I had my first appointment with the RE yesterday and it went great. Based on all of the test results she got from my OB and my history and clomid, (which she hates and she doesn?t prescribe), she feels that IUI with Letrazole/Follistim/Trigger is the way to go. This is her preliminary recommendation before more blood work and an HSG which I will have next cycle. She does not see any reason for IVF to ever be considered for us at this time. She said she would do 3 IUI?s and if none of them worked, we would have to re-group and come up with another plan.
I had an ultrasound and I have an 18mm folly, ready to ovulate. She said all of my follicles look great, and that is good news for the protocol she is leaning toward. My ovaries look great, my uterus looks great, but the hsg will tell us more. My right ovary is tucked back behind my uterus. I asked her if this is a problem and she said it could be, she doesn?t think so at this time, but that the only way to move it would be laprascopically. (I can?t help but have a vision of my OB haphazardly throwing my ute and ovaries back in after my c-section). I had mentioned in my history that ?a little? endometriosis and a couple of cysts were found and removed during my c-section and she said that was good to know while we are looking for a diagnosis.
Dh had his blood drawn, they held off on mine because my OB should have two things they need (Rubella immunity and Cystic Fibrosis) from when I was pregnant. So they will draw my blood when I go for my hsg which I will schedule on cd 1.
She alluded that clomid didn?t work and for the amount of time that we have been trying that she didn?t think timed intercourse was giving us the 20% chance that most couples have of achieving pregnancy each cycle and that IUI would give us that 20%.
The bad news:
Dh doesn?t want to spend the money on IUI for only a 20% chance. He said if we didn?t have our daughter, he?d be more than happy to risk it. While I understand, I am very upset and feel like there is no hope. I was hoping he would agree to do just one IUI cycle, but right now he is not keen on the idea. We have a cycle and a half to decide what to do. After the results of the hsg, things could change and I will ask if there is anything else we can try before IUI. I may put off treatment with the RE and try acupuncture for a few months.
I am just not feeling very optimistic about our chances without the IUI. This has consumed me for 2 years and I feel like I am going through a breakup. I know that sounds dramatic, but seriously, I am in mourning of sorts. It is a very odd place for me to be.
Sorry for the book and if you made it this far, I appreciate it! J