First, my second blood test results:
- Taken on cycle day 21
- Progesterone: 19.10ng/ml
- Ranges listed on this lab printout:
- Non-pregnant:
- Mid-Luteal: 5.2 - 18.6ng/ml
So I'm over the "normal" range? My doctor didn't specifically say this, just that he didn't really like my progesterone result. Now, in the "pregnant" column, the range for first trimester is 4.7 - 50.7ng/ml. My numbers fall in that range but he didn't automatically assume that I'm pregnant. And I can say that I don't feel pregnant and have all the sensations associated with starting my period in a few days.
- Estridol: 134pg/ml
- Ranges:
- Mid-luteal: 49 - 291pg/ml
I fall right in the middle. So.....good?
- Semen analysis results:
- Volume: 2ml
- Sperm count: 12 million/ml
- Total count in the ejaculate: 24 million
Those are decent numbers. What the doctor didn't like about the sperm were their motility. He graded them "poor." He said they did not swim very far for very long, so he has doubts about whether they can make it all the way up fallopian tubes and then survive there as they wait for the egg.
The Plan -
I was sent home with more semen collector cups, one of which contains a "pink medium." This substance is apparently very sperm friendly and the doctor hopes to see more sperm swimming around for a longer amount of time in this medium than they did in the empty cup. I will bring that back in next Wednesday.
On Tuesday I should start my period. I call the office and the doctor will call in a prescription for me. I believe the drug he suggested is Antagon. He said I will take 8 pills on cycle days 2 and 3.These pills are a GnRH (gonadotropin releasing hormone) blocker. At the pituitary, GnRH stimulates the synthesis and secretion of follicle-stimulating hormone (FSH) and luteinizing hormone (LH). By blocking these, the doctor can time when he wants me to ovulate. We will do an IUI and, since we can time when the egg will come out, the sperm have a better chance of being ready to go and will not be too tired from waiting too long for my egg to arrive.
Am I thrilled that I have to take drugs that will fuck with my hormones? No. But I trust this doctor. I approve of his reasoning for wanting to use these drugs and trust that he would not do anything to cause me any harm.
Timeline
- Start period
- Take prescription on days 2 and 3 (and I will double check on that drug name because all I can find online about it is that it is administered by subcutaneous injection, not pill, and I know he specifically said pills)
- Bring in semen sample in pink medium
- Take x-ray of fallopian tubes to make sure they are open for the IUI
- Stimulate ovulation and do IUI (around the 4th week of March?)
A little chart of the cycle of hormones on a "normal" cycle, starting on the first day of your period.

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