Intro and help/opinions please (siggy warning, child & loss mentioned)

Mrs.Ess

Hello,  

I have been trying to post this for awhile but have had issues with my computer/the bump.  I have updated my siggy multiple times but after I posted I still see the old picture/ticker, I apologize if I have offended anyone- does anyone know how I can successfully update this? I have been lurking for a LONG time but feel it's time to come out as long as you'll have me.    

I'll try to keep it short- DH and I tried for about 18 months with multiple failed clomid cycles and 1 failed clomid + IUI before conceiving our daughter spontaneously in 2010.  RE said it was a total fluke.  I was dx with PCOS, him with low concentration/count.  We have essentially never prevented in the 3 years since she was born and have actively tried for the last 2 years.  I have been ovulating regularly and charting.  I got pregnant in February but miscarried right at 5 weeks.  I can't get in to the RE I want until the end of July, but after the mc I felt the need to try something, anything (IF is making me a desperate, crazy woman).  Went to my old RE's nurse practitioner whom I had seen in the past.  Insisted on HSG in May, tubes all clear. Tried Femara 5 mg CD 3-7, monitored, slow response but 2 follies nearing maturity, was going to do IUI but missed our window bc we went out of town so tried trigger and TI.  BFN, now on CD2. 

 I didn't want to skip another cycle while waiting to see the new RE, so I called today to see about doing another Femara cycle with IUI as at this time we have agreed that we can/will not pursue IVF.  Nurse said they would have me start Femara 7.5mg tomorrow for another round of CD3-7.  Increased dose so that I would hopefully respond quicker/better this time.  I asked about a baseline u/s and she (nurse) said to just take the meds, no u/s needed.  I said I was concerned about the possibility of residual follicles/cysts and didn't want to exacerbate this with more meds.  She said she would ask the NP and call me back if she wants to schedule the u/s, and if I don't hear from her to just take the meds tomorrow.  Also, my mid-cycle monitoring u/s would normally be CD13 which falls on July 4th (They are closed) so they would either have me come the day before and see someone else, or 2 days before if I wanted to see her.  

Insurance is a nightmare and of course covers NOTHING, so all of this is out of pocket.  While I hate paying for extra u/s etc. if I have my mid cycle too early and respond slowly again, I am having a hard time swallowing NO BASELINE with a hx of PCOS and an increased dosage.... my gut tells me I need to sit this one out if they won't do the baseline, which sucks because I am so over all of this.  I am quite honestly to the point of desperation and I don't want to do something I'll regret because IF is clouding my judgement.  I am sure they think I am "that" patient who always has something to say or ask about, but quite frankly I feel like I'm just another patient to them.  If I am going to pay them hundreds or potentially thousands of dollars for treatment, I absolutely want it done in the most appropriate and efficient way, even if that means it will cost me more.  I don't want to throw my money away and end up in worse shape than before  

Sorry if this was just a bunch of rambling but thank you for reading.   What would you do in this situation?? 

Edited for clarity

Mrs.Ess

Thank you Naria, logically I know that's what I should do. I hope they will agree to just do an u/s. The thought of yet another month going by at this point just sucks. I am mobile now and the link isn't working but I will try it from home later.

Mrs.Ess

Thank you again for the siggy help!! Got it fixed up now

masterofallcheese

Welcome. I urge you to sit out this cycle because a baseline ultrasound is so important. People with PCOS are more likely to have cysts develop from what I have read. I think it's good you are switching REs soon because this current office does not seem to be too prudent with your care.

Babymilos

All I can say is, welcome and I am very sorry for your loss.

BunnyBerry

Welcome! I'm sorry for your loss.

I agree with PPs that it makes more sense to wait on an RE who will take care of your health with monitoring, rather than risk not only health but waiting to clear up cysts if there is a problem. I think it's great that you are advocating for yourself!

Mrs.Ess

Thank you everyone for your replies!

I just called the nurse and insisted on a baseline u/s and told her I'm not comfortable moving forward without it. She told me the NP is out of the office the rest of the week.. Apparently that's reason enough to just skip the ultrasound?? I find that crazy. I asked if there was someone else who could perform the u/s in her absence and she is supposed to call me back. If nobody can do it I guess I'm out another month. I can't wait to move on but if they would just do what I say for one more cycle at least I get a chance LOL

AnnaClaire256

Glad to see you standing up for yourself. Good for you!

Surely they have someone who could do the u/s...when I was working with an OB, they didn't require CD3 u/s but were always happy to do one when I requested it. I figure they should be happy to take your money!

Mrs.Ess

Thanks again everyone. I win for now, going for an u/s in the morning with another NP!

nswain85

Welcome! Sorry that you're having a tough time with the situation this month, I can totally see where you're coming from. If you have any hesitations, I would sit this cycle out from meds and wait until you can talk to an RE. you don't want to be worrying the whole time and stressing out from it. As far as being "that patient" I wouldn't worry too much. You are paying your hard earned money, investing your time and emotions also so you deserve the very best! Ask as many questions and you need and try not to be afraid to push if necessary. You'd be surprised the stories I've read about girls who pushed and ended up getting the answers they needed despite the doctors "expert opinion" at the beginning. Lots of luck and I wish you the best!

Mrs.Ess

@iPutKetchupOnKetchup‌ and @nswain85‌ I know I shouldn't worry about being "that patient" but I'm an RN and I hate to admit I've dealt with patients before that drove me crazy always questioning everything etc. it's a different story when you're the patient LOL. Had the u/s this morning and everything looks good so I'll start the Femara tonight. I can't wait to see my new RE next month!!

nswain85

I see where you're coming from I just hate the thought of people being too afraid or nervous to really ask for what they want and then become even more frustrated. Sounds like you have a good grasp on things though and I hope that everything goes well! Happy the u/s went well and you can start the meds! Good luck!