Answers and a plan

Dr. S called on monday evening. He started to talk about protcols for the FET and I immediately interrupted him and said, "I think we might have a different problem." When I told him the spotting never turned into bleeding he wasn't really concerned. Here I was, stressing the f*&% out and he is all casual and says it's no biggie. He said with the D&C only being about 5 weeks prior he wouldn't have expected my lining to build up that much. He wanted to call my spotting on Friday as CD1 and start the frozen cycle.

He presented two option for the protcol. The first being estrogen only like I did previously. The other option involved suppressing me first with Lupron and then using the estrogen. He spent more time talking about the Lupron one. He told me when they discussed my case in conference that the Lupron seemed like the best idea. He then started to look at the calendar and count out the days only to find with the Lupron the transfer would fall the week after Christmas when there is a "skeleton crew" working.

I then asked if we could do the protocol without Lupron. He wasn't completely pleased at first but finally talked himself into it. By the end of the conversation he was in agreement that if we do the FET right now the estrogen protocol is the best one. He warned me that the fluid could return and that we could be in the same situation again, but I realize this can happen with or without Lupron.

So Monday night he called in oral estrogen to my pharmacy and I started. We chatted briefly yesterday and I received a call later in the day that I have an ultrasound scheduled for next Wednesday at 9:00. Transfer is tentatively scheduled for Dec 5th!!!!!

An answer to my burning question

I got pregnant in January (and miscarried in February). My RE was convinced I ovulated a result of the Lupron I was put on in preparation for an IVF cycle, but the dates never matched (on Feb 4th the embryo measured about 6 weeks). This was something that bothered me because I've been told I don't ovulate on my own.

I have been told by others that doesn't matter how I got pregnant, just that it happened at all. Unfortunately I don't agree. I am the type of person who seeks out answers and wants to completely understand everything I can. I want to know whether my body is functioning properly or not.

Today my RE returned my call and I finally got the opportunity to bring this up. He looked at a pregnancy calendar and determined that from the 6 week ultrasound on Feb 4th, I would have conceived on Jan 7th. I started Lupron on January 5th.

He then went on to say that Lupron may have caused a surge in LH and caused the release of a mature egg. Did you catch that?? Mature egg...

He said that Dec/Jan was probably was an ovulatory cycle for me because there was an egg to release. Lupron didn't help me to grow an egg in two days, it just helped trigger a surge of LH.

I am happy to get some closure on this issue and know that I was growing a follicle that month and that the Lupron didn't cause me to ovulate, it may have just helped. I could have ovulated on my own that month had I not taken the Lupron.

I mentioned that I may have ovulated this month but am not completely sure. He said the OPK's are pretty black and white, but I don't see them that way! He agreed to test my Progesterone this month to see whether I not I ovulated.  He doesn't want to prescribe Provera if there is a chance I did ovulate and could be pregnant (I highly doubt it, but I guess you never know). He said from an academic standpoint, he is always interested in hormone levels as long as I am willing to get stuck with a needle (sign me up, I've done it enough by now). Remember, I'm the one who elected for surgery?

 He also told me I am "not a textbook case"... great. Last time I was there he made a comment about how thick my file at the clinic was... fantastic. Do I get some kind of award for that?

My RE also gave me the news that I am not insulin resistant. My results from the fasting insulin and glucose finally came back and the ratio looked good. It is good news, but doesn't help explain why I have PCOS.

My HCG levels were negative from this past Monday. I have an appointment scheduled with him for Friday at 2:00 where we will discuss my upcoming Clomid/IUI cycle. He briefly mentioned something about gonadotropins in addition to the Clomid, but says he hasn't decided yet. We will see...