Thursday, September 3, 2009

WTF Consult

Just finished my obligatory WTF phone consult with our RE and I really thought it would be a quick phone call, but we ended up covering more than our upcoming FET.

Since my last fresh cycle went well my RE is now backing away from the egg quality issue.  What!? He also put egg donation on the far back burner and turned off the gas.  What!?  My embryo quality has always been good and now with egg quality, at least for this cycle, not an issue he is now considering my uterus as the culprit.  Whoa!  This is when he threw out the term surrogacy which I didn't expect.  Wait!!

So, here we are looking at uterine issues and naturally I asked "Is there a test to find out what is wrong?"  Of course there is one that is controversial, an endometrial biopsy.  This test looks for something called integrin cell adhesion molecules that should be present in my lining that are present in fertile women.  I tried typing out why it's controversial but it gets all jumbled up, basically it's because of the lack of supporting studies.   He mentioned that in a room of 10 RE's only about 3 or 4 would suggest it.  I liked his honesty about it not being a highly recommended test, but hey when we don't know what the hell is going on what do we have to lose - except the cash of course.

My next question was "Can it be fixed?"  This one was an easier answer.  Yes!  Now I can't remember exactly what he called it but basically it's regrowing my lining.  It takes two months, where my lining is reduced to its bare minimum (using Lupron - one of the most fun IF drugs) then using, I believe, estrace (another fun one!) to grow it back.  There are more studies showing that this treatment actually works and the integrins they want are there in something like 87% of the women tested.  

Since my RE has a "professional curiosity" (does that mean I don't pay for the test? JK) I will be getting the biopsy done.  If it does show I lack the integrins we will scrap the FET and do the two month regrowing of my lining.  If it's fine we go ahead with the FET.   I am so hoping for a positive test.  I don't want any more issues.  I'm done waiting.   I'm ready to be a mom.






3 comments:

Evergreen said...

It sounds like you got a lot of unexpected answers and comments in your consult and seems like you are dealing with the new info really well. How awesome if it was something easily fixable. That's great the doc was so honest about the test. What a rollercoaster.

Megan said...

Best of luck! I hope they find something fixable before your FET!

Gabby said...

i like the idea of not paying since he really wants to know. can't hurt to ask.. hee hee..

i'm excited that you at least got soem new information at your WTF appointment, and something to now try.

can't wait to hear about the next part of your journey -i pray this fixes it for you!