Next Steps: Hormone Replacements

I cry so much. This whole journey makes me just so emotional. I haven’t even tried to actually get pregnant yet but I cry any time I start talking about what is going on. Maybe my hormones are also causing some of it as they seem to be all over the place.

I really thought I ovulated on January 22. On the 21st I had SO much EWCM and then on the 23rd and 24th my temperature spiked. I was SO hopeful.

Well, I had my follow-up call with my doctor today and she confirmed I did not ovulate. I knew this last week but hearing it from her made me so sad. My hormones are a lot better than they were in September but not good enough…my estrogen is not spiking the way it needs to and my follicles are not maturing.

She said I do not in fact have PCOS at all as the only symptom I have is lack of ovulation but none of the other qualifying factors.

I asked her if we can try Letrozole again (for a third time) with a trigger shot but she said the trigger shot won’t do anything if I don’t have a mature follicle and right now I don’t. I don’t fully understand all of the whys and hows around this but this is what she said. I need to grow a follicle before the trigger shot can force ovulation.

From what I have read, my FSH needs to be higher to mature the follicle? I am not totally sure. It is a little confusing.

Moral of the story is that it is not happening. So what next?

First, she is referring me to an Endocrine specialist to rule out a pituitary tumor…which can prevent ovulation. Kind of scary. Let’s hope I don’t have that.

In the meantime, as I wait for that appointment, she said we can start me on hormone replacements. I will take estrogen from Feb 12 – March 25th and on March 13th I will also start progesterone. This might kickstart things. It won’t prevent me ovulating naturally if my body does decide to which is good, but it can help get things going.

The one caveat, she said it might make me emotional. Oh good. I was really feeling like I was lacking in that department recently…

I really don’t understand all of it and I was such a crying mess on the call that I didn’t get to properly ask my questions and I always feel like I am annoying her.

At least there is some plan I guess. I will try to Google all of this to understand it better…