However, just to be presented with options is amazing. For a year I have thought I only had two: childlessness or IVF. Suddenly we actually have a choice to make; even if we come back to IVF in a few months time at least I will feel that I have taken my chances elsewhere first.
Given my history, there is no way of knowing whether my tubes will actually function properly, even though they are not blocked. Dr H (who was lovely in every way - very beautiful woman!) says that if there is scarring on the outside, which on the left there definitely will be from the surgery, they may not move as they should, and scarring from the chlamydia/surgery on the inside makes my risk of ectopic higher.
I asked her what she thought we should do, and she said immediately, IVF, but she also said that if we wanted to we could try one of the following for a couple of cycles:
1. Timed intercourse
The ultimate test of whether things are working properly.
Pros Free. More enjoyable. Completely non-invasive (so to speak).
Cons Low rate of success. Risk of ectopic
2. IUI with/without fertility meds
Pros Less drugs, easier to take than IVF. Cheaper. Less invasive than IVF
Cons Lower rate of success than IVF (10% says Dr H). Risk of ectopic
Unfortunately, the risk of ectopic is always there even with IVF, especially as I have already had one, but she was very reassuring and pointed out that I would be so carefully monitored that we would know very quickly if there was a problem.
I'm leaning towards a medicated cycle of IUI, which is what I said to Dr H yesterday. She stressed very strongly that we should only try a couple of cycles before moving forward to IVF (got to keep the clinic stats high!) but at least we have the choice.