I’m back in the stirrups again, girls.
I had hoped that something magical, like what mysteriously happened to our lovely April, would happen to me. Has not been the case. It has only been 8 months, but knowing my history of infertility my gynecologist (who claimed he specialized in infertility, though that only consisted of testing and handing out unmonitored Clomid prescriptions — eeeeeep) handed over the referral to see the RE down the hall — the one who miraculously, fortuitously happens to be the only RE in the area covered by my insurance. The heavens opened, angel choirs sang, etc.
Yesterday the fortuitous day of the first consult came. I mentioned that the RE’s office is right down the hall from my OB/GYN, right? This office is in the middle of this enormous women’s hospital complex, full of OBs and GYNs and ultrasound offices, etc. I saw, I shit you not, 9 heavily pregnant women between the moment I left my car and the moment I got back into it. It was like dodging cars on the highway, my friends.
But entering the RE’s office was weirdly like . . . coming home. The hushed staff, the bookmarks advertising infertility support groups, the receptionist sipping from a mug with a Menopur advertisement– yup, I’m back.
The doctor was great. Let’s call him Dr. Redux. On my intake form, under “What do you expect out of today’s visit?” I had listed, “Having my knowledge taken seriously.” Thinking back, Doc T ‘n’ B (ahhh, remember him?) was kind of a prick. Dismissive, laughing at his own lame jokes (and not mine — and I mean, come on guys, I’m fucking hilarious), waving aside any questions with his tanned, finely-manicured hand*. Dr. Redux knew his shit, and listened to mine.
Dr. Redux said, from the beginning, that I was an unusual client, and as such, I would be treated differently from most clients. I’m young(ish — I turned 30 last month), I’ve got the weird uterus, and not only did Clomid not work for me, it actually affected me adversely (thin lining, no change in luteal phase length). He said I had two options — try letrozole, or go straight to injectibles.
Frankly, I’ve been waiting for someone to suggest letrozole for a while. It’s generally as effective as Clomid in follicle stimulation, but since it’s not an estrogen-blocker but an aromatase inhibiter (it stops your body from converting male hormones into female hormones, so your brain produces more hormones), your uterus can get the estrogen it needs. It also has a lower twinning rate that Clomid — and with my uterus, twins are really not an option. The only thing that made my doctors leery about it before was the lack of FDA approval for fertility use — though that hasn’t stopped doctors from using letrozole as a fertility drug internationally for years now.
Dr. Redux has used it successfully for years, and is all for it. He insists on closely monitoring any medicated cycle, as any RE worth his salt does. He and I discussed our options, and Brad and I discussed those options, and we have A Plan.
We’ll be out-of-state often between now and the new year, so starting with my first full cycle next year, we’ll be doing letrozole IUIs. Because my insurance will cover the procedure and the ultrasounds, our out-of-pocket cost will only be lab costs and possibly meds (some meds are covered under my insurance, but I don’t know which) — CD 12 estrogen level, semen prep, 7 DPO progesterone, the letrozole itself, and the HCG trigger shot — for a total of about $500. Heck of a good deal for an IUI.
I’ve dabbled in ART before, but now I’m about to become a hard-core user. Hold me.
Unless, you know, something happens in the next 4 months, which . . . ha. Right.
Glad to be back, ladies. Keep an eye on this space.
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*Remember oh, a trillion years ago when my old clinic was in the midst of creepy-sexual-harassment-scandal land? All three doctors who were there at that time (the accused – Doc T & B, the accusee – Dr. Perky, and the accusee’s husband – Dr. Dildohead) have since fled the scene. Drs. Perky and Dildohead have opened their own clinic across town, and Doc T & B has surfaced in San Diego, where he can perfect his tan yet further. The clinic itself closed entirely, but a new clinic has since opened at the UW Hospital.