We met with Dr. W yesterday. It went well, in that I didn't cry, even when he started the conversation asking about Fluffy.
Why didn't our last IVF work? Why did we get less eggs and embryos? Why didn't the good embryos transferred stick? He didn't really know.
Only conclusion: Old eggs. He didn't recommend doing PGD or any other testing.
Here are the options he presented:
- Donor IUI, with Clo.mid "kick" - could do this next cycle. 5-10% chance of getting PG. Cost: $600-$700
- IVF: Antogonist (again) with a slighter higher Folli.stim dose than last time (225IU). 35% chance of success, 40% with donor sperm.
- Donor Egg IVF: Higher cost ($25K), 60-65% chance of a baby with donor egg + Mr. Jem's sperm; 75% chance with donor egg and donor sperm. My reaction? With donor egg and sperm, shouldn't we "just adopt?" He pointed out that with adoption, you don't always know if the mother is taking good care of herself (not drinking, doing drugs), and that at least I'd have control over the pregnancy part of the equation. Hmm...
So, what to do? What was his recommendation? Dr. W didn't think there is one clear option. I don't want to "waste" time with a long series of IUIs, given my age (40).
We are definitely looking at getting a second opinion. I've already reached out to Dr. Zou.ves in Foster.City, CA. I'll let you all know what he says. Two other recommendations from a trusted source: CCRM (of course) and Dr. Jefferey.Fisch in Las.Vegas.
I'm starting to get mentally ready to cycle again. We will be traveling in September (to Oregon to see my parents and to MA to visit Mr. Jem's parents), so we'll need to cycle in late September, early October.
Onward and upward!