warning: this is going to be EXTREMELY long. if you read the whole thing i'll owe you some double stuf oreos.
DH and i saw RE yesterday. he seemed nice and intelligent. we reviewed all my history, DH's history, my surgeries, bloodwork, everything. RE said OB was right to tell me IVF is our only option for a successful (and safe) pregnancy. i asked him if i needed to take out my other tube, he said he only does that if i have hydrosalpinx because the fluid will kill the embryo. i asked if there was a chance that after he implanted the embryo in my ute, could it travel north and lodge in my remaining tube? he said anything is possible, however it's extremely rare. he recommended i leave it in, but it was my choice. if i choose to take it out that means another laparoscopy and recovery time. he said doing an HSG would be of no benefit, all it would do is show if the tube is patent. he said the tube looks awful, and just because it's patent doesn't mean it will function correctly, that i have a ridiculously high rate of having another ectopic. he showed me the pics OB took while in surgery and he said he can't even identify the parts of the tube, it's that bad.
moving on... as for my bloodwork, he said i might have tested positive for the ANA solely because the labs were drawn while i was pregnant. he was unimpressed with the mild + for cardiolipin AB. he wanted to re-run them as well as add a few more tests checking for things like Factor V leiden, protein C and protein S, etc. i think those are things that are related to preg loss. he also wanted to test marty and i for karyotype. ? is that genetic testing? he was talking about chromosomal translocations and i got so confused. he also wanted to do a SA on DH.
then he started his sales pitch. and i say sales pitch because he sort of reminded me of a car salesman when he started in on this. he talked us through the IVF process, the sequence of events and meds, monitoring schedules, etc. his office only performs ICSI rather than letting the sperm swim around the egg in a dish. he said they do this to insure fertilization, because he has seen it happen when a gazillion sperm swim with the egg and nothing fertilizes. on day 5 of their life they shave off a few cells and send them to a lab to run genetic tests. the point of this is to ensure the eggs to be placed back in my ute are not abnormal. when they get the results of the genetic testing of the embryos 1 day later, they freeze the good ones. i would then stop meds for the rest of my cycle. i can then transfer back 1 embryo the next cycle or 4 years later if i wished. they don't do fresh transfers (because they don't have the results back at that point and they don't want to put back a bad embryo. he showed us his lab's current statistics on live births per embryo transferred (in my age group he has a 88% success rate). and he decided right there that he wanted to do a vaginal u/s to look at my current follicles. (which was interesting because my OPK that morning had turned + and sure enough i had a massive mature follicle on the right about to release. those opks are reliable!) not sure how important the u/s was, he was looking at my lining too i guess. so after everything he said the ball was in court. if i wanted to take out the tube that's fine, just come back when i'm ready.
they gave us 1937362 pages on consents and information. including a fee schedule . :::heart attack:::
and that was that. i am so overwhelmed. marty and i talked and we are
in no rush to do anything. we agreed to do the labs and then maybe see a
different RE and see what their office is like/what their procedures
are. what i noticed is some Reproductive centers bill in packages (a
flat rate will include all u/s, bloodwork, blah blah) while others offer
reduced rate but then nickle and dime you for every lab. it's SO MUCH
to think about. and looking at the cost... how am i ever going to afford
this without crippling our lives financially.
So after this novel i really want to hear your opinions. having BTDT what do you think is necessary and what do you think is fluff? it's so much, i don't even know where to start.