We had our phone consult with CCRM and Dr. G. this week.
No shit show to report.
IF YOU READ ANYTHING READ THIS:
Dr. G told me the miscarriage rate is not 40% but 25-30% with my own eggs. I sure wish I had some clarification here. Online searches tell me 40%. Is this a reflection on the CCRM attitude? Capabilities? I don't know, but I like it. I felt like such a jackass for sharing that stat a couple posts ago. I am delighted to retract and correct it.
The call went better than expected. I was fully prepared to leave the call wanting more information. We expected to have to decide if I would complete the one day $4000 (!) evaluation to determine our next steps.
He said my numbers look normal (are you coming on to me Dr. G??). He confirmed our last cycle met his approval - aggressive stimulation. The pre-cycle prognosticators (I just wanted to use that word) were normal (FSH 5.6, AMH <0.5, Antral follicle count 10-11).
The call also went worse than expected in some manner of speaking. CCRM said most women my age with my general stats can expect a 50% chance at pregnancy. Awesomeness. Based on my last 2 results, he was cutting my number to 25%.
This is a much better number than what Large Fertility Operation told us. Dr. G doesn't doubt he can get us to retrieval. My current RE only saw a 10% chance to make it to retrieval. There were gentle disclaimers from Dr. G, but I sensed he was confident we would make it to surgery using a different plan of estrogen priming.
Here is the crusher: the 25% reflects a one time fresh transfer. I was hoping it would be similar to my IVF that resulted in a live birth. We had one leftover embryo to freeze. Dr. G clarified we would transfer everything from the retrieval, no expectation to make it to freeze.
It is one thing to see a 25% chance of success and two tries, but a one shot deal at 25%?
I am out. I already sent the note over to Mel asking to move me over to the Donor Gametes room. I can't wait to meet the blogger named Rocky Road over in the DE room, but my girl hasn't posted since 2007.
Dr. G summed it all up nicely. Don't think about the numbers. It isn't about the statistics. Think about where you will be 5-10 years down the road. What will you feel when you look back?
To quote my Rick Rollin' friend:
We're now pursuing
No joke, Amber. I thought about that line a lot over the last few weeks. It has always stuck with me.
Elegant. Simple. Heartfelt.
Technical notes for the die hards:
- DE program comparison - transfer 2 embryos with an 85% chance of pregnancy.
- Embryo glue is real. He had a laugh when I asked him about it. This might be old news, as Dr. G did not expound upon it. It is a product with some kind of acid that creates a viscous environment, used for both IVF and DE. Online search tells me it comes from UCSF, the first reported in 2003.
- What about that progesterone on the rise that damned your IUI from the start? It is not likely to be a recurring issue for all retrievals. My number was 1.4, a sure killer in a fresh transfer. Virtually guaranteed to kill your success.
- The CCRM estrogen priming is different than my last estrogen priming cycle. Dr. G stated it is not better or more aggressive, but different. Large Fertility Op used patch estrogen priming where CCRM would have me take estrogen for a month.