I rambled a lot, but we went through all my questions/concerns. Let's see: Medications we're on, not a worry. Exercise, cut back around trigger and after (which I had been and plan to) but otherwise shouldn't be an issue. We can do a semen analysis, but since we're planning on IUI with injects we could just save the money (it could tell us morphology, but probably wouldn't change our course of action). C-section, shouldn't be an issue, but if we do the saline ultrasound we'll know for sure.
The saline ultrasound would be coded as abnormal bleeding, since I'm on BCPs and having abnormal bleeding, that's true. Stupid BCPs... ugh. She gave me a new script, so we'll see how that goes! If it doesn't work, she said to call her back. As for the ultrasound, I'm going to call insurance and check things out Monday.
We discussed injects, and in doing so we went over my last cycle. I'm still perplexed at how well I responded (you know, too well). She said looking at my chart and seeing all the follicles made her heart palpitate. Yeah, you and me both sister. It was a miracle we were allowed to trigger. I get the impression we won't be able to do that again, given the same situation.
I don't blame her, it was really risky. Normally someone with 6-7 follicles and estrogen around 2,000 is canceled outright. Which is the smart thing to do, I would never recommend triggering with that many; there is way too much risk for high order multiples and ovarian hyper-stimulation syndrome. With our extensive history we were cleared though. And, for whatever reason, it brought us one perfect singular boy.
I still don't know if we're lucky we only got one, or that we even got one. I don't think we'll ever know. Gut says even, but there's no science in that. Well, if I never get pregnant I think I can safely assume... but you know, science and stuff.
Anyway, so we have tentative plans for an inject cycle in October, or November. I would prefer October, since we stimmed in November before and miscarried days before Thanksgiving as a result. I really don't want to deal with another mirror cycle right now. We'll see how my savings go. As long as I pinch our wallet tight enough, we should be good to go in October!
She mentioned trying Pregnitude as a supplement, in addition to Metformin, on our inject cycle. Man, that stuff is popping up everywhere! It's Myo-Inositol and Folic Acid. I already take a lot of Folic Acid for my MTHFR mutation, so I don't see any benefit there. People keep changing ideas about what form Inositol to take, so I never know what to make of that. I did take 2 1,000mg Inositol pills a day on our last inject cycle. I also had ovarian drilling, and upped my Metformin from 1,500 to 2,000mg too though. I had planned on doing the Inositol (I was doing 1,000mg a day on our oral medication cycles), but maybe I'll try Pregnitude in October instead. I really don't know.
So, I have things to consider and stuff to put into motion. And plenty of time to do so.