If there is an award for defying fertility tracking devices, I think I should win! In my last post, I mentioned that I knew something was way off with the ultrasound my OB/GYN did the day after I got a +OPK. Nothing was matching up...13 and 11 mm follies the supposed day of ovulation? It didn't make sense. I decided to make an additional apt. for an ultrasound with my RE the very next day. I've been pretty open at how much I've been trying to stay away from the RE, but when it comes down to it, I need her help to figure out what was going on. We cleared the air on my hesitations to return first, and I felt really good about our meeting and working together going forward.
This appointment was different as well, because my dear hubby came. He wants to start coming with me to the appointments, which I think is really sweet, but also really smart. Most women who've had fertility treatments knows how difficult it can be to explain everything once you get home, especially when decisions need to be made during the appointment or afterwards. The guys can't help be confused either. They haven't read all the books and don't spend time on fertility forums. Plus, I never realized how much I was putting on my own shoulders, but in many ways I was. He is the one who pointed this out to me, and I am just so grateful for a husband that wants to be more involved in the process without me ever having to ask. I also recognize there are women out there TTC without even having a spouse; Going through things like IVF with sperm donation. Believe me, I am thankful to even have the support of a spouse and I don't take it for granted. I really did marry an angel.
So, on CD14 my RE measured 4 main follies @ 11-12mm each and said my lining was 5.5 mm. She said it was impossible to tell if I'd already ovulated from the ultrasound alone, even if I did get a +OPK over 2 days prior and my OB/GYN had measured the follies as slightly larger the day prior. Comparing my OB's test to her test would be like comparing apples to oranges. She ordered a progesterone test to see what was really going on. I never knew you could see evidence of ovulation on a progesterone test only a day or two after supposed ovulation (I've only done 7dpo tests for the past year). Apparently you can though; As long as it shows about a 3 on a P4 test, it's indicative of ovulation that early in the luteal phase.
I found out today my progesterone came back at 0.2. Based on that result and the ultrasound, my RE said I have NOT ovulated this cycle. I couldn't agree with her more. I figured I didn't, especially because I'm charting my temperature and have not seen my typical temperature spike post-ovulation. This has been an extremely wacky cycle thus far I must say!
I'm still scratching my head a little, because in 13 months of using OPK's, never once have I gotten a +OPK and NOT ovulated within the next day or so...until now. There is a multi-million dollar industry selling OPK's and other fertility tracking devices for the simple fact that they tell you when you are going to ovulate! Women get knocked up every single day just from peeing on a stick and waiting for the happy face to tell them when to have intercourse. Yet, somehow they aren't foolproof where my body is concerned.
I am not shocked. I also bought the Clearblue Easy Fertility Monitor earlier this year, which proved to be useless to me. This $150 device that is supposed to be 99% accurate couldn't figure out what my body was doing either. As soon as I realized the CBEFM wouldn't work to track my cycles, I became dependent on my trusty OPK's to tell me when I'm going to ovulate. Apparently, OPK's aren't totally accurate for me now either. Booooo! We had such a good thing going! It seems I can't rely on a fertility monitor or OPK's at this point.
I still don't know why I got a +OPK, yet I didn't ovulate. I know I don't have PCOS (which can cause false positives for some women). My RE said "it just happens sometimes in women with irregular cycles." I do know my LH must have surged, but no ovulation occurred. I guess that's a good thing since my follies and lining clearly weren't lined up for ovulation. Way to fake me out though silly OPK's!! Makes me want to stab myself with my BBT thermomter! haha! Really though, I almost feel like the Femara was telling my body to ovulate early, but my body knew it wasn't ready and held off. Any other theories out there??
I have a follow-up apt. with the RE on Tuesday for another ultrasound. It's babydancing every other day for us until then. In a dream world, I will go in for the ultrasound on Tuesday (CD20) and the RE will see a ginormous follie ready to burst and a nice thick lining of about 10 mm or more. If I end up ovulating on CD21 or CD22 as usual, I will just have to shake my head and laugh at this whole little snafoo. Still holding out hope that I do ovulate this cycle...hopefully when my follies and lining are perfectly aligned with the stars.