Hi Marie! Thank you for the vote of confidence! I hope you hear 2 heart beats too - so crazy.
OMG if I gain 50 lbs, I will be morbidly obese (I'm already overweight). Yikes. Scary.
I think RMA NJ has been around quite a while, not sure how long, but they are not brand new. I think the two facilities have different protocols they use. At RMA NY, they seem to be a fan of doing down regulation with lupron and BCP first. At RMA NJ, they seem not to do that as much and jump with with Estrace and stims. But I'm sure everyone is different, and they must tailor protocols somewhat (I would hope) according to the individual. Another difference is the use of ICSI. They are using it MUCH more often at RMA NJ, which might also explain their higher success rates. What this may mean, is that they are pushing ICSI on even people who may not need it, but even if you get it and didn't need it, you'll still wind up with a lot of fertilized eggs.
Also at RMA NY, they do both 3 day and 5 day transfers, depending on how the embryos are looking - if there are many embies that still look good at day 3, they will wait until day 5 to pick the best looking ones - hopefully blasts. If the number of embryos is more limited, they do a day 3 transfer. My friend had 9 embryos for example, and they waited to do a day 5 transfer.
RMA NJ, in contrast, is ONLY doing 6 day transfers (or so I hear - Jchic, so interested to find out what you hear at your appointment next week). They seem to think that if an embryo won't make it to blast in the medium, it won't make it to blast in the uterine environment. This may explain their higher success rates. If they are only doing transfers for women with blasts, the success rate is going to be pretty high. But what if you are a woman whose embryos don't make it to blasts? Not sure what happens in that scenario. In any case, RMA NJ has much higher success rates for both IVF and FET, which does make me nervous to stay with RMA NY, but at this point I have to stay confident in my doctor, who seems to have a high success rate himself, at least anecdotally.
If my insurance situation (and travel schedule) were different, I'd probably do one more IUI (total of 3) with the last one on injectables, but considering my current situation, I am OK with moving to IVF after only 2 tries at IUI. My doctor seems to feel that IUI works best for people who have either an ovulatory problem or a mild sperm problem. In our case, I ovulate on my own, and hubs sperm is OK, so after 2 cycles with 2 eggs and good sperm, if it doesn't work, my doctor doesn't think it's worth pursuing additional tries at this point in time.
I am freaking out! Also they asked if my DH wanted to come so I said yes, he will just be in the audience, right? They said yes the audience, then when she sent me the script on Friday they have me on stage for a segment and then me and DH on stage for another segment. I thought he was going to kill me! He's calmed down now. Once I told him they aren't going to talk about his poor 
he felt better
Good luck today blue
