So, DH and I are getting back into the "fertility treatment saddle" so to speak. I saw our RE yesterday and he wants to get aggressive and get us pregnant.
I have in hand a prescription for a new protocol to try (I am a bit of a poor responder to meds). This time we are doing an "overlap protocol" with the meds, combined with IUI and trigger. I take femara from CD 3 for 5 days, but on CD6 I start with small doses of Gonal F. Then when I have 2-4 follicles, we trigger, then IUI 36 hours later.
Also, as you may know I have chronic low iron issues, specifically with my iron stores (ferritin). I was on high doses of one iron supplement recommended by hematologists for 3 months, but unfortunately my ferritin only went up from 7ug to 9ug. It should be over 40ug to be healthy and with the one I was on, it should have worked.
It could be heavy periods as the cause for low iron. Recently I started using a menstrual cup (Diva cup) and measured out my blood loss for a cycle (the cup has measurements on the side). I was surprised to see it was close to 250ml per cycle (avg should be under 40ml). Anything over 80ml is considered a medical concern. My doctor is researching some fertility friendly options for me on this though, since the usual ones (the pill, IUD, anti-inflammatories) really aren't an option at this time if I am TTC.
However, recently I found out that my sister (who had the same iron issues) was diagnosed with celiac disease. She only had the blood test, not the biopsy though. But as soon as she stopped gluten, her iron went up.
So, I mentioned this to my RE and he suggested I go off gluten asap, and don't worry about getting tested for now (since it would take months here to get the test)! So, as of today, I'm gluten free. It's really just a trial for a few months (maybe 6 or so) to see if it can help me get pregnant. If it does, I will stay that way and worry about getting tested after I have a baby. To get the test in the future, I would have to go back on gluten for a while for the test to be valid.
So, AF is due this weekend (but I weirdly have NO symptoms of AF yet which is making me nuts!), I call the clinic and start it all on CD 3 which should be next week. I have NO idea how I'm going to get all these clinic appointments figured out though, since DH changed his job and needs the car always. This new clinic is easy to get to, but will be hard for me to get to work after via bus.