Monday, July 30, 2012

Post-Op Appt (Post Septum Removal)

So, the post-op appointment today went well. Doc did an ultrasound and confirmed that yes, my uterus has been successfully cleared of a septum that seemed to go on and on for days.  It was huge and now it's bare.  All that is left is a tiny heart shaped cleft...which is fine. Doc said most women have this. Phew.

As for everything else, I'm good to very good. The only thing that seems a tad on the high side is my FSH levels which are at a 9.  Hopefully it's just some freak reading from with my Day 3 bloodwork because it does seem insanely high for my age, but regardless...they told me not to worry. So I shan't.  I can just keep it in the back of my mind. Now...

WHAT COMES NEXT?!

After the past 12 months of annoyingness (aka: peeing in cups, peeing on sticks, taking my temperature, charting, downing vinegar and pineapple, etc) yielding nothingness I know that I will not be trying naturally for a while. Yes my septum could have decreased blood flow and made it harder to get pregnant all that time, but I still could have. Yet I didn't.  At the end of the day, I am still an infertile mertile so let's just get 'er done already. Or as my high school cheerleading squad would squawk:  Let's "Be aggressive. B-E Aggressive!" (B-E  A-G-G-R-E-S...ok, ok).  These are my choices:

IUI
IVF

IUI has multiple options attached to it. 
Natural
w/oral meds (clomid, etc)
w/injectibles 

Hmmm...

This is a tough choice.  I wanted to go with IUI for sure before this appointment. It would take up less insurance money and I figured that an IUI with injectibles would give me a great shot.  Plus, Doc semi-confirmed that as far as IUI's go, this would be my best shot. According to her, there was no need to take Clomid as I'd never missed an ovulation.  

However, nothing is ever that simple with me.  Apparently I have a ton of follicles.  This is a problem only because of the injectibles.  They could make me create loads of eggs and follicles and if that happens,  they won't proceed with the IUI to avoid an Octo-Mom outcome. Crikey.  I hate the thought of any month being cancelled.

During this conversation, Doc explained just how the whole process with injectibles works...she even showed me the shot-gun (bang) that I'd have to use.  In a nut shell, it ain't easy.  It's tons of work. Lots of shots. Lots of doctor visits. And not that high of a success rate.  Other than the hormone meds being lower than IVF and no egg retrieval, it sounded just as intense as a round of IVF.

Now, do I go with the plan that has a higher success rate and lower rate of being cancelled?  BUT is slightly more invasive and way more costly? That's the question I'm dealing with.  If I have a ton of follicles and may have to cancel a medicated IUI round, I'll be pissed at wasting time.  After doing this jig for a year, I can't just sit a month out of the game.  Mentally, I just can't.

It seems clear after writing this, to move on with IVF but I'm still not convinced. So many hormones. Ugh.  Fortunately (or unfortunately) I did find out in this meeting that the 10 days of birth control I was on for my surgery restarted my clock.  This means that I can't move forward with a medicated IUI or IVF this month anyway, so I guess I have some time to think about it.  

Hopefully everything becomes a little clearer in the next day or so. 
til then...
L

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