they split us up by couples in the beginning to do our psychiatric consultations which must have gone well because the psychiatrist said she would bring us together for a group discussion afterwards if there were any issues that needed to be addressed and she did not do so. i can't believe we all passed the crazy test, that in itself is a miracle. while cass and jd were with the psychiatrist we met with marge, our new ivf coordinator, and vice versa. i had some speculation about marge, as i stated before, but she turned out to be alright. she is definitely very different than brandi, much more intense, but she obviously knows what she is doing and that is the important thing. of course every time she left the room josh would say "tell them large marge sent ya." nothing like continuous quotes from pee wee herman to lighten the mood. the psychiatrist and marge both mentioned several times that it is not uncommon for sisters to have the same issues. while it seems logical that someone who has had no difficulty getting pregnant would be the ideal candidate it is, of course, much more complex than that. there is no question that cass can create a good quality egg, the question is how many can she create. if you remember, this was one of the major concerns with my cycle. i was on the maximum dose of hormones and was only able to create seven eggs, with only four of them being good enough quality to attempt fertilization. it only took cass one good egg to conceive while the goal here is to create multiple eggs, on average they like to get at least twelve. they did a full exam and transvaginal ultrasound on cass and she was kind enough to let me in the room with her. i think we could both sense right away that there was some concern from dr. brabec. after her exam marge and dr. brabec both met with all four of us together. they said there is some concern about the way things looked but they won't know how to proceed until they get more blood work. cass and jd were both tested for infectious diseases and they also drew blood from cass to test her amh. during our first cycle they tested my amh, which was lower than what they like. i was told that this was an indication that i would likely not create many eggs which proved true. they also want to test her fsh but they have to do so on day two, three, or four of her cycle. she is due to start anytime so it will likely be the beginning of next week. they will also do another transvagianl ultrasound at that time and then decide how to proceed.
best case scenario is her amh and fsh come back good and we proceed as planned. the last thing i asked dr. brabec was if we should be super concerned and she said she would not say super concerned but she does have a reasonable amount of concern after the ultrasound. if the tests do not come back as we wish, we will likely follow the advice of dr. brabec, whatever that may be. if it looks as if cass has similar issues as i do, my guess is they would suggest i use an anonymous egg donor or proceed with adoption, both of which still lead to a baby. we will just have to cross that bridge when it gets here. we are hoping for the best but being realistic at the same time.
as for jason, he has to do a phone consultation with the psychiatrist and get some lab work along with a semen analysis done in portland and have the results sent over to rrc. we will have a better idea of how to proceed with that piece when that is completed.
as crazy as it sounds, we did have an enjoyable time yesterday. having cass there added a new comfort level and josh and j.d. are nice comic relief. no matter which way this new road takes us josh and i are eternally grateful that cass and j.d. took the time out of their day to help us out. i am choosing to believe that cassidy's tests are going to come back fine and we will proceed on our path to parenthood. i will update next week when i have more news.
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