So last Wednesday I had my consultation with my new RE at University of California San Francisco. Other than the 2 1/2 hr 1 way drive it was awesome!
The office staff has been nothing but helpful and understanding. They make me feel like I am important to them and that my treatment matters. I didnt feel that with the asshole doctor I saw before.
The doctor was wonderful, he respected my knowledge I have as a nurse and someone who has spent countless hours researching infertility. He took my concerns into consideration. He was happy with the testing I had so far. He concurred with my diagnosis of PCOS. He urged me to work on losing weight to decrease my risk of miscarriage, as well as keep my diabetes controlled.
He felt that IUI was a waste of money, he said that there are no sperm issues and it isnt necessary and wont increase our chances. He also felt that going straight injectables was a little extreme as he is really concerned about multiples.
The plan is to take 100mg of Clomid CD2-6 and then 75IU of Menopur or Bravelle starting on CD7 with a couple ultrasounds to monitor follicle development. Then trigger the follicles with Ovidrel and have timed intercourse. Great news is he is willing to use up my Menopur and Bravelle that I have at home, I have enough for 3 cycles. The Clomid is cheap, under $10. So the costs will be much less than what I paid before. I will also continue on Prometrium.
The diagnosis of a clotting disorder by the other doctor was dismissed by my new doctor. He said an increased protein C activity does not make you at risk for clots. A decreased protein C activity does. He told me to stop the baby aspirin, I dont need Lovenox when I am pregnant. Unfortunately I am back to having no link to my miscarriages. But he said that all 3 have their own explainations and they were likely just bad luck. My diabetes, PCOS and being overweight all increase the risk of miscarriage and I just have to be ok with that to proceed with the treatments. As much as it would kill me to lose another baby, I cant give up just because of that. I can survive another loss, I cant survive giving up and never knowing if I could have been a mother.
All in all I am very happy with my new RE. The only further testing I need is a Saline Sonohysterogram to check the anatomy of my uterus, that can be done concurrently with a treatment cycle. My next cycle should start in a couple of weeks and then we will get started