Our chat with Dr. A went really well! We went over our options and she recommended another try with IUI. We'd planned on doing this anyway for insurance reasons. R's new insurance will cover tries beginning in January, only we had to have done it -x- number of times already. If we do it once more in December, we'll meet that number. Also, one more try will push us just over the edge financially that R can claim it on her taxes. Woo-hoo!
We discussed Letrozole, the drug that Dr. A initially suggested R switch to, but decided to stick to Clomid. Letrozole comes with a risk of birth defects and also cannot be used with other drugs. So, we're sticking to Metformin, Dexamethasone, and an increased amount of Clomid. I dread the craziness that it brings, but R and I feel this is best combination.
Somehow, the conversation came up so that Dr. A said something like, "It's too bad you don't know some guys who would just be willing to help you out...". That was when we told her about my pal, H, who recently agreed to be a donor. We hadn't decided 100% at the time he offered about whether or not we'd use him, but we've been thinking about it for a couple of weeks now and we've pretty much decided to go with it, especially since Dr. A was so willing to work with us on it. In fact, she was downright excited.
One of our main concerns was that we wouldn't have any support from our physician in doing this, but if she's willing to sign off on it and say we used a "donor", it will help us tremendously. Also, we had concerns about H changing his mind and wanting involvement with the kid sometime down the road (even though he says now that he wants no responsibility) and what we've decided is that if at some point it comes up, it would be okay if he was involved -- not in a "father" role, but involved, if that makes sense. He's a great guy and it wouldn't be so bad for our kid to know him.
Dr. A wants H to get tested for HIV and a number of other diseases and when I talked to him last night, he said that was no big deal. I'm not worried about it, as I happen to know that H has had one sex-partner in a period of five years and the last time he slept with that person was two years ago. I figure he's probably pretty low-risk.
One exciting thing -- I'd noticed that Dr. A's website sucked, so I asked if she was happy with it. She said it was really lame and I told her we could do business. (I'm a Web Developer & Graphic Designer) I think she was kind of excited, but we'll see. This could be a very good thing for me/us!
As far as when our next try will be, we're aiming for a weekend. H lives an hour and a half or so away, so we need to be able to have him here to donate. (Once a specimen is obtained, there's about an hour window before sperm start to die down, and there's no way we could get it and get home in an hour, so he'll have to come here.) Dr. A said this was not a problem, as we can simply extend the pills R's on by a few extra days to time it correctly, if we need to. However, she thinks R's cycle will fall on a weekend anyway.
We feel so much better now that we've had a chance to get a plan together. We like to be in-the-know and lately, we've had so many questions, that everything has felt sort of all-over-the-place. I think we're making some good decisions and I'm excited about getting on with it.