TTC After a Loss

Karyotype testing

Has anyone here had this done?   Is it worth the money?   My insurance gave me a defihnite maybe on covering it, but my RE thinks DH and I should have it done.

Re: Karyotype testing

  • My RE had a working deal with the company that handled my karyotyping. Basically it ended up costing us $90 because of the arrangement between the re and the karyotype company. To me it was worth it because it eliminated the question as to whether or not the fetuses had a chromosomal defect. We now know that it is literally just my ute that is the problem.
    Me: 38
    DX:  Adenomyosis, Compounded MTHFR, PAI-1 4G variant

    DH: 34
    MFI due to Testicular Cancer

    Married March 2012 <3
    IVF w/ICSI #1
    10 little polar bears
    FET #1 with 2 polar bears ~Nov 6, 2013 BFN :(
    FET # 2 with 2 more polar bears ~March 19, 2014 BFP!!!
    Beta 1= 276
    Beta 2= 662
    4/19/14 ~ baby A became an angel
    5/02/14 ~ baby B became an angel
    5/3/14 ~ D&C
    FET #3 with 1 male polar bear ~October 3, 2014
    October 13, 2014 ~ BFN
    Fur Children:  Memphis 3y, Dutch 3y, Marcel 2y, Meadow 1y



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  • My RE recommended karyotyping for me as well probably because I have a history of miscarriage.

    @O2girl - Is the test you are referring to the Counsyl test, which tests a persons risk for certain chromosome disorders?

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    TTC #1 since June 2012
    Current Status:  IVF with ICSI and PGS
    Genetic, RPL, SA and Fertility testing = Normal/Good
        HSG = All Clear
    BFP #1 12.30.2012  ||  Blighted Ovum 02.05.2013  ||  D&C 02.11.2013
    BFP #2 09.10.2013  ||  c/p 09.12.2013

    BFP #3 12.1.2013  ||  mm/c  01.15.14  ||  D&C 01.21.14  chromosome abnormality
    May 2014:  Residual HCG and retained tissue found
    05.13.2014:  Hysteroscopy D&C to find and remove retained tissue
    June 2014:  Tissue sample results indicate a partial molar pregnancy
    May - Aug 2014:   TTA for monitoring and testing
    08.21.2014:  Hysteroscopy to remove minor scar tissue - the result of 3 D&Cs
    Sept/Oct: IUI #1  Femara + Bravelle + Ovidrel = BFN
    Oct/Nov: IUI #2  Femara + Ovidrel = BFN
    Nov/Dec: IUI #3  Femara + Bravelle + Ovidrel = BFN

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  • My RE recommended karyotyping for me as well probably because I have a history of miscarriage.

    @O2girl - Is the test you are referring to the Counsyl test, which tests a persons risk for certain chromosome disorders?

    I'm referring to the karyotype done on my fetuses...... I can't remember the name of the company for the life of me right now but I think it starts with the letter N. I'll have to come back to this when I can remember.

    The karyotype done on my DH and I was covered by insurance...... But I have no clue what that was done through
    Me: 38
    DX:  Adenomyosis, Compounded MTHFR, PAI-1 4G variant

    DH: 34
    MFI due to Testicular Cancer

    Married March 2012 <3
    IVF w/ICSI #1
    10 little polar bears
    FET #1 with 2 polar bears ~Nov 6, 2013 BFN :(
    FET # 2 with 2 more polar bears ~March 19, 2014 BFP!!!
    Beta 1= 276
    Beta 2= 662
    4/19/14 ~ baby A became an angel
    5/02/14 ~ baby B became an angel
    5/3/14 ~ D&C
    FET #3 with 1 male polar bear ~October 3, 2014
    October 13, 2014 ~ BFN
    Fur Children:  Memphis 3y, Dutch 3y, Marcel 2y, Meadow 1y



    Image and video hosting by TinyPic
    January 2015 Siggy Challenge TTCAL
    Animals Interacting with Snow

    image


  • Ok I called my insurance and it sounds like they'll cover most of it.   It's like $1000 each for DH and I but now they said it'll come out to only cost us about $100 a piece which I think will be worth it.   We did the Counsyl testing early on and they didn't find anything so I was wondering how this differs.  I guess with it being cheaper then I thought we'll go ahead and do it. 
  • Karyotyping checks for chromosomal abnormalities (balanced translocations, etc). The Counsyl test checks if you are a carrier for any autosomal recessive disorders (Cystic Fibrosis and many, many others).  They are definitely testing for different things. My OB wanted us to do karyotyping since we had 2 second tri losses, she felt that was more often explained by a balanced translocation since it's all about how you and your husband's chromosomes match up in the baby. With the autosomal recessive disorders, it only matters if both you and your husband are carriers of the same disorder and, even then, your child would have a 1 in 4 chance of being a full blown carrier of the disorder.  In both cases, if results are unfavorable, you can look at options like IVF with PGD to test the embryos for the disorders and not implant them.

    In my case- the karyotyping results were normal so while it didn't tell us what the cause was, it did tell us what it wasn't and having another piece of information was well worth it to us.  We did my Counsyl test and found I was a carrier for two disorders and we're waiting on my husband's results now. I don't expect he'll be found to be a carrier of the same but I'd rather have the results before moving forward just to be safe.

    BFP #1- 4/2011; DD Brynn born 12/2011

    BFP #2- 7/13; EDD- 4/2/14; Lost DS at 20 weeks (11/16/13) due to cord accident

    BFP #3- 3/14; EDD- 11/28/14; Lost DD at 15 weeks (6/7/14)- cause unknown

    To my angels- I held you every second of your lives and I'll love you every second of mine.

     

  • edited October 2014
    sunflwra   Thank you.  This was VERY helpful.
  • ktlovess said:
    @sunflwra‌ - Karyotyping doesn't tell you if you are a carrier of an autosomal recessive disorder, actually. It looks for large changes in your chromosomes, including inversions, small deletions, or translocations that can lead to an increased chance of imbalanced chromosomes in your baby. If you are a carrier for these, you are balanced, and it's only when the sperm meets the egg that you can have issues since the chromosomes can go together in such a way to cause issues in the baby.

    Correct @ktlovess , I said the Counsyl test checks for the autosomal recessive disorders, not the karyotyping.

    BFP #1- 4/2011; DD Brynn born 12/2011

    BFP #2- 7/13; EDD- 4/2/14; Lost DS at 20 weeks (11/16/13) due to cord accident

    BFP #3- 3/14; EDD- 11/28/14; Lost DD at 15 weeks (6/7/14)- cause unknown

    To my angels- I held you every second of your lives and I'll love you every second of mine.

     

  • @ktlovess - no worries, I thought maybe it came across confusingly so just wanted to be sure I didn't put out any misinformation :)

    BFP #1- 4/2011; DD Brynn born 12/2011

    BFP #2- 7/13; EDD- 4/2/14; Lost DS at 20 weeks (11/16/13) due to cord accident

    BFP #3- 3/14; EDD- 11/28/14; Lost DD at 15 weeks (6/7/14)- cause unknown

    To my angels- I held you every second of your lives and I'll love you every second of mine.

     

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