So, our second opinion appointment did not go terribly well. I should have realized that the flash flooding in the streets and the fact that the office didn't have our appointment on the books were bad signs. Basically, more than a second opinion, we got a completely opposite opinion. After a quick run down of my history, this RE said that the first pregnancy was likely not ectopic and that the subsequent two losses were due to the methotrexate shot we had in August. She said that pregnancies have virtually no chance of survival within the first 5 to 6 months of methotrexate. Her recommendation was to wait until January then just try naturally and use progesterone supplements beginning three days after ovulation. This is very different advice than the recommendation we received from my current RE. He thinks it's time to move on to IVF, that I very likely have tubal issues.
Now we have no clue what to do. We didn't really like the second opinion doctor, and her staff reminded me of my old fertility office staff (which I HATED). We like our current RE so much and I really want to continue treating with him...but we also want to make the best decision we can. To add to my confusion, I have been doing some mad googling and can find almost nothing that supports today's diagnosis. I found one article that said that your risk of miscarriage may be slightly increased after a methotrexate dose, but many more that basically said that methotrexate is irrelevant to subsequent pregnancy success. This is confusing because the doctor acted like it was common knowledge and we would have no problem finding literature to support her recommendation.
We are so unsure of how to handle this. Right now, I am thinking of calling to try to get a consult with my regular RE and talking to him about this different perspective. I am sure, though, that he will disagree with her and stand by his original plan. I am so ready for all of this to be over...if doing IVF would get us pregnant, it would be so so worth it. Ahhhhh...so confused right now. Any advice would be greatly appreciated!