Yesterday, bright and early, we had our first visit with the RE.
After discussing all of our test results and history, his main concern was viscosity just as it had been with useless OB wanna be RE. While he agreed that morphology and motility are low, he told us that he wasn't concerned since the overall count was good and we had gotten pregnant before. (No hamster eggs for us.) Based on the above, he suggested that he was leaning IUI and felt our chances were very good. Above average good. Cool. He did ask that I repeat the CD #2-3 tests (FSH and friends) since those test results seem to have disappeared from the OB's office. I will also get a chromosome analysis done at the same time to see if there are any obvious answers to my sucky m/c rate.
Woo hoo...vaginal ultrasound time. Right ovary had 7-8 follies, 3-4 on the left. (CD #5.) It was all happening so fast that while I heard him mention "a few cysts, but that's okay" it didn't register enough to ask any questions. Nor did I get any measurements on the follies, though I'm not even sure measurements this early in a cycle would mean anything anyway. As far as he could tell, my ovaries and whatever else are looking really good. (Tubes, of course, can't be seen this way, so who knows.) No signs of ageing beyond my years, which I was relieved to hear since early menstruation and early menopause run in my family.
Are you familiar with OPKs? Yes. We recommend Clear Blue because... Yes. But not the monitor. Yes. Have you charted before? Yes. Today is CD #5? Yes. What day do get a positive OPK? CD #13. Alright, let's do an IUI next week. Let's start with two or three rounds unmedicated. If that doesn't work, we'll try meds for a few months. If you still haven't conceived, then we will reevaluate.
WHAT? IUI NEXT WEEK???
Oh, you mean, like, next cycle.
No, next week. You are set to ovulate next week, aren't you? (Flips through my chart and nods. Yes, his short term memory is intact.)
Yes...but this next week?
Next week. I'm sorry, I'm not hearing you correctly. You said next week?
Should we see a Urologist first?
It's up to you. We have a great one right here in town who I highly recommend who specializes in IF, but I feel confident based on your case that this is the next step.
What about repeating the SA? Shouldn't repeat the SA first?
Again, that's up to you.
What about the CD #2-3 blood tests? Should I do those first?
No. Next cycle is fine.
IUI next week.
Ummm...do I have to?
Yes, I actually asked if I had to. Not once, not twice, but at least a half dozen times, even after he'd left us in the care of his nurse, who very nicely reminded me that their job is to get me pregnant, but that we would proceed when I was comfortable.
Because mentally I was back on long term TTC thinking. Meet him, spend a few months running more tests, wait a few months to get into the Urologist as a new patient, maybe actually decide on a plan in 3 or 4 or 6 months. Out of all the scenarios I'd been running in my head there was ever a next week one. Hell, since filling out the paperwork a few months ago when I'd been a friggin saint, I *just* started drinking a cup of caffeine most days again, just started getting lazy about taking prenatal vitamins, just started having the occasional glass of wine after the 2ww was over. The good girl crap was getting old.
False hope? Scam? No, the dude's got an excellent rep: this clinic, which he started when there were only a handful in the entire country, was one of the pioneers of IVF in the early 80s. He's been featured as one of the best by reputable sources, sources we've all heard of. His IVF rates are well above national averages. And he's local, which is just freaky, since we live where we do which is not a major city.
And I feel like an ass, because of course we're going to do it next week. Or at least we plan to unless we get there and are told we should cancel. I just needed a little bit of time to process it all. Because, seriously, suddenly there's a real plan: a plan that starts next week.