The Journey, So Far...

I typed out a nice neat little index page with page numbers for Dr. Schoolie when I submitted all 250 pages of our medical reports.

Going through the process of organizing my records was a tedious and emotionally exhausting task.  Each portion brought up memories of how we felt at each turn.  It also made me feel frustrated that there wasn't a more efficient way to navigate through the difficult waters of IF.

May 2008	Semen analysis:  1.6 million
	Normal pelvic ultrasound
	Hormone levels tested but not on cycle day 3.
June 2008	Semen analysis: 1.6 million
Aug. 2008	D has bilateral testicular biopsy under the direction of urologist.  Findings: bilateral hydrocele and meiotic arrest.
	D has infection after this procedure, and is treated twice with antibiotics (for two weeks each time). Up until 1.5 years after this procedure, D has infrequent “stabbing” pains in his testes.
Oct. 2008	Dr. Nada, Enocrinology consult, no findings referred to another endocrinologist.
Nov. 2008	Scrotal ultrasound: focal hypoechoic regions within the superomedial aspect of both testes measuring 1.2 and 1.4 cm.  Likely related to previous biopsies.  Bilateral small varicoceles are demonstrated.  Small right hydrocele.  3mm cyst on left epididymal head.
Dec. 2008	D- Endocrinology consult with second endocrinologist found no abnormal results. CBC normal.
Jan. 2009	New clinic #2 Semen analysis. 0.6x10 6/ml
Feb. 2009	Semen analysis (washed), total motile count 4 million.
	Day 3 FSH: 23.8 IU/L Day 21 Progesterone: 48nmol/L
	Genetic screening and other blood work (day 21 and other).
	2nd opinion with Urologist.  His opinion was that the testicular biopsy was unnecessary, and that the results showed only a focal diagnosis.   No further recommendations.
Mar. 2009	Hysterosalpingogram: Right fallopian tube patent, left tube irregular, curved, tortuous and dilated, left tube appears blocked.  Antiverted, anteflexed uterus. Right ovary 2.5cm x 1.3cm, left 2cm x 1cm. Small irregularities in uterine lining.
	Diagnosis: Premature ovarian failure, advised to consider donor programs.
April 2009	New Clinic: #3 Dr. Snowflake
June 2009	IVF cycle suggested to be changed to IUI.  Cycle cancelled: My sister had a massive stroke at age 28 (from an undetermined cause).
Sept. 2009	Day 3 FSH: 6.5 IU/L
	Operative Hysteroscopy to remove small amount of scar tissue near embryo transfer site.  Pathology Report: Endometrial curettings (1.0ml of hemorrahigic tissue and mucoid material): proliferative endometrium.
May 2010	Sonohystogram, results normal. (Dr. Snowflake).
Nov. 2010	FET #1: Transferred 1 donor embryo (from couple #1), rated “cleaved 4-6 cell”. HCG <1.0
Feb. 2011	Adopted 6 blasts via Snowflakes Created in 2005
April 2011	New clinic: USA, Dr. M Frankenstein
	Semen analysis: Grade A, low count, borderline morphology.  Semen frozen (unused as of Oct/12).
	Monitored for one natural cycle: Doctor says follicles didn’t mature as expected. Decided to proceed with adopted embryos.
	Day 2 FSH:  19.6 mlU/ml Follicle count: 7?
July 2011	FET #2: Donor embryos, 2 unrated blasts.  Embryologist says they are unrated because they were still collapsed 2-3 hours after they were thawed. HCG <1.0
Sept. 2011	FET #3:  Donor embryos, 2 blasts 6BA & 5BB  HCG <1.0
Nov. 2011	FET #4: Donor embryos, 2 blasts 4AA & 4BA, HCG = 75, (6 days after transfer), 1547 (13 days after transfer).
Dec. 2011	Miscarriage confirmed at 8 weeks
Jan. 2012	D&C after incomplete natural miscarriage
	Started 75mg DHEA/day
Mar. 2012	AMH tested: 0.42ng/ml
	Day 3 FSH 17.5 mlU/ml
April 2012	IVF with ICSI (own eggs) Medication: · 40 units of Leuprolide on cycle days 3 and 4. 300 units of Gonal-f for 16 days, the last 8 days of stimulation 150 units of Menopur. · See cycle sheet for other meds. · 500mg Flagyl & Doxycycline for both of us in case of subclinical infection (2 weeks).  Started one week approximately before transfer. Retrieved 9 mature eggs + 2 immature eggs, 7 fertilized, 6 survived. Ratings on day 5: 1.     EBL: C1 2.     BL: B1 3.     EBL: A 4.     Mor: B1 5.     Mor: A 6.     Mor: “?” 7.     Mor: A
	Semen analysis for ICSI
	2 transferred, 1 blast 4AA and 1 early blast (unrated) HCG = 38.4 (10 days after transfer). Bright red spotting 14 days after transfer (HCG =278), miscarriage 22 days after transfer.
	Tested natural killer (normal), DQ Alpha (normal) and MTHFR (positive for heterozygous copy of A1298C mutation).
May 2012	Day 3 FSH 11.1
June 2012	Semi-natural FET cycle attempted. Ovulated on day 11, doctor not expecting this early, cycle canceled.
July 2012	FET #5: own embryos, 2 transferred, 2x day 5 morulas, A & B1. Started new protocol of 81mg ASA, 10mg prednisone, 40mg Lovenox at time of transfer.  500mg Flagyl & Doxycycline for both of us in case of subclinical infection (2 weeks). HCG 1.8, then declined.
Sept. 2012	FET # 6: own embryos, 2 transferred, early blast with “?” rating and blast rated 3AB. Changed protocol (81mg ASA, 10mg Prednisone, 40mg Lovenox) starting one week before transfer. HCG <1.0
Nov. 2012	Consult with Dr. Schoolie.