The new clinic has a completely different protocol for scheduling IUIs than our other one and it's throwing me off a bit.
At the new clinic, I am to call before 8:00 am on the morning that I test positive on an OPK and they will schedule me for the IUI that same afternoon. But doesn't it take anywhere from 24-36 hours to ovulate after testing positive? And doesn't previously frozen sperm die within 6-12 hours? Doesn't that timing sound a bit off? Maybe I'm just used to doing things a certain way. I don't know. I'd be interested to hear from some of you.
The other issue I'm having is that for the last three cycles, I haven't tested positive with OPKs, but instead have gone in for an ultrasound at about day 14, injected a hCG trigger shot at about 10:30 am that day and had the IUI 24 hours after that.
There is the added trouble that although the new clinic will do the
actual inseminations, our old clinic will do all the monitoring of the
cycle, so there is a disconnect there too.
So what if I go in for an ultrasound at the old clinic, they tell me I'm ready, give me a prescription for the hCG shot, and I'm not scheduled for my IUI until 4 pm the next day at the new clinic (they only do IUIs in the afternoon, except on weekends)? I'll have missed the boat. But if I go in the same afternoon when the trigger shot is hardly registered within me, the boys will fizzle out and die before the egg is ready.
It's kind of hilarious - in a dark comedy sort of way - how ridiculously small the time window is for getting pregnant. Especially with donor/frozen sperm. We have a peak of 6 hours out of a window of about 72 hours where it could possibly be an optimal time. And to boot, it's $1000 each time to "try". Frustrating as hell, but we have no choice.
And I know the worrying is not making my stress levels, and in turn my chance of pregnancy, any better, but I just want to have a plan. I'm a planner. That's what I do. No-one at either of the clinics can really give me an answer, or at least any reassurance, for how the timing is going to work. My clinic just said to call them, tell them I'm going for a confirmation ultrasound, and do it that day.
All of this will be moot if I actually do test positive on the OPK, so let's just hope for that.
It's day one of Femara and so far no nasty side-effects, though it's only been a few hours. I also want to have an ultrasound to see how I am responding to the meds, and to compare with my response to Clomid (which is generally good follicle count wise, but my lining is shit). I trust everything will work out; I'm just anxious... and anxious to get going.
I got my prolactin levels tested again and it's only 1/3 of what it was when it was high. I went from a level 31 to a level 10. Not sure why they were so vastly different, but I'm not worried about it. Huh, not worried about something. Surprising.