Feb 13- Game plan for Attempt #2

Friday the 13th. Great date huh? I haven’t really been suspicious about it since middle school when I missed my bus in the rain and had to walk a mile and a half home. That was the date for my follow up with the doctor.

I arrived a couple minutes late and the nurse took me back. Before leaving the room she says that she is sorry I didn’t get pregnant. I said thank you and she left. I almost lost it in the room. But I gathered myself together. After all the doctor’s office is no place to make a scene. The doctor came to get me. We went into her office. She too says that she is sorry I didn’t get pregnant and that she was sure we would have.

She talks about how I responded to the meds. I responded exactly as they wanted with low AMH. She added DHEA vitamin, 25 mg three times a day. She says it might help get a couple more eggs or to help not have any be immature. The fertilization was a huge issue for us. 2 of 7 fertilized. Nothing they can do about it. There is no magic bullet or pill or miracle drug that will force the sperm and egg to react. Ok well that sucks. The only other issue potentially was implantation. We had 2 fantastic (her words) embryos. She said that our grade B+ would have been an A in a couple of hours. She doesn’t think they arrested (or died) before the 5 days (where they would break out of the shell to attach). She recommends an endometrial biopsy. She gives me a couple of articles from medical journals. Tells me it will increase the odds of implantation by 20%. That’s a big jump. She is confident we still have 50% odds of getting pregnant and that the next cycle will be the one.

I ask her if it is possible to start the prep for the next cycle right away. My husband wants to take the whole week of our retrieval and transfer off this time. He wants to be there to help me relax and not stress about work. We were hoping to do it the last week in March since I get laid off in March and our benefits will run out at the end of April. That way I am off work but still receiving my severance and still covered. I mean we paid the deductible we might as well take advantage of it. My doctor calls in the IVF coordinator and explains the situation. They think for a minute and agree that if I started birth control that day that we could get it done, including the endo scratch. I agree. We might as well give it a shot right? I mean it sounds painful and not fun but hey if it will up the odds of our beautiful embryos sticking let’s try it.

So I left with instructions to start the birth control right away and get DHEA too. I go to my pharmacy and get my prescriptions and have to go to a separate pharmacy to track down DHEA. I treated myself to a pill box too. One of those ones with morning, afternoon, evening and bed time. Hey, whatever helps me keep track of all those damn pills. All that’s left to do is wait for my schedule from the IVF coordinator and come up with the financing for the next cycle (no more old 401ks that I can drain). I will make sure to ask her if there is anything I can do to keep my period at bay next time too. I got my “friend” at day 24. It’s very early for me. I want to make sure that we give the embryos time to stick and the HCG to get into my bloodstream.



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