I’m trying very hard to keep things low stress… but you all know how this goes.
The most frustrating part of having to rely on IUI, particularly with DS when timing is SO important, is being SURE your timing is right… particularly when it’s pretty expensive to do!
And it doesn’t help when signs seem all off.
So… I have endometriosis. I had four endometriomas removed in October and have not had an IUI since. We were supposed to start after two cycles (this is now the 6th cycle post surgery!), but I keep having problems with my cycle…
And so now I’m in a position where I can’t actually talk to my doc, because she’s away. I have instructions through her nurse, but I feel like I need more information… mostly because according to the u/s my follicle has grown 11 mm in two days. So, my underlying question is: is that at ALL possible? Or is this not a follicle, maybe just a cyst related to the endo?
This is how it looks:
Cycle I had surgery - 28 days
First post surgery cycle - 34 days, very light, but spotting never stopped.
2nd: 14 days, very very heavy - doc put me on estrogen to stop the bleeding. So on BCP for 3 weeks, making…
3rd: 23 days (controlled by BCP, not an IUI cycle)
4th: 15 days, no positive OPK… was still testing when AF came.
5th: Added Clomid, 19 days, no positive OPK… was still testing when AF came.
So, we’re monitoring this cycle - and that felt like such a relief because maybe finally we’d figure out what’s going on. But I’m wondering if the endo is confusing things.
First u/s was day 4 - I was scheduled to start clomid that night. Got a call that afternoon - don’t bother with clomid, you have a 14mm follicle. Come back tomorrow and check for LH surge. Perhaps our problem with OPKs has been starting too late (started when doc told me to!) and my cycles have become seriously shorter…
Came back - no LH surge (was, in fact, slightly lower - but really just stable). So, come back for another blood test and u/s.
Today’s u/s showed 25mm follicle. 25? It was 14 two days ago, and now it’s 25? No clomid (at least not this cycle, but was last cycle), no other medication…
Like I said earlier, my RE is out of town. She was told the results of the U/S and ordered a shot of HCG for me, told me to trigger tonight (this would be the first time we’ve triggered).
I’m worried that this isn’t a follicle. I’m worried it’s a cyst related to my endometriosis, and that the 12mm things they’re seeing are follicles working on developing. I’m worried because I’ve gone from 32 day cycles to… 20 or less? I really don’t want to take the trigger, have it trigger ovulation on follicles that are way less than ready and get nowhere… particularly given that I don’t think I’ll get to monitor another cycle (insurance…). So I expressed all this to the nurse, who tries to get my doc back on the phone… but doesn’t manage it. She DOES talk to the doc on call, who says if I’m worried it’s not a follicle, don’t trigger, come in tomorrow for another LH test and u/s.
So that’s the plan… I’m hoping for more clarity tomorrow.
I realize most people have the opposite problem, follicles not developing enough… but anyone ever heard of 11mm in two days? And a 25mm follicle on day 6 of my cycle?
(Other signs, fyi: CP is high and soft, CM is watery - no other CM data, first day post AF. LH was a little higher today than yesterday - 4.7 vs. 3.4, but still not a surge. Perhaps I’m about to go?)
Argh. :grr: This would be so much less frustrating if BD were an option, or if it didn’t cost so much to try each cycle…
Any BTDT, thoughts, ideas?