Some of you are probably curious for the post-reproductive endocrinologist visit update. I hope so, anyway, because practically all I have done since then is play “mental rubics cube” with the information he provided. You know, if we did X then Y, but if we did A, then B, what about P then Q? Which steps make the most sense, and in which order?

It isn’t graphic, but just in case you feel like knowing more about our babymaking thoughts is too much information, the rest is “below the fold.”

I think I said that we loved the babymaking practice that Jill picked, but I also love these folks. How could I not? They helped us make Noah. But they’re also really nice and holy moley do I think they know what they’re doing. Seriously smart people, and I love that.

Plus they gushed about how cute Noah is, which is never a bad idea with me.

Anyway, I left with a boatload of information, instructions to get a bunch of bloodwork done during day 2, 3 or 4 of my next cycle & to do another ovarian reserve test, and the request that we fax Jill’s bloodwork results too.

With all of that, they’ll advise us on the relative probability of each of us getting pregnant and carrying a baby to term, and in combination with whatever Jill decides she wants to do as far as trying herself, help us formulate a plan.

These are the variables, information factors, and associated random thoughts:

• Whether Jill attempts to get pregnant or I do (she’s older by just over a year).
• That year is the other side of a line on nearly every fertility related chart we’ve ever seen.
• We have 4 vials left of our donor.
• How many tries should either of us make and if we are both prepared to try, in what order should we go?
• Should we do any 2-insem cycles? (probably not)
• Our relative FSH levels (similar unless mine have dropped significantly in the last 2.5 years, which is entirely possible) play a role that we’re just learning about.
• What kind of drugs/meds should we use (letrozole or injectable gonadotropins)?
• And when — ie some cycles with letrozole but if they don’t take, trying injectable gonadotropins? Or hit the ground running with injectables, since they increase the odds significantly?
• If we did do injectables, could we handle the higher risk of twins?
• Holy shit, twins.
• FYI, for those of you not part of the IVP/TTC universe, according to the nice doctor yesterday, letrozole is associated with an 8% chance of twins. Injectable gonadotropins are associated with a 25% chance.
• No matter which of us did it, I would have to get over my needle thing if we did injectables.

So, tests tests tests, and we’ve established a “we will formulate a plan by” date, after which time I am free to be the steamroller of implementation that I have so far been trying to keep under control.