Consult update

My appointment went well. I guess I can give a little run down of what we discussed. First regarding our past ivf.....I found out the grade of our one little embryo. It was rated as grade 2 with <5% fragmentation so not perfect but not too bad it was 4 cell the morning of transfer but 6 cell at transfer. He did confirm that having that ivf should clear out some of my old pre activated eggies....but that it shouldn't affect my overall afc. The miscarriages I am now considered recurrent pregnancy loss. We have now moved into the realm of unexplained because I've had all the tests. So we now move into experimental treatments. He agreed to lipids depending on how K's cycle goes and antibiotics. He said since my BMI is nearly normal now my insulin levels should not be affecting the eggs I have....but I will always be inherently insulin resistant.....just the larger a person is the more insulin they will produce. He even said I could stop metformin but I don't think I will. I asked about going fwd. dh wanted to know about iui while we wait for ivf. Dr m said that since we just concieved the "fun way" he would rx letrozol for us. I am pretty much at the end of my clomid tries and fsh is expensive as we know. He doesn't normally rx letrozol. It is off book and not approved of by the gov for use in fertIlity treatments. He gave me the required "talk" about the risks....which are none really because the study the government is going by was never even substantiated. The stuff is actually far better than clomid. He emailed me some studies to read about letrozole and inflammation in pcos women. Then I asked about if we stop ttc...basically is BC to control my pcos. I apologized for being stern with the receptionist after my consult was cancelled. He said not to worry that for people like me....I get priority....lol I asked again about the funding and he absolutely believes it will happen he doesn't know when but soon....now soon could be a while down the rd still....he even commented on the relisting of coverage for sexual reassignment surgury....pretty elective if you ask me. So we will give the letrozole a try and wait to see how things turn out for K. Again if we do ivf it won't be till aug/sept anyways. There is no harm trying while we wait. We booked another consult for 3 months down the rd.