Trouble TTC

My WTF appt.. And some price q's

jencity9jencity9 member
edited May 2014 in Trouble TTC
I didn't get to reply yet to the posts the other day about your IVF protocols. I really appreciated hearing everyone's experiences! It was very helpful.

Today we met with our RE. We are going to proceed with IVF but have to wait until after the next seminar which is the second week of June. (He said he would do half ICSI and half regular). So in the meantime we are going to do one more IUI and add Bravelle for 3 days to the Letrozole I already have been doing. They said Letrozole cd 3-7 as normal and Bravelle shots cd 5, 7, 9 and my next follicle check will be cd 9 before I do that days shot. Then I'm thinking trigger shortly after that based on how I've responded in the past.

My DH and I went ahead and did the bloodwork/std testing today to prep for IVF. Oh I also have to do another HSG next week to double check the tubes because it's been almost a year since they last checked which was at my surgery. This will be my 3rd HSG.

So basically we need to secure funds for all this (IVF)..basically a loan. The RE said we'd do BC, then Lupron, then the meds (but he didn't go into detail about which ones... Would it still be Bravelle?) sooo I need to figure out what the cost of all that would be and just add in the cost of all the extra appts etc. what are your experiences with the cost of Lupron? He quoted me $45-50 for each Bravelle shot but today I was able to get free samples, woo hoo!! I guess the other costs I'll have to get from my office. And we will hopefully reach our $4000 deductive fairly soon so that will be helpful!!

Anyway thanks for reading all this if you got this far. I have clients all day and have no one to process with. (I'm sneaking this post in in between appts!)

Me: 32  DH: 33  Married: March 2004

July 2006: started TTC
2008: HSG (normal), couple rounds of clomid through gyno
2008 - 2010: dragging my feet out of fear and procrastination
October 2010: first consultation with RE, dx PCOS and fibroids (DH slightly low count/motility)
Oct. 2010 - Dec. 2012:  In DENIAL! avoided the issue because I was scared of surgery
January 2013: returned to RE, fibroids grew significantly
February 2013: second HSG, fibroids pushed on tubes which blocked them somewhat
March 2013: MRI to determine what type of surgery may be necessary

July 29, 2013: fibroids (5) removed via robotic laparascopy
August 2013 - Nov 2013 : benched due to recent surgery

IUI #1, Dec. 24, 2013, BFN 
IUI #2, Jan. 25, 2014, BFN
IUI #3, Feb. 25, 2014  BFN
IUI #4 canceled due to lack of response to letrozole
IUI #4.1 April 28, 2014, BFN

May 16, 2014: wtf consult, start prepping for IVF in June and add injects for one last IUI in the meantime
IUI #5 started letrozole and bravelle but canceled after HSG led to new diagnosis

May 21, 2014: third HSG, tubes blocked, one at the beginning, one hydrosalpinx??
June 11, 2014: consult, approved to move on to IVF because the hydro is not completely blocked therefore allowing fluid to move through slowly rather than backwards
IVF #1 August 8, 2014 - 3dt of 2 embryos, BFN
September 17, 2014 - 4th HSG, the right tube is very patent (open!!) dye went straight through this time. Weird!
October 2, 2014 - started metformin treatment
November 14, 2014 - blood work, brought A1C down from 5.8 to 5.5

November 26, 2014 - RE finally back from vaca and reviewed my chart, no more IVFs for rest of calendar year
December 1, 2014 - Right after Thanksgiving, I called a new clinic and got in right away! Plan for IVF
December 17, 2014 - ER! 29 retrieved (!!), 16 mature, all 16 fertilized (ICSI)

IVF #2 December 20, 2014 - 3dt of 3 embryos, BFN

We are done with treatment unsuccessfully. :(


PAIF/SAIF/All Welcome!

image    image

Re: My WTF appt.. And some price q's

  • Congrats on moving forward with the next steps...I guess it's good that you have this extra time to get finances in order, and hopefully that last IUI will make the IVF unnecessary!!

    Good luck for a fibroid-free HSG! :)
    January 3T Siggy Challenge - New Year's Resolutions
    image
    imageimage

    Me (29), DH (30) TTC actively 54 55+ cycles | All BFNs
    MFI (low everything) | Endo Stage 1 & Stenotic Cervix (treated) | PCO
    Married - July 2008 | Started TTC - Jan 2009RE Visit #1 - Mar 2014 
    IUI #1 ICI #1 - June | IUI #1.1 Laparoscopy - Aug
    IUIs #1.2, 2, 3 - Sept, Oct, Nov (Letrozole) - BFNs 
    IUI #4 - Dec (Bravelle) | IUI #5 - Dec/Jan (Bravelle) - 5 follies + TI - BFNs
    IUI #5.1 - Jan (Bravelle) Cancelled 
    Planning to start IVF in March!
    ***All Welcome***
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  • My RE told me that my meds would cost anywhere from $3000-$3500 depending on how I respond. I am also doing BCP, lupron, Follistim 225u/day (which is where the most $$ is going), menopur (I think), and Pregnyl. My insurance covers 30% of follistim and menopur only and that was factored in to my estimate but I'm going to ask about Gonal F because it's cheaper than even Follistim after insurance. As far as our base package price for IVF with ICSI it's $8990 and that includes all appointments and everything but meds.

    Good luck with your next IUI!



    ********Siggy/Ticker Warning***********



    Me (35) no known issues DH (37) MFI. TTC 21 months (24 cycles)
    Dx MFI with low to normal count, low motility, morphology 3%
    HSG normal, ultrasound and labs on me all normal. 

    1 cycle of Clomid 50mg and TI, unmonitored by OBGYN= BFN
    1 cycle of Clomid 50mg and IUI, unmonitored by OBGYN= BFN
    Started seeing an RE!!
    2 more cycles of clomid 50mg (great response), with IUI and Pregnyl trigger (4.8-8 mil good ones after wash) = all BFN
    1 cycle of clomid 50mg (3-7) followed by Follistim 75iu (7-11) + IUI = BFN
    December 2013 DH saw urologist and is taking Anastrozole, CoQ10, and L-Carnitine
    IUI #5 natural cycle (needed a med break) = BFN
    IUI #6 Follistim 75iu (CD3-10) + Pregnyl (CD11) + IUI (final count after wash 300K) = BFN
    IUI #7 Follistim 75iu (CD3-9) + Pregnyl (CD11) + IUI on 2/20 (post wash count 12.5 million)= BFN
    IUI cancelled (DH OOT) Clomid 50mg (CD3-7) 1 follicle +(not well timed) TI = BFN
    IUI #8 and last one!! Clomid 100mg (CD3-7) +OPK before US + IUI 4/17 (post wash 8.5 mil)= BFN

    Pre-IVF testing complete! SHG great and measurements taken! Labs for infectious diseases completed, FSH (5.4), TSH (1.6), Prolactin (11), AMH (2.6), Estradiol (40).

    Started BCP 5/29 and Lupron 6/11 prep for IVF #1! Started follistim 225u/day on 6/28. Monitoring on 7/2 >15 follicles measuring 11-14, E2 758. Monitoring on 7/5 all ready to go!! Great follicle sizes and lining is at 9. Tigger 7/5, ER 7/7 16R 9M 3F. Stimmed too fast in just 7 days. 7/10 3dt of 2 8-cell grade 2 & 4. 7/14 P4 >60.
    Holy crap BFP!!!
    Beta #1 (14dpo) 7/21 112 Beta #2 (16dpo) 7/23 286 a Beta #3 (18dpo) 7/25 761 Beta #4 (21dpo) 2631!!! Hold on tight little embies!!
      First Ultrasound 8/7- 1 perfect little bean with a beating heart 117bpm!! EDD 3/30.
    Second ultrasound 9/2 Little bean measuring a few days ahead with a heart rate of 161!



    PAIF/SAIF/All Welcome!

    image




    Pregnancy Ticker




    March 15 Siggy Challenge: You had one job

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  • Pintobean39Pintobean39 member
    edited May 2014
    My IVF is rather expensive. IVF is 10k and were doing ICSI for another 2k, and PDG for 5k. My meds are expected to cost about 6k. My protocol is bcp Gonal, Menopur, Ganirelix, and trigger. This starts 5-27. Then in July I'll prep for FET with lupron, vivelle, estradiol, and PIO. Anastesia and storage are extra but only like $1500. I'm OOP so no help from from my ins.


    Good Luck!
    Fucking bump!!!!
  • Congrats on moving forward with the next steps...I guess it's good that you have this extra time to get finances in order, and hopefully that last IUI will make the IVF unnecessary!!


    Good luck for a fibroid-free HSG! :)
    That would be awesome! Haha. As for fibroid free... Yes that too!!!

    @Lillovebug79‌ Hm I guess I need to see if they have any packages already. Guess I'll find that our at the seminar. How many u/s does that assume you will have? And do you know what your estimated number of injectibles is that you'll have to do? Are you starting on this next cycle? GL!!

    @Pintobean39‌ yikes that is a lot! Fortunately I have some insurance coverage but they are so confusing with what they cover and not. We're gonna have to get a loan for IVF so I just need to try to narrow down the cost as much as I can. GL with your next cycle!!

    Me: 32  DH: 33  Married: March 2004

    July 2006: started TTC
    2008: HSG (normal), couple rounds of clomid through gyno
    2008 - 2010: dragging my feet out of fear and procrastination
    October 2010: first consultation with RE, dx PCOS and fibroids (DH slightly low count/motility)
    Oct. 2010 - Dec. 2012:  In DENIAL! avoided the issue because I was scared of surgery
    January 2013: returned to RE, fibroids grew significantly
    February 2013: second HSG, fibroids pushed on tubes which blocked them somewhat
    March 2013: MRI to determine what type of surgery may be necessary

    July 29, 2013: fibroids (5) removed via robotic laparascopy
    August 2013 - Nov 2013 : benched due to recent surgery

    IUI #1, Dec. 24, 2013, BFN 
    IUI #2, Jan. 25, 2014, BFN
    IUI #3, Feb. 25, 2014  BFN
    IUI #4 canceled due to lack of response to letrozole
    IUI #4.1 April 28, 2014, BFN

    May 16, 2014: wtf consult, start prepping for IVF in June and add injects for one last IUI in the meantime
    IUI #5 started letrozole and bravelle but canceled after HSG led to new diagnosis

    May 21, 2014: third HSG, tubes blocked, one at the beginning, one hydrosalpinx??
    June 11, 2014: consult, approved to move on to IVF because the hydro is not completely blocked therefore allowing fluid to move through slowly rather than backwards
    IVF #1 August 8, 2014 - 3dt of 2 embryos, BFN
    September 17, 2014 - 4th HSG, the right tube is very patent (open!!) dye went straight through this time. Weird!
    October 2, 2014 - started metformin treatment
    November 14, 2014 - blood work, brought A1C down from 5.8 to 5.5

    November 26, 2014 - RE finally back from vaca and reviewed my chart, no more IVFs for rest of calendar year
    December 1, 2014 - Right after Thanksgiving, I called a new clinic and got in right away! Plan for IVF
    December 17, 2014 - ER! 29 retrieved (!!), 16 mature, all 16 fertilized (ICSI)

    IVF #2 December 20, 2014 - 3dt of 3 embryos, BFN

    We are done with treatment unsuccessfully. :(


    PAIF/SAIF/All Welcome!

    image    image
  • Yes, I'm starting next cycle :) they estimated 4 USs, 1 baseline and 3 monitoring. The package also includes sounding (uterine measurements I think), protocol review, retrieval, ICSI, and transfer. I have some insurance coverage so that helps. They also deducted for my insurance covering 80% of USs although it doesn't cover that much of anything else. Also if we have anything to freeze, that isn't covered at all and will be an extra $450. I also had no idea all the prep was going to be so expensive! The SHG, labs for DH and I, and also we had to freeze a sample just as a back up (My RE requires it for all patients) we spent another about $1100 because we hadn't met our deductible yet.

    As far as meds go, I believe will be on follistim 225U + menopur 75 + lupron 5u daily during stimulation. Then I'll start progesterone injections which aren't very expensive and I'll have the Lupron during BCP and also my trigger. If my doses don't need increased at all, I think it will be around $3100.



    ********Siggy/Ticker Warning***********



    Me (35) no known issues DH (37) MFI. TTC 21 months (24 cycles)
    Dx MFI with low to normal count, low motility, morphology 3%
    HSG normal, ultrasound and labs on me all normal. 

    1 cycle of Clomid 50mg and TI, unmonitored by OBGYN= BFN
    1 cycle of Clomid 50mg and IUI, unmonitored by OBGYN= BFN
    Started seeing an RE!!
    2 more cycles of clomid 50mg (great response), with IUI and Pregnyl trigger (4.8-8 mil good ones after wash) = all BFN
    1 cycle of clomid 50mg (3-7) followed by Follistim 75iu (7-11) + IUI = BFN
    December 2013 DH saw urologist and is taking Anastrozole, CoQ10, and L-Carnitine
    IUI #5 natural cycle (needed a med break) = BFN
    IUI #6 Follistim 75iu (CD3-10) + Pregnyl (CD11) + IUI (final count after wash 300K) = BFN
    IUI #7 Follistim 75iu (CD3-9) + Pregnyl (CD11) + IUI on 2/20 (post wash count 12.5 million)= BFN
    IUI cancelled (DH OOT) Clomid 50mg (CD3-7) 1 follicle +(not well timed) TI = BFN
    IUI #8 and last one!! Clomid 100mg (CD3-7) +OPK before US + IUI 4/17 (post wash 8.5 mil)= BFN

    Pre-IVF testing complete! SHG great and measurements taken! Labs for infectious diseases completed, FSH (5.4), TSH (1.6), Prolactin (11), AMH (2.6), Estradiol (40).

    Started BCP 5/29 and Lupron 6/11 prep for IVF #1! Started follistim 225u/day on 6/28. Monitoring on 7/2 >15 follicles measuring 11-14, E2 758. Monitoring on 7/5 all ready to go!! Great follicle sizes and lining is at 9. Tigger 7/5, ER 7/7 16R 9M 3F. Stimmed too fast in just 7 days. 7/10 3dt of 2 8-cell grade 2 & 4. 7/14 P4 >60.
    Holy crap BFP!!!
    Beta #1 (14dpo) 7/21 112 Beta #2 (16dpo) 7/23 286 a Beta #3 (18dpo) 7/25 761 Beta #4 (21dpo) 2631!!! Hold on tight little embies!!
      First Ultrasound 8/7- 1 perfect little bean with a beating heart 117bpm!! EDD 3/30.
    Second ultrasound 9/2 Little bean measuring a few days ahead with a heart rate of 161!



    PAIF/SAIF/All Welcome!

    image




    Pregnancy Ticker




    March 15 Siggy Challenge: You had one job

    image
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