Hi ladies!
I hope everyone enjoyed their weekends. Mine are always so exhausting - but I guess that's a good thing as means we are busy doing fun summertime things. Summer is fading quickly!
Well, Friday was the big day - our RE appointment. I had read some reviews online that the doctor we were seeing wasn't very personable but we didn't find that to be the case at all. He explained everything to us in pretty good detail and seems to be very well up on things. He had actually just come back from an national RE/IVF conference and was telling us about a few things he learned while there. That made me feel really good about our choice - knowing that he is keeping up on the latest and greatest technologies.
Anyway, we talked about the results from the tests I have already had done. The lab here didn't send the actual films from my HSG, just the Dr's report so he isn't convinced that my right tube is blocked. He is requesting the films so he can see for himself. He said that lots of times the tubes spasm during the procedure and that will keep the dye from going into the tube. He also told us that if we didn't want to jump straight to IVF we could try medicated cycles, IUIs etc. He wanted us to know that was an option. DH and I talked about it briefly but decided to just move ahead - we've already been at this a year with no luck and since we'd ideally love to have at least 2 children, we don't want to waste anymore time. I appreciated that he let us know that we could do the other options if we wanted to though. He did reiterate that doing those options don't necessarily increase our odds all that much though - especially at my age (makes me sound old!)
He did a pelvic ultrasound and things looked a lot better this time than when my OB/GYN did it. I had 8-9 follies on each side, which was pretty exciting. She only saw 5-6 last time. He tried to measure my cervix with a catheter but it didn't work so I will have to do a mock embryo transfer so he can practice with my difficult cervix. He ordered some more blood tests cause he wants them run in his lab. I have to go to my lab here on CD3 and then they give me the vial of blood which I then have to freeze and ship back to them on dry ice - yikes! So much pressure. Poor DH had to do another SA. Oh well, I still don't feel too sorry for him. He also was in the room when they were doing the pelvic exam with the fun little dildo camera - I thought he was going to pass out with embarrassment. I feel it's good for him to see what we ladies have to go through though.
We then met with the nurse coordinator who went through the whole process with us. She was also great. I know this is getting long so I'll sum up what our plan is - we are moving into IVF and I should start stimming in mid-September with a retrieval towards the end of the month. We talked at length with the doctor about doing a single embryo transfer (SET) since I really don't want twins. Based on the fact that we would prefer to do the SET, we are doing preimplantation genetic screening/diagnois (PGD). Doing the PGD will tell us which embryos are normal (have the correct number of chromosomes) and those are the ones that have the best chance of actually implanting. He said his clinic has close to a 70% success rate with women in my age category with embryos that have been through PGD. It's definitely more expensive but will hopefully give us a little more peace of mind.
Since we'll be doing the PGD, I won't have a fresh transfer. They take a biopsy from the trophectoderm (the part of the embryo that becomes the placenta) on any expanded blastocysts on Day 5, freeze them and then wait for the test results to come back. We'll be looking at a transfer in December. We could do November but if the transfer is successful, then the due date would be August and that is busiest time for wildfires out here (and since DH is a wildland firefighter, it's not ideal).
December seems so far away but it's actually nice to have a detailed plan in place. I feel for the first time in a year, I have a little breathing room. The doctor also feels that based on yesterday's exam, we can hopefully get lots of eggs. Lots of eggs gives us a better chance at a higher number of embryos, obviously and that hopefully gives us a better chance at more to freeze.
Sorry for the book!!! I'm just excited, I guess.