Saturday, January 23, 2010

IVF cycle review

We had our cycle review meeting with Dr. Opie yesterday. It was a bit overwhelming, and I kept getting hung up on a few things he said. Here are some of the highlights/low lights of the meeting:

Our baby was a chromosomally normal girl

Even though the genetic test came back normal he still believes there was something abnormal with the pregnancy

He doesn't want to do a recurrent miscarriage panel for me as he believes the tests won't show anything anyway and we are OOP

There isn't anything we could do in the future to prevent other miscarriages

This miscarriage doesn't decrease our chances of conceiving again

He thinks we should go forward with IVF again- in his words "All hope is not lost. Given enough time you could become pregnant and deliver a baby"

Also, his words "You are not the best reproductively" Gee thanks.

If we move forward, I would be on what he termed the "LEAP" protocol. It's not MDL or long lupron. I tried googling it but haven't found anything. He briefly described it but didn't go into details. I would start hormones (he didn't specify which ones, and I didn't ask believing I could find more info online) after I ovulate. So, it would be similar to a long lupron in that it is over a 1 1/2-to-2-month time period.

He wants us to try again soon. I brought up lab closures (wanting to find out when it was so we don't run into it again) and he said that we shouldn't wait 4-6 months. (The next closure is in the summer- July/Aug time frame) He thinks that when the next AF arrives would be a good time to start. The reason to move forward now is my past history of low AFC and poor response. Time is not my friend or on my side.

He believes our chances of conceiving again are the same as last time- 40%. He said possibly higher but definitely not lower.

Overall, he told us we had a bad streak of luck with our last pregnancy but that we should be cautiously optimistic and hopeful.

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I'm disappointed that we don't have more information for why this happened. We both figured we would have some answers, but not all of them. But this is my 2nd to worst case scenario for the meeting.

I am glad we know that our baby was a girl. We are now picking her names. I love my daughter and want her to have a name. We are running into problems picking her names as we are hesitant to use names we would use for a living child. That sounds awful, but that's how I'm feeling right now. DH and I hope to come to a decision soon about her name. I hope that I'll be able to grieve her more fully now that I know a bit more about her.

DH and I have discussed what to do moving forward. We haven't come to any decisions yet. I need to find out more information about the protocol before I can make a decision, I think. It's hard for me to make any decisions right now because of my exhaustion level (emotionally and physically) due to my current work situation.

On my psychiatrist's advice I'm taking it as easy as possible this weekend. I've found a substitute music teacher for church. DH and I are doing dinner tonight with our dear friends and goddaughter, but that's about all the social stuff I can handle. I'm hoping that I won't be needed at work this weekend, but the situation is still so tenuous and things could change quickly.

I have a lot to think about and process and I'm hoping that I can do it quickly so that we can make a decision soon.

2 comments:

embieadoptmom said...

How exciting to know that you can get pregnant & deliver a healthy baby. Can't wait to follow your new cycle! I'm rooting for you!

'Murgdan' said...

I can imagine making a decision to move forward would be hard in any case. Because moving forward is always another risk. And risks are scary. I'm sorry you had to have a WTF appointment at all, but I am glad you got a few answers. And 40% are the same odds we were given...it is still more than any natural cycle, but I wish they could tell us things like "100%", because that is the only number that would be easy to go for...