Trying to Get Pregnant

IF Testing & Treatment w/o 9.21

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Re: IF Testing & Treatment w/o 9.21

  • I guess I am here now...
    Diagnosis (if you've been): no official diagnosis but secondary infertility

    Status (WTO/TWW/TTA): TWW

    What are you doing this cycle? (Testing? Treatment?): I had my first appointment with my doc on why its taking so long. Since I am mid cycle there is no testing this cycle. She scheduled my for cd3 bloodwork, sperm analysis for DH and an HSG to get the ball rolling

    How are things going?: I had an anxiety attack in the office and the nurse saw it happening and managed to calm me down. I am also worried af about insurance covering the HSG

    Any questions?: 
    Nope

    GTKY: Favorite fall food/drink/event? 
    Pumpkin. 
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  • edited September 2020
    @legendairymomma welcome and sorry that you find yourself here. However, I can tell you that this is such supportive corner that it will make your IF journey - however difficult - much much better. We’re here for you! So good that the nurse recognized the symptoms of a panic attack and knew how to steer you away from it. Regarding insurance: is yours the type that covers only up to diagnosis of infertility? I’m afraid that HSGs are very expensive... I have a high deductible plan and paid quite a lot out of pocket still. 

    TTC History
    TTC#2
    Me: 41; MH: 40 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
    Mar 2024 | consult to get established with a new reproductive immunologist (Alan Beer Center)
    Apr/May 2024 | required testing & waiting for a protocol
    May 2024 | protocol given / decided to go back to my old reproductive immunologist, Dr. Jubiz
    Jun / Jul 2024 | more testing, incl. SIS, ultrasound, and endometrial biopsy
    Jul 2024 | Dx chronic endometritis; 14 days of 100mg of doxy given
    Sep 2024 | Repeat endometrial biopsy; still + for chronic endometritis. 2 more antibiotics + an antiviral
    Oct 2024 | Hysteroscopy turned polypectomy; endometriosis consult w/ specialist who confirmed high likelihood of endo based on symptoms and ultrasound; lots of blood tests ordered
    Mar 2025 | Endo excision surgery. Stage 3 endo found! Recoveing
    Apr 2025 | Planning transfer w/ RE & green light protocol w/ RI; target transfer July or August 2025
    May 2025 | Surprise BFP! EDD 1/11/2026


    TTC #1
    Me: 36, MH: 34 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
    TTC #1 02/2020 - 07/2022
    2009 | Dx PCOS; likely a misdiagnosis
    07/14/20 | Dx Hashimoto's Thyroditis
    07/21/20 | 1st RE appointment
    07/2120 - 08/20/20 | so much testing; no signs of PCOS
    08/20/20 | Dx Unexplained; AMA
    09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
    09/30/20 | Urology consult; more testing required
    10/2020 | Clomid + OPK + TI + Prometrium | BFN
    10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
    11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
    11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
    12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
    01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
    02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testing 
    03/14/2021 | Hybrid Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
    04/07/2021 | Natural cycle while we regroup | BFN
    04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
    05/10/2021 | New RE consult & plan for IVF
    05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH. 
    06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
    07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB; 3 euploid
    08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
    09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB; 2 euploid
    11/12/2021 | IVF cycle #3 (mid-luteal start): cancelled due to ovaries being on vacation
    12/20/2021 | Rest cycle / unmedicated TTC + Pregmune Immunology Testing; BFN
    01/22/2022 | Rest cycle / unmedicated TTC + understanding uncovered immunological issues; BFN
    02/18/2022 | Mock transfer cycle! ERA, ReceptivaDx, EMMA/ALICE; start Prednisone to address NK activity
    03/16/2022 | Final, "Hail Mary" super-ovulation + TI cycle before FET; BFP! EDD: 12/21/2022 | MMC 05/08/2022
    05/20/2022 | D&C; recovering... 
    06/21/2022 | Trying naturally until October 2022
    07/21/2022 | BFP! EDD 04/02/2023; 👦🏼 born on 4/5/2023


  • @acleverusername Since its Sunday I can't get an agent on the phone. I have BCBS of Illinois PPO with hubs company. From what I am reading online, that will be to my benefit but I won't know for sure until I talk to someone. If its too expensive then I will probably just stick with CD3 bloodwork and hubs SA. My main worry (thanks Google) is that I am out of time and eggs at 31. I hope that if Hubs sperm is low/bad motility that I at least have time on my side. 
    Ill be honest, I have lurked here a few times and was downright amazed at the comraderie and support offered. 
  • @legendairymomma have you ever had your AMH tested? If not, then I wouldn't worry about being out of eggs until you get tested. Even then, AMH would only be an indicator for how successful an ER might be. As for quality of eggs at 31, DEFINITELY don't worry about it (unless you have indications of that... i.e. previous ER and issues with fertilization; since you're TFAS, that's probably not an issue). I'm basically 37 (next weekend) and was very concerned about my egg quality and asked my RE about it; she said at my age, waiting to do IVF for 6 and even up to 12 months would not be an issue (not that I'd wait that long); it's when I start to get into late 38-39 that it starts to be more of a concern. That said, obviously at 31 your eggs are not as good as they were at 21, but really I wouldn't worry. I'm sure this will do very little to alleviate your worries, but if it helps even a fraction of a percent, then I'll be happy. 

    TTC History
    TTC#2
    Me: 41; MH: 40 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
    Mar 2024 | consult to get established with a new reproductive immunologist (Alan Beer Center)
    Apr/May 2024 | required testing & waiting for a protocol
    May 2024 | protocol given / decided to go back to my old reproductive immunologist, Dr. Jubiz
    Jun / Jul 2024 | more testing, incl. SIS, ultrasound, and endometrial biopsy
    Jul 2024 | Dx chronic endometritis; 14 days of 100mg of doxy given
    Sep 2024 | Repeat endometrial biopsy; still + for chronic endometritis. 2 more antibiotics + an antiviral
    Oct 2024 | Hysteroscopy turned polypectomy; endometriosis consult w/ specialist who confirmed high likelihood of endo based on symptoms and ultrasound; lots of blood tests ordered
    Mar 2025 | Endo excision surgery. Stage 3 endo found! Recoveing
    Apr 2025 | Planning transfer w/ RE & green light protocol w/ RI; target transfer July or August 2025
    May 2025 | Surprise BFP! EDD 1/11/2026


    TTC #1
    Me: 36, MH: 34 | Met 02/2009 | Started Dating 08/2017 | Married 02/02/2020
    TTC #1 02/2020 - 07/2022
    2009 | Dx PCOS; likely a misdiagnosis
    07/14/20 | Dx Hashimoto's Thyroditis
    07/21/20 | 1st RE appointment
    07/2120 - 08/20/20 | so much testing; no signs of PCOS
    08/20/20 | Dx Unexplained; AMA
    09/08/20 | IUI #1 Clomid + Trigger + Prometrium | BFN
    09/30/20 | Urology consult; more testing required
    10/2020 | Clomid + OPK + TI + Prometrium | BFN
    10/26/2020 | Starting 2nd IUI cycle, with Letrazole and with a new RE / different clinic
    11/03/2020 | New Dx "poor egg quality"; IUI cancelled in favor of Trigger + TI + Prometrium | BFN
    11/26/2020 | Combo IUI (Clomid + Menopur) + Trigger + Prometrium | BFN
    12/20/2020 | Combo IUI (Clomid + Gonal-F) + Trigger | IUI Cancelled due to thin lining; TI only | BFN
    01/14/2021 | Combo IUI (Letrazole + Menopur) + Trigger | BFN
    02/06/2021 | Switched to a new RE (TEW) ; trying naturally until we complete additional testing 
    03/14/2021 | Hybrid Double IUI, with Zymot (Letrazole, Gonal-F) + Trigger + Endometrin | Ovulated 4 mature eggs but still a BFN ☹️
    04/07/2021 | Natural cycle while we regroup | BFN
    04/09/2021 | Employer announces fertility benefits starting 05/01/2021! | Search for a new doctor who accepts insurance
    05/10/2021 | New RE consult & plan for IVF
    05/13/2021 | Mid-luteal IVF cycle #1 interrupted; had to get cancer genetic screening done to make sure I didn't have the same SDHA gene mutation as MH. 
    06/10/2021 | Aygestin priming IVF cycle #1; opted to Cx after 9 days of stims since only 5-6/12 follicles responded
    07/26/2021 | Attempt #2 at IVF cycle #1 (mid-luteal start): 8 retrieved, 8 MII, 6 fert (1 PN3), 3 Day 5 & 6 blasts: 3AA, 3AA, 6AB; 3 euploid
    08/09/2021 | Rest cycle / unmedicated TTC | Shockingly, a BFP! EDD: 5/25/202 | CP at 4w4d
    09/23/2021 | IVF cycle #2 (mid-luteal start): 14 retrieved, 13 MII, 11 fert, 5 Day 5 & 6 blasts: 2 x 3AA, 2 x 3AB, 3BB; 2 euploid
    11/12/2021 | IVF cycle #3 (mid-luteal start): cancelled due to ovaries being on vacation
    12/20/2021 | Rest cycle / unmedicated TTC + Pregmune Immunology Testing; BFN
    01/22/2022 | Rest cycle / unmedicated TTC + understanding uncovered immunological issues; BFN
    02/18/2022 | Mock transfer cycle! ERA, ReceptivaDx, EMMA/ALICE; start Prednisone to address NK activity
    03/16/2022 | Final, "Hail Mary" super-ovulation + TI cycle before FET; BFP! EDD: 12/21/2022 | MMC 05/08/2022
    05/20/2022 | D&C; recovering... 
    06/21/2022 | Trying naturally until October 2022
    07/21/2022 | BFP! EDD 04/02/2023; 👦🏼 born on 4/5/2023


  • @acleverusername I get my AMH testing on Oct 12. It took 12 months at 26 years old to concieve my 1st so... *le sigh* 
  • krash_krash_ member
    edited September 2020
    @legendairymomma I would try to get an estimate for the HSG. All my blood work was normal, as a generally healthy 32 year old they don’t have any concern about my eggs. I am maybe concerned because I tend to ovulate early which can be a sign of poor egg quality but my HSG revealed that I have a blocked tube which has probably more effect on my fertility than my eggs. I have a high deductible plan but I’ve met my deductible so it was covered 80% and estimated at $210. If I hadn’t met my deductible I would be paying upwards of $1,000. End of the year seems like a good time to get some testing in rather than waiting until everything resets in January. 
    *TW LC*
    Me & MH: 32
    DS: 6/1/18 (Pre-E; IUGR; seizures; NICU)
    TTC #2: 12/2019
    Sept 2020: HSG possible blocked right tube
    Nov 2020: Letrozole + TI - BFN
    Dec 2020: Letrozole + TI - BFP!!! EDD 9/18

  • I need to go back and catch up but @legendairymomma welcome but also sorry to see you here! I would personally hold off on the HSG, my clinic didn't require it until I was prepping for my FET, so if you are concerned about egg reserve/quality and god forbid have to do IVF you can possibly get all the way through your ER without having to do an HSG. My doctor also gave me the impression that my HSG was way less likely to come back abnormal since I am also TFAS.
    *TTC History*

    Me: 37, MH: 38; Married August 2017

    TTC #1 October 2017: BFP on 12/1/2017, DD born 7/24/2018 @ 37+1 after induction due to preeclampsia

    TTC #2 January 2020: AMA, dx with DOR in May 2020

    IVF July 2020: 16 eggs retrieved, 14 mature, 12 fertilized, 3 blasts, 2 PGT-A normal

    FET 10/7/20: BFP on 10/12/20!!! (EDD 6/25/21); First beta 10/16/20 (9dpt): 148; Second beta 10/19/20 (12dpt): 621; Third beta 10/26/20 (19dpt): 4732; Fourth (and final!) beta 11/2/20 (26 dpt): 22,000+

  • @legendairymomma Hoping that your stay will be short! If not, know that you will find comfort and support with this group of ladies. Welcome!
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