Dudes and dudettes (do any dudes actually read my blog? I’m not sure…anyway), I have an announcement. Wait for it…can you guess, can you guess, can you guess???
We are changing clinics and damn I am so freaking excited. We went for the first of our second opinion consultations today. This one was with a specialist (Dr O) who I had heard of around the traps as “one of the best”. Our current doc, Dr D, is also very well regarded though. He is probably the other “best” according to folklore.
Anyway, the intention was never to change to this new clinic. Initially we just booked for a second opinion. I was keen for him to look at my supplement list and my protocol and just give us his opinion. But we were so impressed with his fresh approach that we decided to switch immediately.
Dr D had bascially left us with a “well there’s nothing else we can really do” feeling. He wasn’t suggesting changing my protocol at all, he wasn’t suggesting I do anything different. There was just no change and no real hope from the clinic’s perspective of improvement. You know that old Einstein quote? The definition of insanity is doing the same thing over and over again and expecting a different result. That’s kind of what I felt like things were at with Dr D.
Dr O on the other hand had lots of ideas.
1. He is happy with my supplement list and is keen to include the melatonin. His clinic is actually part of a study researching its effectiveness in IVF. Yay! He likes to prime with it along with androgen (a testosterone cream apparently) for 3 weeks prior to stims commencing. When we asked Dr D about melatonin back in February he simply said “No”.
2. He wants to try me on a different stims protocol. It will be menopur and lupron I think. Apparently sometimes people respond negatively to certain protocols in a way that impacts egg quality. OMG. Seems so simple to mix it up a little. Why wouldn’t Dr D do that?
3. They do “next generation sequencing” rather than straight PGD. The difference for me? It means I can get my results from the embryo chromosome testing back in 12 HOURS. 12 hours folks! I was waiting freaking 2-3 weeks with that other mob and it was AWFUL. The price isn’t even significantly more. I can’t believe it.
4. He wants me to have day surgery so they can check for endometriosis, perform a hysterocropy and do an endometrial scratch. To be fair to Dr D I am sure he assessed my need for all these things and decided that I wasn’t exhibiting signs that would warrant a fairly rough procedure (they say 3 days bed rest after this one). However as Dr O puts it, we are now in the business of ticking off boxes. I have had 45 eggs removed and it is nothing short of a statistical anomaly that we haven’t had a good embryo yet. He wants to go in and have a look and be sure there is nothing inside that is impacting what is taking place. We are all for this.
5. He wants to do HA-ICSI instead of the straight ICSI. I think this is also called PICSI. Dr D’s clinic does do PICSI but he has never suggested it for us presumably because all tests indicate that Eric’s sperm is great but Dr O’s opinion is that while a sperm may look great it might not necessarily be great. The HA-ICSI gives them a better chance of ensuring the sperm that is used for fertilisation is really the best one.
I can’t believe how many options Dr O was able to give us today. It has totally floored me. I am so impressed by him and so grateful that he has been able to give us back some hope rather than the feeling we were at a dead end beating our heads against the same brick wall.
I feel bad as I do like Dr D but I feel like maybe he is better dealing with patients that don’t present such extensive anomalies. He is more traditional and conservative. I need a game changer, someone who is willing to experiment and press the boundaries in order to win. I feel I have found it here at this clinic.
Of course I do realise that we could do all this and the result could potentially be the same but at least we would know we did everything to try.
Oh and he didn’t want me to wait so long to cycle. His thoughts on that were that I obviously have an egg issue, delaying is not going to help. So the plan is that we go on holiday, I return, do the day surgery that cycle (end May) and commence priming as well then move onto stims for the cycle commencing end June. So that’s pretty much what we will do.
I’m pumped. Let’s hope this is the answer to our baby prayers.