Thursday, May 21, 2009

So I went to the RE

I'm glad I called and made my appointment when I did because my RE is on vacation for the next week and a half starting today.

One of the nurses was in the waiting room when I got there and just couldn't get over how much weight I'd lost. She definitely scored some brownie points with me. The scale wasn't quite as kind, but I'd expected a little increase due to some recent emotional eating.

But, wow, I was there forever! The appointment lasted almost an hour. I like the guy, but sometimes I just want to say to him, "Ok, I get what you are getting at, can we just get to the point already?" We must have talked about pregnancy tests for 15 minutes... why, I don't know, but it really shouldn't have been a conversation at all.

He spent a very long time going over my treatment options. Of course the quick answer is femara, but he went through the whole thing. But I don't want to complain too much because he doesn't simply tell me what he's going to do, he does explain the why behind it. He did mention some things I will have to think about more. Like he doesn't think I'm a good candidate for orals + injectable, nor an injectables only cycle. His reasoning it that I tend to make 1 or 2 good follicles. There aren't a couple little ones lagging behind that just need a little FSH to get them up to size. He thinks if we added injectables to an oral cycle, we'd probably end up with the same number of follicles and if we did an injectables only cycle we would definitely follow a "low and slow" protocol and I'm very likely to hyperstimulate. Interesting. Not that he won't let me do injectables, he's just warning me. But that's ok, I just wanted him to approve femara for the time being, which he did of course.

And we talked about the LH stuff. I have been able to document my many, many, many positive LH surge strips and he said he's never seen a patient document something like that and doesn't really know what to do about it. We discussed suppression cycles and it's hanging out there, but I'm not ready for that just yet anyhow. He didn't really give me a clear answer as to whether he thought femara could improve the LH situation for me... it was sort of a maybe (we discussed the why behind the maybe, but this post is already getting long).

I told him I wasn't sure if I would cycle next month cause of Muffy. He said that was fine and when he said he was sorry to hear that she was ill... he seemed genuinely sorry. But he said he thinks there is a good chance I will get pregnant this month and I won't have to worry about it. I told him that I didn't think so, but would welcome being wrong.

And I just had to ask him today when he thought embryos actually implant. The internet will tell you anything from 3-12 dpo, and I don't know if any of that comes from a reputable source. He thinks 5-7 most of the time. He indicated that 4 might be possible, but it sounded like 5-7 was the likely scenario. Since today's 9dpo, I probably either am or am not by now already.

Finally, on the way out I mentioned Cycloset to him. He hadn't heard of it yet, but hopefully he will study up soon. I don't think it will be commercially available for a bit longer, so I can wait, but I hope's intrigued enough to stay on top of this.

So there you have it. (Nothing really)


Lucy said...

I hope Femara works for you. Low and slow stimming is frustrating, I can tell you!

Michelle said...

Sounds like you got a lot of topics covered. I really hope that this cycle worked and you don't have to worry about the other options.

Hillary said...

You say nothing really new came up, but it sounds great to just have an in-depth conversation like that with your RE!! And that's wonderful that he was sympathetic about Muffy.

Celia said...

You are so organized. I must sound like a loon at the RE's. I just use my mind powers to try and shoot thought beams at him like..."MUST GIVE CELIA LOTS OF DRUGS NOW"

I really enjoy reading how you look at your cycle. It is a totally different perspective from anyone else.

It would be so wonderful if this was the month for you.