Thank you for the guidance
Hi!
The progesterone is probably the culprit. It is common to retain water while taking it, and it also causes mood swings and headaches. If you were my patient, I would try a cycle without the progesterone added. I would have you take the Femara on days 3-7 and then check your progesterone level on cycle day 21. If your natural level is fine, there is no need to supplement during the second half of the cycle. I would probably supplement with progesterone if you had a positive pregnancy test though.
Also, you may wish to consider trying Metformin together with the Femara. Studies indicate a slightly higher pregnancy rate with the combination of the two.
Good luck!
Dr B