Like so many others, I never thought this day would come but we finally have our first ever BFP! I'm 33 and my husband is 35. We've been married for 7 years and decided last year that we are ready to start a family. When I stopped the pill in January 2015, I was sure that I would be pregnant in no time. We are both healthy, fit, eat well, no health issues, and all of our siblings had multiple children easily. So when 6 months went by and we still weren't pregnant, we decided to see an OB/GYN. I had started to have pre-period spotting every cycle for 2-5 days before AF, so I thought this could be an issue. I had the normal bloodwork done: FSH, Day 21 progesterone, prolactin, vaginal ultrasound, physical exam, etc. but all normal and no reason to explain the spotting. Anyways, we decided to get more serious and started BBT charting, using OPKs, pre-seed, I tried vitamin B6 and red raspberry leaf a few cycles for the spotting issue. I would get a smiley face on the CB Digital OPK or CBFM (I was using both at some point) around CD 11-13, followed by strong ovulation cramps the next day, and a temp rise the following day, and we nailed the BD timing cycle after cycle but still nothing.
Finally, we were referred to a RE who did further preliminary work. AMH (1.65), HSG, hysteroscopy, semen analysis. All normal with the exception of husband's SA which showed slightly low morphology although he was making up for it in numbers--count was 200+ million. RE said we fall into the unexplained infertility category. She recommended we start with 3 rounds of clomid, even though I ovulate on my own--multiple eggs could help increase our chances. We decided to try on our own for a few more cycles, but still nothing. Finally, we decided to try a first round of clomid. And in the meantime, we thought to have my husband rechecked to see if the morphology had changed since last time. I was devastated when his second SA came back terrible. Count was down to 60 million (which is still considered normal) but morphology was down to 2%. He was referred to a urologist who did some more testing and determined that he had slightly low testosterone and too many white blood cells in semen culture. Anyways, husband was put on clomid (25mg every other day) for low T and an antibiotic (3 week course) for the possible infection.
Clomid cycle #1
Clomid 50mg for 5 days (CD 4-8)
CD13 - follicle scan showed 2 follicles: 23mm and 25mm, uterine lining perfect.
CD13 afternooon - smiley face on OPK, BD that night
CD 14 - BD in AM and PM, strong ovulation cramps in afternoon through evening
1DPO - BD in the morning
No need to test as AF arrived right on time, even with my usual 3 days of pre-AF spotting.
Given the slight male factor issue and detrimental effects of continued clomid use (thin lining, no ewcm, etc.), we decided to skip another round of clomid only and move on to clomid + IUI.
Clomid + IUI cycle
Clomid 50mg for 5 days (CD 4-8) - BTW, I had heavily researched the difference between taking clomid cd3-7 or cd5-9 and I learned that taking clomid CD3-7 produces multiple eggs, while CD5-9 produces better quality egg(s) (but maybe not more than 1). As I already ovulate on my own, I opted for something in between (CD4-8) to hopefully produce multiple eggs but also healthy mature eggs.
CD12 follicle scan: 2 follicles, 1 on each side, each measuring 25mm. Uterine lining 10.6mm.
Nurse mentions that these follicles are pretty big but still good. She instructs me to trigger with Ovidrel shot that night and IUI is scheduled for 36 hours later. Of course, I researched ideal follicle size like crazy and everything I read said that 25mm may be over ripe, so I was already bummed out before we even did the IUI.
That afternoon I got a smiley face on my OPK and panicked! Do I still use the trigger shot if my body is already surging? Shouldn't we move up the IUI to tomorrow? I researched like crazy and everything I read said that if you have an LH surge, IUI should be the next day. I called the after-hours line and spoke with a nurse who was clueless and told me to stay on schedule, still trigger tonight and IUI in 36 hours. But that didn't feel right. After studying my last 20+ cycles, I know that I always ovulate the day after a positive OPK, which would be tomorrow. Anyways, I have a moment of calm and think maybe I should just listen to the specialists. My husband gives me the Ovidrel trigger at 9pm. BD tonight