We’re on a cycle of mandatory rest, which is giving me time to research and gather information about our options prior to our next meeting with the RE (at the end of the month). To recap, I’ve done two cycles of Clomid (one at 100mg, one at 150mg) and two Clomid/IUIs (both at 150mg). On my most recent cycle, I had one nice follicle. One. (Yeah, yeah, I know it only takes one, but given how things are going, I think I might feel better with two or even three.)
I suspect the clinic’s next option will be Letrazole (aka Femara - but my clinic doesn’t use name brand drugs most of the time) with an IUI. I’ve heard positive things about the Femara from people who have used it, but part of me is still wondering if it’s a waste of time. I suspect the clinic will want me to try another two cycles on the Femara before moving on.
The last time I saw her, I asked the RE at what point they’d move to injectables - and she responded that she’d hesitate to use injectables with me because with the PCOS I would run a high risk of hyperstimulation. Which I suppose is reasonable - if it’s true. But I know I’ve read about PCOSers getting pregnant after injectables, so I’m not sure about all of this. And on Clomid I’ve only ever gotten 1-2 follicles. So it seems to me if they monitored me closely enough and didn’t just set some blind protocol, that it could work. But given the lag time with the evil-HMO’s lab results, they may not be able to provide the close monitoring I’d need.
Does anyone know anything about a Femara/injectables combo? I’ve read a couple of random posts on random message boards from people who were on some combination of the two - to boost the effectiveness of the Femara, maybe? (I think this is something my old clinic had suggested as a cost-cutting measure because I’d need fewer injectables this way.) So, has anyone done this?
And in the midst of all of this, we’ve started to have fairly serious conversations about IVF. I’ve been looking into the local clinics, and considering finances, and contemplating how much longer before we bring out the big guns. IVF has gone from this distant thing we might consider at some point, to a really viable plan that we might consider SOON.
I think all of the recent pregnancy announcements are getting to me (I got yet another on Friday). Sure, I think it would be great to get pregnant with as little medical intervention (and cost) as possible. But I’m worried that by the time we get there I’ll have completely lost my mind. So, when we meet with the RE at the end of the month, I think it will be a different kind of meeting - where I’m more focused (even relentless) in my questions and my search for a plan that makes sense FOR ME, now.