The appointment went as anticipated... my follicles are slow to develop just like previous months thus another appointment has been scheduled to have a second ultrasound to determine when is the "optimum" time for our insemination for Friday morning.
I see this as a good thing... mostly because the days of December are flying by.... Our sperm order won't be in Denver until Friday and I still need to fill my prescription for Ovidrel... We all know I love to inject myself.
While at the Dr's office we were able to squeeze in a much needed consultation regarding our fertility plan... I say much needed because we both like to have a plan. I think it was a great conversation to have. The conversation confirmed that it is not that uncommon for this process to take up to 4-6 months. Our Dr. did agree that if we haven't had success this time or the next it would be beneficial to check my fallopian tubes for blockage... She said the process is uncomfortable because of "insert technical term here" (the cervical clamp) which if you read a previous blog may recall hurt and was a pain I felt throughout the day. She also mentioned that the fallopian tube procedure actually flushes out the tubes, and they have noticed a pattern of increased pregnancies the following insemination... So there is a little added hope should we have to go down that path.
Typically after this fallopian tube procedure has been done some couples choose to step it up a bit with a fertility aid. She covered the three options, clomid being the FDA approved least chance of mulitiples option. So if we decide to step it up that is probably the option we will go with. The other two options being (excuse the mispelling and possibly missnaming) Phemora and Gentropin. Phemora is not currently FDA approved, if I recall the chances of multiples is slightly increased but not as much as Clomid, it is currently under review by the NHIS (I think that is the name) as a previous poorly done study found it increased the chance of birth defects... Our Dr seemed to really think these results were unfounded... none the less we would rather stick with something FDA approved. The other option Gentropin (Im almost positive I have renamed it for the purposes of this blog) is a shot and it increases your chances of pregnancy by quite a bit.... however it also increases your chances of multiples by quite a bit... and not just twins... it increases triplets and quadrupelets as well... She didn't highly recommend this because this also increases the risk of the pregnancy significantly and even the chance that a reduction by selection may be necessary if the risk is too high. We would never want to have to make that choice so Clomid it is if we get to a point that we feel we need an aid.
My girl can probably discuss the technicalities better than I... I forget the technical names the second after they are said... sorry about that.