I had my first IUI and am in the dreaded 2WW but am not hopeful as my DH had a poor post wash count so I am already trying to come up with our plan for next cycle. I am not sure what my RE's thoughts are with his counts or what our next steps should be but I am thinking I want to jump straight to IVF and heres why. I currently have IF coverage (20k lifetime max) but my company's policy will be changing next year (starting Jan) and I fear I will lose coverage. Although I live in a IF mandate state,their policy is self funded which means they don't have to follow the mandate. The reason I think they may drop it is because we were recently purchased and they are looking to cut benefits ALOT. I work in HR and know they are cutting certain coverage but not sure what and will not know of our new coverage until the end of October.
So here's my question... would you jump into IVF after only trying IUI once to take as much advantage of insurance coverage while I have it or try 1 more IUI and wait until I know our coverage before making a decision ? Also, IVF ladies, what is the typical timeframe to go though the whole process? I am trying to get an idea of what is involved and if we would even have enough time to go through the process this year. I know this is all putting the cart before the horse but I am a planner (it keeps me sane to know we have a plan) and I keep running all scenerios through my head.
Married 04.11
Me & DH: 29
DX: MFI- Low Morph & Motility
IUI #1- Sept 14- 25mg Clomid, Trigger, 2 follies, 2.2 mil motile sperm- BFN
Due to possibility of losing insurance coverage moving to IVF #1- November
Re: WWYD- Jumping to IVF
As far as time line. It took me 1 month Of preparation before I started stims. My dr let me do all the necessary blood work while on bcp. So with my protocol in your situation, stims would be the end of oct first of nov. I've seen where some don't need a month off before. It all depends on your protocol.
Hopefully you don't even have to go down that road, good luck!
Married 04.11
Me & DH: 29
DX: MFI- Low Morph & Motility
IUI #1- Sept 14- 25mg Clomid, Trigger, 2 follies, 2.2 mil motile sperm- BFN
Due to possibility of losing insurance coverage moving to IVF #1- November
Official diagnosis: Unexplained IF. I am 32. I have low ovarian reserve (low AMH), and poor egg quality. I've also been diagnosed with mild glandular developmental arrest (lining problems, detected with EFT).
We are using open ID donor sperm. IUIs #1-7=BFN. IVF September 2014 antagonist protocol, 8R,5M,3F, 5 day transfer of 1 morula = BFN. IVF#2 planned for January 2015 (antagonist protocol + HGH).
2008: HSG (normal), couple rounds of clomid through gyno
2008 - 2010: dragging my feet out of fear and procrastination
October 2010: first consultation with RE, dx PCOS and fibroids (DH slightly low count/motility)
Oct. 2010 - Dec. 2012: In DENIAL! avoided the issue because I was scared of surgery
January 2013: returned to RE, fibroids grew significantly
February 2013: second HSG, fibroids pushed on tubes which blocked them somewhat
March 2013: MRI to determine what type of surgery may be necessary
July 29, 2013: fibroids (5) removed via robotic laparascopy
August 2013 - Nov 2013 : benched due to recent surgery
IUI #3, Feb. 25, 2014 BFN
IUI #4 canceled due to lack of response to letrozole
IUI #4.1 April 28, 2014, BFN
May 16, 2014: wtf consult, start prepping for IVF in June and add injects for one last IUI in the meantime
IUI #5 started letrozole and bravelle but canceled after HSG led to new diagnosis
May 21, 2014: third HSG, tubes blocked, one at the beginning, one hydrosalpinx??
IVF #1 August 8, 2014 - 3dt of 2 embryos, BFN
September 17, 2014 - 4th HSG, the right tube is very patent (open!!) dye went straight through this time. Weird!
October 2, 2014 - started metformin treatment
November 14, 2014 - blood work, brought A1C down from 5.8 to 5.5
November 26, 2014 - RE finally back from vaca and reviewed my chart, no more IVFs for rest of calendar year
December 1, 2014 - Right after Thanksgiving, I called a new clinic and got in right away! Plan for IVF
December 17, 2014 - ER! 29 retrieved (!!), 16 mature, all 16 fertilized (ICSI)
IVF #2 December 20, 2014 - 3dt of 3 embryos, BFN
We are done with treatment unsuccessfully.
My DH had far less than ideal numbers for IUI, we did one IUI and I was scheduling an IVF cycle as I was walking out of the office. I can't see your siggy, since I'm mobile, so I don't know your history, but I would definitely consider it given the coverage could be ending!
PCOS | Anovulatory | Metformin + Letrozole
ALL WELCOME!
TTC since 04/12
Me- 26 PCOS
DH- 28 MFI
10/13 IUI #1 (1 follie)- BFP!
11/13 M/C @9 wk due to tetraploidy, one little boy in heaven
01/14 IUI#2 (1 follie) BFN
02/14 IUI #3 (3 follies) BFN
03/14 IUI #4 (2 follies) BFN
05/14 IVF/ICSI #1 CXL
07/14 IVF/ICSI #1.2 6R, 6M, 5F, 2T, 2 frosties!
Transferred 2-5dt CP
09/14 FET #1 BFP! Beta #1 52 Beta #2 152!
10/20/14- It's TWINS!
1/15- TEAM PURPLE!
Thank you again ladies. It is alot to think about but I think I am going to talk it over with my RE if this cycle ends in a BFN. During our initial consultation with her she did mention not wanting to waste too much time on the "non high tech" methods since I do have coverage, she would rather spend it on something with higher chances.
@iputketchuponketchup I am very open with my parents about IF and they have offered to help but I would rather not ask them. We do have a credit card that we use for emergencies only and I wouldn't think twice about racking up some charges! You are so right... where there is a will there is a way.
Married 04.11
Me & DH: 29
DX: MFI- Low Morph & Motility
IUI #1- Sept 14- 25mg Clomid, Trigger, 2 follies, 2.2 mil motile sperm- BFN
Due to possibility of losing insurance coverage moving to IVF #1- November
TTC #1
Me: AMA, DH: MFI
Official DX - MFI due to Hemochromatosis
IVF #1 Nov. 2014 - ER 11/10 (10R 6M 6F) - ET 11/13
3DT of 3 embies - no frosties - CP = BFFN!!!!
****All Welcome****
me: 39 DH: 36 dx: unexplained (ugh)
As for the timing, I'd say it'll be tight, but potentially possible. It kind of depends how quickly you can get in for an IVF consult somewhere and where you are in your menstrual cycle at that time. If you could get in for a consult during the 2ww, that would be ideal. If not, call and ask to talk to a nurse. Explain the situation and see if it might make sense for you to start BCPs when you get your next period so you're ready to go when they are (you often have to take BCPs anyways) and see if the nurse can at least schedule you for any tests or classes you need while you wait for your consult. (For example, they might want you to do CD3 tests and if your consult is on CD 10, you could have to wait a few weeks to do it, potentially delaying you.
Lastly, ask how they bill the cycle. Like, if it is billed as a package, what has to be done in that month for it to be billed in that month. Is it just the baseline appointment? ER & ET? If it's not billed as a package, you'd have to be done by the end of the year, but if it is billed as a package, you might just have to have your baseline or ER or something done by the end of the year, which would also buy you some time.
TTC #1 January 2009
January 2010 SA results: Count 16 million, Motility 40%, Morphology 2%
January 2010- Surprise BFP! DS born 10/1/2010
January 2013 TTC #2
September 2013 Repeat SA: Count= 1.7 million, Motility= 24%, Morphology= 2%
November 6th 1st Appointment with RE: diagnosed with severe MFI
Testing to try to determine a cause & possible treatment for MFI
CD 3 blood work for me. RE does not want to repeat my HSG/lap at this point,
but may want to before moving forward with any fertility treatments.
After seeing the uro, DH is currently taking lots of supplements and clomid to try to boost his count. We will have a repeat SA in February to see if it works.
Follow up SA numbers are: Count= 4 million, Motility= 40%, Morphology= 1%
Uro wants us to have another follow up SA 5/9 to see if we see further improvement than we are back to the RE to make a game plan.
SA 5/9/2014 Count: 12 Million, Motility: 60%, and Morphology 2%. We will be doing iui #1 in late June
IUI #1 6/28 clomid + ovidrel, post wash count 3 million total sperm= BFN
IUI # 2 7/21 clomid+ ovidrel. post wash count 900,000 total sperm= BFN
IVF planned for early November- cancelled due to cyst
December IVF #1- 22 eggs, 20 mature,16 fertilized
12/9 Transferred 1 4AA Blast, 6 frosties
*****Everyone is welcome******