I have done all my ivf cycles far away in a metropolis (let’s call it “New York City”), at a fancy clinic that is associated with a branch of my Ph.D.-granting institution. I got all nostalgic the first time I saw the college logo on their stationery, but that didn’t last long-they’re not even in the same city. While I appreciate the chance to traipse around the city while confirming the ascendance of the B*g*boo stroller amongst those who can afford it, doing the ivf there instead of here adds all kind of inconvenience and expense to the project. In fact, I just figured out that it added 12-24% to the cost of the cycles. Why travel, then?
Well, first we needed a clinic that could do preimplantation genetic diagnosis. (Another post needed to explain why). Secondly, the clinic that is close enough to drive to (let’s call it the Clinic I Hate, CIH) would not work with me because my weight was higher than their limit. “Studies have shown,” they said, that obese patients do not respond well to stims. Strangely enough, that has not been my problem with the first two ivf cycles. Perhaps not so strange, given that my reproductive endocrinologist and his colleagues are the authors of a study on ivf and obesity, yet when I called the clinic the first time and timidly asked if there was a weight limit, the woman who answered didn’t know what I was talking about. “Do you mean the wait?” she asked. In any case the study does not say obese women cannot succeed at ivf, but that they may need higher doses (I don’t) of stims, and that pregnancy rates per transfer are not affected.
When CIH first told me I needed to lose weight before I could cycle there, I figured I couldn’t lose fifteen pounds (approx) in a month in any kind of healthy way, so I gave myself a year. I needed to do the cycles in the summer to work around my teaching schedule. By the next year, I had gained ten pounds. Thank you, CIH (to be fair, the tenure review year may have had something to do with it, but never underestimate my rebellious side). So I called Alma Mater Clinic and cycled with them at the end of the summer (no problems with weight or wait). Thank you to Cecily at Wasted Birth Control and the mental health professionals in my life for encouraging me to be assertive about finding a clinic. Thanks for nothing to CIH for the year I wasted. Of course, if I had not just accepted that I was unsuitable when they told me so, I could have call AM clinic a year earlier. I read enough blogs to know that clinics have different criteria for accepting and rejecting people. But (and this is also why it is scary for me to even mention my weight in a blog with a comments section) because my weight is a big topic for my self criticism, I accepted CIH’s rejection of me as entirely appropriate.
For the record, I am back at the weight I was when I first talked to them. Over the past year and a half, through two ivf cycles, I lost ten pounds. I am contrary that way: when I read in my ivf materials that I was not supposed to engage in strenous exercise once I started stims, I joined started swimming and joined a gym a few weeks before that in addition to the weekly dancing and twice-yoga I was doing. I had some vague idea that “strenous” might be a relative term, so that the higher my activity level before starting, the more would be ok during the cyle. I was wrong. I think it is funny, though, that “walking is ok,” even though a normal amount of walking in NYC would be a lot to people where I live and drive.)
Now, I am off for Lupron injection #6. Next post may be: my brain on Lupron.