So...we talked to Dr. Schl. in Denver finally. Boy, he is one cool cucumber. It was an interesting talk, but somewhat surprising to us. We expected major optimism from him (EIGHT NORMAL BLASTS!) but well...
He certainly wasn't pessimistic, but was not as hopeful as we thought he would be.
He said he thinks we should try this transfer and that if it doesn't work, we should consider a gestational carrier (Whoa!), because while all this time everyone has thought we have an egg issue, now that we have a number of chromosomally normal blasts, it appears we may have a uterine issue behind our failures as well (14 transferred embryos resulted in only two pregnancies, and of our five losses, two were not tested and so may or may not have been due to aneuploidy)...
Dr. Schl's warning about my uterus was more than a bit of a surprise to us, although maybe it shouldn't have been (we've wondered about my uterus ourselves). He's funny too the way he talks - he advised that we would want to consider a "proven uterus" should this cycle fail.
In terms of the "how many" question, Dr. Schl. said he thought that we should definitely transfer two normal blasts and that it would not be unreasonable to transfer three normal blasts (two "typically developing" normals and one of the day seven blasts). He said that transferring three could result in triplets, but he estimated our chances of a singleton pregnancy are 50% if we transfer three. (Of course, he's making up that number but it gives us a sense of what he's thinking). Denver normally has a 71% pregnancy rate with two normal blasts transferred, so he's thinking our chances are significantly less than typical. But hey, 50% is nothing to sneeze at, either.
Anybody else have Denver tell them they can transfer three normal blasts? Don't think I've heard of that before, that I can recall...
Apparently the embryologist will pick which embryos to transfer. Fine by us. So that's the lowdown. There's some kind of protocol they've used with women with recurrent miscarriage that is supposed to reduce inflammation, so I will be going on that once I get the specifics. In the meantime acupuncture is continuing 2-3xs/week and I'm off all caffeine.
We have many thoughts over in the Mo and Will household about our recent Dr. Schl. chat. Honestly, we don't know what we are going to do regarding the transfer. At the moment we are thinking we will transfer at least two. Three is a terrifying prospect, but then again, the idea of not getting pregnant (and being told not to try again with my uterus) is also terrifying.
More to come.
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