New... With a question about IVF

FloridaSun82

HI, everyone. Not sure if this is where I should be posting this, but I'm going to anyway.

I have PCOS and seem to be clomid resistant. My dr is very hesitant to go to injectibles because he's afraid of HOM and wants IVF as the next step. I am so hesitant to do it, I'm worried about the cost and the amount of time I'll need to be out of work for scans and such. I'm also REALLY scared that it's not going to work and then we have no other place to go. With that said, the success rate is higher than injectibles/IUI. 

I guess my question is... What other things did you try before moving to IVF and do you regret not either trying something else OR regret not moving to IVF faster?

sunflowermama42212

Siggy****

I think your going to find everyone has different situations. Most insurance companies that do cover IVF make you do 3 IUI cycles or like my insurance company let us go straight to IVF because MH has way to low of a count to bother with IUI. If YH has great sperm than I would try an IUI cycle and see how your body reacts to the meds and it does have a lower success rate but you also have to consider if some woman are forced into IUIs by their insurance companies when they know it's going to fail can you really trust that rate? Also the success rate for IVF does not include canceled cycles or cycles where there was no transfer. If they included that then the success rate would be much lower. You should talk to your DR and ask what your specific success rate might be. They can give you an estimate on which one is better for you but even with that it's still a guessing game. My doctor gave me 50/50 chance at IVF and it worked on my second cycle. No matter what you choose it will be scary and you will be investing a lot emotional, financially and physically. If I could have tried an IUI I definitely would have tried at least one cycle and then you can make a more informed decision on if you want to do IVF or you can jump right in to ivf and you might get frozen embryos you can use for future childern or if your fresh cycle didn't work you could do a FET. Ether way you have options. I would discuss these things with your RE and ask them what they would do in your situation. My RE gave me advice from a medical stand point where my decisions where emotional so I choose to let her opinion guide my decisions. Good luck on your journey! Oh yeah what is HOM?

ETA: spelling fix

franj1104

 I say go with your gut feelings.

I went to an RE for my diagnostic testing to find out why I was having issues and when I felt comfortable with the path my RE chose after explaining all possible options, my husband and I decided IVF would be best. Many places offer early opening times for testings and ultrasounds. But there are some tests that you have to do during the day. I say make a list of pros and cons ( current path versus IVF) and see where your heart leads you. and if your not comfortable with your dr go for a second opinion. go for a 3rd 4th or 5th until you feel like you are on the path that you should be on with a doctor that has your best interests at heart. 

Me = 28 diagnosed w/ PCOS on Aug 6 2013 / O neg bloodtype / Rh-

DH = 28 low morph/ low volume / A positive bloodtype

m/c at 4w2d on 12/1/12 mtx 12/13/12 (ectopic/Rh- supposed factors)

m/c at 8w1d on 6/5/13 mtx 6/5/13 (ectopic/ no visable sac at 7 weeks)

saline sono – 8/9/13 uterus all clear

1 IVF cycle start date - 10/2/13

TaylorH84

I had to do IVF for other reasons but I really didnt miss many days. I took a couple days off for ER because I had more cramps and soreness than I thought. I also work in a hospital and am moving around all the time so thats the other reason I stayed home an extra day. Luckily my ET fell on a sat so I didn't even have to worry about work. Most of my bloodwork was at 8 am and U/S were early too. I hope it all works out for you & good luck! (I'm in FL too...tampa area! )

FutureMrsW9

My scenario is similar to you....PCOS, resistant to Clomid, but MH also had some SA issues, too.  How was YH's SA?  If it was OK, then maybe you could consider trying other options first.  Our doctor recommended going straight to IVF because they felt IUI would be pointless and a waste of money for us.  Insurance approved it and here are are waiting for our first FET.  I can't say whether we regret not trying other things first, but the fact that our RE said not to waste our time was all I needed to hear.  We do have insurance coverage, but we have a lifetime max and didn't want to eat away at that with failed IUIs if we didn't have to.

As for time off from work, as long as you don't get OHSS, it really wasn't that much.  So far it's only been one day for my ER (3 additional because of OHSS, but not everyone has this problem) and my FET is scheduled for a weekend day and my clinic doesn't require bed rest or anything, so I shouldn't miss any work for that either.  As for monitoring, it's all in the early morning (you can show up any time between 6-7:30am), so it's super easy to go before work and not worry about missing any time away.  Also, all of my consult appts with my RE have been after 5pm, so I just leave work a few mins early those days....it's really not nearly as much time away as you'd think.