We met with our RE this morning for our WTF appointment. He seems as shocked as we are that it didn’t work. Two beautiful, hatching embryos. A perfect lining. WTF?
He knew we requested copies of our files and as a result, he really turned on the charm. Lots of sympathy and even some smiles! He told us about a patient who came from Cornell after five fresh IVF cycles and one FET, with nothing to show for it except a couple of chemical pregnancies. He thought she just needed more embryos, so he put back six. She’s pregnant with a singleton right now.
He thinks that had we not felt so strongly about avoiding multiples, he would have put back more embryos each time. He would never have done one and he wouldn’t have thought twice about putting back three the last two times. He said that some women simply need more embryos. He thinks I’m one of those women. There’s nothing else wrong so we just need to try more embryos. He said he’s never had a patient at my age with such great embryos and lining and all that not get pregnant after three cycles and he thinks our decision to put back fewer embryos might be the problem.
At the same time, he told us he completely understood the desire to not have multiples. He said he’d have no idea how he’d be able to handle twins. He proceeded to tell us a story about his own child – a toddler – who ruined his plasma TV, camcorder, and something else I can’t remember in the course of a single week costing him $10k. I guess (?) by telling that story he was trying to console us for yet another BFN, while also confirming our decision to have a singleton. I don’t know though, it seems like a strange story to tell a couple of people who desperately want a toddler to ruin our fancy TV.
He recommends keeping the medications the same, which is a standard FET (suppress with Aygestin and Lupron, then add in Estrace and PIO). I asked about doing a medicated FET that more closely simulates a natural cycle (Clomid, hCG trigger) but he said that’s not really commonplace. It seems like he’d be more open to trying something different if everything else wasn’t looking so damn perfect. We’re going to thaw all six remaining embryos this time and put back the best three, maybe four (yikes!), embryos. As soon as AF arrives (I expect her tomorrow), we can get the show on the road.
Here’s what I think our dates will be for FET#3:
- 7/22: CD1
- 7/23: RE Appt. #1 – u/s and b/w, start Aygestin
- 7/25: Start Lupron
- 8/6: RE Appt. #2 – u/s and b/w
- 8/13: RE Appt. #3 – u/s and b/w
- 8/14: Last day of Lupron
- 8/21: Start PIO
- 8/22: Start Medrol
- 8/26: Transfer
- 9/7: Beta
Here’s to hoping we don’t need to do another fresh IVF cycle until we decide its time for baby #2!
Just in case…on the second opinion front, I have one appointment scheduled for August 9th and another one is about to be scheduled as soon as I send in my records, which I’ll do later this week as soon as I get my HSG films.