Well, I'm not really sure where to begin....
Sadly, our first IUI ended with that dreaded BFN! AF showed her ugly face yesterday afternoon :( I can't say that I was surprised. My BBT has been slowly decreasing over the last 4 or 5 days and even though I was hopeful...I knew based on my previous BBT charts that AF would show up soon.
I called my doctor's office this morning...first at 8am (not open yet) then again at 9am (still not open). I was just really anxious to get updated on how we should proceed with the next cycle. So at 10am I called again...ring ring..."If you need to speak to Dr. H's nurse please leave a message...all messages left in the morning will be answered before noon...all messages left after lunch will be answered by 3pm....all messages left after 3pm will be answered the next morning." So I left a message....lol!
To my surprise an hour later my cell phone rings and its Dr. H...not her nurse!?! Dr. H says...(I will be paraphrasing as I was too distracted/excited/anxious to remember her exact words) "I was a bit surprised/disappointed to hear that you already started!?! Ideally we would want your luteal phase to be 14 days or longer....(mine was 10) so I definitely want to put you on Progesterone this cycle to help lengthen your luteal phase. Also, we need to talk about how we want to proceed this cycle. You should have approx 16 HMG injections left. Therefore, you have two options: #1 combination cycle-Clomid (CD3-7) and HMG injections (CD8,9,10) again much like last months cycle or option #2 straight injectable cycle- HMG injections (CD3-10)."
Dr. H went on to advise that option #2 would probably be our best bet at this point in time due to DH's low sperm count. Option #2 should yield us 8-9 good follicles/eggs (i.e. more targets for sperm). She also advised that with such a high number of targets and the IUI giving DH's sperm a much needed boost into the uterus...we are providing the "ideal situation" for pregnancy. If it doesn't happen this cycle odds are it isn't going to happen in subsequent IUI cycles. So more or less a waste of time and money. Dr. H advised the decision was ours...I agreed that option #2 made the most sense and I set up an appointment for bloodwork and an ultrasound the following morning at 8:45am. Dr. H also advised that we may need to re-group and discuss IVF w/ICSI again if this IUI does not end in success. I agreed.