First, thank you for writing up your history and wow. I know when I had asked you to give me some background, I said sorry if doing so would dredge up bad memories but I had no idea. Not only am I so sorry about your losses but what happened with your DH, the attack, that is horrific. I'm so truly sorry you've endured that.
Secondly, about this posthttp://www.network54.com/Forum/209394/m ... +NAILED+IT
yeah, it's just what made sense to me as I sort of talked through it in my head and typed. He may be thinking that your losses are a combo of fertilizing an immature egg and/or lack of progesterone. Maybe the fact that you've seen h/b with 3 out of the 4 leads him to think that the losses could be tied to either one or both of these issues. I don't know - that's really for him to answer.
Going back to your history post. You are correct that C;heck's "thing" is progesterone. He will always push for that. One of, (maybe even first), studies was related to progesterone to support pregnancy. He may have even given this one to you in the pile of handouts. All I can tell you on that front is that if there's anyone who knows progesterone and the importance of it, it's C.heck. Btw, once PG I had a lot of issues with my P4, (per Cooper standards), and he was concerned about me going into pre-term labor. He "ordered" that I remain on P4 support through week 37 of my pregnancy. I stopped it early at 25 weeks. I went into pre-term labor at week 36. So do I think he knows a thing or 2 about P4? Based on my personal experience, oh yeah. I shudder to think what could have happened if I'd stopped my P4 in those early weeks like my jackass OB recommended.
As for having a bad taste in your mouth because he didn't look at your records. Don't take it personal. I know you feel like your history warrants him physically looking at your file (and he probably should!) but honestly, his MO is to hear you out on your story. You told him you had 4 losses and endo, right? That's enough for him; he doesn't feel like he needs to literally look at a surgery report that details the removal of the endo. But if you feel bad about it, mention it the next time you speak with him. Ask him why he doesn't review your records.
In a prior post you asked my thoughts about whether you should just go straight to IVF given your age. That's a hard choice. I hear you LOUD and CLEAR on the age factor. It's why I was moving on to donor egg at age 39 and 2 months. What I say is give yourself the benefit of a couple of timed intercourse cycles and if it doesn't work then jump to IVF. I say this because your DH has a great SA and you have a history of being able to get PG naturally and carry those PGs to the point of a h/b. But only you know how much of this you can stand. You can do 1 or 2 TI cycles and then move to IVF or just go straight there if you can't bear another month.
Sorry I took so long to respond.
Thank you for your kind words about what happened to us.
It really is true- what doesn't kill us makes us stronger. It was a very bad time.
Thank you also, for sharing your story about the P4 with me. Wow!!! WOW!!! It sounds like this man really does know what he's doing. Thank god he ordered that P4 for you. Now, I feel bad doubting him in the slightest. It's that damn little voice, the voice of fear that comes to talk to me sometimes- the voice of the first RE I saw who told me 2 months ago: "you need to go right to IVF, your age, the history of losses, you must be aggressive." It makes me panic. You know- a bad trait I have is that I second guess things over and over and over. What if RE #1 was right and C is wrong. What if low stim doesnt work, now you don't have money for another cycle trying high stim. I could torture myself forever. But one thing I know for sure is that IVF doesn't guarantee a no m/c. I hope that these u/s and bloods will reveal if there IS an issue with the egg and it can be corrected. It's really feeling like a crapshoot. Having that letter in my hands from our consult with Dr C...it gives me hope that he knows what he is talking about. After all, too- the man DOES care and he DOES want us all to become mothers and he DOES know my age and history- so if he thought IVF now, he would most likely point that out? (I hope) I could over analyze for days!
I'll be at C ooper this week for the saline sono. He isn't doing it though and I asked and will not be able to speak to him that day. But I do have a callback with him next week. I'm not even sure what I want to ask him anymore. Maybe to say if these TI don't work by the end of April, can we move to IVF in May? That would put me at 3 cycles of TI and it would allow me to try IVF before turning 40. All I can do, is pray that I'm making the right decision. I just don't want to look back 6 months from now with any regret.
You gave me so much helpful information to teach me. I really appreciate it. Thank you for your heartfelt advice.