Hi all!
So here's my ivf consultation 'report'!
DH: good motility, morphology & count - all within normal range.
ME: big fibroid but no impact on endometrium. Nice thick lining (CD20). Everything looking good. 6 follicles on my left ovary. Couldn't see all of my right ovary due to the fibroid, but they could count 3, so it looks like my AFC is at least 9 but probably more, which the consultant was happy with for my age (42). Happy with my BMI etc.
They've taken bloods & urine to do the usual screening (HIV etc), and for me rubella, clamidia, thyroid & AMH. Don't know the results yet as they were done at the end of the day, after the consultation. Should know by early next week.
THE RESULTS: The consultant feels that our recurrent miscarriages are probably due to egg quality, given DHs good results. Given that I've had a live birth and everything looks good, he thinks it really is a case of catching a good embryo. So, he's recommended a multi-cycle (2) with my eggs using preimplantation genetic screening. The clinic we're at has a live birth rate of over 50% for my age group using PGS, with a low miscarriage rate. If those cycles do fail, we will go to donor eggs.
THE PLAN: my next cycle is due to start towards the end of next week, and he's hopeful that everything will be in place and the blood results will be back by then. So I will have a 'normal' IVF cycle up to egg collection, and then any 5 day blasts are frozen for genetic screening tests. If we have a decent embryo after all that, its implanted on the next cycle (or the cycle after that) to give my body a rest. That might be a natural cycle or with some mild drugs. Apparently, if it's going to work, that combination will give us our best shot. If we have more than 1 good frostie they can be stored for future use. If they get none on the first cycle, we try again using the same process. Then we go to donor if still no luck.
So that's it! Now hoping that AF doesn't show up rudely early, so that we can get started next week!