Right. Should I bullet point it? This is massive sorry.
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doctor lovely, really put me at ease
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AF arrived this am. Lovely!
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had a dildo cam- both ovaries look good and lining ok . internal exam ok too
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re the early mc last cycle- they can't " confirm it actually happened" because the hosp never had a positive test on record.. Em, well she got shot down there by both myself and dh.. Positive hpts.. Felt pregnant.. The mc followed and had lots of pain and tissue? The tests got fainter? Fair to say it's an early mc pal. But her line was "hpts are not always reliable" .. Husbands response " well six different brands all with a positive would be very unlucky".. Shut her up. So on their record they can't "confirm" I was ever pregnant? Whatevs...
spotting 7 days before AF (Purdey* swear to god above I brought this up over four times.. I kept coming back to it, I tried so hard.. Really!) NO EXPLANATION. I asked for progesterone, I asked why I result of 28/30 is considered ok. I asked why they wouldn't monitor it after day 21 and see if it dramatically dropped and caused spotting. I asked about LP defects. Response "well there's actually no evidence surrounding LP defects and this level of progesterone" "we don't test for defects in the clinic" I came back to it. Over and over. My concern was obvious. But she says no clinic will check after day 21.. I asked why the spotting then.. "Some ladies spot before AF". At this point the fertility nurse who sat in the app said to her "what about we give her..." (something beginning with C .. It wasn't clomid.. I couldn't make it out..) I wondered if maybe it was a type of prog cream? And consultants response was?... "But I have no evidence to suggest progesterone deficiency.. Her levels are 30 which confirms OV".. Nurse shot down.
*she asked how many times we had done the AI (6months was my answer) she then went onto advise that IVF would be her choice next instead of IUI as she says IUI is only 12% success rate and the clinic don't like it?! I said I thought it would be comparable to ICI she said no?! She then went on to explain.. I would only have a 6 MONTH WAIT for IVF. I hope that doesn't upset some of you that have to wait forever, I just wanted to share my utter shock at such a quick NHS service. The clinic I was at today only do investigations, I need to travel an hour to our fertility centre that offer treatment.. But I was absolutely stunned at this. I could not believe she was do flippantly suggesting IVF so quickly, with no evidence of serious issue TTC, especially given I had conceived within six months (although not in her books...)
*the reason IUI and IVF were brought up I think was because they are taking into account my health issues and don't think it's beneficial for me to try for say a year with at home AI and deal with that if no luck then have to start process of treatment then. Which I absolutely appreciate. I just never expected IVF to be suggested.
consultant now contacting the connecting fertility centre and asking opinion on iui/IVF etc and then contacting me. She assumes within two weeks. She then thinks I shall have an app at that hospital for an overview and discussion. We also discussed the x ray of Fallopian tubes as she thinks that should be done too. For now, I was given more syringes and tubs for this cycle.. (Purdey* they said syringes are more than adequate for AI and they don't even give out cathetars in that clinic so no Caths needed, they also told me just to put syringe in entrance and push plunger sharply?!?.. I always thought slow and steady? But they said it must be plunged quickly to mimic ejaculation? ) so we try again this cycle and by time we know the outcome they will have called to update me on what the further clinic want to do.
*they said if I do get a positive test to call them straight away to go in for a scan and just to make sure no issues
*when I brought up charting and OPKs.. I got the standard NHS response... Eye roll and "we don't recommend these in clinic, they are not very reliable" We shot them down again and explained how they were absolutely on the money and reliable for us.."
So, I walked out feeling sore and slightly deflated about the spotting.. Which I didn't want to! First words to dh were "I knew this would happen, I didn't push it enough" but husband almost made me Teary telling me how great I did said I had an answer for everything they said and seemed knowledgable and articulate. He may well have been saying that to make me feel better but I'll take it! Ha.
But ladies.. I have a plan.. If I'm going to this other clinic- and they see gonna do iui (let's forget the IVF part just now) surely they will listen to my Spotting/progesterone issues as what would be the point in trying treatment with insufficient prog??
Huge apologies for massive post. I've prob forgotten half of it! We were in an hour!!