My doctor is definitely a researcher. Any question I asked was answered with a “well, as a matter of fact, there is research out there that shows…”. But this was a good meeting in my mind. My doctor is much more personable and easy to talk to in person. He actually gave me opinions which was good. This meeting was about what the next steps would be if this IUI fails.
Should we do injectables with IUI next?
He brought up a brand new research paper that was just released and copied it for me. This study shows that doing injectables after 3 failed cycles of clomid is of no value. The paper recommends that you go straight to IVF to get a baby faster and more reliably than injectables. Doc seems to think that we should probably just go straight to IVF. See the study here.
Should I have a laparoscopy?
His opinion on this was if I wanted to keep going with the IUI’s or wanted to bear children naturally, he said I could have a laparoscopy. But he said if I was to consider the IVF track, he would try to deter me from doing a lap because he said there’s no proof that a lap can improve your chances of conceiving via IVF. He did make a point to remind me that no matter how minor, a lap is a surgery and to not take that lightly.
Other interesting information
The other bit of information he downloaded on me yesterday was that Asian women have a reduced success rate of pregnancy after receiving fertility treatment. This goes for Japanese, Korean, Chinese and Indian women. They don’t know why, but he said there is a significant difference in the time it takes an average Caucasian women to conceive via treatment as compared to an average Asian woman. He believes that the medication affects Asians differently than they do Caucasian women and that somehow it affects the endometrium. I’m Japanese and therefore I am even more fucked than I was before. See the study here.
No huge decisions have been made yet. Meanwhile I’ve signed up for the IVF information session. Will keep you posted.