We had a meeting with Dr. D-W yesterday to discuss IVF #2 yesterday. Our meeting further reinforced the fact I was a dumbass to have moved practices for IVF #1 due to anesthesia issues. Thankfully, this will not be an issue for this IVF as she has gotten the anesthesiologists to change their rules about knocking people out with a BMI of over 40. Like Dr. D-W said, if there was any true danger she wouldn't do it, but since I have no medical issues (other than obesity) & have been knocked out twice before (once for oral surgery, once for an exploratory lap) with no issues, the rule was just really stupid not just for me but for several of her patients.
She was really curious about my protocol for IVF #1 & why my result was so shitty. I had requested records be sent before we went on vacation but of course, the other practice hadn't sent them. I told her what I knew & she was unfortunately not shocked when I told her they were "meh" on a protocol change; she had seen 2 new patients this week already who were running from the other practice because of the same issue. Dr. D-W said that not changing a protocol was stupid for 2 reasons: 1. it would've meant another likely failed IVF which would suck for me & 2. it would've meant another likely failed IVF which would've sucked for the other practice's success rates. Exactly!
Our plan for IVF #2 is as follows: when AF comes to town again (due around 7/2) I will be put on BCPs for ~3 weeks (she may tweak this if needed) but no Lupron this time. She thinks it may have oversuppressed me & with me being on Zoloft she doesn't want to make me any more crazy than I am already; fine by me. We'll start with Follistim for 3 days & then add Ganirelix to address my immaturity problem & prevent premature ovulation; she thinks my overall stimming time should be 7-10 days.
She's going to trigger me with HCG versus Ovidrel this time because in her experience women with higher BMIs tend to do better with HCG. She also really wonders if there was an issue with empty follicles versus my having ovulated some eggs before we even got to retrieval since my ER was ~40 hrs after trigger & she aims for ~36 hrs after trigger. ER & ET will likely be the 1st week of August. She's going to try & do a 5dt for this cycle. Although she can't guarantee anything she says she's aiming for a dozen egss from me & we'll transfer 1 or 2 depending on quality & quantity fertilized.
I feel so much better having talked to Dr. D-W. Again, I think her having been through infertility herself plays a huge role in my liking her. She's not "warm & fuzzy" (neither am I really) which turns some people off I know but I really appreciate her not talking to patients like they're idiots. While I'm sure there are some truly clueless infertiles out there I think the vast majority of us are not & regardless, we all deserve to know what we're injecting into our bodies & why.