So, our 6th medicated cycle was rough from start to finish. I had a repeat HSG on day 6 which is always fun. By day 15, I had gone from 4 barely measureable follicles to 10 follicles ranging from 11-15 mm. Yes, 10! This would be perfect for an IVF cycle but not what you want for an IUI cycle. At the appt, the nurse discussed the fact that the cycle might be cancelled depending on how it progressed. Keep in mind that I was well on my way to using $1,000 worth of meds and I really didn't want it to be for nothing.
We had our 3rd monitoring appt on Saturday, October 15th. My DH went with me for the first time (to a monitoring appt). The u/s tech let him look at the screen and pointed out what everything was. He was like a kid in a candy shop! I wish I could say it was fun for me too but the tech told us my ovaries were the size of large lemons or small baseballs when they're supposed to be the size of a walnut. To say I was sore didn't really cover it. After the u/s we met with the nurse, Maria. She must be the weekend nurse as I'd never met her but she was nice enough. She explained that I now had 10 follies over 14 mm, with 4 measuring 17 mm. She asked us if we had considered selective reduction. What?!? I never thought I would be asked that question. Keep in mind that in my 1st 4 medicated cycles I never had more than 1 follie. How did I end up with 10? My husband and I have discussed selective reduction at length. You kind of have to when you're dealing with IF meds. I'm very comfortable saying that I have no interest in being the next Octomom or Kate +8 but the question hit me like a ton of bricks. My DH told her we had discussed it and we would do it if absolutely necessary. I didn't know what to say so I just stood there in silence with what I'm sure was a deer in the headlights look. We did some blood work and left knowing we'd hear from the RE with further instructions.
We received the news a few hours later that my E2 was lower than expected at 1032. Normally, it is about 200 per mature follicle meaning I had no more than 5 follicles. Although, 5 is still a lot my RE felt comfortable moving forward with TI rather than IUI to lower the chances of all of them fertilizing. My LH was also beginning to surge on it's own. So we triggered at noon and BD'd for the next 4 days straight just for good measure. I was nervous about the chance of multiples but completely trust my RE. I was even more nervous about another BFN. Not sure how many more I can take.
It has been exactly 2 weeks and I wish I could say multiples was my biggest concern at this point. Instead I'm still looking at a BFN at 12 dpo. I even did a digital this morning...still BFN. How could I have 5 follicles this cycle and 3 beauties the cycle before and still get a BFN? I almost feel like my RE has missed something. My DH has rockstar sperm with 155 million count and 12% morphology on his SA last month. My RE assured my with my low FSH, good AFC and AMH that my only issue was ovulation. Well, now I'm ovulating and still ...nothing.
I just feel so defeated right now and lost. I'm so pissed right now that I want to give up.
Here is the breakdown of our OOP this cycle:
$40 co-pay to plan cycle
$195 baseline u/s
$950 Gonal-F
$675 Repeat HSG
$280 monitoring u/s and E2 b/w
$365 monitoring u/s and E2 + LH b/w
$365 monitoring u/s and E2 + LH b/w
$289 Ovidrel and Endometrin
$3159 TOTAL
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