I can't begin to tell you about what a disappointment today has been. I'm sad and angry and frustrated and pissed off. And I need advice.
I have five follicles. The RE said it was borderline on whether we should continue with IVF or convert to IUI. She doesn't know why, at my age and with no known issues, I only have five follicles.
So here are my questions:
1. I have been taking L.upro.n for 16 days and f.olli.st.im for 8 (today will be 9). Until today there has been no monitoring, no bloodwork, no ultrasounds. Now it is too late to affect the number of eggs by adjusting the dose of my medication. Is this normal? Shouldn't there have been some sort of monitoring before now? This is an awful lot of money to throw at a problem without checking to see if the proposed solution is working until it's too late.
2. What do you think I should do? I've done 4 cl.omid cycles and always had 1-2 follices, and always got a BFN. Will having 5 follices really make an IUI that much more likely to succeed for me? On the other hand, continuing with IVF will realistically get me at most 1-2 embryos to transfer and nothing to freeze, and will involve a surgical procedure and weeks more of injections. And it will use up one of the IVF attempts we paid for.
3. Should I switch clinics? This clinic is no longer really inspiring much confidence in us. Today, when I checked in, the receptionist told me that our ICSI fee would be due at retrieval - this is the first time anyone has mentioned that we should even do ICSI. Neither the doctor nor our IVF coordinator nor the embryologist had mentioned this to us at all. Shouldn't someone talk about whether it is appropriate with us earlier than now?
I have to run to a work meeting. But I would love to hear your thoughts. Thanks.