Back on the Horse

I had an appointment with my fertility specialist yesterday – I went back to see Marie Claire fertility specialist because at least I can talk to her about the protocol, contraindications of the medications I’m on etc. and she will give me advice and feedback. My alternate fertility specialist I saw for the last cycle would say ‘you need to ask your doctor in Cape Town’, which was very unhelpful at the end of the day as their protocol is so base level with no immune protocol advice at all. So I switched back to my celebrity specialist.  I know seems a bit early to get the ball rolling for a January cycle, but she’s really hard to get an appointment with so nothing can be done on the fly with her so I want to be organised.

I came away from the appointment feeling really good. The last time I went to see her I felt rushed in the appointment (didn’t help that I had a screaming 6 month old in the room as well) and disorganised – this time we quickly chatted about how to improve my chances, so we’ll be doing a baseline scan for CT in October, a  hysteroscopy and D&C in mid December (so no need for a scratch!) intralipids a week before transfer (and another after a positive result in CT … fingers crossed), she advised not to worry about doing PGD on any fresh embryos but if there were enough to freeze maybe consider doing day 5 testing on them before freezing depending on how many we got. I’m doing all my lining scans in Australia and spending the minimum time possible in Cape Town.

I’ll double check in late Oct that our donor is still on board before I get any procedures done – we won’t do a cycle if it’s not with her. I’m very willing to turn my back on all of this and won’t entertain the idea of another donor so there’s no point doing procedures or tests if she backs out (please don’t back out!).  I’ve put in for my annual leave even though we don’t have dates… I’m just shooting in the dark here at a reasonable mid January date trying to be organised! We do have the luxury of having frozen sperm in Cape Town though so have the option to move things around slightly if need be.

We’ll be doing my standard immune protocol that I’ve always done, doxycycaline, clexane daily, prednisolone along with the standard Cape Town protocol of progynova and introducing gestone later.  She told me to start Synarel on day 21 of my November cycle (which is a bit different to what Cape Town will tell me) and then to have a blood test about 10 days past that to check I’m down regulated, I’ll think about this more as the cycle grows closer and also see how my natural cycles are looking as I can’t take the pill to regulate things. I had terribly irregular cycles last year when we were doing our last round like up to 50-60 days. Since then I’ve lost close to 30kgs and they are getting much shorter (last cycle was 27 days and average at this point is 32) but it remains to be seen if that’s a pattern or a one off occurrence.

I’m seeing her again in November just to see things are on track and that everything is looking good ahead of kicking off the cycle- so I’m feeling much more ‘monitored’ already which in turn is making me feel more positive.

In other news I have found out in the last few weeks that I have another super rare autoimmune disease called Lichen Sclerosus (it effects the vulva yay!) and have to have surgery on my bits this Monday as a result to remove tissue that looks dodgy and could potentially become pre-cancerous. I swear I’m becoming more and more glad that I used a donor egg so none of these mostly hereditary things will be passed on to my daughter – I tell her she’s dodged a bullet not having my genes, but she doesn’t quite understand yet.  Anyway that’s two weeks off work as the surgeon said ‘most people can’t walk for a week or two after this procedure’ … yeah really looking forward to this one. I plan on being in an Endone haze for 7 days and then surfacing to see how things are feeling down there.. I don’t think I’ll dare to look for a while though.  Oh and just on that… I thought I’d done most things in my time doing IVF/ DE/ having a baby, but until you’ve seen your hoo ha up on a big screen with a gynaecologist using a camera with a magnifier on it, you haven’t done it all. Sweet Jesus I had to look away!

On that note, I’ll leave you for today. Glad to be back blogging!