I had a followup visit with my obgyn today. Short version: Stay the course.
We went over my basal body temp charts and the results of the HSG. She's very encouraged by the charts, which indicate that I am having normal, ovulatory cycles and the HSG came back totally clear. We agree that my infertility is pretty much due to endocrine dysfunction and is a waiting game while the metformin works to undo the hormonal wonkiness of the past 5-10 years. In any case, I am going to make an appointment with an endocrinologist since infertility is annoying symptom of other conditions (hypothyroid, quasi-PCOS, diabetic family history) that fall squarely in an endocrinologist's jurisdiction.
After the $1400+ bill for the HSG, my fervor for having bloodwork fizzled. She did give me a slip for thyroid and cholesterol and asked if there was anything else I would like to have checked. I declined, though it would have been nice to check testosterone and maybe glucose/insulin (but since they would likely be under an "infertility" diagnosis, I was concerned the whole claim would be denied by the insurance).
I have another followup scheduled with the obgyn in May and she mentioned that at that point we may want to start considering intra-uterine insemination (IUI). Not so sure I really want to shell out hundreds of dollars for something with a 6% to 26% success rate. She also said that because I appear to be ovulating, she doesn't consider me a good candidate for Clomid. That was pretty good news since I really didn't want to take it in the first place.
I think I'm finally getting to the point where I just don't care anymore. At least on the day-to-day basis. That actually makes it easier to some extent. I am starting to go about my business and stop thinking about whether I shouldn't do something in case I get pregnant this cycle. If it happens, it happens. If it doesn't, well, that sucks but ultimately life goes on. Of course, now that I'm in this cycle's luteal phase, my attitude is gonna change every half an hour. :)
