Well, I had my Clomid consult today, and it served only to totally frustrate me. The doctor I saw today, the "fertility expert" in the new practice I'm going to, thinks that I don't have a luteal phase defect at all, despite what two other doctors have suggested. She thinks I've just had bad luck twice, and that the low progesterone levels I had early on in those losses were just indicators that the pregnancies were failing, rather than being the reason the pregnancies were failing. I've heard this theory online from many different medical sources. Basically, as the doctor today told me, even the top experts in the field of infertility disagree on whether low progesterone is a cause or an indicator of miscarriage.
She said she thinks luteal phase defect is "overly diagnosed" and that if that were truly what I have, a, I wouldn't have been able to carry Adelay without help, and b, the progesterone supplements I took would have saved the pregnancies that I lost. She thinks my problem is that I have a delay in my ovulating process, which is causing the DNA in my eggs to deteriorate before I finally release them, which is then causing poor quality conceptions that can't develop. This delay obviously doesn't always happen, but maybe more often than not it does. I do frequently experience kind of drawn-out, painful ovulation cycles, which seem to go on for days and days instead of being over in thirty six hours or whatever.
She pointed out that several days ago when I had my ultrasound, my follicle appeared just two or three days from being ready, but my cervix was clearly far from being ready. And it's only just today that I'm beginning to feel the pain in my side that always indicates ovulation is imminent. Which means that follicle has just kind of been swelling and swelling, waiting, and meanwhile the health of the egg is suffering. I guess. That is basically what I gleaned from the discussion. Has anyone ever heard of this or had this problem themselves?
She said she didn't think Clomid was strictly necessary in my case, that Adelay is proof that I CAN conceive naturally and not miscarry. But she said that given my history of loss, and especially since I responded so well to the low dose of Clomid I took to conceive Eli, that taking Clomid is probably what she would do if she were wary of another miscarriage. She said she'd have me come in on day fourteen of my cycle, and if I hadn't ovulated on my own yet even with the drugs, she'd give me a shot to make sure I did in time to preserve the health of the egg.
I am so confused! I mean, I'm kind of relieved that I don't HAVE to take Clomid if I don't want to. I'm not DOOMED to repeated miscarriages without it. But they are significantly more likely, apparently. So what do we do? Leave it to chance and hope for the best one more time? Or say better safe than sorry and take the drugs?