Please help me with your opinion about this protocol going forward.

Today is CD 8. I am on my 6th dose of 150 IUs of Menopur. I finished the last dose of Femara 7.5 mg (cd3-7) yesterday on cd. When I went into for a scan on CD 3 I had 3 follicles. Today on CD 8 I still only have 3 follicles the largest follicle is 14. They told me to continue taking the Menopur through Thursday and do a trigger on Friday. IUI would be Saturday.

Since I am supposed to do an IUI this cycle, I think my RE was a little disappointed I didn't have more follicles from this protocol. She feels like I did just as well on the Femara alone two cycles prior.

The month I did Femara only (7.5 mg-- cd3-7) I also had 3 follicles: 17, 16, and 21. These were measured on CD 10 and I was told to trigger that same day and we did TI over the course of the next few days.

Of course that cycle was a bust as I ended up with a killer UTI.


The cycle AFTER this I O'd later than usual, my period started three days later than usual and it appears that I O'd off my Left ovary which I normally do not ovulate off of.

When I took NO MEDS AT ALL I was showing 8 small follicles on CD 3. I have no idea what happened to them over the course of the next few days.

I ovulate monthly and show highs and peaks on the CBFM. I also show peaks on the CB digital. My temps correspond to this as well.

My husband has no issues with sperm at all.

My questions are:

1) is an IUI pointless (her theory is that it puts the sperm closer to the place it needs to be. She had hoped I would have more follicles and increase possible number of eggs

2) she thought in the future I would respond better to Femara only as it seemed I had just about the same result with Femara AND Menopur. She didn't seem to suggest other injectibles.

3) If I had 8 follicles with no meds am I making things worse with meds or is this protocol not correct?

Thanks for any insight you are willing to give.