I left a voicemail for my RE earlier today to schedule the CD3 u/s for our first IUI. The nurse just called back. I expected "We'll get you in at xx:xxa/p". Instead, she starts asking me about all of these medications... Femara (which, I knew about - and planned to use), Orvidel, and Prometrium... Where I want to order them from... What form I want to take the progrestrone in.. Where I want my labs drawn...
Call me completely overwhelemed. I spent most of the call asking "What's the difference".. and "Umm.. ok.. sure". I'm still not sure what just happened......
Any of you OOP girls... How much does this slew of meds usually run you? I know how much the IUI and monitoring will run... I did a little investigating on the Femara... But I didn't think of the Orvidel or the Prometrium. (Mostly because I didn't realize that I'd be using them...)
Re: OOP IUI Meds
Ovidrel costs me about $90ish from Walgreens using their Pharmacy program, Femara is covered by my insurance and they say (I haven't taken it yet) it will be less than $5. I don't take prometrium, so I can't help there. my 60 progesterone suppositories run me $12.
Ovidrel is a trigger shot and will be used to time your IUI, and prometrium is progesterone, which is common to take in the 2ww.
I was RXd progesterone supposedtories and with my insurance covering 0%, that part of our monthly chunk of meds is around $40 from Kroger's Pharmacy. I really didn't get a chance to shop around because there arent many compound pharmacies between my house and work.
I did it. I started a blog.
PAIF/SAIF Welcome
TTC #1
IVF #2 w ICSI-6/21/11 ER, 4 Eggs, 2 Fertilized, 6/24/11 3 day ET 2 embryos- Beta 7/5/11- BFN- No frosties.
NEW RE
IUI #1- started 50ius of follistim 1/25, IUI 2/3/12 - BFN
AMH-0.73- DOR 2/2012
IUI #2- 3/17/12 started 200ius of Follistim , 3/24/12 added ganirelix, 225ius Follistim and 75ius of repronex, IUI- 3/30/12, Beta April 13, 2012-BFN
Appointment with Dr. Schoolcraft at CCRM July 18, 2012
WAITING ON A MIRACLE AT THIS POINT
AMH tested again 1/2013- 1.4!!!!
IUI #3- 1/14/13 started 200ius of Follistim, 1/20/13 added menopur and ganirelix, IUI 1/25/13. Positive HPT 2/6/13- Beta #1- 193- BFP!!! 2/8/13-Beta#2-426.6
2/26 ultrasound #1- TWINS!
Delivered a healthy beautiful baby boy on 10/17/13 10ls. 2 ounces
IUI #4 cancelled due to only one egg responding
PAIF or SAIF Welcome
6/12-11/12 4 Failed IUIs
1/13/13 IVF#1.. BFP!!! 5/13- Lost Baby Boy at 16 weeks... cause unknown possible IC
Sept 2013 - Feb 2014 - FET #1-4... 1 beautiful embryo & transfer.. BFN ... Thin lining / high progesterone
2015 switched clinics
7/15 IVF #2.. 7 5- day embryos, no transfer due to lining and progesterone
11/2015... Diagnosed with non classic congenital adrenal hyperplasia (cause of thin lining and high progesterone!. Started 0.75 dexamethzone! which corrected issues!
1/28/2016.. FET #5.. BFP!! MC 8 weeks no heartbeat D&E
7/2016.. FET #6.. BPN
9/2016.. 9/1 FET #7 BPF 9/22.. MC 6 weeks
Fall 2016 Reoccurring Pregnancy Loss Testing= all tests normal
1/13/2017: FET Scheduled
My insurance offers no coverage for fertility meds, but covered Femara and Crinone (progesterone gel) as they are also used for other purposes.
I am out of pocket for the trigger shot; I was told that the intramuscular formulations of HCG were less expensive so I have been using pregnyl rather than ovidrel. I've paid anywhere from $60-79 per cycle for that, OOP.
The injectible fertility meds (for me, gonal-f) were the most expensive.
GL!
DOR and AMA
2/12-5/12: 4 IUI cycles = all BFN;
7/12: DE IVF # 1 (with ICSI)- 20R, 16M, 14F, 5DT of 2 blasts; 6 frosties = BFN;
Lupus anticoagulant initially high, then found to be normal on hematology consult;
Follow up testing in September all clear;
Started synthroid for "high normal" TSH;
FET # 1- late October 2012- BFP on FRER; beta # 1- 21(low), beta # 2- 48 (still low), beta # 3- 132, beta # 4- 1,293; beta # 5- 5,606; last beta- over 100,000. First u/s 11/21- heard heartbeat
12/12- Officially an OB patient!
Level 2 ultrasound at 20 weeks shows vasa previa and VCI
Referral to MFM and mandatory c section for delivery
Beautiful baby girl born at 34 weeks
Finally home after 15 day NICU stay!
Trying for sibling: FET # 2- May 2014; beta 5/31, BFN
FET #3, early July 2014; beta 7/14, BFN
DE IVF # 2- August 2014; 14R, 13M, 11F, 5dt of 2 blasts (3 AA), 5 frosties = BFN
FET #4- December 2014, yet another BFN
Dr. KK work up shows borderline uterine blood flow, elevated NK cells, and MTHFR mutation (homozygous for c677t)
Added baby aspirin, prednisone, supplements, Metanx, and intralipids
Switched to large clinic for final attempt; had endometrial receptivity testing in January; FET March 2015 = yet another BFN
Likely OAD- NBC
First Dr said I didn't have a chance- Dumped him!
New RE Love her! A positive outlook makes all the difference!
IVF #1 12/10/11 ER 12/14/11 BFP Beta 13dpt =56 Beta #2= 36 CP
dabbling in IUI while we save for IVF Round 2
IUI #1 Feb 2012 follistim/femara = BFN
IUI #2 March 2012 Follistim/ Femara = BFP!!! Beta #1 @14dpiui = 168.5 Beta #2 1,159.4 Beta #3 16,273
Ultrasound 4/18/12- Heard Heartbeat - 115 Ultrasound #2 at 8 weeks, heartbeat 150. Second sac found vanishing twin
Healthy Baby Boy Born 12/10/12!!!
Something must be terribly wrong... I paid just over only $7 for the Prometrium and the Femara. The receipt says "Your insurance saved you $xxx"... But I'm still hesitantly expecting a nice bill soon....
Now I have to decide on which Trigger to use..... Not sure if I can get DH to give me the IM shot. Not sure if I can get myself to give me the sub-q shots...lol.
July - Nov 2011: Testing with OB... OB said everything looks good
March - Sept 2012: Moved to RE.. 4 treatment cycles - responses of one or no follicles
09.03.12: Diagnosed Poor Ovarian Response.. DE IVF only option
Feb - Nov 2012: Pursued Adoption. That door slammed shut.
12.23.12: Surprise BFP (first ever)... 12.25 - 12.31: Natural M/C
I take Femera and its covered by my ins I pay $5... My clomid was covered as well at $5..
Ovidrel is not covered and I paid $90 through a pharmacy my drs office recommended. But my ins will cover the HCG shot at $5 so my dr has ok'ed this ( basically a generic of ovidrel)
My progesterone I got from same pharmacy and it was $20 I believe..
I can't really complain about my meds.. but once we get to injects the ins won't cover so Ill have to pay ..
"To achieve the life you want, you must first give up the life that you have." ~Carolyn Myss