My doctor finally called me on Friday afternoon. I think I would have rather him not call at that point. By the end of the call I was beyond frustrated. I am not even exaggerating when I say the call started off with 2 minutes of silence. Then he started the conversation by saying I know we have talked about transferring two before, but decided against it. Why don't you talk to your husband and see what he says. I told him that we were supposed to transfer two this time, but one didn't survive thawing. His response? "Oh, then I guess I decided not to thaw another." What do you mean you guess? You should have just said something like "oh yeah" then continued on.
That was pretty much all he wanted to say, so I started asking questions like what would he suggest we do differently, change medication, change dosage, anything? His first response was "The only thing I would do would be to thaw them the morning of instead of the night before." I had to continue probing. I asked if the low progesterone would be anything to address in future cycles. He said "Well, your progesterone was 31 the day of the pregnancy test. That is plenty high to support a pregnancy." So I told him that was probably because I increased progesterone after the transfer per instructions after getting labs back. He said, "Well, we didn't increase it after the transfer." I then had to remind him that it was not increased until the day of the transfer. We battled back and forth about this until he finally saw it on the chart. So then he suggested we start with the higher dose of progesterone before the transfer next time. I wanted to say, "duh!", but refrained. With my fresh cycle I was over double the dose I was on with these two frozen. I know that it it common to be on more with a fresh cycle because of all of the other medications, but you would think that seeing as progesterone with low with first FET and my history of low progesterone you would have adjusted that this time around. Not to say that would have made the difference, but it couldn't hurt to try it.
So, again he tried to get off the call and told me he wanted to schedule an appointment for the next month so that we could further discuss and give Marty a chance to ask questions. I told him at this time we are done with IVF, but would consider talking to him in July (knowing we have the appointment in Atlanta next month). I think this ticked him off even more than my prodding. He said, "Well, then I will let you make your own appointment. That is disappointing to here." I told him it was just an emotional roller coaster and financially I can't keep doing this over and over with no change in protocol.
And, that was pretty much the end of the call. The fact that he just seemed so unaware of my protocol, history, and original discussions to transfer two annoyed me. Not to say I won't go back. If the doctor in Atlanta doesn't have any different game plan then I would just go back to my doctor here and not worry with the shipping of embryos and all. Of course at this point, Atlanta may not be realistic anyway with travel and my work schedule, plus travel expenses, and cost of their FETs. Hopefully though next month I will feel less frustrated and feel like we are going in the right direction.