Wednesday, February 15, 2012

Back in the Stirrups Again

So we went to our consultation appointment on Monday. I really liked the doctor we met with. And I guess the news was as good as we could hope for.

We went over our history with her. She talked about how being an old lady like me is not good for eggs (no duh). She said my husband's sperm counts (from 2008) looked very good. Which means the trouble really is all me and my old ass eggs. But she said my FSH has stayed basically the same from 2008 to now. So all that was good news.

Some things that surprised me: I had gone in thinking we were definitely looking at IVF, but based on what she said, IUI may be our best option. Because our only issue appears to be maternal age, our odds of getting pregnant are about the same if we do a few rounds of IUI as they are if we did one round of IVF. She said IVF increases the odds of pregnancy in younger women and women who have tubal issues and for couples dealing with male factor and those sorts of things. But apparently old ladies like me just don't have good odds when using their own eggs. Now I did actually know this (again, no duh), but I didn't realize that IUI could possibly give us just as good a chance. As anyone who has gone down the infertility road knows, IUI IS HELLA CHEAPER THAN IVF. She also told me that going with an IVF package (2 fresh, 2 frozen cycles at a discounted price) is no good for us because I would most likely not have any embryos to freeze. She said that with women my age, they are just HOPING to get 2 or 3 good embryos and that they usually use all 3 in a fresh cycle and hope that just one sticks.

So we then moved on to the examination room where it was time to hop back in the stirrups. When the doctor left us so I could get undressed, my husband just looked around and said "here we are again." Of course, I have been in many a stirrup since we last did fertility treatments, in the quest to figure out what the hell was wrong with me, but he wasn't with me at those appointments. And they weren't technically related to babymaking. But I could see he was feeling a little like "oh shit, I did not miss this." I was actually feeling pretty okay. I've had so many trans-v ultrasounds, it ain't no thang. And I type "trans-v" in honor of those assholes in Virginia, especially the man who sponsored the bill, but can't even SAY the word "vagina." I forget his name at the moment, but I saw footage of him saying "trans-V ultrasound" over and over. Its trans-VAGINAL fella. If you can't even SAY the word vagina, maybe you should think long and hard about legislating what women have do with theirs. Kthanx bye. Now back to me.

My antral follicle count was 2 or 3 on the left and 3 or 4 on the right which she said was about what she expected - not great, not horrible. On day 3 of my next cycle, which should start any second now, I'll get my FSH, estradiol and AMH tested. I've had FSH and estradiol done recently, but I've never had the AMH. Apparently it wasn't even available way back in 2008. Its another indicator of ovarian reserve and helps the doctor estimate our chances of success. So if that comes back in a not horrible range, it sounds like she's going to tell us we have a reasonable chance of success. What's reasonable? I believe she said they don't like to do IVF on women who have a less than 25% of success and that we should decide what percentage is acceptable to us. 25%?! Is 25% reasonable?! Oh and I think the percentage is even smaller for any given round of IUI. Awesome.

So anyways, now we wait for my period to make its arrival. Of course, this month when we are waiting for it to come to get started on possibly trying, its not coming. And not because I'm pregnant (I already POAS and it was negative - who pees on a stick on day 25 of their cycle? Me.) I guess its good that I'm actually having a normal-length cycle? Oh, who knows. So now its day 28 and I haven't had a 28 day cycle in who knows how long. Oh well. I feel relatively relaxed about the waiting. My new focus on "one day at a time" appears to be working so far AND I have a delightful little two year old to keep me quite busy.

The only other thing worth noting is that the day of our appointment was the 5 year anniversary of finding out the terrible news about our first baby. February 27, 2007 . I can't believe its been five years. I wore the bracelet my husband got me as a remembrance of her. For good luck? To remind myself and her and all the world that she will always be my first baby in my heart? I don't know. i just felt like wearing it.

So we shall day a at time.

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