Today was our consult with Dr M to talk about the last two cancelled cycles. I am glad DH came with me. He doesn't come to many of my RE appointments and understandably so. It's good to have that support with me every once in a while.....just because most of the infertility treatment involves me doesn't me that he's not a part of it all.
After the nurse checked us in a resident came into talk to us. I recognized her right away and when she told us her name I knew why. She was the resident that delivered Gavin. She wasn't the resident on my case but at the time I delivered my resident was unavailable and so she stepped in. I know her name from the hospital records. I told her that I recognized her and why.....so that was interesting.....later on my way home it suddenly occurred to me that she was 1 of 3 people to hold Gavin alive....kind of makes me teary to think about that.
Anyways we talked for a while then she left to talk to Dr M. They both came back and with another DR....so 3 of them. Dr M apologized said the person who lowered my dose should have brought me back to 75 iu instead of 100iu. I had to tell him it was him that decided my dose. So when/if I cycle again we will do 75 iu. If I overstim on that they will bring me down again. But I will have more frequent checks so we could hopefully catch and stop an over stimulation before it becomes necessary to cancel a cycle.
He said he made a mistake and "was there anyway he could make it up" I just happened to mention it was an expensive mistake. He ask if we had coverage and I said yes but it has a lifetime max. So he said he would do the next cycle of stims on him. He just has to call the drug company and they give him samples I suppose.
We talked about why I am overstimming. They can't really say (of course). They asked if I had lost any weight. Really I haven't. I was down in the months after losing Gavin but my weight has been slowly creeping back up so my weight is not significantly different then when we cycled for G. We talked about my "menstrual migraines" How they would get worse with menopause and that I would need HRT and that next time I do long term BC I would need to use it for extended periods of time instead of having off weeks....kind of off topic but interesting I suppose.
So they decided it's ok for me to try clomid for a couple of months (They gave me 3 repeats) The resident was pushing for clomid and iui because of DH's minor male factor....using opk...but I think we will just try TI for now. I am not confident that I will be able to pick up an O on opk's for an iui. The resident was surprised that my 2 original clomid cycles were monitored....I guess they aren't doing that at all now. She asked me why and I really don't know why I got the extra treatment with just clomid....I started my clomid tonight....they said they didn't need to check for cysts or anything so that's cool.
They prescribed 100mg which I was a little surprised. I thought they might bring me back to 50mg. So we shall see. I will do opk's for a while and if I don't get a pos opk by say cd 16 I will trigger myself. Dr M wanted to used the first cycle as a "judge" of what my cycle length might be...but I don't really like that idea!
Dr K (resident) said that I would have to take a cycle break between clomid and FSH injects. Dr M didn't say this. Not sure why though. I have in the past gone right from clomid to Gonal F (Brennan's cycle).
I did talk to Dr M again about the cerclage and that tissue issue Dr M mentioned at my SIS. Dr K actually her first question was it IC did you have silent dilation? any pain? Anyways he basically tried to convince me that I had some of the best DR's looking out for me and that if I choose a cerclage I could be making a mistake based on a bad experience. He went over the risk of cerclage with me again (I am well aware of these). In regards to not having enough tissue for a TVC there is a Dr here in Edmonton....can't remember his name at the moment that does do TAC's but only via open laparotomy. The DR's that do it via laproscopy are in Hamilton and Ottawa. I asked about the scar tissue thing, he said that yes it makes things more difficult but not impossible. But of course it is highly unlikely I can get this done pre-pregnancy. No one wants to be the one to "make the mistake"
He told me not to worry....HAHA.....pulease.....not worry....me?!?
1 comment:
I am a worry wort myself, so I completely understand. I think we will be worried until we have a healthy baby in our arms. I was always worried with Harper's pregnancy that something would go wrong, so the next one will be 100 fold.
I am sorry that you had an unexpected run in with the resident that delivered Gavin, I am sure that was hard. I hope that she was gentle with you.
I am keeping my fingers crossed for you this will be a good cycle for you. And that "judging" your cycle won't take a long time.
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