It was time to up the ante to IUI with ovum stimulation. Time was passing and I wasn't getting any younger. It was May 2005 and I had another consultancy with a doctor. This time I saw Dr. M. She had an elegant European style about her, a wedding band on her finger, and she spoke fluent English as well as Hebrew. She probably had children at home and almost definitely had a another language. I immediately felt inferior. Then she smiled and she was nice. I wanted to be like Dr. M when I grew up. Except that she was probably about six years younger than me.
Like Dr. B, she was one step ahead of me on the treatment hierarchy. "There is very little chance that IUI will work even with ovum stimulation. With IVF the chances jump up to 25%." But I was still on the crusade of as little intervention as possible. I still couldn't believe that, with my strong maturnal instincts, my child-bearing hips, and my fantastic FSH scores, my body wouldn't be thirsty for pregnancy. And that it wouldn't quench that thirst at the earliest opportunity.
"I also want you to to do a hysterosalpingogram (HSG)," said Dr M.
"They pass a tube into your uterus and inject a dye through to your fallopean tubes. This shows up on an x-ray and they can check for any blockages. Sometimes the precedure itself clears any blockages and there's more chance of pregnancy. Make an appointment with radiology. They will probably want to do it straight after your next period. Then come back here on day five of your cycle." Before I left she gave me prescriptions for Gonel F, Ovitrelle, and Cetrotide.
I made an appointment with radiology and a few days later I was talking to my friend Z, who has twins through IVF. "Oh my God, I had to have that. It killed! I stopped the procedure half way through and the doctor was really horrible about it. He told me to stop making such a fuss as it didn't hurt that much."
"Yeah right, when was the last time he had one?"
I called radiology and cancelled my hysterosalpingogram. Z didn't do it and she had twins, so that was all right then.