One of my biggest concerns was that my short cycles on g0nal f were an indicator of a much larger problem. But the doctor assured me that since the injectables make your follicles grow really fast, they can speed up the rest of the cycle too. She said that all of the testing and ultrasounds they've done on me so far indicate that I should be able to get pregnant, and that there is nothing major that's "off". Her explanation for why I haven't gotten pregnant yet is that human reproduction is remarkably inefficient, and that under the best of circumstances, a couple having intercourse at ovulation has about a 20% chance of conception each month. My chances are reduced quite a bit because I'm using frozen sperm. As she put it "it's tough to be frozen and thawed". Poor little spermies. I know, it's a bit of a lame explanation. Part of me is happy with the idea that it might just be a crapshoot, that there might not be anything horribly wrong with me. The other part of me wanted her to find a small, manageable problem with an easy solution.
Her recommendation for the next step is IVF. We're fortunate that our insurance will now cover IVF since I've had so many failed IUIs. So it looks like we're hopping on the IVF train. I'm happy that we're moving forward, and that our odds will be much better. Still there's a small part of me that is absolutely terrified that we won't have any luck with IVF either. We're pulling out the big guns, and we can't step it up if this doesn't work. It's scary to be out of options. I'm sure that some of this anxiety is just jitters that will subside once I get over the shock of moving to IVF. Right now it doesn't quite seem real.