To start, sorry this is so long.
My husband and I had been trying to conceive for 4 years before we sought the counsel of an RE. After all the bloodwork, semen analysis and other tests it was determined that there was no physical reason for or infertility. After several timed cycles with the aid of femara and estrace (because they didn't know what else to try) we still were unable to conceive. It was offered to try IUI, but given there was no diagnosable cause for the infertility and the success rates for IUI aren't that much better than TTC naturally, hubby and I decided to forgo any further medical treatment and continue trying on our own.
After 18 more months of trying and still nothing I had actually come I the realization that having children probably wasn't in the cards for us and, through a lot of soul searching was finally at peace with this realization. Then 2 months later, miraculously, I was pregnant! I was over the moon excited but my excitement was soon shattered when that pregnancy ended in miscarriage after 7 weeks.
After the miscarriage hubby and I decided that we were going to pursue IUI since we thought the chances may be better. I was started on the same course of low dose femara and estrace, went in for my mid cycle ultrasound which showed 3 good follicles around 15-16mm and was told of I didn't have a positive OPK within 3 days to call and they'd send in a prescription so I could do a trigger shot. I had a positive OPK the next day, went in and had bloodwork to confirm I was surging - LH was 67, so proceeded with the IUI and in the subsequent days had cramping, brown bleeding and clotting. My RE had me come back in for bloodwork which indicated that I had not ovulated. Went back the next day for more bloodwork and ultrasound which confirmed I had not ovulated. My RE and nurse at the office said that they'd never seen anyone with my numbers and would have to discuss it to create a plan. The next day the nurse called and told me they wanted me to take a high dose of femara and come back for ultrasound and bloodwork 2 days later. 2 days later, no ovulation but the ultrasound showed 2 follicles over 17mm and 1 at 15mm. Was told if no positive OPK in the next 2 days to do the trigger and schedule IUI for 36h later. Guess what? No positive so I had to trigger and had the IUI yesterday. I'm trying to stay positive but given the strange-ness of this cycle am finding it hard to do so. I can feel my emotions getting to me like they did in the early years of TTC and am questioning why I did this to myself when I had learned to be ok. I'm in search of advice on how to cope.
Re: Fertility struggles
I'm not sure what's going on with your levels and apparent lack of ovulation this time around, but it sounds like your clinic is being really thorough with the continued monitoring for ovulation. I have never had my LH tested in bloodwork and I've also never had bloodwork to confirm ovulation (maybe I'm the minority?)
Anyway, I'm not sure I can offer any great advice on coping, other than, you're not alone. We all get our hopes up and then feel let down when things don't go quite right. I hope this cycle is successful for you - feel free to join in the April IUI thread while you are in your TWW. My IUI is Wednesday so I'm not too far behind you!
TTC 21 cycles
All TI cycles BFN (with letrozole, ovidrel, prometrium)
Hysteroscopy + Polypectomy + D&C on 1/3
IUI #1 February 6, BFP 2/21, CP 2/26
IUI #2 March 14, BFN
IUI #3 April 11, BFN
IUI #4 May 11, BFN
July 2018 IVF, developed lead follicle, converted to TI, BFN
August/September 2018 IVF converted to freeze-all: 7 mature eggs; we fertilized 3 and froze 4. 3/3 fertilized and 1 blast!
October 2018 FET-BFN
November 2018 FET-TBD
You said: "I can feel my emotions getting to me like they did in the early years of TTC and am questioning why I did this to myself when I had learned to be ok."
That resonated with me, strongly. In my experience, IF grief has a way of sneaking up on you. We've been trying for a few years, and at first - in the first few months of trying - I was on such a roller coaster. After about 9 months of TTC, before we met our RE, I was calmer. Then when we started treatment, back on the roller coaster.
Now, for the most part, I'm going through the motions. But once in a while, like when I'm around a newborn or a treatment fails, the grief comes and hits me so hard. And just when I think I've made peace with it, or with the possibility of not having children, that's when the grief comes and punches me in the face.
Anyway, best of luck to you, however you decide to proceed. FX this cycle works for you, or that you find peace again.