At my first appointment with my new RE, he printed out a piece of paper with my diagnosis that he made me sign.
Secondary infertility, tubal cause
Secondary??? OUCH! Yes, secondary. Because I got pregnant on the second try (oh the blissful arrogance then!) I can get pregnant and the genetics/sperm/a bunch of other stuff are considered OK. And you don't have to have a "live birth" to qualify for secondary. Awesome. So I am in a secondary infertility boat with no baby. Great. Like peeing every 15 minutes on progesterone when I'm not even pregnant. Just swell.
Tubal is no surprise. The new RE said that it's very rare for just one tube to be compromised with an ectopic like mine, but he said he agreed with the treatment plan to do IUIs/natural for a bit first to make sure. He said what I felt in my gut. It's time to just bypass the tubes and go to IVF.
He said my numbers looked fantastic, sperm numbers looked great, responses to various medicine looked perfect, especially the Gonal F. He said I was "ideal" but that IVF is always guesswork and chance. Boy do I know all that by now. He said he put my odds at 60% fresh, 40% frozen, which is what I expected. He said he thought that based on my age and ovarian reserve he hoped to stock the freezer. Yay! Let's get this shit on ice! Did I mention how much I like my new doctor?