So I just got off the phone with the very calm and personable Dr Schoolcraft of CCRM.
He did not blow sunshine up my skirt, but he was not doom or gloom either. I found him to be pleasant, professional, kind, and curious.
And the conversation? Well, it certainly was interesting.
Realizing that this is his educated opinion, not soothsayer-- he thinks my lack of egg retrieval on IVF#1 might have been due to mechanical/technical issues, not kate's-body-not-working. He thinks my pregnancy proves I make mature fertilizable eggs. And his suggestion? IVF, maybe triggered with both hCG and LH to make sure those eggs are accesible, and add genetic testing since, as he so eloquently said, time is of the essence and miscarriages take time. PGD will make sure that we don't use things that we know won't work and then we can get right back into the game the next cycle. Strange to talk of such emotionally charged issues in terms of efficiency but I get it. But time pressure, well, it is a big part of the story, isn't it? So is shielding myself from heartbreak.
I asked, what of my 14 resting follicles? First, he said, follicle counts are subjective so there might have been an error. Second, between my last cycle and this one I was pregnant. Pregnancy makes hCG and hCG makes androgens in the ovaries that can help stimulate more follicular development. Result? Suggestion/consideration of DHEA priming for 2 months ahead of time (he considers it experimental and not a certain benefit)- BUT he cautioned me that DHEA is not to be taken when pregnant. So..... not sure about what to do about that, a 2 month vacation from TTC? Is he nuts? (kidding) (kind of) But I am not kidding about not understanding how that might work schedule wise considering the time pressure.
What about donor eggs?
He also said near the end of our conversation, that obviously DE offers the best chance of success, and it will be there for me when the time comes.
My initial inclination is to do what I need to do to get out there for an assessment since without that, nothing else can happen there. They are seeing if they can get me in this cycle (aka within this next 7 days)***UPDATE, NOPE***-- since I am unmedicated and therefore assessable. The scheduling person will call back to talk about whether they can sneak me in or not.
If I go, this does not mean I have to DO anything, but it does mean I will know what they would recommend and also, how much it would cost. The finance person will call me later to talk about the price of genetic testing so I can see if we can even consider it- if we can't then we can't and going to colorado may not be worthwhile at all.
About the possible IUIs (medicated)? He said, feel free to go ahead, since hey it worked, but the miscarriage risk side of things makes it potentially costly in oh-so-many-ways.
Oh, yes, I know.
Still hurt? Yup. Do I know what I'm doing? Nope. But I do know I am intrigued.