Today, we met with RE to discuss just what our next step is going to be. I have pretty much been preparing myself to hear him say we were going to move directly to IVF. I was ready to face this and trying to figure out how we were going to pay for it and when we could potentially be able to pull it off. So, we walked in and he said that after going over my chart, especially at the most recent cycle, he remains confident that and IUI still may work. Last cycle, we agreed, was crazy. At first, I didn't respond much at all to meds, then when they increased the dose, I responded too well and nearly overstimulated, so they stopped the meds completely and at the last minute (when my estrogen level went back down dramatically), they decided to go ahead with the IUI, doing 1/2 a trigger shot. My progesterone looked great, so we expected it to work. RE thinks that since we now know better what it will take for me to respond to stims, we can do a much better job of getting an acceptable number of mature follicles without over stimulation and we can do a full-strength trigger shot. All in all, the idea is that next time will be better controlled and hopefully more successful.
We did talk about doing IVF and he agreed that we could certainly skip straight to this, but he feels that IUI should work and recommended we give it another shot. DH and I agreed that this is what we want...we would be able to start our next IUI cycle right after the holidays instead of having to wait longer. AND...we don't have to do a cycle of birth control first since I responded so badly to it the last time. The other nice thing is...RE didn't charge us for today's appointment!
Now, I am working on the list of things I want to get done in the next month or so before we start another IUI cycle. My hope is renewed just in time for the holidays that the next cycle will be the one, so I want to do everything I can to make this one work.
