First cycle with Dr S

I am currently 2 dpo - 10 days until I can test/AF shows.  Kenny and I met with Dr S this morning.  We talked about what I wanted to do, and he made his suggestion.  I told him that I wanted to be as aggressive as we could without having to do IVF.  Our plan of treatment for next cycle is a baseline on CD2 or 3; letrozole, 5mg; CD3-7, followed by an u/s on CD8.  On CD8 or 9, I will start the Ganirelix and Bravelle, 450 iu and Menopur, 150 iu.  The nurse said that there will be a calendar that she will give me when the time comes.  She also just left me a message and said that I will also have to take Crinone 2 dpiui due to the Ganirelix.  This next cycle is going to be VERY intense if I am not preggo now.  The nurse has ordered the meds, and Ascend will be calling me soon....The wait is on. 

For now, I continue my acupuncture appointments, which are going really well.

Brandi

The results are in...

I called this morning to get the results of my AMH, and the results were not good.  My levels are less than 0.1!  This is a sign of diminished ovarian reserve, and the chances of pregnancy are extremely low.  However, I had a dream one year ago tomorrow that we would have a son.  God is amazing and faithful;  I know that He answers prayers and gives us the desires of our heart.  Our desire (me, Kenny and Lillian) is to have another baby.  I am at peace with twins...We pretty much have names for two boys or a boy and a girl.

Dr S said to create a plan for the next year at my first appointment.  At that time, I pretty much had a plan.  Kenny and I talked; and we agreed that 3 mature follicles, this does not include less mature follicles, would be the maximum that we would be comfortable with.  So here is what I am thinking right now for treatment:

First cycle: Letrozole, pre-mixed injectables and trigger, and 1 IUI.
Second cycle: Letrozole; pre-mixed injectables, lupron (if necessary) and trigger, and 1 IUI
Third cycle: Same as second cycle but with 2 IUI's
If I am not preggo by then, we will start saving for IVF, but the protocol for the second and third cycles is similar medicinally to IVF.  God has a plan and timing...

NEW RE

I had my appointment yesterday, and I am SO happy!  I cannot believe that I waited so long to find a new doc when I was unhappy with the service I received from the other place.  Dr S is amazing!  We went over my paperwork and I brought a lot with me - charts, previous chart from other doc, my calendar showing cycles from 2007 - current...He actually did an exam, so I got to see my uterus and my ovaries.  I do have a 2 cm by 2.5 cm cyst on my left ovary, so he is going to be watching it over the next couple of weeks.  He ordered the AMH b/w to see how my ovaries are working and how my egg reserve is.  I go on November 30 to go over the b/w and to set up a plan of treatment! 

God is good!