Come on!!

I'm frustrated today. Our current RE's office is just not pulling their weight - they can't keep things straight, I always have to chase them down to get an answer, and their lack of professionalism is beginning to make me doubt their ability to help us. I was told last Tuesday, after calling in to get the results of my progesterone level, that it was 11.7. I wasn't happy with that result, but it was ovulatory so I resolved to not complain all that much. I called their office on Friday to let them know that if this current cycle was not successful, we would be pursuing IUI - my ovulation level has fluctuated but for the past 3 cycles, it's occurred and on top of that, my cycle lengths have stabilized and normalized. I am happy with that outcome. I did, however, have a few questions about their IUI procedure. We've done 2 in the past, but with a different clinic, and I know each clinic's protocol can differ.

Q: What should I expect with this next cycle?

A: Call CD 1, and they would order my meds and an HCG trigger shot at my pharmacy of choice. {I told her which pharmacy to call it in to.} I would take my Femara CD3-7. I would have an ultrasound on CD 12 to see how my follicles were progressing and to help determine which day to trigger, and which day to do the IUI.

Q: Because my progesterone level has been steadily decreasing over the last 3 months, does the doctor think I should increase my dosage of Femara with the IUI? {I told her how much Femara I was currently taking, which is 3.75mg}

A: Nurse will leave a note in my chart for doctor to review re: dosage amount.

Ok, alright. I'll wait to hear back.

So today, I get a voicemail from their clinic. This nurse says that my progesterone was 11.1 {WHAT?? I was told it was 11.7 last week...are they reading the same lab results?? Having trouble telling a 1 from a 7??} She also proceeds to tell me that from my chart, it looks like we're interested in pursuing an IUI this round...ummmm yes. I talked to a nurse at length a few days ago about this....and that the doctor thinks that if I'm ovulating on 2.5mg of Femara {HELLO I'm on 3.75mg} then we should be fine to stay on that dosage. Also, could I please call back with the pharmacy information on where to order my pills and trigger shot? {Oh, right, the information that I gave the nurse on Friday not to mention it's the same pharmacy I've been using for the past SIX months....}

So I called back and had to leave a voicemail in return. That's the other thing - you NEVER get a real person, ever. It's always messages, messages, messages. I told them, in my message, that I was returning the nurses call; that yes, we are indeed on board for doing an IUI this month should this current cycle not take, and that I was actually on 3.75mg of Femara, not 2.5, and that given the fact that my progesterone level is falling each month, it concerns me that this next time might not be ovulatory, ie under 10. I also told her that I am having a history of spotting leading up to my period actually arriving and that I had heard/read that it could be an indication of a hormonal imbalance or something not quite right with my luteal phase.

Is it too much to ask for this clinic to keep my information straight? Are they going to put my husband's sperm in me or accidentally use someone elses? Do they really have my best interest at heart? I am so unbelievably frustrated. This whole process is hard enough without having to deal with stupid crap like this. With infertility, I feel like the devil is in the details and if they can't keep those straight....

Today is CD 31. Right now, the outcome of this current cycle is up in the air. I spotted a bit last night, had some cramping, and then woke up to nothing this morning. Then later, some light pink on the tissue when I peed. I remain convinced that there is something else going on here, something they are not seeing and that we are not treating.

I had a total nervous breakdown last night about what is going on with my grandma and arrived at the conclusion that I need to back away from that a bit. I am so overwhelmed by negatives right now that I feel very near to comatose. In short, I am not in a good place today.