I haven’t felt much like posting because shit has gone downhill a bit since my last update. To recap – I had had my third monitoring ultrasound (fourth overall out of pocket ultrasound for this cycle) and my follicle hadn’t grown any – it was still at 14mm on CD15. I was bummed, but still felt optimistic.
Jump to my next ultrasound (CD17 – last Thursday), and cue the breakdown. I went to a different satellite location because my usual place was totally booked for Thursday, so the ultrasound tech was new to me. Once again, she was probing around in there longer than I thought necessary, and I had a feeling I was looking at another report of no/slow growth. Ha. In fact, my damned follicle had SHRUNK. Seriously ovaries? What. the. actual. fuck. The damn thing was only 12mm on CD17. DOWN 2mm from CD15. Really really the opposite of what I thought I was going to hear.
Of course, I got that information and was told to just wait for a nurse to call me with their take on the situation and what to do next. The nurse did eventually call and said that they wanted me to go in the following day (Friday) for bloodwork to see if I had already ovulated (by checking my progesterone). (I could have told them with 99% certainty that I hadn’t but whatever). Indeed I had NOT ovulated on Friday, so the follow up call told me that I would have to sit this one out, that I’m apparently Clomid resistant, and that we are going to try Letrozole instead. So the current status report is: we are taking a break this month, and will start Letrozole (Femara) next cycle. Hopefully my body reacts better to the Letrozole than the Clomid. I’m calling my RE this afternoon to find out if they want me to take Provera to induce a period or just wait for it to happen naturally. Given the fact that my body sometimes likes to go months without a period, I’m hoping they choose the former.
For anyone not already well versed in Letrozole vs. Clomid – Letrozole (AKA Femara) is a drug that is used to treat early breast cancer in women who are post-menopausal. I have to go into my RE’s office to sign a consent that I understand the drug is being used “off-label,” as its use for fertility has not been filed with the FDA. That said, it is commonly used for this purpose. I am slightly concerned as I believe there was a (poorly designed) study that showed slightly higher risk of birth defects after taking Femara, but it seems that the study has largely been debunked. I am, however, hopeful that it will work better with my body than Clomid did. It has apparently shown some promise in helping women with PCOS ovulate, as well as inducing ovulation in women who are Clomid resistant.
So that’s the plan. I’m super bummed to be sitting out another cycle, especially after paying for 5 ultrasounds (guys, that’s like $800 for nothing – flushed down the vagina toilet). It will, however, be nice to drink at Thanksgiving. Especially after NOT drinking at my cousin’s wedding (during my last two week wait) – it’ll hopefully stave off any questions.
I’m just hoping to get my period ASAP and get started on the next try. Has anyone else ever experienced the shrinking follicle phenomenon? Femara experiences? All input is appreciated 🙂