Hi Dr. Saleh,

  I am wondering if you may give me your personal opinion on my recent diagnosis. 

A brief history on my infertility problem...At 16 I was diagnosed with Mullerian Agenesis, at 20 I had the McIndoe Procedure performed & at 29 had my right ovary removed.  Which leads us to today.  I'm 34 & since the end of June have been visiting an RE here in Houston.  So far I have had bloodwork done, on my 2nd cycle of birth control pills & one ultrasound. 

  My RE suggested the path my husband & I need to take is....egg donor.  According to all my bloodwork & ultrasounds everything is normal & that actually my hormone level is fine now too.   The estrogen I was on was not enough for my body and since being on the birth control my level is back to normal.  The reason he has suggested using an egg donor is that after performing the ultrasound & seeing that my ovary is high he thinks it will be difficult to reach my ovary to retrieve any eggs without doing some type of harm to me.  He's afraid if he goes in abdominally or vaginally I will be taking the high risk of having a bowel infection or some other type of issues develop which can lead to all kinds of other problems.  Also, by trying to retrieve abdominally the chances of a pregnancy are low. 

Do you have any other suggestions?  Or do you agree that an egg donor will be the best route?  My husband & I have fully discussed using a donor & are completely happy making that decision.  I just want to reassure myself that I have covered everything before beginning our journey.

Thank you so much for taking the time to read this.

A lot depends on the position of the ovary. It is rarely a problem with your case is unusual. One would have to do a vaginal US and determine if access is really a pbm. Under anesthesia ovaries are often easier to reach. Also important is the result of your FSH and inhibin-B on day 5 off the BCP. That would reflect your teue ovarian reserve and choose the right protocol. I will be happy to see you for an US and advise accordingly.