Hi everyone.
Well I saw Dr Quinn today. He was very good I have to say. Didn't mind all my questions and had no hestitation showing me the entries on my file. I won't be changing clinics. Leisa, you're right, better the devil you know and he really took a lot of time and didn't mind any of my questions.
So, here is the upshot.
My down-reg cycle
7/7 Day 22 P4 - 31.1 Synarel started 8/7.
19/7 Base E2 - 100, LH - 1, P4 - 1.4. Day 12 of Synarel.
28/7 E2 130. Day 6 of FSH.
2/8 E2 945. Day 11 "
4/8 E2 2200. Day 13 "
8/8 E2 3455. Day 17 " Day 32 of Synarel.
11/8 EPU.
Follicles
I ended up with 7 - 20mm, 21mm, 15mm, 15mm and the other 3 too small.
Eggs
Only 2, 1 didn't fertilize.
Embryo
B Grade, 2 cells at transfer (Day 2 past EPU).
My drugs
Gonal-F - he felt 300 was fairly high, wouldn't want to go any higher.
Crinone - again, he felt 1 pessary was sufficient didn't want to overstimulate.
Verdict
My ovaries took a long time to respond and kicked in a bit later than they would have liked. He felt this could have been because it was a down-reg cycle. Could have been the Synarel. I'd been taking it for 26 days before my E2 started to rise. He also said he was surprised and disappointed I only ended up with 2 eggs. I mentioned my age (of course) and while it's obviously a factor, he didn't think that was the sole reason. He seems to be leaning toward the fact it was down-reg. His comments regarding the 1 EPU day were that it worked out well because of my late response to the E2 - it sounded feasible I guess. We discussed ovarian reserve checking. He said doing an IVF cycle is the best way to check that. He didn't seem concerned about that but was honest and said that obviously, my little store is rapidly declining!!
Where to?
He wants me to do a short protocol (flare Sushee?) cycle. Double the dose of Synarel (which doesn't seem to make sense given the above...) :-s and start injections Day 2/3. I asked if Puregon was any different/more successful than Gonal- F - he said no. He said I can try Puregon this time if I want. Any comments on that would be appreciated.
He also suggested injections post transfer (I forget the drug name) instead of Crinone if I want, again any comments on that welcome!. We talked about when I may possibly need to consider egg donation. He thought if the next cycle doesn't yield better results re # follicles/eggs, that in all honesty it would probably be the best option. Think about that if I get to it. He said that most of the hormones should be out of my system so could not explain my still bloated tummy and swollen bbs now at CD14.
So, there it is. I'll probably wait until the cycle after next to jump on the merry-go-round again. That will be mid October. Hopefully, it will be nice and short and not 49 days like the last one!
The best bit I went to Medicare and got $1905 back - a nice surprise. That will help pay for the next one! :smt038
I know this is long and reads a bit like a science paper, but, if any of you have any comments, I'd really appreciate them.
I'm feeling a lot better with regard to my age and it's effect on this little journey now.
Love
Sue :luck: