Hope everyone had a great weekend. Ours was pretty relaxing which was a nice change. We spent a lot of time over the weekend cuddled up on the couch and I can say the TLC did both of us good. We found things to laugh about, other subjects to talk about (outside of infertility) and I feel like some of the sadness is starting to lift from D's eye. Which in turns makes my heart a little lighter. I. Love. That. Man. His happiness is everything to me.
We did have our meeting with Dr. H. on Friday. As expected he didn't have any miracle answers or suggestions for us. We talked about how there's still a lot that the field doesn't understand about embryo development which is why the success rate for genetically normal embryos is *only* 70%. He feels hopeful that we still have 2 normal blasts to transfer and his recommended path is a FET. We talked about how at our clinic (and a lot of others) their success rates are higher with FET's. He explained that this is due to the fact that when we stim during a fresh cycle they elevate our estrogen levels way higher than they would ever be in a natural cycle. This can cause some disruption in the two types of tissue in your uterus. Basically the increased hormone levels affect them too. When we do a FET he said they monitor 2 things. 1. They want your estrogen level between 300-600. 2. They want your lining greater than 8mm. Obviously during stim your estrogen levels get way beyond the 600. So basically he is feeling that doing a FET that is more in line with a natural cycle is a great option for us.
I asked him about running a couple of tests on my uterus. I've picked the brains of several of my blogger friends and they recommended 2 types of tests. The first is called an e-tegrity test. My understanding is that this tests to see if your uterus has the "sticky" stuff needed for implantation. Dr. H says the results of this test are inconclusive and due to the fact that we've had at least 2 embryos implant he doesn't think that's the issue. The next is a hysteroscopy. For my fertile readers this is where they go up into your uterus with a camera to look at the lining for polyps, scar tissue or fibroids that could be disrupting implantation. Dr. H said he would perform this procedure if I felt strongly about it but he doesn't think it's necessary. He said he's never seen any signs in all of the ultrasounds we've done that my uterus is anything but perfect. So he basically left it up to me.
If we elect not to do the hysteroscopy we could transfer at the end of Oct. If we do it then it will be December before we can do our FET since we have to do the procedure and I have to have another period after and my clinic doesn't cycle in Nov. to give the staff a break.
In other news we've scheduled a phone consult with Dr. Schoolcraft at CCRM for Oct. 14th. I'll be sending him all of our records and we are completing all of the registration and history forms online. I know that CCRM does a hysteroscopy as part of their ODW (one day workup). I'm currently feeling like we should go ahead and have Dr. H do the hysteroscopy. If I transfer in Oct. and it doesn't work I'll still be wondering if it is my uterus. Of course I'm anxious to keep moving forward but I also don't want to waste the lives of 2 more embryos if my uterus is the problem. My gut tells me it isn't and Dr. H is supporting that theory, but until we do the procedure we don't know for sure.
That being said how many of you have had this done? What are your thoughts? If you were in my situation would you do it or just move forward with the FET?