Hey guys - sorry for the long post just copying from my journal
Since I took my progesterone all the way through 14DPO AF took a little while longer to come. Now we're onwards and upwards to the next cycle. Lucky number 17 right?
DH and I met with the RE this morning to review last cycles results that ended in yet another BFN. What I didn't know about cycle 16 was that I actually had 2 decent sized follicles on my right side on Day 10 (15mm and 16mm) that dissolved or vanished and didn't mature. Leaving me with only the 1 that matured and ovulated.
What he also shared with us was a concern for my FSH level on my baselines. In May it was 9 and in July it was 10. He said for someone young like me (under 35) he expects this number much lower around 4 or 5. A higher FSH level is suggesting my body is working harder than 'normal' to tell the ovaries to grow the follicles. He said that because I'm still getting many smaller immature follicles on both sides each cycle that the issue is likely not quantity but quality. To aid in improving egg quality he suggested I see a fertility specific naturopath to help with my overall health and well-being. I stopped going to my naturopath a few months ago now. My benefits had run out and I had been seeing her for about 8 months with no pregnancy so I kind of gave up. My doc said it's certainly not required but recommended I see 1 of the couple that he suggested. (My old naturopath didn't specialize in fertility). I've made an initial appointment to see one of the ND's he suggested for Friday morning. He suggested DH see a ND as well. I haven't got a chance to speak to him about it as we had to rush off to work right after our appt. So I'll have to see tonight how he feels about going to one. He suggested the ND for DH as well because of his fluctuating SA results. Sometimes their perfectly amazing and other times not so much.
Anyhoo - the high FSH is the main driving factor for him changing my protocol for IUI #3. He's really aiming for multiple follicles since we didn't get that with the letrozole. So I'll be taking Puregon injectables 75iu per day starting tomorrow CD3 until they tell me to stop. He didn't think another letrozole cycle would get us different results, so we're moving on. I wasn't expecting this at all. I didn't know what action he would take but injectables never really crossed my mind. It kind of seems a little aggressive but at the same time, its been 16 cycles and we haven't had a single pregnancy...Aggression is hopefully what we need.
I'll go in tomorrow morning at 630am for my CD3 baselines blood and ultrasound. The nurse will give me a crash course on how to use the Puregon cartridge. Then call me in the afternoon with the go ahead on when to start.
Praying for a miracle.