I started letrozole two months ago. This is my second cycle. I have PCOS and my main issue seems to be regular ovulation. Yearly without intervention I may ovulate about 4 times. I took provera to induce a cycle in Feb/March and then started my first try with letrozole.
My doctor started me on 2.5 mg and I took it from day 3-7 of my cycle. Cycle 1 I ovulated on 2.5 mg on day 19. The ovulation seemed good. My BBT temps were significantly higher (around .8 degrees above baseline) until they fell around day 13 and I started a period. Cycle 1 progestone blood test value was 10.1, which confirmed ovulation. We BD on the days we were supposed to, so it just didn't work, which is a bummer. This cycle also on 2.5 mg, I didn't ovulate until day 21. I didn't do a confirmatory blood test this month, but I got positive LH strips around 7PM on day 20. My temps have been slightly elevated since (like .4 degrees increased), but not the same difference as cycle one.
A few questions. I would like to go two 5mg of letrozole. These cycles are so long and I want to ovulate a little earlier. Also, I'm using Mira Ultra wants (that track Estrogen, LH, FSH, and progesterone) and my FSH values are pretty low throughout, which I think means that they aren't getting boosted as well as they could be with a higher dose. Is that an unreasonable ask? Anyone else have a situation similar?
Second question, I'd like to have a hysterosalpingogram done to make sure my tubes are unblocked. My mom had this issue in addition to PCOS and I want to make sure I don't have this problem too. Anyone else able to get this ordered through their OB/GYN? I really don't want to have to go to a fertility clinic if I don't have to because going through her is cheaper.