She did offer another type of infertility treatment, however didn't suggest it for our specific needs. It would be a SUPER ovulation with IUI. I would be on multiply injections that would create, just as it's stated, a super ovulation. This is way too risky for me, because of my age and because I don't have any type of blockages. It could actually cause 4+ eggs to release and possibly be fertilized, which is a severe health risk for me and babies. Also, the risk of hyper-stimulation to my ovaries is at risk. It is best suited for those with PCOS (Poly Cystic Ovarian Syndrome, basically, there are tons of little cysts that envelop the ovaries causing many many problems) and also for those women who have blockages. She also stated that before she would do such super ovulation, she wouldn't do it without doing a laparoscopy again to make sure that my endometriosis hasn't grown back very much. We know that it will, because there is no permanent cure for endometriosis, and I will eventually have to have a hysterectomy. Which I guess is the permanent cure. ANYWAYS....
So, after I completely shut down that idea, she praised me for it and then shared with me how she didn't really want us to do it either, she then went into the Mack-Daddy protocol a little. She just gave us an overview, as we will have to go back to her office on December 6th for a extreme in-depth consult and injection trainings, as there are TONS to do! :(( We feel that this is the road that we will embark on and it will start VERY soon! She didn't want us to do it during the holiday season, because of the extra stress Christmas can bring ("Good Stress" is still not good for an IVF cycle) and I will be done with my hellacious math class. Here's how it will break down in just a short summary, I will blog details after the 6th.
In about 2 weeks, I will start taking birth control pills. I know this sounds kinda crazy and a bit of an oxymoron, but it's actually what makes good ovulation. The birth control shuts down my ovaries and puts them to sleep. About 2-3 weeks after, I will go in to her office to have a Sono Saline Hysterogram (click this linky to read a little more if you wanna) done. This will show her if I still have a "Beautiful Uterus". This actually will check my endometrium (lining) and will make sure there are no polyps and to make sure the arcuate that I still have from the septum removal isn't doing anything wonky. Basically, I still have a tiny dip at the top of my uterus that was not able to be removed because it is all muscle.
During that visit, she will also do a practice embryo transfer. This is to help her see where she needs to place the embryo's later. Then we just kinda wait the rest of that cycle out. The next cycle we will call when I start to have a baseline ultrasound done. This is to make 100% sure my ovaries are still asleep. I will then start taking FUN medications...Shots! On cycle day 4, I will then go in for a blood test and an ultrasound to check on my ovaries. On days 6, 8 and 10, I have to go for ultrasounds to check on the growing follicles. Around day 10-12, I will take my "trigger" shot and then 36 hours after than go in for my egg retrieval. I will be heavily sedated and if you wanna know how this process works, I won't post it all here, but you can click this linky HERE to get the gory details. After the retrieval, they will combine my eggs with J's swimmers in separate "petri dishes". Half of the eggs will be allowed to be fertilized naturally, where the swimmers are allowed to try to penetrate on their own. The other half will be fertilized using a really awesome method clld ICSI (Intra Cytoplasmic Sperm Injection). This is basically where the embryologists selects the top-notch swimmers and will inject one in each egg.
24 hours later, they will check to see how many of the eggs were fertilized. 75% is average. At this time, the ones that did take, now have 2 nuclei. This will begin the rapid division that you all learned about during biology! When the embryo(s) have reached the blastocyst stage, 5 days later, it is time for the embryo(s) transfer. We will then go back into Dr. Phy's office and they will have the embryo(s) loaded up in a little catheter. Depending on the grade (A being best), I will only have 1-2 embryo's transferred.
This will all be just like the IUI's we have done previously. 2 days later, I will be back on progesterone. I will have a Beta (quantitative) blood pregnancy test done about 14 days later. If I am not pregnant, I will stop taking the progesterone. If I am, then I will continue until 12 weeks.
We are sooo sooo sooo excited, a little nervous, of course, but sooo soo soo excited! Dr Phy's success rate is 70% with IVF and she is sooo confident that this will work for us. Of course, there are NO guarantees. Just our faith in God during this time! The biggest concern that we both had was what does she do with the remaining embryos. When I shared with her our concern, she gave us 4 options.
- If they are of grade A quality (cream of the crop, best of the best) we will be eligible to freeze them. They will be indefinitely "good" and won't "expire". This is excellent in case this doesn't work, we don't have to have another egg harvest that cycle. Also, this will save us from future egg harvesting if/when we go for another kiddos.
- We can donate them to a center for couples to adopt. At this point, this is one of the least options we feel comfortable with. I know that it would be a blessing for another couple, however, we just both don't like the idea of it. God can change our mind at anytime, and I have to be okay with that!
- We can "discard" them. This is the ABSOLUTE last thing we will do. This was the deal breaker with the IVF. If there was no other option, we would not be doing this procedure at all.
- Finally, we can donate to science. How is this different from discarding them, because they will no longer be alive? Well, we honestly felt peace from God at the same time about this option. Knowing that our embryos could help scientists discover something to help future IVF'ers, is just what we want. I don't want them being tossed out in vain.
We have decided that cryopreservation (freezing) is our #1 goal, then donation to science.
So, friends and family, if you made it to the very bottom of this without going cross-eyed, I thank you oh so very much! You rock! =D Please please please keep us in your thoughts and prayers and just keep every toe and finger crossed for a successful cycle.