So here is a copy of the e-mail I sent to my RE's assistant. She is a physician's assistant - meaning she has prescription writing power. She also does some in-office procedures - she did my S-HSG (saline uterine ultrasound) and did a great job (at least, I thought she did. It was painless. So to me that equals great job!) Recently - after I called and left a message letting her know I had a few things I wanted to communicate to her and to my RE - she gave me her e-mail address. So -- this is what I sent off to her in regard to my next IUI cycle:
Hi A - thanks for getting back to me!
So - I am taking a short break from meds right now, and we're trying on our own. If nothing exciting happens - I will be ready to begin another IUI cycle in about 3 weeks. For that IUI cycle - here's what I'd like to run by you and Dr. W:
I'd like to try and get to trigger day with 3 or even 4 mature follicles. I understand the risks - but at age 36 (soon to be 37) and with so many failures behind me - I think we need a few more targets to try to achieve success. I'd also like to try to get to a point where one or more of my mature follicles is around 19mm on trigger day. Also - it seems I respond pretty darn fast to stims. Would starting me off on a lower dose of follistim - and then increasing as needed - be something worth trying? Rather than starting off higher and decreasing? I will of course let you guys guide me on that! Just throwing it out there.
Another concern I want to bring up - as I was stimming for my most recent IUI - I felt the effects rather quickly (bloating - and ovaries feeling quite swollen.) However - I woke up on the day of trigger and felt - nothing. No bloating - ovaries no longer felt swollen - nada! Now, that was New Year's Day so I had no bloodwork or ultrasound day of trigger. But I had some concern that I either a) ovulated early or b) my follicles just pooped out. Now - it may not have been anything - but I just wanted to make you guys aware that had happened.
Finally - I would like to try back to back IUI's this time - rather than just one at 36 hours post trigger. I'd like to do those back to back IUI's at 12 hours post trigger - and 36 hours post trigger. I understand that back to backs are sometimes done at 24 and 48 hours past trigger - but I'd rather try the 12 and 36 approach if Dr. W. is open to that.
Again ... I won't be back in action for about 3 weeks. Just let me know once you've had a chance to talk over my thoughts with Dr. W. - and we can go from there. MUCH appreciated!!
Haven't heard back yet ... but didn't really expect to. I'm assuming she'll talk my issues over with my doctor at some point in the next week or so (especially since I indicated we have a three week lag time before next IUI cycle begins..) - and hopefully she'll get back to me with some good news. We'll see...
Oh. It just struck me that there is one more thing I wanted to mention to them. The fact that the last three times I've been on injectables - I've started spotting at exactly 2 weeks after my trigger shot. Hm. I think I'll dash off another brief e-mail. What the heck, might as well lay it all out there.
God, it would be great if I ended up pregnant on my own this cycle. Beyond great.
I'm tired of all of this crap. But I'm not ready to let it go - not by a long shot. The thought of never being pregnant (successfully, healthfully pregnant) strikes more fear and anxiety into my heart than almost anything else I can think of. That would be really, really horrible.