It's been an interesting month since my last post. Well six weeks I guess.

First of all, it looks like the Femara did work... just slowly! lol I started my period on Day 39, which means I might have ovulated on the Femara, just on Day 25. I went in to see Dr. Thurston on Day 3 after I started my period, and there was an 18mm cyst on my fallopian tube. Or so he thought. It had never been there before. So when I got my Day 14 ultrasound (actually Day 13 this cycle), it was completely gone. So he thinks it may have been a residual cyst.

During that same ultrasound he only saw small follicles, and didn't think the increased dose was working, but wanted to see me back in 5 days. So I went back on Day 19 for another ultrasound. I had a 14mm follicle. He still was skeptical and gave me a prescription for Femara for my next cycle, along with a prescription for follistim (injectables, ugh!).

Well I've been doing ovulation predictor tests, and yesterday, on Day 22, I got a positive! So I definitely think that the Femara is working, just not quickly. I'll have to discuss this with Dr. Thurston at my next appointment.

On a side note, I call the pharmacy about the follistim... um, it's $92 per injection, and I'd have to have 10 injections! YIKES!! I don't expect insurance to cover any of it, so if we can avoid that extra $1,000, that would be nice! lol

So that's the latest. No baby yet, but plenty of people around me are. Which is good and bad. I'm trying to take it all in stride.

Well I've got good news and I've got bad news.

The good news - the Femara worked!
The bad news - it didn't work well enough!

Yep, I went in Monday for my Day 14 sonogram and there were several small follicles, but no big juicy one. The largest was only 8 mm, and we want it to be around 18-20 mm for fertilization. Now, it's possible that it can still grow, and I'll be doing OPK's starting Friday. But this month looks like it's not going to happen.

Next step... Femara Round 2! I have a prescription for a higher dose of Femara for next month. Dr. Thurston seems pretty confident that the higher dose will give my follicles an extra kick in the pants. Let's hope so!

We decided to jump back in. Hindsight, maybe we should have waited another couple of weeks, but I'll get to that in a minute.

I went back to the doctor today... but this time it's a different doctor, same practice though. Dr. Thurston is one of the doctor's I saw when he was on-call one weekend that I needed a sonogram.

So I went in today, we talked about my history, and actually talked about some options that hadn't been discussed before. He did a sonogram and everything looks clear, so I have a prescription for Femera this time instead of Clomid.

I go back in about 11 days. Monday, March 9th. Which happens to be the day that Jack has his LapBand surgery! lol How's that for timing??? So Jack has surgery at 7:00 AM, and then I have a sonogram at 3:30 PM. Different hospitals, of course! Jack has to stay at the hospital overnight, so it will be fine. I'd be more worried if it was outpatient surgery and I had to get him home and take care of him that day.

So this should be interesting. I'm hoping I don't ovulate on Day 14 this month!! lol Normally I ovulate around Day 17-18 on the Clomid, so we'll see what happens with the Femera.

Let's see where this pony takes us!

Friday I went in for my Day 12 ultrasound... I think it was actually Day 14 since I got started on the Clomid a little late. There was no dominant follicle, but there were a few small ones. So I was scheduled to go back today, Monday.

Today... no follicle. So unless he just didn't see it, it looks like the Clomid didn't work this month. It's really disappointing. Beyond disappointing actually.

So next week I'll have bloodwork done to check my Progesterone level and see if I ovulated but we didn't see it somehow. If it's positive, then I'll menstruate on my own. If not then I'll be on progesterone to start my period.

Where do we go from here? That's been the big question.

Dr. Richards talked a little about moving to injectible meds, which would be a lot more expensive... like $1,000 just for the drugs. But they are more reliable, according to him.

I almost feel like we should take a couple of months off. I need to get my blood pressure under control... it's been consistently high. Plus I could use the time to lose some weight. We're also debating about changing doctors when we go back. Not that we don't like Dr. Richards... I LOVE him! But he's very conservative and cautious in his approach. I feel like we need to be a little more aggressive. So we're thinking maybe one of the doctors we saw on call on a weekend might fit a little better.

I don't know... it's all just talk right now. We have time to think about it, I mean we have to actually finish this cycle, right?

Just trying to think about things objectively and make some decisions. We'll see where it goes.

On the blood pressure note though, Dr. Richards switched me to a different medication on Friday. He was a touch upset that I didn't get it filled this weekend so he could see if it was working today! Needless to say I went to the pharmacy on the way home, got it, took it, and then a few hours later took my blood pressure. Holy cow! It definitely worked!! I went from 154/115 this afternoon at my appointment to 126/74 this evening! WOW! And YAY! Because that will help us avoid a lot of problems later when I do get pregnant.

*sigh* Tomorrow is another day, right?