On day 31 of my cycle (Saturday), I finally ovulated. This cycle will be roughly 45 days long. Sigh. A reminder of how busted my body is. But the delay has given me some time to think. And there has been a change of plans.
This month I was planning to do my uterine biopsy for the beta integrin 3 test. However, I decided to skip it. The test is painful, expensive ($1,000) and in my case would likely be for nothing. If I take the test, it will play out in one of the following three scenarios:
1. Inconclusive. 30% of the tests come back inconclusive. If that happened, Dr. S would treat me with two months of Lupron Depot shots prior to a frozen embryo transfer (FET). This hormone therapy treatment reduces endometriosis lesions and pain. The hope is that the drug will also make my uterus more hospitable for the embryo to attach and give my body the sticky protein that could be missing due to my endo.
2. Negative. If I tested negative, I would do the Lupron Depot as described above.
3. Positive. If I tested positive for the beta integrin 3, I wouldn't trust the results. My friend had two failed IVF cycles locally before switching to CCRM. Dr. S did a laparoscopy and found that she had stage five endometriosis yet she tested positive for the beta integrin 3 test. She was treated with two months of Lupron Depot prior to transfer and is now pregnant with twins. She attributes her success at least in part to the Lupron Depot shots.
That being said, I already know I have endometriosis and will have very few embryos to transfer. I can't afford to waste any. Keeping with my motto to "follow the path of least regrets", I decided to skip the test and just do the Lupron Depot shots to give myself the best chance of success.
The only downside to the treatment is that it causes bad hot flashes and a fatty needle to deliver the meds. Since I'll be taking the shots in the winter, I'm not concerned because my body is always freezing. Silver lining is that I've heard that you feel amazing since it suppresses all of the horrible symptoms associated with endometriosis. I feel good about the new plan.
So my baby-making life will probably look something like this....