I've got some good news and I've got some bad news.
I'll start off with the bad news so that I can end on a positive note. Day 3 b/w did not turn out like myself or CCRM had expected. E2=46, LH=6.4, and FSH=14.3. I'm still in shock over the FSH level. My last FSH check was on 3-21-08 and it was 6.8! I don't have any signs of a "typical" high FSH patient. I stimulate really well (33 eggs on IVF#1 and 17 eggs on IVF#2). I also have a high AFC~25-30 and good AMH-4.2. So, I tried to wait patiently for Dr. Sch to give his final ruling on me. I worried so much yesterday that he wouldn't accept me anymore as a CCRM patient due to my "bad score." Then, one of my fave songs (okay to be honest, I have hundreds of faves, but still) came on the radio: Journey's "Don't Stop Believin." So, for the rest of the day, I tried to be more hopeful.
CCRM nurse called last night and Dr. Sch's verdict was: he's not overly concerned about the high FSH since it doesn't match with anything else my body seems to be doing. The nurse said he gives me 60% chance for pg. success. When I asked the nurse what that meant, she said "Well, we just told another 33 y/o with an FSH=12 that her chances were 40%." So, I guess they still think I've got a chance, so that's what I've got to keep believing as well. While a high FSH does reflect poor egg quality, he's not so sure that my high number of follies aren't driving up my FSH number. She went on to say that despite the FSH/LH ratio not definitely pointing to PCOS, he still thinks I either have PCOS or PC-like ovaries. Therefore, you guessed it: I'm starting Metformin today (provided my stat liver enzymes come back good).
My protocol won't change tremendously: I will still be doing the long Lupron protocol. However, he is starting me out on really, really low doses: Gonal-F 75 and Menopur 75. I've got to be checked after 3 days of stims and then they'll have a better picture of how to proceed. I'm so glad I'm cycling with CCRM. Even though PCOS is the most common cause of infertility, my old RE would've just put me through another IVF with no better answers. I also like being in Dr. Sch's care as I think he is as detail-oriented and probably as OCD as I am about everything...lol.
Okay, I don't think being diagnosed finally with PCOS is good news (just in case any of you thought I was finished). My good news: I won the trip to Los Cabos, Mexico!!!!!!!! The dates kinda stink with everything else going on with my IVF cycle, but I'm going to Mexico!!!!!!! We are staying at a fabulous hotel called Marquis Los Cabos Sept. 10-14. I should at least be home from Denver by Sept. 7th. Check it out at http://www.marquisloscabos.com/index.php. So, I'll be recovering from my ER on the beach!! Yeah!
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