Trouble TTC

Molecular Genetic Testing

I'm filling out paperwork for new RE and they are asking if I'd like to be screened for Cystic Fibrosis, Sickle Cell Anemia, Tay-Sachs Disease, Thalasemia and Molecular Genetic Testing. Have you done any of these tests? What are your thoughts on them?

Re: Molecular Genetic Testing

  • The only one our RE recommended for us is Cystic Fibrosis.  We have not yet.  If we move to IVF, I will be tested.  
    Me (29), DH (32)
    Aug 2011  - Married
    Jan 2013   - Started TTC
    Jan 2014   - OB started some testing 
                         - HSG - Normal
                         - Ultrasound - Normal
                         - SA - Normal, but tested positive for Ureaplasma
                         - Both of us on antibiotics to treat ureaplasma
                         - Blood work - progesterone: 15.9, TSH: 0.89, FT4: 1.2, Prolactin: 33.4 
    Feb 2014   - Endometrial Biopsy - Normal
    Mar 2014   - Prolactin: 22.9, referred to RE
    Apr 2014   - First RE appointment, put on medication for high prolactin levels 
                      - Clomid (50 mg) 1 follicle, Trigger shot - BFN
                      - Second SA - All Normal, borderline morph (5%) 
    May 2014   - Clomid (100mg) 2 follicles, Trigger shot - BFN
                      - blood work: Estradiol: 32.7, FSH: 5.3, Prolactin: 14.1
    June 2014  - IUI #1, Clomid (150 mg), 3 follicles, Trigger shot - BFN 
    July 2014   - IUI #2, Clomid (150 mg), 4 follicles, Trigger shot - BFN
    Aug 2014   - IUI #3, Femara 2.5, 3 follicles, Trigger shot (first time done by DH!!) - BFN
                      - Hysteroscopy - Normal
    Sept 2014 - IUI #4 Femara 2.5, 1 follicle, possibility of another one, Trigger shot - BFN
                       -Progesterone test 4 DPIUI - 7.8...started crinone.
    Oct 2014 - IUI #5 Follistim 150 3 possibly 4 follicles - Trigger Shot - BFN
    Oct/Nov 2014 - Follistim 150 with TI & Trigger shot - ???

    **October Siggy Challenge**

    I don't even know what he is supposed to be!
    image


    **EVERYONE WELCOME!! :)**

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  • They can be expensive, I'm looking into them now and probably won't have them done unless we have another loss. I would call your ins company to see of they are covered and at what rate. The RE should be able to give you the medical code of the test to give your ins company. For me, bc those things are so rare I would consider the cost before doing the testing, unless you I had a specific risk factor the RE was addressing.
  • Our insurance covered CF testing, so I did it. DH's uro tested him for various mutations, that cost us over $1500 I think. RE did not recommend any genetic testing that I know of.
    January 3T Siggy Challenge - New Year's Resolutions
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    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***
  • We did not initially do genetic screening for myself or DH, and I had already been screened to be negative for things like CF and SCA. Now that we have done IVF and have had a m/c, I really kind of regret it. Especially getting DH screened. But if the blood work panel after my m/c doesn't show anything, we may be getting DH tested just in case.  
  • We have not been tested but as far as I know, neither of us are at a particular risk for any of these issues.  Plus unless the results said there was some very large chance of us passing along something, it wouldn't stop us from trying.  I do plan on doing whatever tests are available once we are pregnant.  
  • I have a similar mindset to @rainbowbridge14‌ we are pretty low risk and haven't tested.
    Me-33 DH-36.
    Married 11/10 TTC 11/10
    06/11- diagnosed with PCOS 
    7/11- D&C and benched for a year 
    9/12-4/13-6 rounds of 50 mg Clomid- no sucess 
    6/13- new doc
    7/13-4/14- 6 more rounds of Clomid. 50 mg and then stepped up to 100mg- no success 
    5/14-7/14- took break waiting for new insurance 
    7/14-new insurance= new doc- actually a RE!!!! 
    7/14-HSG and blood test good-PCOS confirmed by new doc 
    10/14 looking forward to 1st IUI w/ Menopur. Blood Test= Negative
    11/14- IUI #2
    w/ Menopur- Blood Test= Negative
    1/15- IUI # 3 w/
    Menopur- Blood Test= Negative
    2/15- Self Benched this cycle
    3/15/15-Suprise BFP on natural cycle!!!! EDD-11/16/15

  • @bluefairy5 - Our RE office does not require it, they just offered it as something we could do, stating if we were at risk for something they could take measures to try and avoid it happening. But ours was only $200, it seems the price varies all over the place.

    We opted out just for personal beliefs. If I were to have a mc, I may look in to bloodwork at that point, but right now it just isn't something I would like to do so I declined it and my RE said I was well within my rights to do so.

    ***Signature/Ticker Warning***

    March 2008 - DD born - no issues conceiving (surprise). Limited issues during pregnancy/delivery.
    June 2011 - Married DH.
    June 2013 - Diagnosis of Endometriosis and PCOS (approximate).
    December 2013 - First cycle of Clomid - Positive OPK. BFN
    January 2014 - 2nd Cycle of Clomid - Positive OPK. BFN
    February 2014 - 3rd Cycle of Clomid - Positive OPK. BFN
    March 2014 - Took month off to prep for surgery
    April 2014 - Laporoscopy for endo. Unable to remove endo due to too close of proximity to ureter. HSG done as well. Fillopian tubes open.
    May 2014 - 1st round of Femara. Positive OPK. BFN.
    June 2014 - 2nd round of Femara. Moved to RE to have CD10 Follicular U/S. No Follies in left ovary. 5 follies in right. Largest follie 8mm, 1 7mm, 2 3mm, 1 2mm. Positive OPK on day of U/S. BFN. DH has SA done at this time - All results within normal limits.
    July 2014 - 3rd round of Femara. CD10 Follicular U/S. No follies in left ovary. 7 follies in right. 1 20mm, 1 12mm, 1 10mm, 4 <5mm. Scheduled for IUI. Canceled due to low estrogen level of 145. TI this month. Prepping for Injectables next month. BFN.
    August 2014 - CD3 BW Normal. Injectables not happening because of stupid miscommunication about "required injectables class." Taking class this month. No medication. TI for the month. SIS scheduled for 8/7/14. SIS results - "I have a beautiful uterus." Huzzah!
    September 2014 - Cycle cancelled due to stupid AF coming early and making my IUI run in to DH's business trip. Try again next month.
    October 2014 - Injects with IUI cycle. 75U 5 days. Estrogen at 36. Bumped up to 125 for 4 days. Estrogen 105. Bumped up to 225. Ganirelix for 2 days. 4 mature follies. Triggered 10/9. IUI 10/10.
    BFP 10/24/2014. Beta #1 - 178   Beta #2 - 398.   U/S 11/7/14- TWINS!!!!

    image

     

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  • @bluefairy5 No, testing of this sort was never even mentioned to us.  
  • @bluefairy5 Genetic testing was never brought up with us either. It may be a NYC thing. I have a friend who is seeing an RE in Manhattan, and he made her go through all the genetic testing. And, that was for an IUI. $2700 worth! She was a little too trusting and just went along with whatever blood work he ordered without really asking what it was for. Personally, it sounds like a bit of a scam to me.
    ****SIGGY WARNING****

    image





    TTC since May 2013

    Me: 31, blocked tube
    DH: 35, azoospermia :(
    IUI #1 (50 mg Clomid, Ovidrel) on 9/7/2014: BFN
    IUI #2 (100 mg Clomid, Ovidrel) on 10/3/2014:
    BFN
    IUI #3 (100 mg Clomid, Ovidrel, Estradiol) on 11/1/2014: BFN
    First RE appt. on 11/11/2014
    November 2014: Benched due to cyst :(
    IUI #4 (5 mg Letrozole, Follistim, Ovidrel, Crinone) on 12/26/2014: BFP!!!
    Beta 1 (1/9/2015): 292     Beta 2 (1/12/2015): 843


  • @bluefairy5 Genetic testing was never brought up with us either. It may be a NYC thing. I have a friend who is seeing an RE in Manhattan, and he made her go through all the genetic testing. And, that was for an IUI. $2700 worth! She was a little too trusting and just went along with whatever blood work he ordered without really asking what it was for. Personally, it sounds like a bit of a scam to me.
    This. That's kind of what I've done with my current RE and that's why I asked the question here first. Nothing in my paperwork says it's mandatory, seems like it's just something that is offered. I plan to talk to the new RE about this before making a decision, but I always like to check with you knowledgable ladies as well :) Thanks to everyone for chiming in! 
    @bluefairy5 Genetic testing was never brought up with us either. It may be a NYC thing. I have a friend who is seeing an RE in Manhattan, and he made her go through all the genetic testing. And, that was for an IUI. $2700 worth! She was a little too trusting and just went along with whatever blood work he ordered without really asking what it was for. Personally, it sounds like a bit of a scam to me.

  • edited October 2014
    **** Grad / Ticker Warning ****

    Hope you don't mind me posting, I waited to see if anyone else piped in but I don't see the information so I thought I'd share!

    There's a company called Counsyl that is revolutionizing genetic screening (no, this isn't spam - I am a legit 3T grad for all you newbies, just check ask anyone!). Anyone can request their genetic testing, even if your doctor doesn't typically use that company. They mail a vial to your doctor's office or lab if they don't already carry them for this test, it's a simple blood draw, and they screen for over 140 genetic issues.

    If you have any insurance, even if insurance will not cover genetic testing or you haven't met your deductible, Counsyl promises that you won't pay more than $99 out of pocket per person. I know this to be true because I know my insurance wouldn't cover it and we were truly only billed $99 for my test.


    ETA: Just because no one has it in your family doesn't mean you couldn't be a carrier. Less likely, certainly, but my 7 year old cousin has Fragile X and he's the first in our family - seems there was a pre-mutated gene going around for a long time. And with things like Cystic Fibrosis, it takes two parents, but many things just take one (especially the mother for X-chromosome issues). Counsyl believes that education is key to stopping these genetic issues, and I do believe it can help educate choices. If I had had the Fragile X chromosome or pre-mutation, we would have skipped straight to IVF with PGD testing.
    ************************SIGGY WARNING***********************

    Me: 29      DH:  32
    Off birth control March 2012 - Actively trying Sept 2012-April 2014
    Unexplained Infertility
    BFP on May 5th after Follistim & IUI #3
    Ryan Henry - born 1/10/15, 7 lb 5 oz, 20 1/4 inches

    NTNP for a sibling starting March 2015
    Waiting on cycle to resume while EBF


    imageimage

  • Like @sugar4bri‌ I had the same genetic testing along with my CD3 bloodwork. If I remember correctly we went to the same RE office, just saw different doctors. I No longer go to that office but when I did! I didn't even have the option, they just automatically did it. I'm glad they did, it was one less thing I had to worry about. I'm currently doing IVF and I asked my new RE if he recommended PGD testing and he said he didn't and that if I wanted to spend the money I could. If I had multiple miscarriages I defiantly would do the PGD testing though. I keep hoping I made the right decision.


    TTC #1

    Me: AMA, DH: MFI

    Official DX - MFI due to Hemochromatosis

    IVF #1 Nov. 2014 - ER 11/10 (10R 6M 6F) - ET 11/13 

    3DT of 3 embies - no frosties - CP = BFFN!!!!

    ****All Welcome****

    imageimage



  • Edit to my last post: So frustrating, my stupid IPad constantly capitalizes the second word of my sentences, I swear I'm not illiterate. Also, the ! after "when I did"i s supposed to be a comma, I had to clarify, sorry.


    TTC #1

    Me: AMA, DH: MFI

    Official DX - MFI due to Hemochromatosis

    IVF #1 Nov. 2014 - ER 11/10 (10R 6M 6F) - ET 11/13 

    3DT of 3 embies - no frosties - CP = BFFN!!!!

    ****All Welcome****

    imageimage



  • I was tested for CF since we have 2 nieces with CF on my husband's side. My RE works through a company who bills insurance but will eat the cost if your insurance doesn't cover it. I can't remember the company, sorry. I'll see if I can find it. I just had this done yesterday so I am hoping it actually gets billed like she said it would.


  • There's a company called Counsyl that is revolutionizing genetic screening (no, this isn't spam - I am a legit 3T grad for all you newbies, just check ask anyone!). Anyone can request their genetic testing, even if your doctor doesn't typically use that company. They mail a vial to your doctor's office or lab if they don't already carry them for this test, it's a simple blood draw, and they screen for over 140 genetic issues.

    If you have any insurance, even if insurance will not cover genetic testing or you haven't met your deductible, Counsyl promises that you won't pay more than $99 out of pocket per person. I know this to be true because I know my insurance wouldn't cover it and we were truly only billed $99 for my test.


    **Grad/Ticker Warning**

    This is the company my RE uses as well. It was going to be $200 for DH and I to do of. Again, we chose not to for personal beliefs, but if you want it done I would definitely check them out. My RE raved about how easy they were to work with and how great they were. Good luck!

    ***Signature/Ticker Warning***

    March 2008 - DD born - no issues conceiving (surprise). Limited issues during pregnancy/delivery.
    June 2011 - Married DH.
    June 2013 - Diagnosis of Endometriosis and PCOS (approximate).
    December 2013 - First cycle of Clomid - Positive OPK. BFN
    January 2014 - 2nd Cycle of Clomid - Positive OPK. BFN
    February 2014 - 3rd Cycle of Clomid - Positive OPK. BFN
    March 2014 - Took month off to prep for surgery
    April 2014 - Laporoscopy for endo. Unable to remove endo due to too close of proximity to ureter. HSG done as well. Fillopian tubes open.
    May 2014 - 1st round of Femara. Positive OPK. BFN.
    June 2014 - 2nd round of Femara. Moved to RE to have CD10 Follicular U/S. No Follies in left ovary. 5 follies in right. Largest follie 8mm, 1 7mm, 2 3mm, 1 2mm. Positive OPK on day of U/S. BFN. DH has SA done at this time - All results within normal limits.
    July 2014 - 3rd round of Femara. CD10 Follicular U/S. No follies in left ovary. 7 follies in right. 1 20mm, 1 12mm, 1 10mm, 4 <5mm. Scheduled for IUI. Canceled due to low estrogen level of 145. TI this month. Prepping for Injectables next month. BFN.
    August 2014 - CD3 BW Normal. Injectables not happening because of stupid miscommunication about "required injectables class." Taking class this month. No medication. TI for the month. SIS scheduled for 8/7/14. SIS results - "I have a beautiful uterus." Huzzah!
    September 2014 - Cycle cancelled due to stupid AF coming early and making my IUI run in to DH's business trip. Try again next month.
    October 2014 - Injects with IUI cycle. 75U 5 days. Estrogen at 36. Bumped up to 125 for 4 days. Estrogen 105. Bumped up to 225. Ganirelix for 2 days. 4 mature follies. Triggered 10/9. IUI 10/10.
    BFP 10/24/2014. Beta #1 - 178   Beta #2 - 398.   U/S 11/7/14- TWINS!!!!

    image

     

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  • @southernyankeegirl Thank you so much for that info. If I can get the testing done for that little, I'd rather just get it out of the way. One more thing crossed off the list ya know? My appointment is this Thursday and I'll definitely ask about it. 
  • I did the CF screening, and was shocked when I saw that the company (nautera) had charged my insurance 4k. I have a $1600 balance & instructions to call them to determine how much I have to pay. :/ I have not been impressed - I probably wouldn't have done it if I had known how expensive it would be.
    Me (33), PCOS. Bloodwork normal, AMH slightly high, HSG clear 
    DH (40) SA good 
    Trying since 1/2012, RE 6/2014 
    Letrozole & TI June 2014-September 2014 -BFN
    October 2014 - IUI #1, lertozole - BFN
    November 2014 - IUI cancelled due to holiday, TI & Lertozole - BFN
    December 2014 - TI 
    January 2015 - IUI #2 - ?

  • I have psoriasis, psoriatic arthritis and epilepsy. My DH has diabetes on his side. Yes, we are for sure going through the genetic testing!!! If it means our children not having epilepsy I think it's amazing!! RE told us it's 100 dollars to do it. Oh, and when we do finally get pregnant I'll be considered high risk pregnancy and will be monitored like crazy!! I don't care though. Whatever it takes to have a child of our own.
  • My RE recommended I do it before we started IVF but it wasn't mandatory. Since all mine came back negative DH did not have to do it. I haven't seen a bill yet but the piece of mind is great! We're unexplained IF so if IVF doesn't work we don't want to have to back track for any reason.
    ***pregnancy and loss mentioned***

    Me: 31 DH: 31
    Dx: unexplained IF
    TTC since March 2013 
    IUI#1 with OB: BFN (April 2014 - clomid 50mg)
    IUI#2 with OB: BFN (June 2014 - clomid 50mg)
    IUI#3 with OB: BFN (July 2014 - clomid 50mg)
    IUI#4 with RE: BFN (August 2014 - clomid 50mg, ovidrel 250mcg, Crinone 8%)
    IVF #1 with pICSI in November
    ER 11/13 - 14R, 13M, 11F
    ET 11/19 - 2 grade AA hatched blasts transferred
    Beta #1: 58 - BFP!!, Beta #2: 140, Beta #3: 347, Beta #4: 931
    First u/s 12/19 - baby measuring 6w4d with HR of 116
    Second u/s 12/29 - baby measuring only 7 weeks, no heart beat detected
    01/02/15 - misoprostol administered vaginally

    image
  • My RE recommended I do it before we started IVF but it wasn't mandatory. Since all mine came back negative DH did not have to do it. I haven't seen a bill yet but the piece of mind is great! We're unexplained IF so if IVF doesn't work we don't want to have to back track for any reason.
    ***pregnancy and loss mentioned***

    Me: 31 DH: 31
    Dx: unexplained IF
    TTC since March 2013 
    IUI#1 with OB: BFN (April 2014 - clomid 50mg)
    IUI#2 with OB: BFN (June 2014 - clomid 50mg)
    IUI#3 with OB: BFN (July 2014 - clomid 50mg)
    IUI#4 with RE: BFN (August 2014 - clomid 50mg, ovidrel 250mcg, Crinone 8%)
    IVF #1 with pICSI in November
    ER 11/13 - 14R, 13M, 11F
    ET 11/19 - 2 grade AA hatched blasts transferred
    Beta #1: 58 - BFP!!, Beta #2: 140, Beta #3: 347, Beta #4: 931
    First u/s 12/19 - baby measuring 6w4d with HR of 116
    Second u/s 12/29 - baby measuring only 7 weeks, no heart beat detected
    01/02/15 - misoprostol administered vaginally

    image
  • Oops, sorry for the double post! I can be impatient sometimes! :/
    ***pregnancy and loss mentioned***

    Me: 31 DH: 31
    Dx: unexplained IF
    TTC since March 2013 
    IUI#1 with OB: BFN (April 2014 - clomid 50mg)
    IUI#2 with OB: BFN (June 2014 - clomid 50mg)
    IUI#3 with OB: BFN (July 2014 - clomid 50mg)
    IUI#4 with RE: BFN (August 2014 - clomid 50mg, ovidrel 250mcg, Crinone 8%)
    IVF #1 with pICSI in November
    ER 11/13 - 14R, 13M, 11F
    ET 11/19 - 2 grade AA hatched blasts transferred
    Beta #1: 58 - BFP!!, Beta #2: 140, Beta #3: 347, Beta #4: 931
    First u/s 12/19 - baby measuring 6w4d with HR of 116
    Second u/s 12/29 - baby measuring only 7 weeks, no heart beat detected
    01/02/15 - misoprostol administered vaginally

    image
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