Follow-up appt was today. I have mixed emotions.
So the cyst is not gone. It has shrunk a little (from 17mm to 14mm), but is generally "not responding" to the BCP treatment. Dr. D thinks is
may be a endometriomas which is basically endometriosis which invades the ovary, producing blood filled cysts. (previously they thought this was a a Hemorrhagic cyst, which occurs when a very small blood vessel in the wall of the functional cyst breaks, and the blood enters the cyst.) So basically the good news is we can try to get KU this cycle when I get AF (more on that in a sec). Bad news, I may have endometriosis. Dr. D said he would want to do a few cycles before he performs a
Laproscopy. I guess my worry is that if I do have Endo which is preventing me from getting pregnant, I hate to be wasting all this money on treatment. Now I know the Dr. knows best, and from my limited research all signs indicate that endo
may prevent you from getting pregnant, but its not definite at all. Anyway. It just leaves me feeling a little.... meh.
So onto medicated cycle #1. I'm going to stop my BCPs on Friday so I can get CD1 on sat or sun. Protocol for this cycle will be:
CD1 - OV = Dexamethason (to control the elevated Dhea Sulfate)
CD4 - CD8 = 100mg Clomid
CD13 = U/S + Labs
CD? = HCG Trigger Shot (day depends on what U/S shows)
CD? = IUI #1 after the trigger
Overall I am excited to be moving on and actually starting treatment. But I am nervous about not being monitored until CD13. I have ovulated before that on my non-medicated cycles, so I am afraid this will be too late. I mentioned it to the nurse who preparing my calender and she seemed unconcerned, so I guess we'll just try this and adjust if we miss the mark this time. I may try OPKs this cycle just as a precautionary measure in case I do O early.
So....Let the OOP game begin!! I'm bringing my prescriptions to the pharmacy tomorrow, so we'll see what the meds are going to cost me. I also didn't ask how much the IUI is going to set me back, but I'll probably call tomorrow to ask. My insurance has been covering the B/W and U/S up to this point since they consider them all part of the "Diagnosis" process. The office manager said they should cover all monitoring up until the actually IUI as well. I guess I should be thankful for the little bit of insurance coverage I have, right?