Cycle 17, CD 4

When my Dr. D walked in the room at my CD2 appointment on Tuesday, I exclaimed, "I missed you! It's like we broke up for a few months, but now we are back together!" I'm glad that: 1) I am comfortable enough with her that I can say stuff like this because, who are we kidding, I see her more than my closest friends and 2) she puts up with my crazy.

A summary of how things went:

• I didn't get the answers I was looking for regarding the miscarriage, but I knew I probably wouldn't. "It was early, it could have been a million things, there is just no way to know..." Moving on. 
• My TSH came back at 1.58 which means that we can proceed with this cycle. That news alone made me break out into a smile big enough to make my cheeks hurt. 
• When I explained that I had no ovulation bleeding this month, Dr. D looked puzzled. And right on cue, she suggested that I switch up my medications slightly:  
• Starting Follistim 50 iu until next follicle check and then we'll see if we need to readjust.
• Adding Estradiol mid-cycle (maybe). I'm a bit nervous about this because estrogen pushes my TSH numbers up (as we saw last time). My Endo instructed me to increase my Synthroid dosage preemptively if I take it again. I hate tinkering with things that make my thyroid numbers go wonky because: 1) it reacts violently to small changes and 2) the window where things are optimal for fertility purposes is exceedingly small. 
• Changing up my progesterone type. I've already been on Crinone and Endometrin but she said there was one other kind she'd like to try some sort of compounded progesterone? This is because when I was pregnant (but didn't know) and stopped the progesterone I immediately began bleeding and so thinks I may be extra sensitive to even small changes.
• I head back on Saturday for a follicle check. 
• IUI is scheduled (tentatively) for a week from next Saturday. 

Guess I'm officially back on the gravy train.