Yes, I do realise it sounds as though I am speaking of my hubby, but no it is my Darling FS! I know I have said this before but he really is amazing! I adore him, in fact I am beginning to wonder if I am maybe a little in love with himJ!?! I know I want him to give me babies…
Anyway, I have had a rough week or so, since all the excitement of our TV appearance wore off. I sent the clinic a list of questions I had following the cancelled cycle and yesterday my beloved Dr S gave me a call. He was really amazing (as always). So kind and caring and best of all patient. He started with telling me how disappointed he was to get back from the conference into see we hadn’t even made it to transfer. And then he set my mind at ease one question at a time. He quoted some stats which I totally cannot remember properly now, so will not repeat rubbish here, but they basically showed that we have every chance of a normal and successful cycle next time round. And then he answered all the questions I had.
Starting with PCOS. If you remember a while back, back when we were with that Other Doctor there was some suggestion that I had PCOS, but Dr S had put my mind at ease on this. Well since the failed cycle I had come up with a theory that perhaps the quality was bad because of PCOS. He said that actually PCOS sufferers do not have worse quality eggs. If I understood correctly he said that the problem for PCOS ladies is that they tend to over-stimulate and that the additional eggs are poorer quality, but that the good eggs aren’t made worse by the PCOS. I hope this makes sense to you, I know what I mean, but not sure how to express it. Basically he said that each month we have a certain number of good eggs and if you still too hard and push your body to make more eggs you will get quantity, but you will only have the number of good eggs that you would have had without stimming so hard. And so for PCOS ladies it is just this overstimulation that results in some eggs being poorer quality. He also said that with IVF PCOS does not have any impact on the success of your cycle. So that put my mind at ease. He also re-iterated that he doesn’t think I have PCOS. Yah!
Then we talked about getting my AMH checked and he said there is no harm, it will give us an indication of what my egg reserve is like, but it will not change the protocol he would choose to follow for me. So I am off on the next CD3 for AMH and thyroid checks. He said that with poor responders there is evidence that lower stimm meds might actually produce better outcomes. We talked about various meds and whether we should consider changing my meds. He had evidence and quotes and stats for every question I had. But at the same time is open to discussing this when we plan my cycle. Yah!!
And then at the end of the conversation I told him that we were going to see Prof late November as Prof had said he would be taking over our case and Dr S seemed disappointed (maybe just me projecting my disappointment). He said that perhaps it was to talk to us on the sperm side about IMSI, but he went on to say that we can see whichever one of them suits us best, whatever we would prefer. Tough one!
So Def and I talked about it last night and came to this conclusion. I have emailed to find out whether Dr S is going to be around in January, if he is going to be away then we will keep our appointment with Prof as I would rather do the planning with the person who is actually going to be there through the whole cycle. If he is going to be there then I would rather stick with Dr S. He has the best bedside manner and is simply awesome. Not that there is anything wrong with Prof at all – he was also awesome – but I feel like Dr S deserves our success on his stats seeing as it was him that convinced us to go ahead with Def’s treatment. Because you see I am back to thinking success!!!