I apologize for the length of this, but wanted to give you a clear recounting of the lousy events today. Feel free to skim.
So last month the ultrasounds showed that I wasn't responding to Clomid, and the nurse and I at the time briefly discussed either going up to 150mg, or adding injections.
On Monday I talked with a nurse who told me that the doctor was fine with either 150mg Clomid, or Clomid with injections and it was basically up to me. We discussed the pros and cons and it was left with me leaning toward injections but not totally decided.
Yesterday I spotted all day, and didn't have a real flow until after supper, so I couldn't call in during the day and report my CD1.
I called this morning at 8:40, they open at 8:30 – but the nurse message line was not open yet, so I had to leave a message in the general mailbox. The message said that I needed my blood hcg test and base ultrasound, and it would have to be this afternoon or tomorrow morning before work. Didn't hear anything back from them all day while I was at work, so went directly there after I got off work ( about an hour before they close).
Walked in and told the receptionist that I needed an ultrasound and blood test. She asked if I had an appointment and I said that I'd left a message this morning, and never heard back. She said that she had forgotten to check general mailbox, so no one had even known I called...
Nurse came and got me in a couple minutes, and asked if I was planning on Clomid with injectables. I said I had a couple questions and confirmed that CD1 was yesterday and I needed to do the baseline stuff so I could get the Clomid prescription.
The nurse took me in a consult room and I told her that I had reservations about doing an injectable course without a clear HSG first, and that I'd rather just do 150mg Clomid along with the HSG.
She flat out said that she didn't think Clomid itself would work for me and that I needed the injections. She said that we could still do the HSG with the injections, since that would not be until CD9, and we could do the HSG on CD7 or 8.
She asked if I had reason to believe the HSG would show issues, and I told her why I thought there was a slight possibility of endo or blockage.
She then went and got the HSG scheduler, and the scheduler determined that we wouldn't be able to do the HSG until CD10, which meant injections were out.
I said that I'd like to just do the 150mg Clomid then, to which the nurse replied that she had talked with the doctor in the meanwhile, and the doctor didn't want me to do that at all.
Instead I was to wait until CD20 and take Progesterone - 10 days worth - and then wait the 4 days for a period. We could then start a new cycle with a good HSG known, and just wait this cycle out. She claimed this cycle was not wasted though, since I was still going to have a period. She suggested a progesterone shot as an alternative to the 10 day course, as it was cheaper.
Then she decided to check and see when the doctor would be available for a consult, and came back to say that we already had an appointment on Feb 9th, so I should just wait until that day to have the progesterone shot, as that would “only be cycle day 33”, and then I'd get a period 3-5 days after.
She also said “ and if the doctor has any other ideas after reading my note, we'll let you know”.
I didn't argue any of this because I was very overwhelmed and shocked that she had just ripped this cycle chance out from under me, and even more insulting, pushed it back over a month. So I left.
I'm very upset. I don't see how Monday the doctor can be ok with either or, and then Thursday a nurse claims the doctor says no way, and yet a few sentences later mentions a note. So what, she never even spoke to the doctor? I'm calling that crap.
Tomorrow morning I am calling and insisting on knowing exactly how these instructions could change that fast, and insisting on an ultrasound+blood test+clomid prescription that morning.
If they refuse, then I'm just going to use the Clomid I already have and do a cycle of 150mg. I'm not wasting a cycle because some nurse thinks I won't respond. How does she know? Women DO respond to 150mg Clomid when they didn't respond to lower amounts, and it's standard procedure to try a higher dose before moving to injections.
I'm a little offended at being told “ its not a wasted cycle” and “ that would only be CD33”.
Obviously I'm more than a little upset and frustrated right now, so feel free to reign me back in to reality. Or am I in reality and she's just saying whatever SHE wants to do?
