Here are the deets:
Switch Clomid to Femara. Dr. G said that Clomid is most effective in its first 6 cycles of use, so since I've been using it longer than that, it's time to change things up.
Switch HCG injections to progesterone in pill form (Prometrium), but not taken orally (if you catch my drift). I'll take, or I guess insert, one pill each night for P+3 through P+13. He recommended switching it up because, like Clomid, I've been doing the HCG thing for more than 6 cycles now. I'm a little confused by the switch to progesterone because I don't have a post-peak progesterone issue. In fact, aside from a little dip in progesterone and estrogen on P+7, my progesterone and estrogen are both in the normal range post-peak, at least according to the one cycle of labs we did about a year ago. So, what exactly is this progesterone going to do for me? Is it another trick-your-body-into-thinking-it's-pregnant-just-long-enough-for-a-baby-to-implant kind of drug?
(Yes, I know. I probably should have asked Dr. G all these questions. But I had already asked him a million questions at this point and I could tell I was holding him up. Oops.)
Dr. G also said I could stop the extended release B6 and the Robitussin (both taken for mucus production) since Femara typically doesn't cause mucus to dry up like Clomid does. I will NOT miss the taste of that Robitussin, thankyouverymuch.
We also have plans to repeat the seminal fluid analysis, but that's the last time I'll mention that since it's super awkward and such. More awkward, in fact, than putting progesterone pills in my girl parts, ifyouknowwhatImean.
And I'll be visiting Dr. G again next cycle to do a hysteroscopy, so he can really take a look at my uterine lining and that pesky infection that won't go away. I imagine he'll see a little infection monster just lounging on a beach chair, sipping a pina colada out of a coconut, saying to Dr. G, "Oh, you want me to leave? But it's so cozy and relaxing here." Infections are rude. And don't get social cues.
So, that's it! I'm still on the Biaxin to treat the endometritis, which I take with a very strong probiotic, but everything else has been adjusted.
Since I got tons of helpful advice when I mentioned starting Biaxin, I figured I'd throw this all out there to get some feedback again. And also just to keep all you curious folk in the loop about our NaPro treatment.
Anything I should know about switching to Femara? Or taking progesterone? What crazy side effects should I anticipate? What do you think of these adjustments overall?
Thanks for your help, friends!