Mocking Me

Got home from my day at work, and was slurping golden borscht made by Mr. A, when he asked me whether I could feel the injections. Well. Maybe there are a few signs.

If you knew Mr. A, you would know that from asking "how does it feel" to talking about math is a very short distance. In fact, as far as he is concerned, everything is a short distance to math.

I messed up my last equation. And now I am in the vice grips of WORRY.

Let's revisit the equation, but this time with increased accuracy, thanks to Mr. A who knows me well enough now to always check my math.

The dele.strogen has 20mg/ml. The dose is 0.2ml per injection, or every 3 days (and not 20ml per injections - man, that would require an IV, almost). 

2mgs estra.ce t.i.d., PO + 2mgs est.race, PV + oes.clim patch 5mg every three days < 20cc of Dele.strogen IM, every three days.

The reduced equation would be:

6mgs PO + 2mgs PV + 5mgs every 3 days < 4mgs every 3 days

To reduce it to daily dosage would be:

9.67mgs < 1.33mgs

Wait.

that equation doesn't work.

I envisage one of two things going on:

Hypothesis 1
There is one heck of a difference between injectable estrogen (estradiol valerate), and estrogen in pill form (estradiol-17B) plus estradiol transdermal.

Hypothesis 2
the doctor omitted to read my file, which clearly pointed to the massive quantities of estrogen needed to produce a somewhat acceptable lining in this particular patient.  

As far as hypothesis number 1 goes, well it's entirely possible that estrogen that has to be handled by your liver and estrogen that has to come through the pores of your skin and that of the wall of your vagina can be much less efficient than estrogen that comes directly through the muscle, and into the bloodstream. So, hypothesis number 1 is viable, even though I still have some doubts.

Hypothesis number 2 makes me nervous. Hence the vice grips of WORRY. What if this mock cycle is completely awash because the estrogen is entirely insufficient. And we have to do a second mock. And a third mock. (notice the catastrophizing going on here, ladies). Clearly, I will be made a mockery.

If any of you have any insight, please share. I am clearly lost here. I am making puns for goodness sake.