It's official: there will be no IVF for us this cycle. Dr. M. called last night with my estradiol...385, essentially no change. He had me take 150 iU Gonal-F and 75 iU Menopur last night, and then 225 iU Gonal-F this morning. My follicles are now 20mm, 16mm, 13mm and 9mm. Bad, because only two will be in range. That's not enough for a successful IVF. It would, essentially, be a giant waste of that extra $3000.
He recommends we stick with back-to-back IUIs. He wants to see me again tomorrow (after I pee on an ovulation predictor stick to be sure my body isn't ready to ovulate on its own), do another ultrasound to confirm the follies have grown just a bit more, give me the trigger shot and have us come back for IUIs Sunday and Monday.
We are very disappointed. Yes, as Dr. M. reminded me (after calling me a pessimist - I'm pretty sure I'm just more of a realist) that IUIs got me pregnant in May. I reminded him that was very nearly a year ago (actually, one month shy of a year this weekend) and I'm now 38...making IUI now statistically that much less likely to work.
He did say that since the two biggest follies are in either ovary, Paul's sperm can't possibly take a wrong turn, so, yeah, I guess there's that.