Hi ladies, I'm back from my doctor's appointment. She was really wonderful. She consulted with me for 1.5 hours! She made all sorts of faces when I told her what the last doctor said. She said adenomyosis is very hard to diagnose and she wasn't 100% convinced that I had it. She did an ultrasound and saw some issues with my uterus. She said she couldn't completely rule it out either. Unfortunately, the hospital that I had my MRI done at didn't send over the MRI pictures for her to look at, so she was just basing it on the ultrasound she was doing.
She counted my follicles and saw 15. She said for my age it was above average. But, she said I was no where near close to ovulating and I'm on CD 19 right now. I pretty much knew this already, but it sucked to hear. I thought I was getting close because my OPK's are almost positive yesterday and today. The good news is she said I'm no where close to menopause. This is great news as all the women on my mother's side went through it at 39 and 40. As I just turned 36, I was feeling anxious about that.
She said she thinks there is a good chance I'll carry a baby to term, but it is going to be a numbers game for me, like rolling the dice. She offered 2 options. One was to try Clomid or Letrozole to bring ovulation forward. She does think that my late Ov could be a reason for my mcs. The second was to go on Lupron for 4 months to induce menopause. This in turn "shuts off" all of the hormone production and can "shut off" the hormones that are activating the adenomyosis. The theory is that once you go off Lupron and then try to get pregnant, the adeno isn't as active and pregnancy can be achieved.
Most women do the Lupron route because they are infertile from adeno and/or endometriosis. Obviously that isn't my issue. So, I decided to go for the letrozole. She advised that we shouldn't ttc this cycle just in case. Once I get my period, I'm going on letrozole for 5 days in hopes that I will Ov on CD14 or so.
She said IF I miscarry again, she wants genetic tests done. If the tissue has no genetic issues then chances are the adeno (or whatever is in my uterine wall) is causing the mc. At that point we might have to consider a surrogate. If there are genetic abnormalities, then we keep trying naturally, since this is one of the most common reasons for mc, especially as we age. If I have trouble conceiving, then we'll probably look at IVF. Tim asked her how much IVF was. He had it in his head that it was $35,000. When she told him it was $12,00 he was pleasantly surprised oddly enough!
She said if we are willing to take a risk of another mc, then she really thinks we will be successful at some point. She was looking at it statistically and she stressed that it really was just a numbers game.
One of the last things she said to me was that she was really hopeful about me having a baby. She said the idea of a surrogate wouldn't have even crossed her mind at this point.
So, I'm doing a cautious happy dance. I at least feel like I have a plan. I wish I didn't have to miss this cycle, but I'd rather do that then get pregnant with a late Ov and mc again. Her goal is to get me pregnant in the next 3 - 4 months. I can live with that goal!
Sorry so long. I'll go read what's happening with everyone else now.
xoxo