Well, it seems she used the the 'just have sex' app. There was something so genuine about her, I could look past any jealous feelings that she succeeded in conception without really trying. My follow up question was to ask when she confirmed her pregnancy. "Well, I had a regular period in March, and then I had some light bleeding in April. I didn't get a period in May, but it's not usual for my period to skip a month now and then. When I didn't get one in June, I thought I should take a test, as we had been trying, but I wasn't expecting that it would be positive." I proceeded with her exam. Heavy make up covered her acne scars. She had a male hair pattern on her abdomen. I started to wonder if she may have Polycystic Ovarian Syndrome. She probably wouldn't have had any luck with any fertility apps. She used the blind pig finds an acorn method.
I started counting all my 'apps'. I have a menstrual cycle calendar app on both my iPhone and iPad. I downloaded the app from Freedom Fertility to use during my stim cycle, but found it really cumbersome and very disappointing. I went old-school and printed a calendar from timeanddate.com to record my meds and results. Currently, I'm using both the Clearblue Fertility Monitor, which measures both estradiol and LH off a first morning urine sample, and I'm checking for an LH surge with the smiley face test kits at noon. I've seen enough egg whites to make an omelet, but my low progesterone level confirmed that is a defective app. One of those free apps that totally sucks.
My 'P.log' app on my iPhone issued a reminder that my period is due in 3 days, but as it was CD25 and I still hadn't received any indication of impending ovulation, I know that was not going to happen. It was time to message my RE to determine when we would declare this an anovulatory cycle and induce a withdrawal bleed with Provera or Prometrium. Not surprising, he wanted to see me for an ultrasound. It was time to upgrade to a better app. My lining was 13 mm, indicating there has been some estrogen production and there was a 17 mm dominant follicle on my right ovary. Maybe my stim cycle hadn't put Si and Am out of commission after all.
It was another moment of feeling like the most ridiculous infertile. I was going to such extremes to determine when I would be ovulating and not directly for procreative purposes. In fact, it would be another occasion when spontaneous conception would not be advised as I'm planning to violate my endometrium. Before we needed to reach for the stash of condoms in the bedside drawer, Husband flew out on a red-eye flight to the east coast for another hockey tournament. Sure enough, the next morning, on CD28, I was finally reading 'high' on my CBFM, which was confirmed at noon with the presence of the little happy face. Ah yes, the google calendar with our travel schedules. So many times when we were trying to conceive, that app was the ultimate ovulation predictor. Nice to see that Si and Am are still keeping with tradition, even when it's irrelevant.
As it turned out, my patient was actually 20 weeks pregnant, which was fitting with her last menstrual period dating. To a certain extent, she was living my dream; just wake up one morning and discover you're five months into a seemingly normal and healthy pregnancy. Yet, she reacted as if she overslept and was late for an important event. I could appreciate her response. She must have had a sense of disappointment that she missed half of her pregnancy experience. It's quite a contrast to potentially being negative seven weeks pregnant.