We talked to the big guns yesterday and had our first consultation with CCRM. Dr. Surrey was great! He was the first doctor that we've talked to that actually offered some concrete recommendations to our last two protocols. All the rest of the docs have had some "wishy-washy" recs that they said were worth a try, but really weren't anything different from what we had done during our last two IVF cycles. Dr. S had a sense of humor and was very friendly. He was upfront and honest with us, but at the same time provided a glimmer of hope.
So, to get down to the nitty-gritty of what he recommended:
- Antagonist cycle with estrogen priming
- Longer stim, an additional day or two past the typical 18mm lead follicle
- HCG trigger + lupron (so I guess some women do not respond well to HCG as a means of maturing the egg. Dr. S. has had some success in these situations by giving a dose of lupron in addition to the HCG)
- Possible addition of human growth hormone (I'm thinking this is saizen)
I'll be flying out to Colorado in the next month or two to do a one-day work up and also meet with Dr. Surrey. After that, we'll probably schedule IVF #3 for sometime in the beginning of 2011.
And more good news! I did another round of bloodwork this cycle and just got my results back...My FSH is 7.9, down from 23 last month and my estradiol is at 34. I really think that last month was a random fluke and/or a bad test or maybe my FSH was still high from the IVF meds. Whatever it was, I now know to wait one month after an IVF to test my hormone levels.
2 weeks ago