Saturday, Mr. Jem and I had a phone consult with Dr. Z.
First the good news: he said I had good ovarian reserve and Mr. Jem should have enough sperm to NOT have to do another biopsy.
Mr. Jem: start taking Fertility Blend for Men again (he did before our first IVF). And go back on clom.id to up sperm production.
Me: Dr. Z wanted to do a different protocol. Instead of antagonist, which is best patients with low reserves, he would have us do IVF with ICSI using a Long Lup.ron protocol, to control hyper-stimulation. He also wants me to do some additional testing before we start our cycle (for killer cells, etc.) The other thing he wants to do is PGS on the embryos, so we transfer only viable embryos. At age 40, he said an embryo only typically has a 1 in 5 chance of being normal, so he wants to test ours, before transfer.
What's next? A chat with the nurse coordinator and then a financial person (our next cycle will be out of pocket).
So, are we going to go forward? You betcha! My mom reminded me that I swore I was "done" after the last cycle, but this feels different. It's not the "same ole" and, despite the fact that we may never know why we can (or can't) get PG, I'm ready to move forward. Dr. Z has a great clinic, a top-notch lab, and responsive admin staff. Let's just hope they can get us a BABY!!
P.S. Here's a teaser for my next post on our vacation - a picture of Mr. Jem fly-fishing in Central Oregon, with a little help from my step-dad. Yes, that's a fish in Mr. Jem's left hand.