So the appointment was ok.
It turns out we get up to two fresh cycles and a total of 4 embryo transfers on the NHS so that's good. If we get three Frosties on the first go we won't do a second fresh, will just use the Frosties which is good.
At first he was quite dismissive of my lining concerns. He said they get successful pregnancies with 6.5mm, and that their success rates were high enough at this thickness to war rent changing their criteria.
He saw how much it concerned me though, so agreed that if we end up doing another FET then we can keep going with the estrogen for longer. Although he said that it might just be that 7.3mm is normal for me and that no matter how much they threw at it I wouldn't see much more. They are willing to try though, and he noted my wishes which is good. Obviously for the fresh we don't have as much flexibility but he did say we could look at adding estrogen after EC providing there's no sign of OHSS.
With regard to the OHSS risk he said they'd probably reduce my stims from 150 to 112 and see how we get on. He also said it's possible I'll be ok this time as my body has had more exposure to estrogen and may have got used to it. This would explain why I wasn't nauseous during the latest FET. We can always increase the dose if the eggs aren't growing as they should.
He is not a fan of the immunes. Or rather he said he wouldn't recommend it based on 2 failures. He certainly won't be prescribing any meds to go along with the NHS goes. And I think even if tests came back showing something he is not a fan of the medications (kept calling them toxic!) so I would have to battle for treatment.
I think we're going to go ahead with a fresh go in June, try to increase the lining if possible and do a day 5 transfer. He said statistic wise it's not abnormal that two have failed - he talked a lot about chromosome abnormalities. So I think we're going to use the NHS go to 'see what happens'
I'm a little uneasy as there could still be something else preventing it from working, but I don't want to spend unnecessary money so am willing to try one more time.
Sorry, what a long 'me' post
Xx