Since I will be talking about my upcoming IVF cycle at length, I decided I should create aliases for my RE’s.
I hereby pronounce the formerly named Dr. V to be Dr. Nerd, and his accomplice (formerly Dr. P) will now be known as Dr. No. There are 2 other doctors in the practice I go to.. but 90% of my appointments are with Dr. Nerd and Dr. No.
I should explain.
Dr. Nerd reminds me of the guy from the Revenge of the Nerds movies, the skinny dude with dark hair and glasses. You see, Dr. Nerd is a pretty nerdy doctor. He’s got the education and the credentials out the wazoo. Always has his nose in his work 24/7. Softspoken but laser focused. He’s the kind of doctor that when you try to joke around with him he has that nervous laugh. Drives me nuts.
During the drama of miscarriage #4 last year (remember? the natural/medicated m/c and the hCG drama?) he called me so much to check in on me I asked him one day if “he added me to his fave five” (as in cellular phone). He *almost* laughed out loud (giggled really, which is a stretch for him). My husband cracked up when I told him about that conversation. I imagine that outside his office, Dr. Nerd is a nerd in real life too. In fact, I am sure of it.
Dr. No… as in, the villain from the Bond movies who was a bit of a mad scientist. Dr. No has a little of that in him… he’s into a little experimentation to get to the issues, which I like. But he’s brash and the older dude of the practice, so he’s probably just annoyed that he works along side of younger punk doctors. I kid, I kid. Dr. No is a get ‘r done kind of doctor. When the other doctors had problems threading the catheter for my HSG last year, he tackled my cervix issue like it was no big deal. No patient is too difficult for Dr. No.
So, moving on… yes, I went to my RE consult. I met with Dr. Nerd yesterday and we talked about how I am the Queen of Bad Luck.
Then we talked about my age. Oh, it was wine and roses in January, when I was still the tender age of 39. In February, when I hit 40 I guess I aged 10 years in the infertility realm. Because Dr. Nerd was quick to whip out the IVF statistics for the age range 0f 40-45. Which, as most of you know is bleak. And then I protested, insisting I’m barely 40! why must you group me in with a 45 year old?? He asked me if I looked on the SART website at the stats for their practice…. and I was like HELLO?? are you kidding? Been there a trillion times. Then he nervously giggled and said, well, the good news is that age is your only *known* barrier at the moment.
ummmm, and the bad luck with the five miscarriages… how about that Dr. Nerd? (he only counts four since my second was a chemical, a mere blip of pregnancy).
Then we talked FSH. The good news is I’ve had 5 FSH/Estradiol (Day Three) draws in the last year, and the highest FSH was an 8. Mostly 6 and 7. But, of course these are not accurate because they vary greatly. So I wonder why we are put thru this torture test of bloodwork if it can be wrong, wrong, wrong a lot of the time?
FSH in normal range means I have lots of eggs left. They may be all bad, but hey, I’ll take what I can get.
Next point of goodness is I am a pretty normal cycle girl. 28-30 days, still ovulating on my own regularly. Apparently they don’t see many of my type, perfect inside/outside on paper but unable to birth a second child. Go figure.
We went over my history (again) for the millionth time), and decided that since I am almost at my insurance out-of-pocket deductible for the year, we may as well use it up to get to 100% coverage. It doesn’t do a damn thing for the cost of the meds, but at least I’ll save some money.
Protocol: We’re going with the generic “antagonist protocol”. A shot of a couple days of BCP’s, hopefully still using my leftover (paid for) Gonal-F to stim, and the egg police, Ganirilex. Icing on the cake? My RE’s office (as well as many others) has changed progesterone protocol for 2008. No more PIO! Crinone gel exclusively. No shots in the ass, I can dig it.
So that’s the plan for now. I have bunch of other bloodwork and paperwork to take care of in the near-term. Also, I will have a sonohysterography beforehand since my uterus was questionable in size and shape when I had my D&E.
I’ve got two IVF cycles. The first one will be my eggs, hubby’s swimmmers. We will cross our fingers and toes and pray the fertility gods have mercy on us. And if it doesn’t work, we may do it again, maybe not. If we go a second time, we may make the leap to donor eggs for our swan song.
Mind you, we are still working the adoption angle. At this point I would like to ask that if I have any long lost relatives that are wealthy and reading this, to please consider gifting me about 50 grand. That should be all we need.
The IVF train is about to leave the station. Hop on and join me for more drama.