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View Full Version : Possible plan for IVF (updated)


meeshkasheeba
03-12-2012, 08:05 PM
6/26- I met with the Dr today and although I know he knows what he is doing I really felt like he was a jerk. I don't feel like he heard me initially and kind of feel like he has been telling me what I want to hear. He was so focused on fixing my pain that he seemed to totally forget that we were trying to get pregnant. Once we got that squared away (and my temper chilled a little) we got one with the show and discussed the length of the Lupron treatments. He said we will go ahead and complete one more injection (4 total) before we do an ultrasound and then if the endometrioma is gone we can discuss going straight to IVF or completing 2 more injections and trying for a few months before doing IVF. If it is not gone then we will have to go in and drain it and then finish the 6 injections.


So what helped you make the decision to jump to IVF and what helped you be at peace about the extra embies?
This is all so overwhelming to begin with. He is not helping things. I did finally get a script for Zoloft to see if it will help me chill out a little bit (I'm sure after today he had no doubts I needed it) I am not sure how I feel about trying naturally vs IVF at this point because I feel so beat down and I feel like this must just be next to impossible. I am still in waiting, but maybe next month I will have a few answers and we will be closer to TTC again.

5/3 I started my Lupron injections today. I am terrified of how I may react and already have a headache. It is not good. I originally thought I was going to only have 3 injections but now they are talking about maybe longer. I am going to meet with the Dr when I get the 3rd injection to see if that is sufficient or if he really thinks I need more. His notes say that I have adenomyosis and that is supposedly why he may want me to do more, but I can't find anything that says this has been studied AT ALL! I am freaking out.

I have rather bad endometriosis and I am very aware that I have been blessed with two beautiful boys that I probably shouldn't have been able to have so easily, but I want another child. For that matter, my DH wants another child. I have spent the last 18 months trying for another one and it has now been a year since I had my last lap to remove endo from my only ovary. I also had my only tube unblocked again 3 cycles ago. I am now to a point that I feel like I need someone that actually specializes in IF. I have had the same OB/GYN for 10 years and I have grown to really trust him. I have had some fairly bad experiences with other docs and I have a really hard time trusting them.

How did you decide that it was time to use an actual fertility specialist? How did you get the courage to do so? I am terrified that I am going to be told that I have two great kids and that I should be happy with them because they were never meant to be conceived in the first place. I know that sound so irrational, but it does seem to be the ongoing statement made.

I was even told by the OB that I was never expected to have children, why did I want yet another one. (This is the guy that has 5, the most recent of which was conceived by IVF)

Please help me with your stories of how you got to that place.

Update: Well, I had my first visit and it was very long. More than two hours if you count all of the wait time. We went over history and he immediately told me he wants me to go on a 3month round of Lupron, well, 3 of the one month injections. I cried. I hate Lupron with a passion and initially I told him no. If you have read the side effects of it, that was me to a T last time I was on it. It was awful. They drew a bunch of labs and are going to take more on day 3 of my cycle. We then went in for a full physical and int ultrasound where he saw my spongy uterus (endo) and a 4cm cyst on my ovary and a few other definite markers for PCOS. We also discussed possibly having high prolactin levels due to a few things he noticed and his nurse practitioner said we may do an MRI of my brain if levels are too far off.

They started me on Metformin and Metamucel this visit and plan to start me on some vitamins and probably the Lupron once my labs are back. They also discussed me being on a gluten free diet (we are working towards that already) and they want me to log my activity level for a while so they can make recommendations on what else I may need to do. They did not say "lose weight" but I think they are in favor of me dropping a few pounds. I know I need to.

The PCOS diagnosis is new to me and very scarry to add on top of the endo and only having one ovary but he did think that if we could get the endo under control and the PCOS under control that we should be good to go because the tube looks good on that side. I sure hope he is right.

I don't know anyone more afraid of a drug than they are of surgery but I sure am. I know with God on my side I can do this but I sure don't want to.

So what can you all tell me about PCOS?

So, we got my labs back and they weren't all that bad really. My vit D is low as is my HDL colesterol so I need to be taking fish oil and he prescribed some vit D so it will absorb better. I eat fish about once a week so I guess we need to eat it and nuts more. They drew some more labs today (LH, FSH, prolactin, and estrogen) I am going to get my first injection of Lupron on the 3rd and I am terrified. They all have said I can call the office any time and they will talk to me (even if they have to put me on hold a few times to attend to ladies in the office). I hate the idea of putting my body through all of this again. It is exhausting having to wait for it I really just wanted to get it over with and get started now. I guess it is sounding like we may get to start TTC gain in Aug. I am going to try to take these few months to get healthier and lose a little weight. I am stressed out about all of this and I just don't know how I am going to make it through it all sane. I don't know how you manage to deal with this for 3+years. I just don't know how you cope. Maybe I am just tired but this is tough.

psylion
03-13-2012, 07:31 AM
If I had only one ovary and one tube I would have started off at the RE. I went to the RE just because I had a short LP and found out I had DOR while I was there. In your case if your Doc is already saying insensitive things what is the risk of trying an RE doc? The worste that can happen is that they say insensitive things but actually get you pregnant. I think the chances are less though because docs that spend years of extra training on how to get women pregnant seem to be pretty interested in making that happen. Take the plunge; a new squishy baby is totally worth the risk.

myblessedbaby
03-13-2012, 08:19 AM
Originally, I went to an RE after a year of IF. I knew it was time because my OB couldn't do anything else for me and we both thought it was time for a specialist. I hated that I had to go to a doc to get pregnant, but I knew I needed to. I used the only guy on my insurance plan. He wasn't great, but I got a diagnosis and treatment. And concieved my DS.
Then DD came easily and we decided we wanted one more thinking our IF troubles were behind us. After 3 losses in one year, I knew we needed more testing to figure out why. The second time to an RE wasn't as scary as the first. I still hated that I had to go, but knew that this problem was different from the first and I needed a specialist to tell my why I couldn't keep a pregnancy. My OB couldn't do the testing needed and didn't have the knowledge base an RE does. This time I went to a different RE, as now there was someone else on my insurance plan. This doc was wonderful. Caring bedside manner, very thorough in his testing and explanations. And again we have our diagnosis, male factor IF.

I think by posting this thread, you know it's time to move on. Especially with your issues, you know and RE can give you the help that an OB just can't. RE's have a better knowledge base and better tools to use as it is there only job to get you pregnant. It's a scary step, but a necessary one. It totally sucks that we need significant help getting pregnant, but once you accept that, the rest gets a little easier.

meeshkasheeba
03-14-2012, 08:21 AM
Okay ladies, I made my appointment. It is April 9th and I am terrified. Help me to make it through the hurry up and wait period. She said it could be up to a two hour appt. Is that normal?

myblessedbaby
03-14-2012, 08:31 AM
My first appt with the RE was 2 hours. He took a long time to go through my and DH's history. Then he did an exam. One of my RE's did a u/s. Then I had to come back at certain days in my cycle for blood work. Took a couple weeks to get through all the testing and then we had an hour long appt to go over all the results and get our game plan.

Good luck with your appt. I think you've made the right decision.

carriek38
03-14-2012, 08:43 AM
My first was shorter than that, but I went in w/ a lot of knowledge after DP's treatment at the same office, and b/c I didn't have a male partner that played in.

Honestly, relax as much as possible. Unless there is a reason why it would be unsafe for you or a theoretical LO for you to carry a baby again, an RE's office isn't there to judge you or tell you to be happy w/ what you've got. They're there to treat & ameliorate the effects of conditions contributing to infertility. As much as I sometimes get frustrated w/ the office I go to, they work with people dealing with all kinds of IF issues & are sensitive to all kinds of struggles and loss. On the whole, I find the doctors, nurses, and office staff to be warm, genuine, and welcoming, and I hope your RE experience is the same!

kdc_star
04-05-2012, 07:53 AM
It took me 3 years to make my first fertility clinic appointment. For me, it felt like I was admitting defeat and I was in fact, infertile. I never admitted it up until that point. It was a hard decision to make, but in the end it was the best decision I have ever made as I got pregnant with DD very quickly.

My first appoint was long, probably not 2 hours, but at least one. My RE did a full medical history for both DH and I, then I had an internal ultrasound.

Best of luck, I hope your TTC journey comes to an end very soon and all you dreams come true.

meeshkasheeba
04-11-2012, 09:55 AM
Bump for update.

sillyutalktome
04-11-2012, 12:26 PM
I don't know much about PCOS or Endo but I remember a few months back there was an endometriosis thread here in struggles that talked about the relationship between the two. You may be able to find it if you search. :hugs: I am so glad he was so proactive your first visit! It sounds like he'll be a wonderful help towards you getting another BFP!

meeshkasheeba
04-19-2012, 06:59 PM
Another update.

meeshkasheeba
05-03-2012, 07:40 PM
First round of Lupron

lalakiwi7
05-11-2012, 12:44 PM
just wanted to say hugs... I just finished my last dose of lupron for endo. We have been trying for number two for well over 2 years and have had two losses.

lupron sucks! So sorry. Also, I am guessing you have already seen a RE by now but I wouldn't mess with a obgyn with your issues. They are willing to take their time where RE's a bit more to the point. :)

meeshkasheeba
05-11-2012, 03:29 PM
I spent the first 8 years dealing with the same obgyn and just over a month ago switched to the head of OU's gym program who happens to be the best re in town. He has been okay but his nurses are awesome. He always has students and residents and I don't really like that but I have gotten used to it because I am a very extreme case. It is nice to know others understand how I feel. I am sorry you are on this crummy road with me but very thankful for the support.

meeshkasheeba
06-26-2012, 06:27 PM
New update in first post

Kap7270
07-10-2012, 05:25 AM
6/26- I met with the Dr today and although I know he knows what he is doing I really felt like he was a jerk. I don't feel like he heard me initially and kind of feel like he has been telling me what I want to hear. He was so focused on fixing my pain that he seemed to totally forget that we were trying to get pregnant. Once we got that squared away (and my temper chilled a little) we got one with the show and discussed the length of the Lupron treatments. He said we will go ahead and complete one more injection (4 total) before we do an ultrasound and then if the endometrioma is gone we can discuss going straight to IVF or completing 2 more injections and trying for a few months before doing IVF. If it is not gone then we will have to go in and drain it and then finish the 6 injections.


So what helped you make the decision to jump to IVF and what helped you be at peace about the extra embies?
This is all so overwhelming to begin with. He is not helping things. I did finally get a script for Zoloft to see if it will help me chill out a little bit (I'm sure after today he had no doubts I needed it) I am not sure how I feel about trying naturally vs IVF at this point because I feel so beat down and I feel like this must just be next to impossible. I am still in waiting, but maybe next month I will have a few answers and we will be closer to TTC again.



:hugs: to you, mama. I'm sorry that your journey has been so rough. Have you heard of the Creighton Model and NaProTechnology? NaProTechnology can help cure the underlying issues that cause the infertility and has the same or better live birth rates than IVF - naturally and without the worries about extra embryos. The best cure for endo is total removal of all the lesions via surgery - even one little one left can unfortunately negatively impact your fertility and the only way to diagnose that is via laparoscopy (ultrasounds aren't effective). Let me know if you want any more info. FX that things get easier for you!

sillyutalktome
07-12-2012, 06:36 PM
For us there was no getting pregnant without IVF. I had to have both tubes removed. I'd never done any fertility drugs so we weren't sure if we'd have extra embryos or not. We just took it step by step. We knew we wanted more children and we knew IVF with our doctor was how we wanted to do it. We had a tenative plan that within my body's limits we would transfer all embryos two at a time over the years, but that if I couldn't carry more children or if we had an absurd amount of embryos we'd donate to another couple. It took two transfers to become pregnant so four embryos. We have four remaining and two arrested during growth and did not make it to freezing. I think if we had only wanted one child things might have been different, we might have done mini ivf. But we've always wanted a large family so normal IVF made the most sense.

meeshkasheeba
07-12-2012, 07:29 PM
I don't think my doc does mini IVF. I have looked into it because we know I can/ could get pregnant and we really only want one or two more children so we don't want to have a huge "clutch" so to speak. I am still trying to get to the point of KNOWING it is the thing to do.