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Tuesday, March 16, 2010

Round 1: Step 3 (Final Ultrasound) - Swing and a Miss

Ok so… a bit of medical stuff before I explain my end of things.

What is PCOS?

Understanding PCOS is easier if one tries to picture what goes on inside our ovaries every month.

Each month our ovaries begin to ripen a number of follicles… The number of immature follicles changes with each cycle — but during normal times, one or two follicles grow stronger than the others and produce an egg. When we ovulate, the egg in the dominant follicle pops out and flows into the fallopian tube on its way to the uterus. This event is caused by and in turn triggers a host of hormonal secretions, including estrogen and progesterone, which work together to prepare the body to support a pregnancy if the egg is fertilized or a normal monthly period if it is not.

Polycystic ovaries

With PCOS, alterations in a woman’s hormonal pathways cause her ovaries to create a lot of follicles that form like a pearl necklace on the ovaries. No single follicle becomes dominant and ovulation can’t occur.

The information above has been taken from Women to Women.

What Happened?

Last week we saw many follicles as expected. However, one of them was much larger so it seemed as though it may have been the dominant one. When I went back yesterday, the larger one had stopped growing and all of the others had basically caught up to it. So right now there is no visible dominant follicle. Had there been a dominant follicle, I would have received the injection I need to trigger ovulation and would have continued to BD. I will go back on Friday for one last ultrasound to be sure, but the assumption right now is that my body simply did not respond to the lower dose of Clomid.

The next step is to increase the Clomid with the next cycle and hope that it works. Once we find the proper dose (one that I actually respond to) I will have about 3 cycles with it.