In review of my recording (in which I realize how much I must have annoyed him at the beginning), here are the main points. It was a 30 minute consultation.
With my Saliva hormone results, my BBT charts and my Dr.s notes, he surmised that everything is virtually perfect. (Strange...)
I have Unexplained to multifactoral sub fertility. What in the heck is that you ask?? It's unexplained because of the reasons unknown in conjunction to the multifactorial reasons...lol. All in all he said my endometriosis is the culprit.
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The Least Aggressive option is IUI with clomid, with a Qualitive SA. With my unexplained/multifactoral infertility the success percentage rates are in the single digits. With just unexplained fertility they are in the 20-25% success rate.
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The Most Aggressive option is Qualitive SA, shots for me and straight to IVF. With my infertility the rates can be up to 40-45% success.
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The Most Logical option is Qualitive SA, and another Laparoscopy with laser removal as opposed to the cauterize I had last time. Lasers will get the deeper adhesions that he thinks are still there causing the brunt of my infertility. Then immediately following Lap#2 start clomid and do an IUI. Could even try 'naturally' afterward but IUI is higher success rate at 10-12% as opposed to the 'natural' route in single digit %'s.
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A 'Natural' route including a Qualitive SA, Clomid, OPKs, and conception friendly lube. He feels this would be an OK option, however clomid taken over a course longer than 2 cycles can start to have the opposite and negative effect. This is by far the cheapest and least invasive, but the success rates are in the low single digits percentage-wise.
I have a lot to think about. I'll post this now, oh and I might be finally moving to LTTC, but I'll keep everyone posted if I do.
Any thoughts or suggestions or even questions about other things from the appointment are very welcome!