Wednesday, March 27, 2013

St Louis Appointment!

I am getting pretty excited because our appointment with the world renowned, genius in his field, Dr. Silber of St. Louis is in 9 days! I made the appointment on March 4th after finding out that our 4th IUI attempt was unsuccessful. Feeling frustrated it was time for a second opinion. I already had an appointment with my current doctor in Little Rock on the 7th to discuss what our next options were. So we decided to give them one last chance while we waited on our other appointment. The doctor gave us the options of doing another IUI with a different medicine this time, Letrozole, or move on to IVF.

He explained that Letrozole is like Clomid, minus all the side effects and minus the possibility of the uterine lining becoming thinned but it is more expensive. After hearing this, I was some what peeved that I hadn't been offered this drug sooner. I mean if Clomid thins the lining of the uterus the doctor should tell you that upfront, give you the option to save money or spend the extra $50 - $70 for a drug that doesn't thin the lining and has been known to have basically no side effects! I really do believe if given the option I would have chosen the Letrozole starting with the first IUI. For one I had already taken two rounds of Clomid and secondly I would have never chosen a drug that "could" thin my uterine lining. Obviously I would want my uterine lining to be at the best of it's ability so that an embryo could attach if formed!

So anyway after discussing it with Ryan for about two minutes, we decided to give it one more shot while we waited for our appointment in St. Louis. We knew before hand that we had no plans of doing IVF in Little Rock. We had heard that Dr. Silber in St. Louis was at the top of the IVF field and had decided if we had to do IVF we would go there. After all, St. Louis is only about 30 minutes farther than Little Rock for us and we love St. Louis. We make at least one trip there every summer to watch the Cardinals! (At least if we were doing IVF this summer we could maybe catch a few games to pass the time.)

Anyhow, the doctor told me that my uterine lining was thinned the last cycle and that with the new medicine we shouldn't have that problem. He also wanted to add FSH injection shots this round. I thought bring it on. I am willing to try anything new even if I do have to give myself a shot. (What us infertile women wouldn't do!) I left Little Rock feeling somewhat positive. At least we were trying a new medicine and adding the FSH injections as well. They scheduled me to come in on the 15th for an ultrasound to measure my follicles and make sure they were growing properly. If they were on track, they would send me home with the Ovidrel shot and tell me when to be back for the insemination. I was figuring I would get the shot, take it Friday night and be back on Sunday morning.

This time there was no instruction to start the OPK tests. However, when I got home after work on the 14th I decided to take one just in case, call it an infertile woman's intuition. In my mind I thought it was too early, only day 12 of my cycle but took it anyway. I was shocked, it was positive. I called the doctor to see what he wanted me to do. He said that Ryan would need to come with me just in case it was time but that I needed to test again in the morning. So I tested again, positive again. I had my ultrasound, my follicles and uterine lining looked good. He said that I had one measuring at over 20 mm (perfect) and I had not ovulated yet. He wanted to go ahead and do the insemination. I was excited because that meant no Ovidrel shot and no trip back on Sunday.

Thinking we would have to be back on Sunday, we had already planned to make a weekend of it. So I booked a hotel for two nights and we went to the horse races on Saturday. The weather ended up being perfect and we had a great time. But obviously my body wasn't busy making a baby during this time. :(

So back to what I originally started talking about, my appointment next Friday! I am so excited to get a second opinion even if that opinion is to do IVF (traditional or mini-IVF). I finished our paperwork this morning and had our records transferred. I cannot wait to meet Dr. Silber and his staff. I have heard wonderful things about the entire clinic. I am excited to have one doctor and one nurse assigned to my case. A nurse that will have access to my file and know what is going on with me, a nurse that I can call and ask questions. A nurse that can actually answer questions and will call you back. From what I hear they are very professional, personal and compassionate. Something I have yet to come in contact with on this journey. Crazy that you can go to a reproductive endocrinologist for six months and you still feel like no one in the entire office cares if you get pregnant or not! You would think they would want to be successful at their field?? Hmm.. all I know is I am moving on to better things and praying, praying, praying that this step will be the step we need! I am also looking forward to the break for April, no drugs, no inseminations and hopefully a lot less stress!