I ended up "liking" their page, and saw that they were having a free webinar last night. I signed up for it because duh, it was free, and I thought it would be nice to see what opinions another clinic has.
I get into the "meeting room" the webinar was using and learned I was the only one who signed up. What was supposed to be a general webinar about fertility all of a sudden became a one on one about my treatment. Unfortunately I was too chicken to talk to a random doctor via microphone, so I did a lot of fast typing and he responded vocally. He asked my age (24), if I had a diagnosis, (PCOS,) and what treatments we had done so far (Metformin, SA, HSG, timed intercourse for 8 cycles.)
When I mentioned that I thought our next step in treatment was IUI, he was surprised by that. He said that IUI was normally reserved for couples with male factor infertility, it wouldn't really help us if ovulation was our problem. Now, if we coupled ovulation drugs like Clomid or injectables with an IUI, he said that would make more sense. He went on to say that a Clomid or injectable cycle had about a 15% chance of conception as long as PCOS was our only problem. Adding on an IUI would increase our chances to about 16 or 17%, and some doctors argue if would increase the chances at all.
The doctor then asked about Keegan's SA numbers. Thankfully I have them written on my handy dandy blog, so I was able to give them to him quickly. He said that a total count of 23.5 million was on the low side of normal which might suggest male factor IF, but also might not, since counts vary from day to day. He said that the thing that would point to male factor infertility would be the fragmentation and morphology of the sperm. Since Keegan's morphology came back at 99%, I'm not worried, but it might be worth our time to get another SA done to see if the total count increases any.
The doctor continued to say that knowing what little he knows about us, he wouldn't suggest doing an IUI without ovulation enhancing drugs. He also suggested that if we do decide to do ovulation drugs, to get monitoring with ultrasounds because the only way to truly know if ovulation occurs is via ultrasound. OPKs and BBT can tell you if you have an LH surge, but only an ultrasound can show if ovulation actually happened.
The doctor also mentioned that all of those supplements and vitamins we take to try and increase our fertility don't really do anything, so they're not worth our time. I don't know if I fully agree with this, and I'm pretty sure a bunch of ladies who have benefited from using vitamins and supplements wouldn't either, but it was interesting to hear a doctor say that.
So, what do I do with this information? As I've stated before, my current doctor in Mississippi is wary about using ovulation enhancing drugs because with the help of Metformin, I seem to be ovulating on my own, and he is worried adding Clomid would increase our chances of multiples. Of course, I haven't gotten ultrasounds around ovulation, so I'm only going off of OPKs and my BBT as proof that I'm ovulating. The reason I suspect we'll move onto IUI next is because, from what I understand, the treatment ladder looks something like this:
- Try naturally
- Use ovulation drugs
- IUI (either naturally or with ovulation drugs)
At my next appointment, do I bring up the idea that I "cheated" on my current doctor by getting a second opinion? I know I need to take the information I got last night with a grain of salt since the doctor I talked to doesn't know our medical history or all of our stats, but is it worth pressing my current doctor to use ovulation drugs?
While what the doctor tonight was saying made sense, it's only his opinion, just like not using ovulation drugs is my current doctor's opinion. I know that ultimately I need to do what I feel is the best treatment for Keegan and I, but having two conflicting opinions is super confusing.
Have any of you lovely ladies ever had two doctors give opposite treatment plans? If so, what did you do?