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Saturday, March 14, 2009

Getting a 2nd Opinion

So- I had been with my fertility specialist for over a year now and decided that maybe it was time for a change. I didn't feel like I was getting the attention I needed and still had those memories of losing the 3rd baby whenever I went into the office.

We decided to try a new Dr. and he did a full work up. We finally knew conditions I had exactly by name. I was diagnosed with Factor V Leiden (blood clotting disorder treated with heparin or lovenox injections) I had done this already in the 3rd pregnancy but it was nice to know which clotting disorder I had. I also had MTHFR Heterozygous which basically meant that I had a folic acid deficiency and required I take folic acid 3 times a day (which I had already been doing anyways). My progesterone was fine but I would continue doing that anyway just as a precaution. My FSH (Follicle Stimulating Hormone) looked a little high so the new Dr. decided that we would do the Clomid Challenge.

Clomid Challenge:

The clomid challenge test is an evaluation of female pituitary hormone levels. The test utilizes the fertility medication Clomid (clomiphene citrate) to increase the accuracy of finding women with decreased ovarian reserve. The clomid challenge test is also known as the clomid challenge, the clomiphene challenge test, the clomiphene citrate challenge or simply CCCT.

Here is how the clomid challenge test (CCCT) is performed.

1. Call the office with the first day of your full flow period. (Day 1). When you call, be prepared to schedule an appointment for either Day 2 or 3 and Day 10 or 11.
2. Day 2 or 3-Come to the office for your blood test and a transvaginal ultrasound.
3. On Day 5, start taking the clomiphene citrate tablets. Each pill contains 50 mg. You will take two pills each day (a total of 100 mg) for 5 days.
4. Day 10 or 11- Come to the office for your final blood test (FSH only).
5. That’s it! You're done

I scored a 10.6 on CD (cycle day) 5 and a 14 on CD 10. Not good results.

They told me I had a 30% chance of IVF working with my own eggs and an 85% chance of IVF working with donor eggs. This broke my heart. I couldn't believe it. I was only 28 years old! My eggs were too old? How could this be? We sat in on a consult with the IVF coordinator and cringed at the prices. We talked to her and said that we would like to look at the donor egg prices as well. I said, "but even if I did donor egg I could still try again later with my own right?"
Her response was, "with an FSH of 14 you should just stick with the donor eggs." That pissed me off. Who was she to say that I couldn't have a baby with my own eggs? I immediately I felt like the office we were in just wanted to rush us into IVF with donor eggs and call it a day. Leaving the office my husband and I decided that we would take some time to think about everything.

Because of my elevated FSH and my 3 miscarriages, I didn't qualify for the money back guarantee so if it didn't work we would be our about 20K which we didn't have anyways.

We decided to go ahead and put any money we were going to save towards adoption. It was hard enough losing babies getting pregnant on my own but to lose a baby after paying 20K would be even harder to handle.

I just couldn't put myself or my husband through that disappointment and heartache so we figured we would explore adoption and continue trying on our own.

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