IUI #2

Wish me luck!

Well, here we go! I went to the infertility clinic on Tuesday for my cycle day (CD) 12 ultrasound. Keeping in mind that my last CD 12 ultrasound ended with my Reproductive Endocrinologist telling me that I’m not responding to the medicine and am no longer a candidate for Intrauterine Insemination (IUI) after having only one follicle develop.This time, it was a different doctor that performed my ultrasound. Everything was going as predicted, except when he was performing the ultrasound, he didn’t say a word! Even as I watched him measure the follicles, he was silent. When he was finished he told me to get dressed and meet him in his office. I was scared! I was so close to tears and thought for sure something was wrong because he had not said one word to us about the ultrasound. After dressing, we walked down to his office as instructed. He told me that I only had one follicle nearing maturity at 17.5 millimeters (18-22 is ideal). He told me to take my Ovidrel trigger shot on Wednesday morning and come back on Thursday for my IUI. What a relief! Yes, I was disappointed that there was only one follicle again and that it was a tad on the small side, but women get pregnant all the time with just one egg, right? Besides, I’m sure the doctor wouldn’t have wasted his time performing an IUI if there was no chance I’d get pregnant. I also did a quick consultation with Dr. Google to verify that there are women who have gotten pregnant from an IUI with just one developed follicle.

On Wednesday morning I took my Ovidrel shot (HCG trigger) and on Thursday we were back at the hospital. My husband had an 8 am appointment at the lab to provide a sample of his baby makers and then I had an appointment at 9:30 am to have them inserted for the IUI. We were taken to a small exam room with an ultrasound machine. In the corner was the “husband chair” and a small square box on a table in the corner. The small metal box had a glass door and through the door you could see a small vial with a label on it that had my husband’s name and social security number. This was the sperm remaining after my husband’s sample had been washed to remove the semen. There was only a little bit of fluid in the bottom of the tube. It’s crazy to think that just that little bit could get me pregnant. The UCSD fellow from our first visit came in and gave us information on what to expect for the upcoming procedure. While I had an IUI before, it was pretty clear to see that this one would be different and more thorough so I could throw out all my prior knowledge (this was unfortunately becoming a trend). The doctor looked at my chart and congratulated my husband on having a remaining motile count of 37 million sperm. Apparently that was 3.7 times more than what we needed. Things seemed to be off to a good start! A while later, the supervising doctor that I also saw at our first appointment came in with a nurse and a nursing student. Six was definitely a crowd for the small room we were in, but if one person was going to stare at my girl parts, then three more people weren’t going to bother me. While one doctor was inserting the speculum to prepare for the procedure, the other was placing the ultrasound transducer over my abdomen. I was going to get to see the IUI on the ultrasound machine! How cool is that? While watching the ultrasound screen, we could see the doctor on the business end of things struggling to get the catheter through my cervix. I don’t blame him at all since I have a severely retroverted uterus (tilted toward the back) and I remembered the trouble I went through when having the HSG done. After moving the catheter around a bit, he was able to get it through the cervix.I was fascinated at watching this all unfold right in front of me. It was mentioned that I have a long uterus as I watched the catheter move the last few millimeters towards the top right of my uterus. Then I watched as the white cloud of sperm was released from the catheter into my uterus. It was so amazing that I was able to watch my husband’s sperm enter my uterus, where it will hopefully continue through my Fallopian tubes to meet up with my egg. Even with one egg, my doctor told me my chance of conception was about 15-20%. While that number certainty isn’t overwhelming, it is the same chance a healthy 20 year old female has of conceiving under normal conditions. I’ll take it. This whole experience left me to ponder two things. First, if it was so difficult to place the catheter while being able to see it on the ultrasound, how on earth could my previous RE have correctly completed the IUI last May? Second, could my tilted uterus and long cervix be the reason that getting pregnant is so difficult for me? I’m not sure I’ll ever really get answers to either of these questions, but the IUI should certainly help me bypass any complications that came from my unconventional uterus.

Now, it’s on to the two week wait where I will take the slightest cramp or abdominal twinge to confirm that I am pregnant, just like I do every single month. Since my miscarriage, I have the worst PMS symptoms that mimic pregnancy symptoms. It is so frustrating. No matter how many times I tell myself it is just PMS, every time my breasts get sore or I feel anything unusual, I convince myself that I’m pregnant, only to be let down when my period comes. Well, maybe this time it won’t come. Only time will tell…



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