Monday 31 March 2008

The dreaded follow-up appointment

I had my appointment with our fertility specialist Doreen today. And as per our last two appointments, she started by saying 'Well that didn't go the way we planned!'. Like, duh. Could you state anything more obvious? I went to the appointment by myself this time, it's just too hard for Murray to keep taking time off, and I make decisions better when I'm by myself.

Doreen said that IVM doesn't seem to be working for us and that it would be better for us to move back to IVF. I'm happy to do that, well not exactly happy but I knew it was coming. I told her that I hated the Synarel and that it turned me into the bitch from hell, so they are going to change my protocol and I don't have to take it - Yay for me! Instead I will have a couple of Orgalutran injections to prevent a premature LH surge. I'm not thrilled about the extra injections, but when you add up five or so weeks of sniffing Synarel twice a day, that's 70 doses! Give me the injection any day.

We also talked about my risk of OHSS. In my first IVF cycle, I started on 75iu Gonal-F which did nothing, then bumped me up to 112.5 which also did nothing. With my IVM cycles, I was on 150iu and even that was very slow going. They wanted me to start again on 112.5iu but they have bumped it up to 150iu at my request. We also talked about the cut off for a freeze-all cycle if I do hyperstim. Usually they say if you get more than 20 eggs then they wont transfer, but they will leave it to my discretion and how I am feeling if it is over that. If I get 30 or more, then I don't get a choice in the matter.

So I stop taking my HRT today (thank god - the crinone was making me nuts!) and I should get my period in the next couple of days. I need to book my Day 21 appointment for next month and then we get the ball rolling again. I'm looking forward to having a month without having to inject or subject myself to medical procedures. I just want to focus on myself and my husband for a bit.

1 comment:

  1. That sounds like a good plan-- taking some time to focus on you two, but it's great you have a protocol and a plan for moving forward!

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