should even be drinking it (were people judging me?), and then drank a bunch of cups of water. I waited and waited and waited…with a full bladder. Not fun.

After probably an hour and a half of waiting, I was called for the ultrasound. When I got in the room, I was surprised to learn that it would be transvaginal.

Here’s where the squeamish should stop reading.

Cycle monitoring starts on Day 3 of your period. Ladies, I’m sure you can understand my confusion when the tech used “transvaginal” and “day 3” in the same sentence. I told her I had a tampon in, and she told me to pull it out and put it in the garbage in the ultrasound room. Uh…I consider myself pretty easy going, but I had some issues with that. I guess a fertility centre is no place for the bashful.

I also told her I had a full bladder. She seemed annoyed that I didn’t know this ultrasound was transvaginal, and sighed very loudly before telling me to go to the washroom.

When I returned, no one was there. No one continued to be there for a good 10 minutes. Another technician came in, apologized for no one being there, and then asked if I had put what can best be described as a puppy pee pad on the exam table. No, it was here already, I told her, and wondered if they often had women rummaging through their pee pad stash.

The ultrasound was way less gross than I had anticipated (I was pretty much expecting Niagara Falls with blood), and I then returned to the waiting room. Between the blood work and the ultrasound, I asked at the desk whether I needed to sign up to see the doctor, too. The receptionist informed me that, yes, each visit includes a chat with your doctor.

So I waited again. This time: maybe 45 minutes.

The doctor called me in and put me in another waiting room, where I sat for 15 minutes or so, and had a nice chat with a woman who was there receiving treatment for a second child. It was great to talk to someone who had been through the process once before, and who was returning years later. Her case sounded pretty complicated, with both herself and her husband having issues. That comforted me to know that despite the challenges, the doctors here at Create had a good handle on what she needed.

The doctor then called me in to a room, and asked me to wait there, which I did, for a little over half an hour. I wondered for a while whether they had forgotten about me, but I didn’t say anything. Inside the room was a rolling chest of drawers, with the drawers labelled “Pap swabs”, “STD kits”, and “Chlamydia”.

Why would anyone go in the chlamydia drawer???

Finally, the doctor came in and we chatted. He didn’t really remember who I was, which was okay with me, since I’d only met him once before. He looked at my chart (blood work and ultrasounds, I think), and he reiterated that he believed I have PCOS. He talked about clomid again as a way to get things going, and his confidence convinced me to give it a try. He reminded me about the hysterosalpingogram (HSG), which I booked for the Thursday of the following week.

Our meeting was brief, and he warned me that the clomid might cause mood swings. My life is kind of a huge mood swing, so I wasn’t overly concerned. He seemed more concerned for Jon :).

I took the clomid for 5 days with my biggest meal of the day.

As for the mood swings? You’ll have to ask my husband about that.

Next post: the dreaded HSG.

Duh, duh, DUUUUUUUUUUUH!

-Still Regular Van