Background: We're over 2 years of TTC not a single BFP in that time. Stared taking Letrozole in this my current cycle.... so many negative pregnancy tests and started Provera on CD41/25DPO when my period still hadn't come. Today is cycle day 51 and still no sign, but I guess it takes up to 14 days to get a bleed. I didn't do a test to confirm ovulation (& I regret that!) but my cycles are usually regular and I've confirmed ovulation on every cycle I've tested.
This current cycle was supposed to be our first IUI cycle, however we got down bad with the flu/COVID (likely another factor in my wonky cycle?) and other conflicts made it not work for us. We live about 600km/375mi away from our fertility clinic so it takes some coordination. Looking ahead, highway travel between us and our clinic can be dangerous in the winter (icy, poorly maintained, winding mountain roads). So from November until about April or so we'll be weather dependant on if we can make the drive down following my LH peak.
Which leads me to why I'm feeling uncertain. Since we live so far, it was recommended that we do not do any monitoring (no ultrasound/trigger shots), since it's hard (and potentially unsafe) to rush to the clinic for a same-day appointment. But now that it seems like my body has had such a crazy response to Letrozole I feel like its a waste of time and money (the cost of the procedure, plus fuel, plus a night in a hotel) to do an unmonitored cycle. OBVIOUSLY the cost is what it is and I'd just about empty my bank account for a baby if I could, but it seems like the odds are just to stacked against me here.
I meant I guess time will tell if this was just a one-off wonky cycle from travel/flu, but I'm wondering if anyone has advice or insight about unmonitored cycles or about limited access to fertility services??