So we had our follow up appointment last Thursday. It was not an easy one to get through. The first thing that Stephan said to us was this “You’re not giving up. There are still options here and you’re not giving up.” So at least we were on the same page of the book on that one…
I had my list all ready to ask him and as usual the man pre-empted me. We discussed A LOT. First on the list was the fact that we were at the point now where we needed to dig deeper and look at other tests that are not run as a standard.
Stuff like chromosonal testing for both Cliff and I. We have a 96% chance that our chromosomes are normal but we need to have it checked out cos if by some chance either of us fall into that 4% no amount of treatment will get us pregnant with our own eggs and sperm. Then we headed into the HLA testing talk. These tests are DAMN expensive! And for a less than 1% chance of us having HLA issues it’s a big decision to make to have them done, I mean they cost R10 000.00 and Stephan told us that even then they are mostly inconclusive. In light of this our doc feels that with our next IVF we should consider having the IVIG drip (the drip they use to treat an HLA incompatibility issue) just in case we do fall into that less than 1% bunch of people. At R6000.00 a drip (with 2 drips needed) that is also a big thing to discuss and right now we’re first waiting for the results of the chromosonal tests before we make any decisions on this one…
The thing is that the embryologist grew on our 3 left over embies after our transfer – of the 3 only 1 went onto hatch and that worries me. I had a big question mark with regards to our embryo quality and cos of that I have to admit that I’m now worried. BUT for now I’ll just have to wait for the tests to come back…
We spoke about protocol change – we are done with the clomid/menopur/cetrotide combo. From now on we’re doing menopur/cetrotide and I’ll be monitored daily to try ensure OHSS does not occur again. He also wants me to be on metformin while I’m stimming next time round.
We discussed the clinic’s stats for PCOS patients specifically and surprisingly this is not tracked. However our doc did say in his last 5 years at the clinic he has not seen a PCOS girl have more than 4 fresh attempts before having a success, obviously provided all the other “stuff” (my words not his) is in order…
We spoke about IVM which while tested at the clinic is not a viable option right now as the only clinic that really has had success with this treatment is in Canada. We spoke about GIFT but my age plays against me on this one as he would not be comfortable putting anymore than 3 eggs back and that kinda defeats the point of GIFT.
Lastly we talked about when to try again. I wanted to try end April / beginning May but he won’t do IVF with us until June. After much thought, I know he’s right. It’s just that I felt like we had to be “doing” something. Something that is not waiting around. But we’re waiting around again. For our blood test results – and then, then only can we decide what the plan of action will be.