Hi, ladies! I've been reading along the last couple of weeks here and there but choosing not to post during my break...I must say, the mental break has been nice! I wanted to update you on my RE appt today though:
She said my FSH levels aren't really that bad, and my AMH level is good. She said AMH is a way better indicator of ovarian reserve than FSH is (to the point where she doesn't even test FSH anymore). So I'm not as bad off as I was thinking. She did say Crohn's Disease can play a factor, in that you see less pregnant women with Crohn's (and there's a higher miscarriage risk with it). It can also cause blocked tubes but we know mine are cleared so that's good at least. The radiologist who did the HSG noted a small uterus, which she doesn't think really means anything. BUT, just to be sure, she's ordering a 3D sonogram with a saline injection. Basically it injects saline into my uterus much like the HSG (but saline instead of dye, less injected and less painful) and that builds a 3D image of my uterus to really give them a good feel for the size and shape, plus sees my ovaries, etc. She said the pains I've been feeling are more likely from the fibroids I have, and they'll see those too while doing this test. So I have to schedule this for cd6-10.
Now as for DH's SA: she said that there's basically 3 categories he can fall into with his TMC (total motile count, which is what they look at). Greater than 40 million is what is considered good. Here's where it gets tricky. The next category is from 40 mil down to either 5 or 10 mil...some studies say 5 mil, some say 10 mil. His is 5.47 million. So depending on who you ask, he's either just BARELY in that range (if it goes down to 5 mil) or he's not at all (if it goes down to 10 mil). IF he's in that range (again, if) then it's considered baseline male infertility (or something like that). In that range, combined with all our other factors (including age), we're looking at 2-5% chance of conceiving on our own naturally. In that range they recommend IUI. The third category is either 5 or 10 mil (again, depending on which study) or below and is considered severe. Again, his is 5.47 million. So he's either barely above that range or in that range. In the severe range, we're looking at 1% chance of conceiving on our own, and IUI only increases it to 2% chance. (I forgot to ask what IUI increases it to in the middle category). So for that category, they do IVF.
So....we're either looking at IUI or IVF most likely but we still don't really know. I need to do that 3D sonogram DH has to have another SA. Best case scenario, his numbers will be much higher (if above 40 mil it sounds like we won't have to do anything! Maybe anyways...?)...but at least hopefully above 10 mil to be solidly in that middle range. We won't know though until we get those second set of results. He's taking next Friday off anyways, so he'll do it that day and drop it off. I'm hoping to have my sonogram done that same day. Then after they get his results, he has to see a urologist to see what he recommends based on the two SA's, and to see which course of action is best for us. Whew. Lots to take in, sorry for hijacking the thread!
Love to you all!
Danna, good luck today, I hope it went well!!!