Sunday, February 10, 2013

Second Opinions

So I have about 2 more months on Lupron, then I guess it's time to figure out what's next. It's been nice not having to make any decisions lately, but I've been thinking a lot about what we should do. It was pretty unclear the last time we saw our RE. In our visits before, she had pretty much said keep trying naturally and then do IVF when you have the money. Then at our last visit she said that if my AMH still sucks when we check it next and if the hubs counts stay similar that IUI may be a better option. She was practically walking out of the room when she said this, so I didn't get to ask any questions. From what I've read online, I'm guessing that she means that with such a low AMH, IVF will probably be unsuccessful, so IUI is a better option cost wise? I'm not really sure.

Because our RE was unclear about our course of treatment and because if we did IUI we would do it at that clinic, I think we should probably have another consult with her after I finish Lupron. However, if we need IVF, we are looking at a clinic in another state (about 4 hours away) because it's about half the price of our clinic. So we should probably talk to the RE there too. Consults are just sooo expensive, I wish that we could just pick one to consult with. I guess it's a good idea to get a second opinion before spending a lot of money anyway.

I wonder what I will do if the RE's have different opinions though? RE's just seem to have such different ideas. Our friends see another RE at our same clinic and from what they say, she sounds a lot different than ours. For example, my husband's morphology is really bad (1-2% strict) and our RE said that it's not necessarily a big deal. However, our friend's morphology is the same and their RE made a really big deal out of it. I will say that his count is extremely low (like less than 1 million last SA) so I'm not sure if morphology makes more of a difference if you have less sperm to deal with?

It's just a lot of money. It seems like there should be more agreement among professionals. How do you know who to listen to? How many opinions are necessary? I guess I will just have to suck it up and pay a bunch of money for people to make me even more confused.

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