March 1, 2011

Potentially, Possibly More Confused

I think I am becoming “that” patient. You know, the one that second guesses the doctor and asks all sorts of “annoying” questions.

I had my consult today. It wasn’t with my preferred RE but instead with her partner. He spent about 30 minutes explaining IVF to me. Luckily, because of the many blogs I’ve read, I already had an idea what the process would entail. It sounds like we will be doing the  long protocol and shooting for about 20 eggs. Apparently, this is a plausible number based on my previous response to injectibles and the number of resting follicles I have. We will then probably use ICSI to fertilize the embryos and send them away for pgd. I was told that he estimates a 50% likelihood that this will work for us (not sure how this number was estimated).

I am being scheduled for a hysteroscopy next month. If anyone has any words of advice, again they would be appreciated. I expressed concerns about my lining (it was 14.7 at last IUI). I was told it’s okay because my lining goes way back down at the beginning of my cycle. However, I also indicated that I haven’t got a bfp since last May. Before shelling out money, time, and energy for IVF I want to make sure nothing else is going on. So, the doctor said a hysteroscopy would be a good way to do this.

In the meantime, supposedly they are speaking to two different pgd labs to determine what is the best route for our situation is. Apparently, we will then begin the process of building the pgd probe. Once the probe is complete, I will be called in to start bcp and will stay on this for 10-14 days. I’m still a bit fuzzy on when I will be hearing about the probe and have my consultation with the genetics lab. If I haven’t heard anything by next week I am going to call and bother them again. It will likely take 2-3 months for the probe to be complete. In the meantime, I will be on no drugs. I’ll be completing my annual exam (yippee) and completing the hysteroscopy. As long as both of those are clear as soon as the probe is ready, we will be in business.

So, we’re looking at around May-June. I’m guessing it’s probably going to end up being July. Mr. F and I are planning a trip to Asia in June and I don’t imagine that ivf will fit well into this. I guess we’ll play it by ear and see how long the pgd lab takes. I’m really, really looking forward to the months of from monitoring and drugs. Of course, in the back of mind, I’m hoping that I’ll get that miracle natural bfp so many ladies have been getting. However, even if I don’t, I think it will be good for myself and Mr. F to get a little break.

There also seems to be a bit of confusion between the insurance company and my REs office. No one seems to be able to really tell me how much this is going to cost. I have a $1200 out of pocket maximum. So, this would seem to mean that I would pay no more than $1200. However, my REs office asks for $2k up front and then provided a host of other charges. I asked if I would then get reimbursed and I think they were really confused. Insurance company says yes, I will pay no more than $1200. So, I’m going to pretend this will work out in our favor and hold onto that $1200 like a life preserver. Either way, I know that we are getting a huge bargain. We would never move forward with this if we had to pay $20k. So, that’s it for now. We’ll see where this leads us. 


  1. Reprogenetics out of Livingston, New Jersey did my probes. Took 3 weeks in total. Sounds like a plan to me!! OH...and I am "that" patient. Don't be afraid to be the pain in the arse patient...all of this is important stuff so you need to fully understand the process. You will in time...

  2. Ha, I am that patient too, fight you for that righteous title.
    Got 5 pages of questions for the fertility doc tomorrow, under headings and everything. Sorry doc but if your underling won't let me ask a single question, you're gonna hear them instead.

    Seriously though, woohoo! Its sounds like the cycle is falling into place, May-June is cool! The insurance thing sounds annoying though.
    That 50% chance sounds positive, would like to know more about that calculation (as I'm sure you would too), as you know my current propensity for numbers and percentages!
    Good luck, I'm here with you

  3. I am also that patient. All over. My doctor refers to me as "details oriented". Which is short-hand for "pain in the butt".

    I'm glad you have some months off, drug-free, and the trip to Asia sounds wonderful.

    I hope the insurance gets ironed out, but am guessing that they'd just (hopefully) reimburse the difference. And I'm all kinds of positive for this next step (though, also crossing fingers that it might not even be necessary).

  4. New follower with BT of 1 and 13. Good Luck with IVF! I wish my insurance covered IVF...but they cover almost everything else so we are just doing "everything else" and hoping it will work eventually.


  5. Thirstiesgirl.... good luck with your IVF cycle! I really cross my fingers for you! And like you said, in the meantime you might get your natural BFP, you never know. Enjoy your life and your Hubby!

  6. I had a hystersocopy too. It was supposed to get rid of a polyp but when they went in there wasn't a polyp there after all.

    Good luck with it.

    And you are right to ask lots of questions. They may be the IVF experts but you are the expert on your own body and medical history. You can add some valuable input.

    Thanks for your support on my blog. Not looking forward to my 2 week window. I am so impatient.

  7. I am that patient, too, constantly asking questions and leaving messages with my doctor. You know what, though? If we don't, who will. Keep being bold and you'll get what you want!

  8. Hi! Thanks for finding my blog. I will be following your story as well. Wishing you all the best!