IUI#9

After the chemical loss with IUI#8, my Dr. and I decided to make some changes.  The first change is with the medication I had been on.  For the last 6 IUI's I have used clomid.  This time we changed it to femara.  It works pretty much the same way, as an estrogen blocker which makes my body produce extra estrogen which in turn ends up telling my ovaries to produce more follicles.  The main difference is in how the medication affects the uterine lining.  The clomid is known to thin the lining some, and I've thought that could be part of the reason why I've had chemical pregnancies. The femara is not supposed to thin the uterine lining as much, so that an embryo can attach more firmly to it.

The other changes are with the recent diagnosis of the clotting disorder that was discovered from the recurrent loss testing I had done.  The treatment for this disorder pregnancy is to take a low-dose daily aspirin and to use a low-molecular heparin injection throughout a pregnancy.  My Dr. left it up to me if I want to do the heparin injection, as he said it is controversial as to whether or not it really does prevent miscarriage, and I've already had one healthy term pregnancy while having this issue.  He said the aspirin may be enough.  I'm still trying to decide what I want to do, should this IUI work, but right now I'm leaning towards just taking the daily aspirin.  I reserve the right to change my mind in an instant though, hahaha!

I go on January 11th to have a follicle check ultrasound done.  On the clomid I was usually making around 5 or 6 measurable follicles, and usually releasing two mature eggs with the trigger shot.  I need the leading follicle to be on the left side, because although the left tube can pick up eggs released from the right ovary, it is less likely to happen than it grabbing eggs from the left ovary.  I'm feeling all the familiar twinges from both my ovaries, so I hope that there is a big one on the left!

The ultrasound on the 11th will hopefully give me the day of when my IUI will be.  I will be triggering with an HCG injection again, and then it will be back into the TWW.

I'm really hopeful that these small changes will result in a healthy pregnancy this time.