Update and IUI #3

FraggleChic · July 2011

IUI #3 is tomorrow afternoon. I had one ripe follie on my right ovary that measured 19.5 and several smaller ones. The doc sat down with us and talked to us about all of our concerns, which was greatly appreciated considering everything that is going on and what a difficult time I have had with the clinic. He talked to me about my low AMH and said that it does mean that we're working against a clock but that we shouldn't be too concerned just yet. If I don't get pregnant this cycle we will do CD3 labs at my request though he feels like they unnecessary because of my everything else in my cycle is normal. Because I'm 27 he would expect the quality of my eggs to still be good but obviously this is only something we can figure out once we get to the IVF stage. For now he presented us with a few options:

#1 Continue to do ovulation induction and IUI though he doesn't recommend this based on success rates.
#2 Diagnostic laparosocopy.
#3 IUI with stims. He doesn't normally like to do this because the risk of OHSS is so high coupled with increased risk of multiples. He said that IUI + stims shows no increased chance of conception when compared to clomid or femara cycles.
#4 Move straight to IVF. Well, not really. There's still the long ass waiting list of course. The wait time may actually decrease because they are going to start doing cycles more regularly plus people get orders to move, get pregnant on their own or just decide to take themselves off the list entirely.We might be able to cycle as soon as 6-8 months. Until then, I guess we'll be trying the old fashioned way. It didn't work for us for the first 20 months so there's no reason to think it'd work now.

Overall it was a great appointment. I really appreciated the time he took to sit and talk with us about our concerns; I just wish he'd done it sooner. Who knows? Maybe he doesn't talk to his patients about all the options because most of them get pregnant right away? I really wish the logistics of the clinic would get worked out though. They seriously need to work on scheduling and following through with things.

Last summer the idea of not being able to get pregnant on my own was heart wrenching and now I can talk about IUI and IVF in my sleep. MH and I have talked about it and agreed that while the idea of surgery completely sucks, that is the option we need to go with for now. Surgery will most likely be late August or September. At this point, we've also agreed for this to be our final IUI and to start saving for IVF. If I don't get pregnant I will be calling the clinic on day one and scheduling my lap. After that, we'll see where to go from there....

Mrkyrain · July 2011

Congrats on getting some answers and making a plan that you feel comfortable with. :-)

sweetsurrender9 · July 2011

I hope this is your cycle. If not, I'm glad you have a plan you find workable.

eap · July 2011

Glad to hear you got some answers and options. Sounds like you had a productive appointment. Hopefully this lead to a path that you are comfortable with!

chrisandchris06 · July 2011

Good Luck

Rawr08 · July 2011

I hope this IUI works and your don't have to get to IVF, but if you do I am glad you have a plan worked out.

madhatterxo · July 2011

Sounds like you got a lot of information. I'm glad someone was finally able to talk with you. I know how frustrated you've been about that lately. I really hope that this cycle will be your lucky one!!

cbear1995 · July 2011

I hope this cycle is it for you.. Good luck

FraggleChic · July 2011

Pinkie78:

Why do you have to go on a long waiting list for IVF? I've never had to wait to start an IVF cycle...could you consider a new RE if you decide to go that way?

Tricare (military insurance/benefit) does not cover anything ART related. There are a handful of Military Treatment Facilities with IVF programs where you can do IVF at a reduced cost because it is through a fellowship program sponsored by the military. The hospital where we're stationed is one of them and there's a waiting list because this MTF IVF program serves the entire Pacific Northwest (people also fly down from AK) so they have a ton of patients. We will only have to pay for the actual IVF but all my meds will be covered by the military.

It is definitely our decision and we could choose to go off post but then we would be paying full price for the IVF, which I don't know that we could ever afford.

pennylanehd · July 2011

I'm glad you have a plan, but still have my fingers crossed for IUI #3, sweetie.

lena0210 · July 2011

Glad you got some answers. Good luck this cycle.

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