Thursday, March 11, 2010

New OB consult appointment...

I had my consult appointment today with my new OB.  She is in agreement with the RE that we don't want to treat my pregnancy loss history with blood thinners unless there is something to treat.  She doesn't think the MTHFR mutation that I have is one that requires treatment.  She said she's seen patients with similar history who want to be preventatively treated for anything that could possibly go wrong, and she commended me on my rational approach for only seeking treatment for problems I've been diagnosed with.  Unfortunately, we haven't located the problem so there's nothing to treat yet...

She says all that in one breath, but she still wants me to stay on the low-dose aspirin and Folbic (super high dose folic acid).  It's funny because I'm the one that mentioned those drugs to my last doctors based on things I read online.  I wonder if this doctor would have even considered it if I wasn't already on it.  Do you ever feel like you're your own doctor sometimes?  Anyway...

I mentioned my classical c-section scar to her and the possibility of twins with IVF.  She agrees that having twins will put extra stress on the scar but is not enough to prevent our IVF attempts.  She outlined some of the major risks with having twins such as pre-term labor and pre-eclampsia that may require bed rest and premature birth.  She would prefer that I only carry one baby at a time because a singleton is generally less risky, but there's not a whole lot of control we have over that.  If we get twins with our IVF attempts, then we'll deal with it.  If we only have one or none in there, then we'll deal with that too.

As long as my pap smear comes back normal (which I don't foresee a problem with that *knock on wood*), then we will receive the green light for IVF.  We will then have the privilege of paying a boat-load of money for the use of technology to try to conceive the gender of our choosing.

So now we go back to the waiting game... (If I were a news broadcaster, that'd be my signature sign off...)

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