I've been in a bit of a holding pattern these past few weeks, drifting in and out of that peaceful (yet wholly unproductive) land called denial. I'm doing a really good job of this break thing, so much so that I'm not even reading up on your blogs as I usually do because I've almost forgotten that I'm infertile.
My body hasn't forgotten, though, and my cycle started as usual. It was a little shorter this time around, which means it's actually approaching normal - wonder if it's the acupuncture or the hour-a-day of heavy breathing in a room with a bunch of other female yogis that's doing it. Whatever it is, I hope it keeps up.
Introducing Dr. H.
So I finally had my consultation with Pacific Fertility Center last week - leave it to me to sit on the data for a whole week before reporting it these days. Dr. H. was really warm and friendly, and I enjoyed my conversation with him a lot and got some rather interesting but not overly helpful data:
- He's not a big believer in mycoplasma/ureaplasma as a cause for IF, and he doesn't think that cultures are particularly helpful. So if I want to proceed in looking into ureaplasma as a potential factor, I'll probably have to push testing and treatment through my urologist. There's enough inertia in me that makes me not want to do this at the moment. Bleh.
- He thinks I should give Letrozole/Femara a try because it won't thin my lining like Clomid would. Dr. G had not been a proponent of Femara, saying that the pharmaceutical company that makes it issued a letter saying that it wasn't meant for infertility treatment. Dr. H said that PFC uses it regularly without any major causes for concern and that doctors in the South and Southwest tend to be more conservative around using it.
- Dr. H also interestingly encouraged that after Femara, we go straight to single-embryo-transfer IVF if I'm concerned about the rate of multiples with moving on to injectibles. He said that their success for single-embryo are almost as good as their rates with doubles at their clinic. I think that if I were to do IVF, I'd do single-embryo anyway - the thought of multiples completely terrifies me, and it's one of the big reasons why I didn't pursue IF treatment earlier.
- Lastly, he said that we could do further testing like a 3-day FSH and antral follicle count to double check ovarian reserve, but he felt that because I ovulated on my own and was still young (Ha! I love it that he says I'm young!) that it wasn't a big concern. He also wasn't big on getting a laparoscopy since I have no symptoms of endometriosis and my chances of having it were like, 20%, so there'd be an 80% chance I'd be undergoing surgery for no reason.
Well, I don't really know. I'm tempted to sit out for the next few months still and then pursue treatment back in Texas this fall for the following reasons:
- Mr. Stick's new job has pretty decent insurance that covers IF treatment, but PFC is not an in-network provider, where Dr. G is. Ironically, if the insurance didn't cover IF, I'd have just proceeded with PFC because I like their style, and the cost would've been close to the same. But I can't just ignore the fact that we'd get 50% of our costs with Dr. G covered if I stick to doing treatments with him.
- The timing is such that I can squeeze in one Femara cycle in California, but it looks like I will ovulate around the time we leave, which would make doing the IUI shuffle rather difficult.
- Mr. Stick is ridiculously overworked at the moment, so even if IUI were an option, it'd definitely create more stress on him to do the procedure on my next cycle.