Third-Party Reproduction

Question about Carrier Monitoring Location

Hey Ladies 
Our carrier just got medical clearance (yay!) and we have started the legal process. Since things have moved to the next step, discussions have starting about the actual medical aspect of this whole thing. Our fertility clinic is giving us an option for our carrier's monitoring appointments. We can either require her to go to the fertility clinic or she can have them done at a regular OB clinic closer to where she lives. 

She lives about 2 hours away from the fertility clinic and I believe her regular insurance might cover a couple of the monitoring appointments (they covered our SHG because she had it done at an in-network facility), but the fertility clinic did tell us that by having her go somewhere else, they might not get the results same day or they might not get the exact test they want. 

I'm not sure what exactly is all done at the monitoring appointments but I'm wondering if anyone has any opinions on what we should do. DH and I are kind of on the fence right now and our carrier is willing to do whatever we want. She's leaving it totally up to us. Any insight would be much appreciated! Thanks much!

TTC since April 2010
BFP #1 – March 2011, missed m/c April 2011
BFP #2 – October 2011, m/c November 2011
Surprise BFP #3 – December 2011, diagnosed as cornual, terminated January 2012
BFP #4 – June 2012, m/c July 2012
Diagnosed with bicornuate ute and MTHR gene mutation
BFP #5 – October 2012, missed m/c November 2012
BFP #6 – January 2013, m/c March 2013
No longer TTC. Diagnosis: Hostile ute. Heartbroken and bitter. Pursuing surrogacy.
June 2013 - Carrier found! Could this really happen?!
image
~All AL always welcome~

Re: Question about Carrier Monitoring Location

  • Wow - this is a tough one.  Please take my comments with a grain of salt since I have no GC experience.  But if I were in your shoes and the GC was willing to go to the fertility clinic + DH and I were comfortable with the cost difference ... I would want as much done at the fertility clinic as possible.

    Naturally you and DH have to do what makes you comfortable!  Congrats on the Medical clearance - YAY!

    Me:37 (DOR), DH: 40 (Normal) TTC #1 since Fall 2010
    2010-2012 - 7 rounds of Clomid, 4 IUI & 2 IVF - all BFN (2 chemical pregnancies)
    April 2013 fresh DEgg - 15R, 4F, 2 transferred = BFN.  
    FET - 11/13
    Beta #1 11/23 = 247; Beta #2 11/25 = 538; Beta #3 11/29 = 5481 BFP!!!!!
    U/s #1 12/7 & U/s #2 12/16 = One perfect little heart beat!! 
    EDD = 8/1/14

    Hope is the thing with feathers - that perches in the soul - and sings the tune without the words - and never stops - at all - (Emily Dickinson)

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  • I did my monitoring appt's near my house because of the 2hr drive. It worked out fine since they can put STAT on there orders. I had a few hiccups but always had them that day, even if it was late in the afternoon.

    April 2013 DE IVF= BFN

    September 2013 DE IVF (Fingers Crossed) = BFFFN! again...

    October 2013 FET of our last 2 = Beta Hellzz for 6-7 Weeks. M/C

  • IMO, I don't really understand the urgent need for same days test results for an FET (is that what you would be doing with your GC?). IVF I would understand more.

    all monitoring I had for FET was a baseline and one monitor to check uterine lining and get an estrogen read. 

    in my experience, my clinic gives me the same jazz (we live an hour away), but when I have elected monitoring at the local site it has been just fine. the only test i won't do locally is monitoring for follicle size during an ivf

    hope this helps and wishing you the best of luck! so excited that your GC has passed the medical hurdles. sounds like you are at about the same place we are.

    do you have a transfer date?

    TTC #1 since 12/2010 DH: MFI, cancer survivor Me: Resected septate uterus, lap treated mild endo, tubes open, ovulate on own, autoimmune disease 3 Failed IUI's (2/2012, 4/2012, 6/2012) 
    IVF #1 August 2012. BFP! Beta #1 56.7 Beta #2 150 One baby, one heartbeat on 9/20/12! no h/b @7w6d. dandc @8w0d
    FET #1 December 2012, BFN
    FET #2 February 2013, no embies survived thaw
    IVF #2, BFP #2, Loss #2 March 2013, Scar tissue discovered, RPL testing,
    IVF #3, BFP #3, Loss #3 (twins) September 2013
    Hostile ute, moving onto Gestational Carrier!

    GC/FET #1 of 1 5AA blast and 1 compacted blast, February 2014, BFP #4 on 3/1/2014!
    6w u/s 1 bean with h/b of 145 bpm, 8w u/s 187 bpm
    EDD 11/7/14. Please, please, please stick little one!

    Praying unceasingly for a miracle. ALL welcome!

    image










  • Mama-BearMama-Bear member
    edited December 2013

    I live in MO and the fertility clinic was in CHI.  I did all of my monitoring at an RE in my town and did blood work at Quest, the results were then forwarded to the RE in CHI.  FYI, she shouldn't be using her insurance until she is released to her OB.


    GSx1 - 05/13/2013
    GSx2 for T&B - EDD 6/21/2015 - They're having a GIRL!

    babybaby
    BabyGaga
  • Thanks for the opinions ladies! We decided to have her go to the fertility clinic for her monitoring. She's perfectly fine with it and we would feel better having the doctor who needs the results doing everything so she can make sure she gets everything she needs. 

    TTC since April 2010
    BFP #1 – March 2011, missed m/c April 2011
    BFP #2 – October 2011, m/c November 2011
    Surprise BFP #3 – December 2011, diagnosed as cornual, terminated January 2012
    BFP #4 – June 2012, m/c July 2012
    Diagnosed with bicornuate ute and MTHR gene mutation
    BFP #5 – October 2012, missed m/c November 2012
    BFP #6 – January 2013, m/c March 2013
    No longer TTC. Diagnosis: Hostile ute. Heartbroken and bitter. Pursuing surrogacy.
    June 2013 - Carrier found! Could this really happen?!
    image
    ~All AL always welcome~

  • We did the monitoring appointments at her clinic since she was out of state, and did the transfer here. Everything worked out just fine!
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