Today was my big appointment with Dr. Smith, my main office RE. She is the big decision maker and the one who does IVF. I was glad that I had the whole day off of work because I was pretty anxious all day waiting for this appointment. I got there early and fortunately they were running ahead of schedule so I was able to spend extra time with her (almost an hour and a half total time). I do love Dr. Smith. She has so much experience in her field, really cares for her patients and is very direct and to the point (which I appreciate). I sat down in her office for the first half of the appointment and she reviewed my chart and everything we've been doing up to that point with Dr Diehl. Unfortunately, given my age, diagnosis and the amount of treatments we have done thus far she feels like we should have gotten pregnant months ago. Since we're not pregnant and everything is perfect on Todd's end she feels that I either have an egg quality issue or a fertilization issue and strongly recommends that we move onto IVF after this cycle using the "
Long Lupron" Protocol with ICSI (link is to another fertility clinic website, not mine) ICSI is usually used for sperm issues but if our case it would be to test fertilization issues. If we decide to do IVF before Todd deploys we'll actually start the process pretty soon.
She doesn't think I need to do a lap surgery. She feels I have no real indication for one based on symptoms and other test results.
We are continuing with this IUI which will probably be on Tuesday based on today's ultrasound and how I've responded the last several months. Miracles do happen and we certainly still can get pregnant this month but statistically it's not very likely.
I feel like I have so much information to process. I never thought we'd be at this point. I was able to talk to Todd right after the appointment but was pretty bummed he couldn't be there. Fortunately, he gets home on Friday.