Monday, December 20, 2010

Decisions, Decisions

After talking with my husband and feeling really down for a few days, I had to snap out of my emotional breakdown.  Normally, I’m a pretty organized person, and I do well with a plan.  So, it was time to accept what was happening and make some decisions.

First, knowing that both of us were contributing to our reproductive problems, my husband decided not to take the suggested Clomid from his urologist.  Unlike the short duration that women take it, men take Clomid for months in order to have an effect on sperm production.  While there has been strong evidence that it increases sperm count (despite not being approved by the FDA for use in men), he just wasn’t prepared to deal with the side effects.  We’ve both agreed that it is still an option, and we may revisit it later.

Second, we’ve decided to start saving up for transferring to a reproductive endocrinologist (RE).  But, there are no REs in our town, and the closest one is actually in another state.  However, we’ve already been in contact with a fertility clinic from a nearby city and had a phone consultation to discuss a course of action.  The consensus from both my Ob/Gyn and the RE was that our best initial option is Clomid for me and intrauterine insemination (IUI).

At this point, we will be doing Clomid + IUI with my Ob/Gyn here in town.  It’s closer, easier, and less expensive that way.  If that combination does not work for us, we would move forward to injectable medication + IUI under the RE’s supervision.  After exhausting those methods, our last option would be in-vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI).

Who would have thought that it would be so difficult for us to have what comes so easily to others?     

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