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My RE's office required an ultrasound before an IUI...but they also did blood work and ultrasounds along the way so that they knew when I'd be ovulating. I would ask for an ultrasound before an IUI. I've gotten positive OPKs before and didn't actually ovulate. I don't really trust them without monitoring.

I would definitely call for a u/s tomorrow to double check and scheduled IUI pending results. I did two cycles with Letrozle and they were whacky too. The first I O'ed CD26 and the second I O'ed CD13!! Earliest I'd ever O'd medicated (usually around CD18) or unmedicated (anywhere from CD25-35).

Do you have PCOS? It can cause some wonky-ness with OPKs.

@winter_wonder: I agree with @marionberry: don't let the nurse stop you from advocating for yourself. Sometimes you need to insist on something because you know yourself and your body. I'd want an ultrasound at this point because of the positive test....just to rule out that it was wonky. Could they do quick blood work today?

@winter_wonder: I'm sorry, what?! Do you just have male factor issues? It's a much bigger waste of money to have IUIs when they're not timed perfectly.

@winter_wonder: I'm a huge advocate for monitoring because I had tons of trouble responding to meds. Before I was treated I would get OPKs that looked like they were either positive or just a smidge off. Turns out I was never ovulating due to PCOS. And it took so many doses of multiple meds to find something that worked.

Do you at least get blood work confirming ovulation? If you're undiagnosed I don't think they should be so cavalier as to shrug you off.

I'm on femera (letrozole) and I've been coming in at day 9 for an u/s and blood work and for the last 3 cycles, I've had mature follicles and triggered that day for IUI the next day. So it is possible to ovulate that soon on femera.

I agree with others that monitoring is better. My last RE did bloodwork only 6 months a year. They, also, had some other issues that caused me to switch.

ETA: My new RE did so much more diagnostic testing than my last RE and I'm so happy they did because I have now been diagnosed. My new RE has been known to get people pregnant that had no success at other clinics.

@winter_wonder: For sure you should push for at least one ultrasound during the cycle to see where you are at/what the response is especially because otherwise you could have a ton of follicles and you wouldn't know. And don't worry about testing too often....test as many times as makes you comfortable!

A little story for you, the clinic I am at is my second, when I switched they wanted to do an IUI and I had a couple of ultrasounds. The nurse told me to test every day between ultrasounds and to call once I got a positive OPK and they would schedule it. Well I took an OPK in the morning and it was negative but when they got my blood work back that afternoon they could see that I was already surging and we had to scramble to schedule an IUI for the next morning. Had I not had the blood work we would have completely missed it. After that the RE told me that we would not rely on OPK's for me.