Ah, yes, I didn't think of the fact that you'd need a prescription for two.
Lots of people have got pregnant on pred so probably no need to worry, it's just that there are a handful of us who used to get pregnant very easily and then seemed to have struggled since being on pred. Mr S would probably say it was more to do with our age though. I am 42, I think Ari is 44, not sure about Sue, can't remember who else there was.
A hysteroscopy is an investigation to see if there is any scarring, adhesions or blockages in the fallopian tubes causing difficulty in conceiving. I had mine on the NHS. It was literally the only thing they were able to do to help me because of my age. The reason I had it was that I had already had a HyFosy, recommended by Mr S, which is another type of scan to check for scarring and there had been some possible areas of scarring seen. Lucky they turned out to be nothing. The initial reason for having this in the first place was that my periods were extremely light and short and that I had been struggling to conceive. I have had 4 miscarriages and 2 terminations for trisomy issues, one of which was not completed properly so had to have a further ERPC, so in total that was 7 surgeries, so they thought there may be a chance some damage may have occurred. I was given the all clear at the hysteroscopy. The reason I mentioned it was that it can often be the case that women can be more fertile than usual following such a procedure. I think the same is said of a Lap and Dye, which is another type of investigation to check for blocked tubes etc. Hope that helps!
I asked Mr S if I could come off the pred for a bit as I had been taking it for over a year and it was making me feel crappy for about 2/3 of every month, it took me a good few days after coming off it to feel normal again and then it would be only about a week or so before I'd be on it again. Something I was prepared to put up with if there was a means to and end but not if I was not even sure if I would get pregnant. As I have Very High NK Cells, Mr S prescribes Hydroxychloroquinine in some of these cases so he was happy to put me on it instead of pred until I got pregnant and then adding the 40mg pred once I got a positive test. Hydroxy (for short), is an anti malarial drug which Mr S uses in addition to 40mg pred for those who have Very High NK Cells and have miscarried on the treatment already. I haven't miscarried on the treatment but wanted to have a break from the pred. I think because it's taken me such a long time to get pregnant Mr S just wants to throw everything at it as this could be my last chance!
I didn't get any ill effects from letrozole but I think coming off the pred gave me headaches. Not migraines though.