We arrived early as another bonus for me is the new clinic is a 5 minute drive from my work and probably a 10 minute walk. The other clinic i used to have to leave 45 mins early and battle through traffic. Its nice to turn up to an appointment with time to spare, today it worked in our favour as the person before us ran late so she took us in first.
Dr told us that she had read our file first of, that really made me feel like we were in good hands as not many have done that in my medical past and I have to go over it all again, there were a few things I had to fill her in on... but she had the jist.
Time for my AMH level results..... the big I was most nervous about after 3 stim cycles... was 44! im ELATED! This puts me in the Green Zone (Above the 25th centile for younger,
fertile women
Very likely normal ovarian reserve – age is
the best predictor of your future fertility
80% chance of 6 or
more eggs in IVF), between the Average and 90th centiles even! Couldnt have had better news really. This now means I have a bit more time. The advice she gave us was that from 37 to 39 is when I need to be cycling next, sooner the better really as even though I have quantity at this stage, the quality will drop from 37 years of age. From 39 onwards are chances of normal embryos are very low.
As for DH's sperm situation. Not great news Im afraid. We are looking like we will most definitely be needing TESE (biopsy of testicular tissue) during this next cycle. This means retrieving sperm before it comes in contact with semen (potentially containing antibodies). Problem is they cannot perform one even as a test prior to a cycle as the Embryologist has advised her that until they get into the ICSI setting we will not be able to tell if it was beneficial or not. If it is, we potentially might have a solution for better fertilisation rates and the possibility of freezing sperm for future cycles. They could get a biopsy and find that the antibodies have attacked already. Only time and surgery will tell, but DH has now agreed to the procedure finally so thats great.
We talked over all the options on the table with her, Lap resection again for Endo, Endo meds, TESE, Lap egg retrieval (too pricey), Donors, Surrogacy, Immuno-suppressants, the list goes on.
Outcomes from today have been another appt booked for next week with my OB/GYN that did my last Lap/Endo-resection to talk about whether we need to go in again due to the abdo pain im experiencing and the bladder issues over past 12-24 months. Its been two years this month since my last surgery. She will also catch up with him about my previous surgery, have a look at the photos he took of my right ovary and uterus etc... they are just down the hall from each other in the same office. I think that work well, I'll be in good hands with them both, two very good specialist surgeons. As far as our Fertility Journey goes still no real plan as of yet, or budget, we need to decide what we want and need before we price it all up, I know this much its not going to be loose change, we are looking at at least NZ$16-20k, so we have to be smart. Make good choices. Trust the experts.
Next on the list is a appointment with my Colorectal Surgeon, trying to get sorted the pain im having in my right hip, my back and my sciatic nerve. Ive been in a lot of pain for the past few months and the GP thinks I should see a physio. With all that I have going on with my anatomy I want to check with my existing specialists first before throwing a Chiropractor or a Physio in there as well. I think its related to me sitting all day at work and then sitting when I get home in the evening, not enough moving around. Hoping that few exercises will help and its not something more sinister like a slipped disc. Forgotten what pain-free feels like, its always something with me.
We haven't given up just yet so plenty more updates to come... watch this space!
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