Well, I think it went pretty well overall. I'll start with a picture. CCRM was a large building that was solely occupied by the group. As you walk into the 2 story entryway, there is a waterfall behind where we are standing. It was so impressive! Unfortunately, our camera died, (and of course the back-up battery was at home) so this was the only pic we have to post. We will take many more photos of the gorgeous Rocky Mountains on our next trip out there. We stayed until Saturday. But, it feels good to be home today. :-)
But on to what everyone wants to hear about: the appt! Below are the steps we took throughout the long day of testing...
1) We met with the Business Office/Financial area first. Nothing like getting the bad news out on the table immediately. We did go ahead and give them a $1000 refundable deposit so that we could get started ASAP following Dr. Schoolcraft's approval. That's only a drop in the ~$25,000 bucket this cycle will probably end up costing us. I sooo hope there is a baby at the end of this...
2) Steve did "his business." They did use some of my blood (drawn later in the day) to test for anti-sperm antibodies. Seems reasonable...
3) We met with one of our nurses. CCRM assigns a primary and a secondary nurse to each patient. She was so knowledgeable. Yay! We grilled her for what seemed like an eternity, but in reality was only about 2 hours...
4) My favorite part: the baseline u/s and doppler flow studies. We had a sonographer perform the procedure. She asked me "Have you ever had a vaginal u/s?" I said "Yes, many times" but what I really wanted to scream was "I've had so many u/s tours through my vagina that I'm thinking about charging admission." But seriously, I've gotta hand it to this lady--she was better than any physician I've ever had to do a vag u/s. She saw something interesting immediately on the screen: a big bladder. And I had just emptied it literally one minute before the procedure. Completely (or at least so I thought). She said "Wow. You may want to get that checked out." Great. Now I need to add a urologist to my list of doctors? Aetna hates me this year. Anyway, the rest of the exam looked good: no scars, fibroids, cysts, etc. Also, I had great blood flow to my ovaries = no need to have acupuncture. Thank goodness! I hated those stupid needles in my ears...But, she did find something alarming at the end of the u/s. In order to get my AFC, she began counting on the right ovary first. She got up to 18 (on just the right side) and said "You've got A LOT of follicles, has anyone ever mentioned PCOS?" I wasn't totally taken off guard as Dr. Schoolcraft did mention it OVER THE PHONE. But I'm pissed! If someone can read a chart and mention his thoughts over the phone, don't you think that the doctors at IRH could've noticed it on the numerous baseline u/s I've had since last October? Dr. Awadouchebag (as Steve refers to him and now I've come to call him as well) blows. The left ovary only had around 12-13, so all in all, I had an AFC over 30. So, that's good that it's high, but bad that I might have PCOS.
5) We both had tons of b/w drawn. Normal labwork, screenings for genetic disorders and communicable diseases, the aforementioned anti-sperm antibody screening, and list goes on. I gotta admit that I was glad that Steve was able to slightly share in some of my pain by getting stuck. All in all, I had 8 vials of blood drawn and he had 3 vials. We are so impressed with their attention to every detail. I love CCRM.
6) I had a hysteroscopy next performed by Dr. Minjarez (due to some late scheduling changes). I was glad to have her as I was really worried about PCOS following the u/s (and PCOS is one of her "special interests"). She was very nice, funny, etc. The test went well and ended with my favorite line from REs: "Your uterus looks beautiful." Dr. M did say that while I didn't have any cysts on the hysteroscopy, that I may still have the syndrome. We won't know until my Day 3 b/w comes back. The conclusive diagnostic test for PCOS is an abnormal LH/FSH ratio, which is normally 1:1. With PCOS, it's common to have a low or normal FSH, an elevated LH, which can mean a ratio of 2:1 or 3:1. So, we have to wait on this one. Dr. Schoolcraft will decide at that time whether or not I need to be started on Metformin.
7) We were supposed to end with the FLC (CCRM's lab) Consent Review with signing lots more forms, but we were tired and I think they may have been tired of us as well, so we just went home with the promise to read over the info and finish up when we return next time.
So, when will the next time be? If all goes as planned, we may be cycling at the end of August. The only problem? The Democratic National Convention is in Denver during Aug. 25-28. Lovely. So, I'm not sure how that will factor into everything. That was the only bad week all summer at CCRM, so I'm not surprised that it would fall to be my time to come out for my stims and ER. I guess I could be a little happy if I were a Dem and try to go to the convention, but alas, I'm a Republican...Why couldn't Denver be the site of the Republican Convention??
Things to do beforehand:
1) Get endometrial biopsy 9-11 dpo on this current cycle.
2) Get Day 3 b/w drawn and sent to CCRM on the beginning of the next cycle.
3 weeks ago