IF and the City

I used to feel sad when I watched the episodes with Charlotte failing over and over again while trying to get pregnant. Little did I know that my own attempts would lead me on the same sad journey. We've now passed 4 years in the trenches. 6 failed IVF/ICSI cycles = nothing. Time for something new - donor eggs. Success at last. Now for round 2.

Saturday, November 11, 2006

Only Fools Make Plans

Of course we all know with IF nothing is ever going to go to plan, not an easy straight-forward plan anyway.

Nice Nurse from the clinic called to have an introductory chat, let me know I needed some extra blood tests (can’t even imagine what, she’s sending the paperwork out), paying the bill ... and the fact that Star also needs to have a couple of extra tests as well - including the Cy*tic Fibro*i* screen – the results of which take weeks.

Star will not be allowed to start stimming until that test has come thru, of course Nice Nurse has marked it super-urgent, so 'hopes' it won’t be a problem.

Mr. S. had this test earlier in the year and it took more than a month to come back.

‘Well we’re not due to start stimming for a few weeks anyway are we’?
‘No, but they won’t start at all until this test result is in, I’ve checked with the Top Brass and he will not budge’.

So, as she reminded me, it’s not a problem because Star and I can stay on Syn*rel indefinitely. YAY we could remain suppressed for months. Christmas closures looming.

Oh the other thing, she reminded me what I already knew, this test is expensive and our stupid Med*care won’t cover 1 cent of it. Pooh, yeah we know, we’ve already paid for one this year for Mr. S.

Other than that, it was great to chatting with her, this will be a whole new cycling experience - an actual specific donor nurse assigned to look after us. She told me that whenever either Star or I have a blood test, she will ring each of us to let us know how it went. Far out.

She said she’d spoken to Star (‘she’s so lovely!’) and gone over several things with her. Right now they were working out the closest Ultrasound clinic to Star for her to go ‘once things get going’. Good news: all the 'external from the clinic' ultrasounds will be covered by the cycle.

BTW I spoke to Star the other day to find out how she was enjoying the Syn*rel –

‘I was shocked the first time I sniffed how revolting it tasted, but now I’m okay’.

Memories aye ladies?

Oh, a couple of things, we are planning on transferring a Day 3 embryo. Confused? Yeah well Mr. S. and I discussed this long and hard, so here’s how we feel, it may seem a little schizophrenic.

While we were happy to go with blasts when we were cycling with my eggs, we are not happy to do that with someone so much younger. We know the risk of genetic abnormalities is someone young is low, as low as it can be. With me, we knew the chances were high (getting to the 50% mark if we were in the worst statistic), so while it was hard to lose the embryos we did, we figured we were potentially losing embryos that may have been damaged, and leaving ourselves with our best. With Star, we only want her to cycle once, so with the egg energy in a young donor and the low risk of genetic abnormality, we do not want to be losing embryos to the unknown factor - ‘could have made it in the uterus, but did not make it in the lab'.

Whaddyareckon about this logic?

Also, the privacy issue. I’ve discussed before that we intend to be open with everyone. Right now, what are we doing? We figure we’ve got bigger fish to fry - first priority - getting a positive result. We will deal with the rest when we have to - not until when we are well into a healthy pregnancy.

Right now, we’re a little scared and a little excited.


At November 11, 2006 4:50 pm , Blogger Millie said...

Did I miss something? Mr S had a Cy*tic Fibro*i* screen, correct? And he was negative, correct? Or am I remembering wrong? If so, there is no need for Star to have one. It's recessive and it doesn't matter if one person is a carrier. I listened to a genetist go on and on about that just a couple of weeks ago.

As to the 3 day vs blast decision (and I believe you *did* ask so I will give you my input.

What does the clinic do best? I think that should be the biggest deciding factor. I also think if you choose to do a 3 day transfer you should consider transferring two embies. If you're really committed to only transferring one , then take it to blast. Also depending on how well Star stims you can freeze some at the 2 pn stage (which has the best thaw rates, followed by blasts, with 3day embies coming in last for this particular race).

The clinics here with the best donor rates all do blast transfers. Only blasts. I listened to my RE in Cape Town because he felt his stats weren't different but deep down I feel like the best chance of success is with great blasts.

I only want you to have to do this once too.

At November 11, 2006 8:00 pm , Blogger Sparkle said...

Thanks for that Millie - you've just articulated what was going around my head on Friday. I'll ring first thing Monday and MAKE SURE they have Mr. S's CF results and double check.

Also, we will go with the clinic advise on Day 3 vs Day 5. We've changed from the 'Day 5 only' clinic for this cycle.

I know I have unreasonable fear in terms of losing embryos to Day 5 - since we lost more than 30.

We have no say whatsoever in how many get transferred - it has become heavily regulated here. If 1 fresh fails, then only 1 frozen will be transferred. They will only transfer more if say they were my eggs or our donor was older - late 30's. At Star's age - 1 only.

At November 11, 2006 9:09 pm , Blogger Lut C. said...

What? More tests? Who messed up the administration??

I'm reading your discussion about 3day vs. 5day with great interest.
My clinic will be deciding for me anyhow, but I can start hoarding questions and arguments for the consult after this cycle.

At November 12, 2006 2:29 am , Blogger Thalia said...

Millie is right about everything, as always. I hope you can get out of this potential delay.

At November 13, 2006 3:04 am , Blogger Karen said...

I just found your blog. I did a donor egg cycle last year and was lucky enough to have a beautiful little boy in June. Wishing you the best of luck, I'll be checking in on you!

At November 14, 2006 6:50 am , Blogger Carol said...

I like your logic about the day 3 transfer. I may consider the same thing. I hadn't even thought of it, but now that you mention it I think it's a good idea. If the lab conditions can affect the survival from day 3 to day 5, then maybe better to transfer on day 3 if we have higher confidence that they will be good quality since the eggs are from someone you. You are in Oz, right? Are you only allowed to transfer 1 embryo?


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