We had our first consult with a new doctor today. This clinic is basically our only other option in this area. The bad news is they are more expensive with our insurance. The good news is hopefully they are more successful.
The appointment didn't get off to a good start since they didn't have my medical history from my current doctor. Another thing I need to check up on because I know I asked for them to send it. Anyway, he did an ultrasound and exam and of course asked a bunch of questions and did have some of DH's medical records from the urologist he saw. He didn't have much new for us in terms of a diagnosis. There is still our swimmer problem and not so good ovulation for me, but no identifiable (and thus potentially correctable) cause of the problems.
He recommended we go straight to IVF with ICSI. He said we could try IUI with FSH stimulation. His reasoning was that for most people the IUIs have lower success rates, so you end up spending all this money on IUIs and then need to spend money on the IVF anyway. When pressed, he did think we could potentially do another cl0mid plus IUI cycle, mainly because although technically we did it twice, the circumstances were such that I feel we only gave it one good shot.
Since I am leaning towards the IUI route, he recommended we have the sperm penetration assay. Anyone familiar with that? Basically it sounds like they try to see if DH's sperm can penetrate hamster eggs. If not, then there is little chance they could penetrate my eggs without ICSI. We have that scheduled for next week.
He also brought up getting screened for cystic fibrosis. While neither of us have CF, we could be carriers (Caucasians have a 1/25 chance of being a carrier). And if we are both carriers then any child would have a 1/4 chance of having CF. What do you guys think? DH is not inclined to get tested for this as it is not something most couples do and the test is expensive. And the chances of two people who don't have CF having a baby with CF is pretty low. I'm more inclined to get one of us tested and hope it comes back negative.
5 weeks ago