Tuesday, November 18, 2014

New obgyne = new hope ?

I went to consult an ivf doctor today. She said I should have ivf as soon as possible.  I am not getting any younger. Most people around forty years old have babies with genetic defects. But for now, I am in the middle of my menstrual cycle. December cycle is not feasible. Everyone is in vacation mode. Our target is January.

Taiwan or Philippines? Ai... I let go Taiwan for now. PGD pre implantation genetic diagnosis on HLA-b27 gene sounds illogical for me at this moment. I can't schedule a geneticist appointment up to now. Embryos with HLA-B27 gene will be discarded. What if I have a homozygous HLA-B27? I guess all my embryo will be discarded. Another point to consider is HLA-B27 allele or subtype. What is my subtype? Actually, I am just guessing my subtype maybe HLA-B*2704 or HLA-B*2705. Any other possibilities? Oh my god, should we play a guessing game here? I agree with my immunologist, no to PGD for now. HLA-b27 is just a marker, we need to know the sequence fragment.

I have letrozole this cycle, because I will test the uterine biophysical ultrasound. Plus, I will be taking Viagra and heparin. Would this be too wasteful for a natural cycle?  My new obgyne said we will try iui next week.

What is CARMI? If it is used as adjective... carmic? This reminds me of karma, karmic. My karma is good or bad? New obgyne is a start of my new hope?

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