Most of you already know we are planning to try again with another round of IVF, but I wanted to add a blog post update about the situation to get it on the record and so updates makes sense as we make it through the procedure.
We decided to suck it up and try in the US even though it is significantly more expensive than what we were paying in the Czech Republic. But my clinic in Charlotte has much better success rates and my doctor is one of the best in the region so we are hoping it proves worth it. We've already discover the medical protocol is more elaborate - with more medication - so hopefully more turns out to be better.
But let me back up because we've been working on this for a few weeks. The first step (and prerequisite for doing this here) was being approved into the ATTAIN Refund Program. This means we will pay a flat rate to this company that will then pay for up three fresh transfers and unlimited frozen transfers until we take home a baby. If after all those tries we don't have a baby, we get our money back. But if we get a baby on the first try, we've overpaid.
Once we were accepted into ATTAIN, we took out a $30,000 medical loan and sent the funds to them. The third step was getting set up with the egg donor bank with which we decided to work. Again, we opted for the egg bank because it kept the out of pocket costs down (comes out of what we've already paid ATTAIN) and is easier for scheduling and budgeting.
So then we selected a donor from their database, which turned out to be a cut throat competitive process. We really studied all the profiles and narrowed the list down to about seven, which we both then ranked through our own separate and complicated systems. The factors we focused on were appearance, height, personality, and family medical history. The later was weighted more heavily in both our systems as we agreed that was really the most important thing to worry about. We both selected the same girl as number one, which was good because we were opposite on our feelings about all the others. So we requested her and were initially told we were too late, but than she became available again the next day because it turned out she had produced so many eggs that her lot could be split between two couples. So we felt this was a double good sign - both that we got our first choice donor and that hopefully her ability to produce lots of eggs means they are good ones.
So the six eggs are being shipped from the egg bank in Atlanta to our clinic. In the meantime I started the preparatory medications last Thursday, May 7 and we have a transfer date set for June 3. Obviously that might move as we move through the protocol, but hopefully will work fine. The first medications I've started include Lupron and Prednisone. The Prednisone pill is supposed to help my body not reject the implantation because apparently sometimes the uterus thinks the embryo is an infection - I guess I'll keep taking it all month. I'm not sure when I stop. The Lupron is an injection that Miran has been helping to administer. It is supposed to suppress ovulation to make sure I don't randomly ovulate this month and complicate things. Later this week I'll start on the estrogen and then add in the progesterone a few days before the transfer. There is other stuff thrown in as well - including steroid shots and antibiotics and more.
I also started going to acupuncture again a few weeks ago and am happy I'll finally be able to really use that to support the process and procedure. I went in the weeks before each of the transfers in the Czech Republic, but this time it will be more closely synchronized and I can go the morning before the transfer happens which is supposed to help with blood flow and encourage implantation.
So overall we are feeling cautiously optimistic. We are basically doing the same thing we already tried, but enough things have changed - the doctor, the donor, the medicines, the number of fresh embryos that will be transferred etc. - that we are hopeful we will get different results this time.
I'll keep everyone posted here on the blog!