RE update

So this morning was a bit crazy.  I accidentally overslept and got up at 7:30 when I had planned on dropping B off at 8.  I did actually make just shortly after 8.  I still can't believe I was able to get myself and B out the door that quick.

I dropped of Brennan and the next thing I know my cell is ringing and its the women's center on the phone letting me know that Patti had called in sick.  (Better her than Dr M!)  Since I was already on my way I just kept going.  I was about 45 mins early for my appointment with Dr M.  Surprisingly I was checked in and taken back right away and out before my appointment time was even scheduled for!

Dr M went over my three recent IUI cycles, Dh's semen samples, all my lab work, my sis......everything is completely normal (except of course my PCOS).  I was surprised when DR M said he wanted to check my PAP results from when I had my sis.  I don't even remember him saying he was doing one and it's not standard for the clinic to perform that test.  I think I vaguely remember something about swabs....if I did hear it I def didn't associate to PAP.  Well it means I don't have to worry about booking in with my GYN who books PAPS 6 months in advance.  I;ve been putting it off thinking I would get pregnant!

Anyways back on topic, there isn't much of a reason for us to not get pregnant.  Will's samples are better than ever, I am responding well to stimulation, structurally everything is ok. The remaining unknown is the karyotyping which I am disappointed to say has not come in yet.  I wasn't expecting mine and DH's but I really was hoping for results on the POC.

So Dr M thinks the next step for us is IVF.  We could do more IUI but it's "not advised" and I really am done with that anyways.  He also thinks we should consider PGS (Pre-genetic screening).  The problem with this is the current (old) technology available to me here isn't great and doesn't result in a great percentage of live births.  Sure if I had 20-30g to spare I would go to New Jersey and get the most current PGS technology.  But I don't.  If karyotyping is normal I think I am totally willing to take the chance of IVF without it.  If karyotyping is abnormal for DH or I then that is another problem all together.

So for now the plan is to do some clomid TI cycles (likely to the end of the year), I meet again with Dr M in December to get karyotyping results and start the IVF process going to hopefully cycle sometime in the beginning of the new year.  He said I would start at 225-300 iu of stims (WOW!) and ideally we want to look for a 5 day transfer as it is only at blast that the embryologists are able to get a good visual look at the health of the embryo's and are able to choose the best visually to put back.

He said it makes him very sad to have patients like me.   It's been quite a long journey and now he's proposing the most expensive treatment out there.....a hard pill to swallow when I have carried and birthed 2 perfectly normal boys. He said after meeting with people like me he needs to take a "moment" after.  I think he was impressed though by my optimism....and that darn thing that plagues me (hope).  He was also impressed by my weight loss!