CD3

I was bummed when AF arrived a couple of days ago.  I had hope, but realistically knew that getting pregnant on the first medicated cycle is unlikely.  So we trudge on.

I had my CD 3 ultrasound today.  They found a big ol' 3cm cyst (I think he said centimeter, but could've been millimeter).  He said it could effect my period.

This may be too much TMI, but I want to document all this stuff.  My periods go like this:

CD1 - CD2: medium flow
CD3: stops completely
CD4 - CD7: very light mostly just spotting

When the RE started to explain that this cyst is secreting hormones that are preventing me from releasing the lining of my uterus, it made sense.  But this is not unusual for me.  So was I ovulating every month but not shedding the lining?  Who knows.  He did say that if the lining isn't shed(ded?) properly, implantation would be nearly impossible even if we happen to conceive.

So this is what he decided to do: Ayges.tin (essentially progesterone) for 14 days.  Once I stop that, I should get a period with in 1-3 days.  I am to start Letro.zole on the 5th day after stopping the Ayges.tin and then having an follicle check.

I did read Ayges.tin can be used as birth control, which made me hesitant to use it, BUT chances are I'll be spotting the whole time anyway (i.e. NO SEX). lol

Anyone have experience with this?

Chart Confusion

You would think that after almost a year, I would have this chart thing down.  Well....I don't.

Some of this will be repeat, but I need help!

CD4-9 - Letrozole (5mg)
CD12 - Follicle check (12 or 13mm on RIGHT ovary)
CD12-16 - Letrozole again (5mg) and start Metformin
CD16 - Follicle check different doc (26mm on LEFT ovary and HCG trigger shot 5000iu)

According to my Creighton chart it looks like peak day would have been yesterday CD19.  According to my BBT chart I ovulated on CD16.

So my questions are:

If I had the HCG shot on CD16, could peak day really be yesterday?  Wouldn't it be sooner?

Could I have ovulated BEFORE the trigger shot?  If so, what did that doctor see?  Corpus luteum maybe?

If I did ovulate from the right ovary before the trigger shot, could he have forced the left ovary to ovulate also?  My assumption is no, but thought I'd throw it out there.

When do I get my P+7 blood draw?!?!  Go with Creighton chart or temperature chart?

Thanks!!

2nd Follicle Check

I had my second follicle check on Saturday.  I had a 26mm follicle.  I'm not sure if it was the same one from Tuesday because it was on a different ovary (supposedly).

They gave me a 5000iu HCG trigger shot and told me to go home and get busy!  So we did just that!  We're not horn-balls at my house, so 3 days in a row 'bout killed me and my DH.  HAHAHAH!

I've read conflicting information on 26mm follicles.  Some say that is "too ripe" and some say it could be a cyst. What does NaPro say about that size?  I've e-mailed my NaPro doctor during this process but haven't heard from her.  I'm wondering what NaPro people do in this situation.  Do they receive progesterone support?  I have orders for a P+7 blood draw, should I do that?

My RE said not to do anything and take a pregnancy test on May 20th.  I'm supposed to POAS whether or not I'm bleeding.  If I go back to how my cycles were before HCG LP support, I will probably start on the 16th.

This is going to be the worst TWW ever!!!

Follicle Check

I took Letrozole (2.5 mg twice a day) from CD4-9.  I had my follicles checked today CD12.  It was a disaster from the beginning.  First of all I get to the office at 7:00am and the door is locked.  I call the office and it goes to another office and they tell me the doctor is on the way.  My doctor travels from office to office and went to the wrong office this morning.  He didn't get to me until 7:45am.  It's a good thing he's so nice...and apologized!!  Then after the ultrasound my DH forgets his coffee mug in the office, so we go back.  We get to the car and start to drive off and I realize I left my prescription and some other docs in the office.  Had to go back up.  Gheez!

The ultrasound was uneventful.  The doctor found my left ovary pretty easy, but the right one was hiding.  He eventually figured out they were right next to each other.  How does this happen?!  He found two follicles on my left ovary one 12mm the other 10mm.  He basically told me anything 10mm or less doesn't count.  So after 6 days of Letrozol I have ONE follicle.  WTH!  ONE!!!  I thought for sure I'd have 2-3....but noooo.  We are dealing with low sperm counts here, I want as many targets as possible.

So I start Letrozole AGAIN today.  I will take it today through Friday and have another ultrasound on Saturday.  He's expecting that the 12mm follicle will grow and should be 20mm by Saturday and then I'll get a HCG trigger shot. He also told me to start taking Glucophage, 2000mg daily.  That sounds like a lot to me!  My sugar levels are fine as is my A1C, he just thinks it may help me ovulate and react to the drugs better.

I wonder if I ever ovulated at all on my own?  It feels good to finally be doing something but at the same time its discouraging.  Just have to wait and see, I guess.