Went back to the RE today and it’s official. We’re being converted to an IUI. This is a major blow for me. All those stupid shots and all I got was an IUI – we all know that the chances of anything coming of this after 3 failed IUIs is pretty slim. Ironically, my RE had moved me straight to IVF because he felt that doing an injectable cycle in between the Femara/IUI cycles and IVF was a waste of time.
I feel like someone is playing a cruel joke on me. The RE who saw me today saw 1x18mm and 2x17mm follicles. He said if we did a retrieval we would get 3 mature eggs at best, maybe less, and he and the other REs think they can do better, especially when I had 13 antral follicles. They are all on the same page that this should be converted to an IUI. Then he gave me the speech about the possibilities of multiples and I said, yeah whatever. I’ll be lucky if I get pregnant at all, let alone multiples. He fell silent, and my husband mumbled some joke about how his lovely wife can just be so positive sometimes!
This is pretty devastating. I cannot believe IVF was so close and now it’s slipped through my fingers. My next attempt at IVF wouldn’t even start until the end of October because I’ll have to go through another month of pre-IVF BCP prep after I get my period when this one fails. That’s forever away. And I now know that IVF is not that simple. Just like a natural pregnancy, EVERYTHING has to go right to get you to the end goal – first to egg retrieval and then more miracles are required to get you to transfer and then you have to move heaven and earth to get to a positive pregnancy test. It’s no simple task and certainly not the answer to all of my problems.
Tonight I trigger and go in on Monday for the IUI. I know this is horribly negative but this feels like a complete waste of time. Here goes Injectible IUI#1/IUI#4 – not without tears of frustration though. Bleh.
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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.
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