Monday, September 24, 2012
I thought we'd looked at it all...
Having been on and off this IF journey for 4 years now, I feel like every test in the book has already been done. All of the basic infertility work up stuff was done a long time ago and we've had the priviledge (?) of getting a better glance at what is happening with everything due to the fact that we've gone through 3 IVFs. But, in heading to CC.RM, I knew that there was one thing I wanted out of our time with them, almost as much as I want a take home baby... I want ANSWERS. When we first started down this road, we were armed with a diagnosis: male factor infertility. MBL had low everything; low count, low motility, and low morphology. We knew that with his numbers, the only decent chance we stood at conceiving was via IUI or IVF. But now? His numbers have been much better since his two varicocelectomies. And in the past 2 years it has become clear that the our "problems" aren't all his fault. I'm a poor responder for my age and my AMH is not where it should be. BUT, I still have a decent(ish) antral count and age on my side, so why have we only had ONE out of three cycles be successful? Moreover, why haven't we been able to get pregnant on our own? MBL has swimmers and I have eggs... What's the hold up?
Well, Dr. Surrey at CC.RM won me over for life when he sat down with us and promised, without any prompting, that while he could not guarantee that he could get us pregnant, he could guarantee that by the end of all this we would have answers. Hallelujah! That's one thing I don't think our Chicago doc understood, he didn't get why I wanted more tests run, why I came armed with questions to every single appointment. Dr. S. gets it, he understands that I need to know the "why". I'm not willing to just accept that things just didn't work out like they thought they would, I need answers and it looks like I am going to get them.
What we've gotten back from CC.RM as far as results go have all been fine. MBL's count is up, but his motility and morphology are still on the lower than normal side. But, at least we have more swimmers to work with! My antral count was lower than I would have expected with only one follicle on the right and 12 on the right. But, still, 13 total should be a workable number. My AMH is lower than normal at 1.0, they wanted to see it at 1.5 or higher, but it's still in the "normal" range. I had a hysteroscopy and that was normal. And then I had a repeat HSG and that was normal. We now are just waiting on my day 3 labs, but those were good back in April, so I can't imagine that they've changed much. BUT, I did have some questions on the ratios of my labs, so I'm hoping that Dr. S. will be able to help me out with those.
A few of the things that make CC.RM stand out as a great choice for us is the fact that they should be able to help with two of the factors that I think held us back in our last IVF. For one, they are able to mature eggs in the lab, so if I have 25% immature again, they can try and help them mature so we have more embryos. They also have the equipment to do IMSI. Basically, they use a very powerful microscope to pick out the very best spe.rm. This helps a lot with potential DNA issues on the male side. We are very excited and impressed by the technology they are able to offer their patients.
So, now, we wait on the follow up phone consult with Dr. S. We will talk about strategies for an IVF cycle and also what his impression is as to why we even need to do IVF. Overall, I'm just thankful that we will have answers that will hopefully lead us to a sibling for Piper!!