To Inject or Not to Inject

So I called and talked to the nurse at my RE's office. I explained the place that we were in emotionally. We have done 8 cycles of Clomid with no result. She said that it is definitely time to move on to injectable medication. She said that at this point I had 4 options. #1 was to just walk away and enjoy the three kids that I have, #2 was to adopt, #3 was to try injectables and #4 was IVF. I told her that we had talked about adoption and it just wasn't the choice for us and that we would not do IVF. So she told me more about the injectables. She said that they do not have the s/e that the Clomid does. Their main s/e is hyper stimulation of the ovaries, resulting in a canceled cycle. She said that there is a lot more monitoring with injectables. You go in for a baseline scan and an estrogen level on cd2 and then you start the medication that day. You have to come in 3 days later for another scan and blood draw and then sometimes daily after that to monitor your follicles and your estrogen levels. Your appointment has to be before 1pm because of the estrogen levels, and so I would have to tell my work what was going on. I asked her if it would be worth it to do just one cycle of the injectables or if it was something that had to build up to work. She said that it definitely would be worth it and she would strongly suggest it because she thinks that if it didn't work that I would have better "closure" knowing that we did all that we could. So I hung up and called Rich to get his feedback. He said that it sounded like a bunch of trips to the RE and he thought we were done and what if we do it and then we have to cancel the cycle because of over stimulation. Then what? So now I'm confused. It would really be a huge undertaking. The RE's office is about an hour away and it is such a long trip. If I tell my bosses at work, I could risk losing my job. I just don't know what to do.

I talked with Rich about it again today and he said that he would do whatever I want to do. A friend suggested that I ask my RE if I can have the monitoring appointments done at my OB/GYN's office since it is right down the street from where I work. That would be so much easier! I don't think the my RE will go for that though. I have an appointment on Tuesday for a progesterone draw and injection teaching, I will ask then. They wanted me to come in for the teaching appointment even though we haven't decided what we are going to do. That way, if we decide to go through with it I will be ready. At this point, right at this very minute (this changes so frequently!!) I feel that we need to take some time off. I feel that we need to walk away for a while and re-group, and then if I still feel so strongly about this in 2 or three months, then maybe we will try injectable medication. This will also depend on Rich's schedule though. If he is going to be far away in a few months, we may need to make a decision earlier. I will include some information about injectable medications in the next post.