So Sweetie and I met with Dr. Uterus today and shared our concerns about all of the roiding of the ovaries, our frustrations with not moving forward and whether we should consider IVF. As usual, Dr. Uterus was extremely helpful in answering our questions and letting us know our options.
First, we decided to have another HSG because Sweetie was concerned that it was possible that my tubes had been blocked again since that was our original main problem. At the time, they were blocked by debris, not by scarring, so the thought is if it could happen once, could it happen again? Dr. Uterus put the chances of a bilateral occlusion (both tubes blocked) at 10%. The worst that can happen is I have an uncomfortable HSG (which I've already had) and we get more information. We decided that if the tubes are blocked, we would move straight to IVF rather than continue with IUI (what would be the point?). If only one is blocked then we'll continue to IUI but just try to make sure that the ovary corresponding to the open tube is producing enough eggs to make it worthwhile.
Second, we'll do another IUI next month, assuming my ovaries have calmed down. If the IUI doesn't work, then we'll move on to IVF. For the longest time, the idea of moving on to IVF was very difficult for me in part because it seemed to imply further failure (and we all know how I feel about failure). But, now, talking with him about it it seems doable. He said we were very good candidates for it and that we could have a good 55% success rate per cycle. It's hard not to glob onto numbers and feel as if they are really indicative of your chances, but it is so encouraging to know that it is a good option for us. He also agreed that our plan to do one more IUI was a good one and then do IVF in the new year.
It was the first visit in a long time that I actually felt better after going to his office.