I'm, once again, falling behind on my blog updates. I'm sorry for any of you who may have been waiting on the edge of your seat for my next ever-so-riveting post. (I hope you can sense my sarcasm.) ;)
I had my follow up visit with Dr. D last Friday. This visit was initiated by myself in hopes I would better understand his conservative approach to our treatments and maybe persuade him to be a bit more aggressive. Unfortunately, Cozart wasn't able to be there. Inevitably there were things I didn't mention that he wished I would have and questions he also wished I would have asked.
Dr. D began our discussion by once again going over my test results and offered some empathy when it came to my frustrations. He made a good point in reminding me that when we look all the way back to our first visit, he seems like such a long time ago but in reality I have only gone through 2 treatments. Most people don't have to skip months like we do, the process for us just feels twice as long because we do have to skip months that I am ovulating on my right side and, well, it IS taking twice as long. He then offered the option of doing what they call a Modified Natural Cycle or Mini-IVF when I am ovulating on the right side. The abbreviated explanation to this procedure is basically IVF without all the drugs. They only retrieve one or two eggs and only transfer one. It is cheaper than a normal IVF treatment but still a pretty hefty chunk of change with only a 15% chance of take home baby. (IUI has between a 10-12% chance of take home baby and my doctor has a 52% chance of take home baby with regular IVF, just to give you a comparison.) For the amount of money you have to pay with those odds, it just doesn't really seem worth it. I told him I appreciated the suggestion but I have actually welcomed the months off. It gives my nerves and my mind a little break.
After discussing the Mini-IVF option we moved on to what we would be doing differently with our next IUI cycle. He agreed it was time to be a bit more aggressive (huge sigh of relief) and agreed Follistim (the drug my cousin's wife sent me) would be the way to go. YAY! YAY! YAY! He gave me instructions to call his office the first day of my cycle, which should be any day now, to schedule an ultrasound for that day as well as one for cycle day 11. The first ultrasound will again be to check for cysts. If it is clear I will again, take clomid on cycle days 3-7 but this time add a follistim injection on days 6, 8 and 10. If the cycle day 11 ultrasound shows I am ovulating on the left side and I don't have too many follicles, I will be given instructions to administer the Ovidrel shot and schedule insemination (and Cozart's deposit) for 36 hours following the shot. The reason we would have to forego this cycle if there are too many follicles is due to the increased chance in multiples. I did explain that twins would be a blessing in our opinion. He explained that it's not so much twins he worries about, it's triplets, quadruplets, quints, etc... This is where Cozart and I don't exactly see eye to eye. He still would consider triplets or even quadruplets a blessing, I think it would be too risky for me and the babies. Not that I wouldn't be overjoyed with having that many babies at once, I would also be terrified. Not only because of the health risks but also the obvious reasons like cost!!! Ummm... HELLO!!!!
So now we wait. Wait for Flo's arrival. It seems she always shows when you least want her to and never arrives in a timely fashion when you need her to. Who does she think she is anyway??
Oh! I almost forgot, we have to attend an IVF seminar this evening. Woo Hoo! The reason we have to attend is not because we are venturing down the very expensive road to IVF but because the injection I will be giving myself is also used for IVF patients. They have to inform you, as a patient, of the risks of the drug prior to using it. Apparently, taking 10 minutes to run through these risks in the doctor's office wouldn't be sufficient. Instead we get to sit through I nice, long, informative seminar on a procedure we will likely never be able to afford to hear about one little drug and the very slight chance it may cause hyper-ovarian stimulation or something of the sort. Can you sense my excitement?? My overly analytical and extremely skeptical mind goes places I wish it wouldn't like, perhaps Dr. D is thinking IUI will never work for us and is getting us to come to the seminar as some type of slimey sales tactic. Kind of like those multi-level marketing scams. 'We'll convince them they have to come for some ridiculous reason and bait them into thinking this is the only way they will ever have a child of their own.' [insert evil laugh] For all intent and purpose I am going to do my best to suppress those thoughts and try my best to be positive. :) Operation Baby Lawrence, full steam ahead!!
Until next time... Happy Hump Day!!!