First off, thanks to all of you for the comments on our most recent, seemingly unsuccessful month (no, my wife has not officially "started" yet, but is still spotting ... we have a long track record of hoping her monthly spotting is simply implantation bleeding, and I, an even longer track record of encouraging her to believe that it is implantation bleeding - but to date our hopes have gone unfulfilled)
She met with Dr. M this morning - as always, she remarked about what a nice man he is. He thinks the spotting is associated with low progesterone - our first Doctor's response to a description of my wife's early spotting was "it is not a concern" - again, a great divide exists between the worlds in which these two Doctors live. Dr. M offered my wife two options by which to remedy this problem. The first included upping her dose of Femara (from 2 to 3 pills a day during days 5 - 9 of her cycle). The second included a vaginal progesterone supplement (much like those she took after our IVF cycle) in addition to the Femara regimen.
She opted for the first option and Dr. M sent us on our way to TTC for a few more months. Recall that my wife has been taking Femara for four months now - it was prescribed for two reasons, one of which was to increase her progesterone, the other to ensure a healthy ovulation cycle. Dr. M said she shouldn't start spotting as early while taking the increased dose - we'll see when that time comes. Let's keep our fingers crossed that our perseverance will be rewarded, and remind ourselves that if we keep going through infertility treatments, we might just get pregnant.