Our appointment today with Dr. Dayal at SIRM St. Louis went very well. Her and her staff were super friendly and we got all the information that we had came for despite a big oopsie with our records not being sent over from FAM in time. She was very positive and although she seems to lean towards IVF (because as we all know, it is better odds) she did not seem to feel like IUI was hopeless for us and mentioned the old standby of 3 IUI before moving on. So it is very likely that if the Femara works, we will give it one more go. She talked with us about her opinion that based on my regular AFs, I likely have more weak natural O's than I think and that my LH just isn't high enough or the surge is too short. This is a good thing and she feels that we will likely need less stimming. She mentioned Micro-IVF on her own and that we may be candidates for it if my AMH comes back good like she suspects (PCOS+ under 30yrs old). She wanted to get a repeat SA and the Hubby went ahead and did that today. She also mentioned that although we have no autoimmune history, she would like to test me for Natural Killer Cells that could be preventing implantation. She said that with the occasional natural O and our lengthy med cycle history, it just feel like maybe something else is going on. She also wants a SHG to be sure that sonething isn't a polyp or other issue in the uterus. We got the NKC lab work today. We will be scheduling the SHG for next cycle along with the AMH & basic labs. Overall we're really happy with the appointment and the information we received, including pricing for conventional and MicroIVF. We would feel 100% comfortable at SIRM when we get ready for IVF and are anxious to get our labs and test results to see if IVF is the next step.
With this new information, we decided for certain to forgo any IUI until we know my results from the SHG and NKC tests. No use in wasting money when these things could cause it to fail. However, once those results are back, we will do atleast one more IUI with our current RE (if the femara works) We plan to get an u/s when we get a +OPK and then a p4 to judge my response & continue the femara and TI in the mean time.
We're torn on how we feel about the results to the NKC test and the SHG, bcus clearly we hate to have more issues, but at the same time, natural killer cells or a polyp preventing implantation, would give us something to blame for the ovulation cycles not resulting in pregnancy. & both are treatable!! If everything is clear and no NKC, we're still sitting here scratching our heads wondering why with 3 good follies and 27mil sperm in an IUI, we had NO baby.
Does that make sense to anyone besides us?!?
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