As it has become my routine, CD1 involves discreetly carrying a tampon and my phone into the bathroom, so I can call my RE's office for baseline monitoring. At least this past time AF had the courtesy to appear on a Friday, which meant I could go in on Saturday morning. "There's no one else scheduled tomorrow" the office manager informed me. "Can you come in today at 12:30?" So funny that with my other cycles, he's been meticulously insistent on a CD 2 scan, but I was happy that he would have a Saturday morning free to do whatever he would do on a Saturday morning that didn't involve going into the office. Yes, 12:30 could work for me, although it would mean delaying an in-box of patient calls. Fortunately, nothing looked too urgent and could wait for my return. I grabbed my keys and was about to leave when I received a call from the office manger "I hope you haven't left yet. There's another patient who needs to be seen tomorrow, so we can see you then if you'd like." This was the bright spot in an otherwise shitty day. I truly felt the advantage of the personal attention from a smaller office.
I arrived a few minutes early for my appointment and the front door was still locked. I could see Misery through the window. I silently groaned thinking she would be even less excited to see me knowing I was half of the reason why she had to work on a Saturday morning. "Good morning, Jane. How are you?" she pleasantly greeted me. Who was this woman and what had she done with Misery? Firstly, I don't think she's ever identified my name without checking my chart or the schedule first. Secondly, she actually smiled. I'm sure she must get paid overtime, so maybe she's happier when she's working on the weekend. Maybe she's starting to feel badly for me. I even got a sympathy pat on the outside of my thigh from my RE as he wished me a good weekend.
It just seemed like we were going through the motions. Ovaries quiet, go ahead and start Femara today. I mentioned to my RE that starting the Femara on day 3 yielded the best production from my ovaries thus far. He responded with a shoulder shrug and "you can start on day 3, it won't make much of a difference." Who knows if it was a coincidence, but I started on day 3 and had two ripe follicles on my left side by CD 11. Co-dominate follicles at 22 x 19 mm and 18.5 x 20 mm to introduce a new term as well. Lining: I don't remember. Insemination on day 13. Husband's count was as per usual. 14 million pre-wash, motility 75% progression '4'. 4 million selected for the journey to my uterus. At least he scores points for consistency.
It was a peaceful process. I had to do some last minute juggling with my patients to clear time in my schedule, but miraculously everyone showed up on time (a new patient even arrived early to register and complete her paperwork -a rare occurrence) and I was able to leave the office when I needed. I had a great set at swimming and the magic person in my iPhone came up with a great selection of music for my drive to and from the office. It's all seeming so routine, which is starting to really resonate that it's time to change the game plan. I texted Husband with his numbers. His reply: Crap :( Don't know if I can be bothered with IUI anymore. Alas, we're ready to move forward.