Too much excitement just might kill me!
Gee I’m funny.
So my fertility doctor has agreed to let us skip the assessment cycle and go straight to an FET. Yay! I think. Also – holy chocolate what am I getting myself into??
I had to make a last minute dash to the clinic for an appointment yesterday afternoon (with Monkey in tow) to get set up, since today is my last day of Provera and hopefully my period won’t be far away.
I told the Doc that Hubs and I are pretty confident that my hormones won’t be doing a damn thing. Doc agrees, but was of course obligated to recommend the assessment cycle first to give our FET the best chance of success.
As it turns out, an FET is actually less hassle than an assessment cycle anyway. There’s a blood test and scan on day 10, transfer day 14(ish), then a mid-luteal blood test after one week and the pregnancy test another week after that. And that’s it! None of this every second day nonsense.
There are also no injections – the hormones are given by tablet or pessary. So I’m thrilled about that too. I have my prescriptions and now Progynova is waiting in my cupboard for day 1.
However, there are also a couple of ‘optional extras’ (at extra cost of course) which Doc said can increase the odds of success. One is an endometrial biopsy – apparently causing minor injuries to the endometrium can improve pregnancy rates by 5-10%. Usually they recommend doing this the cycle before, but it can also be done on day 7. This one involves theatre fees and frankly sounds quite unpleasant. It would also require me to work out what to do with Monkey during that time, so I’m not really interested in this.
The other is embryo glue. Doc said this improves pregnancy rates by around 5-10%. It’s $300 extra but no effort on my part. In his office I thought it sounded pretty good, but after having a bit of a Google, I’m not so sure. I read a lot of people saying that their fertility clinics used to use it but stopped because they didn’t see any benefits.
I’m not one to go on anecdotal evidence, so I checked out PubMed too. I saw a number of studies, with widely varied results. One showed significant improvements in pregnancy rates using the glue. One showed no difference. One showed an increase in pregnancy rates but not in take-home babies (it significantly increased chemical pregnancies). So yeah. Not very convincing I have to say! And yet, it’s only $300. Thankfully we have a couple of weeks before we have to decide on this one!
So I’m having a slight panic over here. Monkey is still waking up a lot at night, often taking over an hour to resettle. And he was SUCH hard work when he was a baby (even though I convinced myself at the time that he wasn’t!). I’m just starting to get some of my life back, and here we are looking at starting all over again! Only worse, because there will be two. Terrifying! And exciting.
At this very moment I could be -1 days pregnant. Woah.
Buckle up people!