Yesterday I got yet another call from the fertility clinic..... I was so confused because I was not expecting the call. So anyways she says Hi this is ______ calling from Soft. I am calling to let you know that Dr Martin reviewed your last cycle and he is suggesting that you take Femera along with your Clomid.... or there is the other option of FSH injections. So I kinda questioned it a bit and then once I got off the phone I was completely confused. So I sent an email to one of the fertility nurses, explained that I was confused because why would they be calling me twice in one cycle and giving me two different routes to go.... So then a girl that I went to highschool with is also having difficulty ttc, and she attends the same clinic decided that we were going to go out for lunch. It was awesome to be able to talk about it considering my friend told me to stop trying, start focusing on loosing weight and that I was focusing to much on trying to get pregnant. I was actually quite hurt. This is coming from a girl that already has a little girl..... so anyways I went to work I was emotional of course....
I ended up not going to work today (cd 23) as the roads were really bad. I commute to work and the roads that I travel are never really safe. I was happy that I didn't go because I was able to receive an email back from the fertility nurse at my clinic. This is what it said;
Hi Debbie,
I am sorry that you are feeling confused and perhaps a bit overwhelmed by the two different phone calls. That is our fault, because with our closure we did not get to call people as soon as we would like following a chart review. So let me try to explain…
After your Dec. cycle, it was suggested that you and Mark add IUI to our efforts to get pregnant. You did not get that message until after you’d started your Jan. cycle. Then your Jan. cycle was reviewed by Dr. Martin and suggestions were made to change your medication protocol: to continue with the Clomiphene 100mg daily on cycle days 3 through 7, but also add 3 Letrazole 2.5mg tablets, all taken together on cycle day 3. Additionally, if you wanted, you could add 3 injections of follicle stimulating hormone on cycle days 6, 8, and 10.
At this juncture, I would suggest, as you did as well, that IUI is the first thing we need to add in. If you wish to make the additional medication changes (IF another cycle is required!!) then we can do that. For detailed information on IUI +/- Clomiphene, Letrazole, and injectable FSH, please go to our website and look up the patient documents.
So options, put briefly:
- Take clomiphene as you always have, monitor the cycle and try at home (which is what you’ve been doing)
- Take clomiphene as you always have, monitor the cycle and complete your attempt as an IUI
- Take clomiphene as before, add Letrazole, and complete as IUI
- Take clomiphene as before, add Letrazole + injections of FSH, and complete as IUI.
I hope this helps Deb. If I can be of further assistance, please don’t hesitate to be in touch.
This made me feel 10 times better and Mark and I decided that we were going to take the route of the Femera and the Clomid with the IUI. We both thought it wouldn't hurt.... So until then we wait.