WTF Appt

we had it today.

i called yesterday to schedule it.... thinking i had time to finish up on some research i hard started... turns out dr. d is going to a fertility conference tomorrow, so they scheduled it for today. so ready or not, we went. i walked into dr. d's office and he said, "i'm really glad you are still smiling.". meanwhile i was a little scared dh was going to punch dr. d in the head if he didn't hear things he wanted to.

so here it is.... the facts as we know them.
- ivf #1- antagonist protocol. 9 follicles retrieved. 7 fertilized. ok quality embryos. transferred 2 at day 3. two made to blast and frozen at day 5. biochemical pregnancy. methotrexate shot.
-ivf #2- cancelled due to 2 lead follicles nothing else worth retrieving. (long lupron protocol)
-fet #1- 2 day 5 partially hatched embryos transferred. good quality. pregnancy. blighted ovum. d&c. karyotyping of products of conception came back as normal.
-ivf #3- antagonist protocol higher dosage of meds. 8 follicles retrieved. 7 fertilized. 2 good quality embryos, 5 not so great. transferred one perfect (no fragmentation) and one very good embryo on day 3. nothing left to freeze.
- AMH is officially low. (.29) FSH is normal
- all other testing has come back within acceptable levels.

the plan
- barrage of testing. dr. d thinks this could be an egg quality issue (low AMH) and also could be an implantation issue.
testing to be done for immune issues related to implantation, as well as clotting disorders. also i asked for karyotyping for both me and dh. (dr. d didn't think it would show anything, but will do it.)
- i mentioned the trouble at transfer time. (being dilated during transfer and the stress that might have caused). dr. d suggested another hysteroscopy to open my cervix back up, and also endometrial biopsy (again to look for implantation issues).
- continue on all vitamins...prenatal, dha, melatonin. add dhea (50mg in morning 25mg at night). dr. d said i could do coq10 if i wanted, but did not think it would help.
-next cycle. higher dosage of meds(same protocol)..... try to get more follicles. no pgd(embryos won't make it...they are better off inside me) day 3 transfer of at least 3 embryos. acupuncture.
- me- i'm going to take care of myself. healthy diet. excersize and yoga. a little red wine every once in a while. little caffiene (i drink 1 cup of decaf almost every day). acupuncture and happy thoughts

i feel good. i am happy with the way things went today. dr. d is doing all the testing i wanted done. (mostly his idea.... just a few things that i brought up). the bottom line is..... i just want this to work.