Friday 23 December 2011

I Think Progesterone is Working.

I'm 10dpo and I usually never make it past now. (I know, I am probably speaking too soon.) I made it to 11dpo once. Yesterday I thought for sure AF was going to come because I had a temperature dip, but today when I woke up my temperature spiked. If I get two more temperatures as high as today then my chart will be triphasic. I know that I'm not pregnant and triphasic charts are quite common when a woman is on Progesterone, but I will be so happy if I can for once have a normal luteal phase. I was so worried that the Progesterone wouldn't work, but now I'm confident that it will. I will stop taking the progesterone on December 26, 13dpo. That would be so awesome if I could have a 27 day cycle with a 14 day luteal phase. I think I will probably be just as excited to see a normal luteal phase as I would a positive HPT.

Thursday 22 December 2011

First Round of Treatment

On December 1 AF came. I called the fertility clinic and made appointments for cycle monitoring.  First I had to take 50mg of Clomid for five days from cycle day 3-7. The only side effect I noticed was bloating and abdominal discomfort. I could never get comfortable. I'm not sure if the Clomid worked or not. I know that it did give me more follicles and my mature follicle grew faster in a day than it did last month.
CD10 14mm and 4 smaller ones
CD11 15mm and 3 smaller ones
CD12 18mm and 14mm
CD13 19mm and 15mm


On cycle day 13 my doctor told me that my follicle was mature enough for ovulation, so he gave me an HCG trigger shot to speed up ovulation, and WOW did it ever speed things up. Usually I ovulate on or around cycle day 17, but this month I ovulated on the same day I had the HCG injection, cycle day 13. I read online that follicles aren't mature until they reach 20mm which confuses me. Why would my doctor tell me 18mm and why would he force my body to ovulate if my follicle wasn't mature enough at 19mm??? This is one of the many reasons why I need to stop going on TTC forums. There's so much misleading information.


I was also prescribed progesterone suppositories to start taking after ovulation, and oh how fun. They are little white waxy bullets that you have to shove up your miffy 2 times a day. Taking the dose at bedtime isn't bad, but in the morning it's awful. I have to wear a pad every day because I leak out white thick creamy progesterone. It also makes my pee white and bubbly LOL.


I also have some bad news. They aren't working!!! I thought they were supposed to increase my progesterone making my luteal phase longer, but I'm 9dpo and I had a temp dip today like I do every month at 9dpo. I suspect AF will show up tomorrow or the next day. Hell, I might even start spotting tonight. My temperatures were also very low and slow rising in my luteal phase meaning that my progesterone is probably still low. This sucks!!!! I think next month we will increase the progesterone from 400mg to 600mg. A doctor I saw during my monitoring told me that we would be also increasing the clomid from 50mg to 100mg.


I'm pms'ing, so I'm feeling very depressed. If the progesterone didn't work, will anything work? If the second half of my cycle isn't long enough and nothing lengthens it, will this make me completely infertile? I doubt procedures like IVF would even work because the embryo wouldn't be able to implant. I guess that means we would have to move on to a surrogate which I believe are illegal in Canada. You would have to get someone you know verses paying someone, and there is not one person in this whole entire world who would do that for me, not one!!! Maybe I will pay someone secretly and pretend to know them if it comes down to it. This is the only option I could see that would actually work. FML!!!!


Tuesday 29 November 2011

Low Progesterone

I had my second fertility specialist appointment this morning. He explained everything to me. During cycle monitoring my follicle didn't grow in a day and I was quite worried about it. He said that it happened because it was too early in my cycle for the follicle to grow. It was 15mm on cycle day 10 and stayed the same on cycle day 11. On cycle day 13 it went to 18mm and by cycle day 14 (when I had an LH surge), it was 20mm. When I went back in on cycle day 17 it was gone which meant I ovulated. The doctor I saw on cycle day 17 said I ovulated on cycle day 16. It turns out my follicle grew just fine. All of my tests before yesterday came back normal, although the doctor did say my testosterone levels were elevated, but he didn't seem concerned.


Yesterday I went in for my 7dpo progesterone test. My doctor said that it was 5 times lower than what it should be. He said it was 2.2 and the normal was 10+ He prescribed me two different drugs that he said will help me. Serophene (the same thing as Clomid, but made by a different company) and Progesterone suppositories which I will have to take twice a day for 12 days after I ovulate.


I have to call them on cycle day one to book blood tests and ultrasounds to monitor ovulation. I'm very excited that something is being done! I hope this works. If I ovulate early this cycle, I will be testing on Christmas day! If I ovulate on CD14, I'll be 10dpo by Christmas. I know it's a little early, but I like to plan ahead. If I don't test on Christmas it will be on New Years.

Wednesday 23 November 2011

Cycle Day 17 Ultrasound...Now I'm confused!

I went in for my cycle day 17 ultrasound and was sad when I saw the big white sign saying someone named dr. Jizz was the doctor of the day, (every time I say his name I laugh). Anyways, I went in to get my ultrasound done and I couldn't believe how rough the lady was. She rammed the probe up my miffy so bad that it hurt. She at first asked me if it was okay to use water instead of lubricant, but since I'm not trying this month I told her to use the lube. Thank god I did, or it probably would have hurt a hell of a lot worse. The next time I see her I will ask her to be more gentle. My husband says that she probably likes her sex rough LOL.


I went into the exam room to wait for Dr. Jizz. I was convinced that I hadn't ovulated yet because my temperature was still low. Dr. Jizz told me that my ultrasound confirmed ovulation. He said it happened on cycle day 16, and I'm wondering if there is a way they can tell when the exact day of ovulation occurred, or if that was a guess. When I went in for my cycle day 14 ultrasound I had a 20mm follicle, so I don't know if it's possible I could have ovulated on cycle day 14 or cycle day 15.


Why hasn't my temperature rised yet? It's cycle day 18 and it is still in my usual pre O temp range. Could my temperatures have been lying the whole time? Some people on forums are saying that it doesn't look like I have ovulated yet, so now I'm extra confused. Could the doctor be wrong? If I was trying this month I would be going insane. Hopefully, it rises tomorrow. Dr. Jizz was like, taking your temperature without plotting it on a graph won't work. I had to tell him that I have been religiously taking my temps for 5 months now and have been putting them on fertility friend. He then reassured me that fertility friend was wrong and ultrasounds don't lie. He told me that charting was used years ago when there was no other way to pinpoint ovulation and that it doesn't work for some people. I have been getting temperature shifts every month so I'm not sure why this month is so different. I'm wondering if maybe my temperature just takes longer to rise than normal.


I have booked my followup appointment with my doctor for Tuesday, November 29. I am super excited. I have a list of questions for him which hopefully he'll be able to answer. My biggest question is why my temperature hasn't rised after ovulation like it should have. I have all of my charts printed out and they are on the fridge so I dont' forget them. Maybe he'll be able to explain it. I'm worried that he will say there is nothing wrong with me and won't help me. He did say when my follicle wasn't growing that I would need fertility drugs and he did say when my follicle was 20mm that if I was trying he would give me an injection of some sort, so maybe he will give me something to make me extra fertile. I still haven't gone in for my cycle day 21 (7dpo) progesterone test. That's the one test that I have wanted to have for the longest time.

Sunday 20 November 2011

Cycle Day 14 Ultrasound

Yesterday I went in for my cycle day 14 ultrasound. My follicle grew 2mm like it should have grown. It was at 20mm. The doctor told me to come back on Tuesday to see if the follicle released an egg or not.
I'm sad that I can't go in today because I really wanted to know if it was still there or not. I thought for sure I was ovulating yesterday, but my temperature didn't rise today. I hope it rises tomorrow because if it doesn't I will be so confused.

Friday 18 November 2011

Repeat Semen Analysis Results

I have some great news! Yesterday we went into the clinic to give a sample of my husbands semen and when we got the results today we were so happy that everything appeared to be normal. There are some things that are borderline normal, but normal!


Volume: 3ml Normal: >1.5
Viscosity: Low Usually it's moderate
Concentration: 28 million/ml Normal: >20 million/ml
Motility: 50% Normal >50%
Progression 2 Usually it's 2+-3+
Total Motile Count: 42 million Normal: >20 million/ml


I'm not sure why, but the morphology was missing from the report. We will ask the doctor about that when we see him next.


I know that the count is still a bit low, but at least it's normal. From my research, it seems that lots of men have over 100 million/ml sperm so hopefully 28 is good enough.

I'm ovulating!

I just got a call from the fertility clinic. The nurse told me that my blood work this morning showed an LH surge, so I could go ahead and have intercourse. I had a rubella shot this month, so I can't try.


I'm so confused! I never ovulate this early! Despite my fertility monitors peak and my blood work, I don't think that I will ovulate. It's just too early lol.


The nurse told me to come in on Tuesday for an ultrasound to check to make sure that the egg has been released, but I want to go in tomorrow to see how big the follicle is and to see if has been released or not. I have no idea when I'm actually going to ovulate. My temperature spiked today and my ultrasound showed that I didn't ovulate today so I can't go by what fertility friend says. I have been having period cramps this afternoon, and I usually get them after I ovulate. Maybe I ovulated today after my ultrasound.


I'm going to call the ultrasound department to see if I can come in tomorrow.