It has been a busy week, so I am only now getting around to updating our blog. Sorry to anyone who is still actually checking in on us.
I had my fourth beta test on Wednesday, and I am very pleased to say that my HCG levels are now down to ZERO. I am finally "un-pregnant" and am able to move forward with treatment.
Matt and I had our follow-up / consult with the RE on Friday. She said that our IVF was absolutely "ideal" from a medical perspective. It was perfect. The fact that I miscarried was a fluke. The doc said that not all embryos are meant to be a baby, and that mine was one that wasn't meant to be. She feels that our chances are still very good to get pregnant and have a child. She is a straight shooter, so the fact that she is so hopeful makes me feel optimistic (albeit cautiously optimistic). The success rate at this clinic for frozen embryo transfers (FETs) is about 30 to 40%. Dr. Browne, our primary RE, has now given us the green light to move on to our FET.
At the start of my next cycle (which will be in the next one to three weeks) I will begin birth control pills (BCPs). The BCPs just "quiet" my reproductive system and give a good baseline to start the process. I will be on the BCPs for 21 days. After ending the BCPs my cycle should start again in three to five days. With the start of that cycle in October, I will have to go in on my "day 2" for a baseline ultrasound and bloodwork. If everything is in order, then I will begin del estrogen injections. These will be intramuscular (IM) injections that I have to receive once every three days. After twelve days I will go back in for another ultrasound and more bloodwork. If my uterine lining looks good, then I will proceed with progesterone in oil (PIO) IM injections. These will be daily injections, just like I had to do with my IVF. After five days of PIO IM injections, I will be ready to go in for my transfer. On the day of transfer we will travel to Rockville, MD to the main Shady Grove clinic location. The embryologist will start by thawing two of our embryos (we have five frozen). If both survive the thaw, then those will be the minis that we put back in my uterus. If one or both don't survive, then they will continue thawing until we have two embryos to put back. After the transfer, I will be on 24 hours of bedrest again, followed by a few days of light activity. I will have to continue doing the PIO IM injections up through the pregnancy test. If I am pregnant, then the PIO shots will continue for a LONG time. If not, they will stop, and that will be that.
So - that is our protocol in a nutshell. The FET will actually take place in the beginning to middle of November, depending on when my cycles arrive. We will keep you posted as we forward with our next attempt at starting our family.