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Reproductive Immunology

violetmarie61516violetmarie61516 member
in Infertility
I've heard a lot of talk about Dr. KK and I've done some research of my own.  I'm interested in potentially doing some immune testing but I'm wondering how I would go about it.  Does an RE or other MD need to refer you for this testing or can you self refer to an RI?
TTC #1 Since May 2011 ~ Everyone Welcome
Me (34): DOR d/t chemo/radiation, Immature Endometrial Lining, Hypothyroidism
DH (35): MFI d/t testicular torsion and removal, Low T, Oligospermia, Anti-Sperm Antibodies, Currently on T supplements
Sept '11-April '13 ~  Testing, failed multiple MFI treatments, saving & TONS of praying
January 2014 ~ IVF/ICSI & PGS ~ no response to stims ~ converted to IUI ~ BFN
February 2014 ~ On to donor embyros ~ 5 blasts!!! 
March 2014 ~ FET #1 ~ Transferred 2 blasts ~ BFN
July 2014 ~ Kliman's mock cycle with endometrial function test
Sample too small for EFT, HE slide showed immature cells
New protocol planned, saving for another biopsy for EFT
January 2015 ~ Considering adoption options
April 2015 ~ Privately arranged adoption of planned pregnancy
DD#1 ~ Lillyana Violet Marie born 6/15/16, Finalized adoption 12/20/16
July 13, 2018 ~ BFP....WTF?!?!
7/16 Beta #1 ~ 466...7/18 Beta #2 ~ 1,077...7/23 Beta #3 ~ 5,291
7/23 US #1 ~ 1 gestational sac seen and yolk sac
7/30 US #2 and 1st OB appt ~ 1 perfectly round gestational sac, 1 perfect yolk sac and 1 teeny tiny heart beat seen!!!
Lilypie Maternity tickers


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Re: Reproductive Immunology

  • ExoticAntibioticExoticAntibiotic member
    It depends on your insurance. Do you need referrals? I know she bills so the insurance company will cover as much as possible.
    TTC #1 since 2011 · Me (35, PCOS, AMA, abnormal eggs) and DH (47, MFI)
    2012-2013: 3 Clomid cycles, 3 IUIs, all BFNs
    IVF #1 January 2014: 14R/12M/9F 1 transferred, 3 frozen = BFN
    FET #1 March 2014: 1 transferred = BFFN · FET #2 May 2014: 2 transferred = BFFN
    IVF #2 June 2014: 24R/11M/10F 6 PGS tested: 1 normal embryo, 1 with no result
    FET #3 in March 2015: 2 transferred = BFFN
    imageimageimageimageimage
    LilySlim Weight loss tickers
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  • violetmarie61516violetmarie61516 member
    Oh I totally didn't think about that.  Ugh!  I hate my insurance....

    Okay well, what if we pay OOP, that's pretty much the only way we can anyways.
    TTC #1 Since May 2011 ~ Everyone Welcome
    Me (34): DOR d/t chemo/radiation, Immature Endometrial Lining, Hypothyroidism
    DH (35): MFI d/t testicular torsion and removal, Low T, Oligospermia, Anti-Sperm Antibodies, Currently on T supplements
    Sept '11-April '13 ~  Testing, failed multiple MFI treatments, saving & TONS of praying
    January 2014 ~ IVF/ICSI & PGS ~ no response to stims ~ converted to IUI ~ BFN
    February 2014 ~ On to donor embyros ~ 5 blasts!!! 
    March 2014 ~ FET #1 ~ Transferred 2 blasts ~ BFN
    July 2014 ~ Kliman's mock cycle with endometrial function test
    Sample too small for EFT, HE slide showed immature cells
    New protocol planned, saving for another biopsy for EFT
    January 2015 ~ Considering adoption options
    April 2015 ~ Privately arranged adoption of planned pregnancy
    DD#1 ~ Lillyana Violet Marie born 6/15/16, Finalized adoption 12/20/16
    July 13, 2018 ~ BFP....WTF?!?!
    7/16 Beta #1 ~ 466...7/18 Beta #2 ~ 1,077...7/23 Beta #3 ~ 5,291
    7/23 US #1 ~ 1 gestational sac seen and yolk sac
    7/30 US #2 and 1st OB appt ~ 1 perfectly round gestational sac, 1 perfect yolk sac and 1 teeny tiny heart beat seen!!!
    Lilypie Maternity tickers


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  • przemosbabeprzemosbabe member
    edited June 2014
    I was self referral and insurance covered all of her initial testing and they still cover all of her testing to this day.. The did not cover her initial office visit but that has been worth it. I've been a patient with her for almost two years and I love her. She doesn't miss a thing. If you have questions pm me
    Lilypie Pregnancy tickers
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  • intheplanningstageintheplanningstage member
    I'm waiting for my new patient consult now, and I referred myself. Right now, she's booking appointments for October.

    FYI-That first appointment is 5-8k out of pocket!!! We're in the same boat :(
    Our Novel of TTC:

    *Male Factor (low count and low motility), High Prolactin, and Polycystic Ovaries (March 2013)
    *Recurrent Miscarriage testing also revealed high anti-phospholipids & single MTHFR mutation. (Feb 2014) 

    *IVF (07/2013): BFP-Natural Miscarriage @ 5 weeks* <3 Madison Riley <3
    *FET #1 (10/2013): BFN
    *FET #2 (12/2013)- BFP-Missed Miscarriage at 8 weeks <3 Kyle Andrew <3
    *Chromosomes and Karotyping tests were both normal.We lost a healthy baby boy :(
    *FET #3 (04/2014) was cancelled after finding Chronic Endometritis
    *Miraculous BFP July 2014!! (I was taking baby aspirin and Cabergoline to stay regulated while "taking a break from TTC" and waiting to consult with a reproductive immunologist!!!) 

    Our healthy baby girl was born 03/10/15 thanks to daily Lovenox injections and baby aspirin. There are no words for how grateful I am for our rainbow baby. <3
    Report Reply
  • hmz819hmz819 member
    I see KK. She bills to immunology so you may get some things covered. They have a billing office that can tell you approx what you would owe.

    TTC#1 since April 2011
    IVF#1 July 2012 5R, 3 made it to blast, sET c/p
    FET#1 Aug 2012 2 blasts transferred BFN
    IVF#2 Oct 2012
    16R/6M/6F/2-8 cell grade 1 transfer
    Beta 1-237.9, Beta 2-566, Beta 3-8657
    US 6w3d shows one baby w/ HB 115
    US 7w1d no more heartbeat/ D&C 11/30/12 normal karyotype
    IVF#3 Mar 2013
    6R/4M/4F 1 compacting and 2-8 cell transfer
    ectopic pg MTX given 3 month break from TTC

    IVF#4 Sept 2013--BFN
    IVF#5-7 Apr 2014, Jun 2014 and Aug 2014 banking embryos for CCS testing. Praying for normals! Image and video hosting by TinyPic imageimage

    http://i61.tinypic.com/34zll06
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  • przemosbabeprzemosbabe member
    @intheplanningstage‌ do you mind if I ask, has someone at her office tell you that? Because I went there almost two years ago and I am sure I paid around $2,500 for the initially office visit, but insurance covered all of her testing she ordered the first time, which was a lot. I think they took about 25 viles of blood from me.
    Lilypie Pregnancy tickers
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  • intheplanningstageintheplanningstage member
    Yes, Daisy (receptionist I guess?) told me that. They are out of network for me so my plan would treat them like an HMO, which they don't accept. I said we wanted to pay out of pocket so she said ok but let me warn you the initial consult is intense with testing and totals about 5-8k. Yikes!
    Our Novel of TTC:

    *Male Factor (low count and low motility), High Prolactin, and Polycystic Ovaries (March 2013)
    *Recurrent Miscarriage testing also revealed high anti-phospholipids & single MTHFR mutation. (Feb 2014) 

    *IVF (07/2013): BFP-Natural Miscarriage @ 5 weeks* <3 Madison Riley <3
    *FET #1 (10/2013): BFN
    *FET #2 (12/2013)- BFP-Missed Miscarriage at 8 weeks <3 Kyle Andrew <3
    *Chromosomes and Karotyping tests were both normal.We lost a healthy baby boy :(
    *FET #3 (04/2014) was cancelled after finding Chronic Endometritis
    *Miraculous BFP July 2014!! (I was taking baby aspirin and Cabergoline to stay regulated while "taking a break from TTC" and waiting to consult with a reproductive immunologist!!!) 

    Our healthy baby girl was born 03/10/15 thanks to daily Lovenox injections and baby aspirin. There are no words for how grateful I am for our rainbow baby. <3
    Report Reply
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