Follow Up

So, John and I met with Dr. Jacobs on Nov. 27th....about 3 weeks had passed by and we were ready to discuss next steps...

Dr. Jacobs while a knowledgeable and really nice guy is a fast talker....and occupies the conversation....so basically he was frustrated that it didn't work. He re-iterated that we're young and don't have any problems, so it should work. He also re-iterated that we have excellent insurance...and really, we do....Blue Cross Blue Shield HMO...they pay for pretty much everything except for freezing the embryos....so wow, it is great. As long as John stays with his work until we have at least one child....and his work doesn't change insurance plans for the next year, we'll be good. :)

So he said that we could do a frozen cycle or another fresh cycle. I asked why he would suggest a frozen when that would be the obvious next step for me..... He said that the frozen embryos are always there....those we can use many, many years down the road....but we may not always have the insurance....so we may want to use up the insurance while it is still solid... Also, he said that there could be something genetically wrong with the batch of embryos, but he wouldn't recommend doing genetic testing at this point as it is very expensive and not covered by insurance and he doesn't feel that is the problem....

We then asked what would he do differently this next time for a fresh cycle to make it 'better'? He said that he wouldn't push as many meds....now that he knows how sensitive my body is to the medication and how well I respond...we didn't need 44 eggs.....to then get 7 good quality embryos...so he's hoping to get fewer eggs, but greater quality...because I am young it shouldn't be a problem.

He gave us the quality of the eggs....and the explained how the quality can be measured differently at different places. Our next best quality is a 2AA and 2AB (I think)...so still pretty good...

He told us to think about it and let our nurses know the decision by the time I start my next cycle.....