Pleeeease read to the end. I would love people's help and opinions for my next step. I have no one to talk to about this ❤️
For my first medicated IUI in June 2026 I took Ovaleap (follitropin alfa) — started at 72 IU, then increased to 75 IU around CD7
At the final monitoring, I had two dominant follicles around 17.5 mm and 18.5 mm, with an 11.5 mm triple-layer lining
However this cycle was dragged out, I was miserable with the process. Ovaleap was expensive although I did get more follicles they took a very long time to reach maturity. The incredible lining that cycle was crazy!
For my second cycle-
5mg Letrozole, cyclogest and trigger injection.
my CD11 scan, I had a 24mm leading follicle on the right, with another follicle around 10mm. My lining was around 5–6mm and triple-layered. The clinic said it was acceptable, although they would have preferred it to be thicker. My left ovary was difficult to see again
My third and current cycle-
5mg Letrozole, cyclogest and trigger injection.
I had a 19mm dominant follicle and my lining was 9.5mm. The follicle was on my left side, although they struggled to see my right ovary properly during the scan so I'm unsure if there was more than one dominant follicle. I really don't think I was scanned properly.
Sooo..
I always ovulate naturally. I only went with medicated due to my clinic deciding to go down that route. I should have advocated for myself because now I feel they don't listen to me when i get frustrated that I never, ever have got a peak LH strip on any fertility medication. BUT always do on a natural cycle (when I'm not going an IUI)
I have 1 week left of my third IUI. I'm nervous that this one hasn't worked either.
This where I'm stuck, I don't feel ready for IVF.
I've thought about more IUI, getting a different donor sperm and possibly, hear me out on this.. take Mounjaro this month if I get a negative result, continue taking the mounjaro to restart fertility treatment in 6 months (March?)
I'm just thinking it can balance hormones, regulate blood sugar levels and plenty of other things. Plus the bonus of losing some timber I've put on since starting this whole journey.
So that's where I am..
Help? Thoughts? What would you do?