The bottom line

After writing that last post, I realized that I had omitted any sort of conclusion from all that data. I started to edit it to fix the problem, and then stopped – that post was too long anyway – and decided my “diagnosis” was deserving of its own post!

So what is my diagnosis? According to my online medical records at kp.org, it’s “female infertility” – not vague at all! Of course, Dr. Y. never actually said that to my face. He said something more like “low ovarian reserve” (i.e. reduced number of remaining eggs). When talking to close friends and family, I prefer the technical term “ovaries of a 45-year-old”.

All joking aside, I’m not really sure what the results of all those tests actually mean. And, frankly, I’m not sure experts know what those test results mean… Dr. Y. was very cautious in his choice of words, and from what I’ve been able to read about it, I can see why.

What I know (or, what I think I know, based on what I’ve read in infertility books and online):

  • My test results are atypical for 34-year old women who have taken these tests (that is, women with infertility). They are more typical of women in their 40s who have taken these tests.
  • Women with low ovarian reserve (i.e. with test results like mine) tend to respond poorly to ovarian stimulation drugs. This means that IVF patients with this condition are less likely to produce lots of eggs at once (a prerequisite for IVF), and thus have higher rates of cancellation, and lower success rates overall for IVF.

What I don’t know (and, from what I can tell, nobody really knows):

  • What impact does low ovarian reserve have on women trying to conceive naturally (who only need to drop one egg at a time)?
  • What are the ranges of test values for women in the general population (that is, not just women experiencing infertility, which currently seems to be the only people this data is available for)?
  • How many eggs do I actually have left? (Or, put differently, how many years do I have until menopause?)
  • What is the quality of my remaining eggs?

As far as we know, I could still get pregnant naturally – after all, it happened once! Then again, 45-year old women get pregnant sometimes too…

So, why am I pursuing treatment, especially given that my test results seem to suggest that I am not the best candidate for IVF?

Two reasons:

  1. IVF is the ‘gold standard’ infertility treatment, offering C. and me the greatest chance for a biological child (still true despite my low ovarian reserve).
  2. Every month that we delay treatment, our odds of success with IVF go down (especially true given my low ovarian reserve).

For me, these two facts are enough to propel me forward, ignoring such ‘helpful’ advice as: ‘It’s in God’s Hands’ (Of course it is, but so is cancer; should folks not seek treatment for that?); ‘Just Wait, It’ll Happen’ (Wait for what? Menopause?); ‘Try this Diet/Potion/Lube’ (The fact that it worked for your sister-in-law’s aunt’s cousin’s daughter is so much more compelling than scientific data!); and the classic ‘Just relax!’ (Oh, why didn’t I think of that? [snapping fingers] I’m relaxed now!)

Actually, I don’t mind the well-meaning advice (for the most part), but that’s where we stand!

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