Today, we had our final appointment with the RE before we begin our IVF protocol in a few short weeks. First off, we did our Doppler Ultrasound and Mock Embryo Transfer. Both looked great. YEAH!
Now, down to the nitty-gritty.
My questions regarding the immune system and its relationship with endometriosis were voiced and heard by Dr. H. He believes further immunologic testing at this point is not necessary. He also believes the approach that Dr. Beer uses in his book is a very alternative approach utilized for a very specific patient population of which he doesn’t believe I fit into. Dr. Beer’s book is very compelling and argues a strong case for addressing immune related issues underlying many failed IVF procedures and miscarriages. We don’t want to become one of those statistics, which is why we have been scouring his book. Too much information is not always a good thing as it has definitely increased our worry about our upcoming IVF cycle.
Dr. H. encouraged us to broaden our sources. Perhaps we could check out the chapter HE wrote on endometriosis in a surgical gyn textbook. SLAM! (He then proceeded to show us all 15 pages of it.)
ME: Alright, you are the expert. You have been doing this since I was toddling around in diapers (I didn’t actually say it like that, but pretty much). Please, whatever you think we should do…we will DO it.
Dr. H: Well, now that you have brought all this up, perhaps we should have you do a 3 month Lupron suppression. It’ll calm down and suppress the Endo. We usually only reserve this for women who have a failed cycle. There is one small study that shows that women who do this had a much higher rate of pregnancy.
Me: Could you show us the research? I would love to see the numbers. I mean, are we talking an increased rate of, say 4% or 20%? We have seen that the pregnancy statistics for our age group at this clinic are 66%. Are those numbers different for individuals with endometriosis?
Dr. H.: Oh, well, as soon as you see the study you will want to do it, the numbers are pretty convincing. Your pregnancy rate is 66% for your age group. We don’t really see a difference between those with endometriosis and those without. But, the study reveals that these numbers can be much higher. Keep in mind, there really is very little data regarding this topic and this study has not been duplicated, but nonetheless, it’s a good one.
Hubs and I: Alright, we will look into it and get back to you.
Confused and trying to keep my emotions at bay, we thanked him for his time and told him we would give it some contemplation. We then met with the IVF coordinator and discussed the medications a bit more. We also asked her for her thoughts. She thought since my Endo wasn’t very painful right now and I had already been on suppression therapy via my BCP for 5 years that I should be ok, but that it was our decision. We could always proceed with this cycle and if it fails, do a 3 month lupron suppression before a frozen embryo transfer. She said Dr. H. is a little worried because we are very educated and he feels that he needs to give us this option versus us finding out about it later and holding him accountable. It really is up to us.
AHHHHHH! Someone just tells us what to do. We are not the retaliating type.
Later, out in the car, we were practically pulling our hair out. Can we handle waiting another 4 months from now? Can I handle the side effects of Lupron and progesterone all summer? There are always going to be what ifs and could we have done mores? In addition, I have already rearranged my summer schedule at work – that was no easy feat. All in all, for now, we think we will proceed in June.
Lord, please give us your wisdom. How would you have us to proceed? This is a very difficult decision.
Has anyone done a 3 month Lupron suppression?