Tuesday, March 4

The Hits just keep on coming...

Big day today. Probably one of the biggest for Dh and I in awhile: we had our extended consult with the RE. Now, I had already figured that we'd have to postpone our IVF/ICSI cycle another month due to a bunch of travel that I had come up in March. But I don't think that I was ready for the conversation we had in addition to that.

First, the good news. Dh passed all his genetic tests (and is not a freak) so despite 1% normal morphology, everything with him looks good. That means that we are candidates for ICSI. And while we are both very happy about this, that's all. That's all the good news. The rest is not so good.

As for "Operation Find that Ovary", they couldn't find it. The right ovary is apparently non-existent. RE said it could just be very tiny and out of place so it's hard to see or it could be atrophied, undeveloped, shriveled and dead. Thanks. On the bright side, the left ovary seems to have compensated and I ovulate every month. That leads us to the other news from today. I guess that on Day 3 the level of FSH should be below 10. The beginning of this past cycle I went in on Day 2 (AF came a day early...so it was supposed to be Day 3) and my FSH level was 14. This isn't good. RE said that my egg quality could be suspect or my level could have been off a bit because it was only Day 2. He said not something to be terribly worried about, but I was not expecting this. Throw one more log on the fire. As if we weren't up against it already, let's just add this to the pile.

In the end, this is the summary RE presented to us:

IF really our only problem is the male factor, we can...

  1. Pursue IVF/ICSI and hope to get at least one quality embryo, despite the 1% normal morph
  2. Choose to use donor sperm
  3. Pursue Adoption
  4. Choose to live child free

IF really our only problem is me, with only one ovary and poor quality eggs...

  1. Pursue IVF/ICSI and hope to get at least one quality embryo, as long as my follicles aren't empty or the eggs aren't "black and dead"
  2. Choose to use a donor egg
  3. Pursue Adoption
  4. Choose to live child free

IF in reality, our problem is that we are both so messed up that his semi-slow, abnormally-shaped swimmers and my black, dead eggs would never in a million years actually create life...

  1. Pursue Adoption
  2. Choose to live child free

And this is when the RE let us go "discuss" the options alone. Along with all the consent forms for IVF/ICSI and Cryopreservation. After a brief chat, and a quick glance through the consent forms, Dh was obviously decided. And I guess so was I.

We won't ever know unless we try.

So we signed the consent forms, the cryopreservation forms, the "you are now aware of all the dangers involved in this process and you can't sue me if something goes wrong" forms. Then we met with the billing folks to get the invoice on what the upfront costs will be for an actual cycle for us. They sent us on our merry way with another month of birth control pills, instructions to call on Day 1 of the next cycle to schedule my Day 21 Lupron start, and some very supportive smiles.

Now what?

1 comment:

Anonymous said...

I'm sorry the news was not better for you, but it sounds to me like there's real hope there. ICSI is said to be very a great option. Do they have some reason to think there may be something wrong with your left ovary eggs, other than the hormone levels that were a bit off? I mis-identified my cd1 two months ago, leading to readings that were also very off, and they made me do a "Clomid Challenge" to prove they were ok. Can they do that for you? Also, just a little anecdote: my mother had ovarian cancer during her first pregnancy, and the doctors ended up removing the cancerous ovary. Afterwards, She went on to have three more healthy, relatively normal children on that one ovary.