Infertility
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New girl, introducing myself & our story

 Hello! I’ve had an account here for some time. I signed up a long time ago with the intention to visit this very board, or one like it, and vent about our struggles. Whatever happened, probably life, stopped that. So, here I am today. I’ll start off by introducing myself. My name is Katie. I just turned 30…like a week ago. Not feeling too fantastic about that, but that’s a whole different monster. Well, it’s partly related to our fertility, but I’m sure you ladies get the point. I work as a seamstress alongside my mother in law. I am basically her apprentice and am in training to eventually take over her wildly successful custom drapery/bedding business. I previously worked as a teacher. We, unfortunately, live in Oklahoma. I’m sure you can understand why I left education. My husband is an electrician and has been for about 5 years. My DH and I met a little over 12 years ago through friends. He’s 3 years older than me, at almost 33 years old. We’ve been married for a little over 3 years. Neither of us have kids. I was on BC for some time at the beginning of our relationship. I stopped BC roughly around 2008. We didn’t have the best safe sex practices. We never used condoms. After many years, it became clear we may have some issues. Neither one of us really talked about it until after we got married. I went to my OBGYN and got the all clear. Everything was in tip top shape. I was hesitant to tell my DH, because I knew that meant it was likely on his end. Of course, I told him right away.

It took him a full year to FINALLY mention something to our general physician. With my DH being treated for worsening depression/anxiety our physician immediately wanted to test his testosterone (TT) levels. We were all floored when the results came back in. His free TT levels were at a 35. He was supposed to be in the 300s. He started on TT shots. After being on them for a bit, he weaned off, and we waited to see if it would “jump start” his system. It did not. His levels plummeted again. Not as low as 35, but he was in the 70s. Long story short, the physician basically told us he had no idea what was causing this and we would likely never be able to have a baby. He recommended staying on the TT. TT shots kind of work like a male form of birth control. Some men can still get their wives pregnant, but most cannot. We were devastated. As he was just starting out in his field and I was too, going to see a specialist was not something we could afford.

A year later, my DH got fed up. We went to another doctor’s office. There we met an amazing APRN who was shocked that our previous physician has never tested any other TT levels past his “free” count or ran a full CBC. We had no idea this was never done. She was legitimately very angered that he told us we would never be able to conceive. She ordered a full CBC and other tests. Those results led her to determine he had hypogonadism. She ordered an MRI to get a look at his pituitary gland & further tests to look at some of his other hormone levels. We now had a diagnosis. He has secondary hypogonadism. For whatever reason, his pituitary gland never functioned properly. It could be hereditary. A medication he could have taken when he was younger may have damaged it. We have no way of really knowing. Here is the frustrating part. We can’t stop the TT shots. Partly, because he’s been on them for so long it could cause some very serious issues just stopping cold. Also, because his levels are guaranteed to plummet again. His depression/anxiety would nose dive again. Not something we’re willing to mess with.

Our only other option is an endocrinologist. Yay, right? Not so fast. Insurance won’t cover him seeing an endocrinologist for his secondary hypogonadism. Since it deals with infertility and it’s being managed with the TT shots, they won’t cover it. They don’t see fertility as a health factor that is “essential” to his life. Our financial situation has improved somewhat, but not anywhere near us being able to fork over the hundreds of dollars just to see an endocrinologist. Any medication prescribed won’t be covered by our RX plan and we would be on the hook for any tests/procedures. 100% out of our pockets. Um. We don’t make a ton of money. We can’t exactly go take out a major loan for this. We have explored other options for starting a family and all cost a lot of money that we just don’t have.

After some time, my DH made his peace with it. He’s accepted he may never father a child. I’m struggling. You know what? No. I am beyond struggling. I can barely function. My best friend, my soul mate, my “sister from another mister” recently found out she is expecting her first child. Homegirl was off birth control for less than 30 days AND had a visit from Aunt Flow when she got pregnant. I love her more than I love my DH and I would never, ever take my frustrations out on her. BUT COME ON. I mean, really?!? I hate to sound whiney, but this is just not fair. I’ve wanted to be a mom since I was a small child. Everyone, jokingly, nicknamed me “Mom” in college. I take care of others. I mother the people around me. Always have. I can’t make peace with the fact that it may never happen. It kills me every single day. It drives me further into sadness and despair every time AF shows up. Every box of tampons, every period cramp, every photo friends post of their gorgeous babies is like a punch to my gut. It breaks my heart in a million pieces. It hurts. Actual physical, real hurt. I ache to tell my husband I’m pregnant. I dream about telling him he’s going to be a father. I want to feel that joy, terror, wonder, and apprehension that comes with your first pregnancy.

I don’t know what to do or how to feel anymore. The emotional pain in manifesting as physical symptoms and I feel like it’s just getting worse.

 

Wow. That was a novel. If anyone made it through that, kudos to you! If not…well, I kind of understand.  :)

Re: New girl, introducing myself & our story

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    @mcmullenk918 First, i'm sorry you are here and that we are meeting under these circumstances. I understand your pain and i'm glad you are back on the forum, the ladies here are the most supportive people i've ever known. Have you thought about fostering children? I'm not too familiar with the process myself, but i know there's an option to foster/adopt children and it's much cheaper than a full on match adoption. Also, i'm not sure if using donor sperms is something you may want to consider? I've also seen on a lot of posts that people have switched jobs to find one with a better insurance coverage for fertility treatments. My insurance does cover IUIs and sperm washing at 100% as well as all diagnostic tests for fertility treatments. I don't have any IVF coverage, but I know some of the ladies here do. I know it's a lot of work to switch jobs, but it might be worth it financially or just to do it on the side to get coverage. I know starbucks give great benefits to their part time(20 hours) and full time employees.

    I feel that in general, men are more okay with having/not having children. My DH is like yours, he thinks ***TW*** having our daughter is enough and he can be perfectly happy just being us three. Even when we were trying for my daughter, my husband would say that he's ok if we can never conceive ( took us 1 year the first time). I, on the other hand, like you, have dreamed of a big family since i was about 9 years old. No one should be asked to give that up. I had a serious conversation with my DH when #2 didn't happen and he realized how much i wanted this. My DH is actually working in Texas and i was working in Michigan. I quit my job and moved over to Texas to look after our young daughter while trying to get pregnant with #2. DH is now on board with all the RE appointments and procedures. I know he doesn't want this to the same degree as me, but i'm glad he's allowing me to pursue my dream. Whatever you decide, know that we are all here for you. I hope you do get your happy ending! 
    ***** child/loss TW *****
    Age: 32 DH: 35
    natural pregnancy DD 2012 TTC #2 since 2014
    9/2015 chemical pregnancy
    Initial workup: 
         AMH: 0.898 ng/ml
         Antral Follicle Count: 5
         FSH day 3: 6.56 mIU/ml
         LH day 3: 5.24 mIU/ml
         Estradiol day 3: 46.75 pg/ml

    IUI 1-4 BFN

    IVF #1 After ovulation was confirmed with progesterone levels on CD19. Cetrotide ½ dose X4 doses and minivelle was started CD 20 to continue through stim. Upon AF, started follistim 150 bid and menopur 75 bid on CD3. Started cetrotide 1 dose when biggest follicle reached 13mm. Retrieved 4 eggs out of 12 follicles, 2 PGS normal, FET #1 9/14/18 BFP beta#1 10dp6dt 369, 12dp6dt 1210 
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    Welcome!  So sorry to see you here... ❤  This board is full of some pretty amazing women who have been through, and are walking through, some incredibly tough stuff - with grace, dignity, and all the ugly tears sometimes, too.  We get it. (((Hugs))) I am astonished that a doctor would just put him on all that T without doing proper testing, nor making it clear the implications that could have on his fertility. Shameful.  But here you are now, and all anyboby can do is make the most of it.  I get the insurance struggles too - DH and I were strictly self-employed until recently when we learned that ivf+icsi would be our only shot at conceiving our own biological children... and how much that was going to cost us OOP.  It was a devastating diagnosis that took us about another year of testing and procedures to finally get where we are now, but I went out and found a job with ivf coverage and got it, pushed his TESE surgery back a month while that kicked in, and long story short, we are anxiously awaiting our freeze report from our first ivf cycle! Miracles do happen, sometimes they just take a little more work on our part. ;)

    Feel free to come join us as well over on TTGP, as well. There is a weekly MFI thread, as well as a weekly testing and treatment thread.  That board works a little differently than this one, but if you just lurk a bit, intro over on the newbie thread, and read through the newbie guides, you'll get the hang of it. Not sure if you are still officially trying with TI, but the daily TWW and WTO threads are there as well, and there's lots of support if you wanted to try temping.  Not sure if your new doctor has given you any guesses on your chances that way?  Or vs. IUI? Or IVF+ICSI?  Has he had an S.A. yet?

    For us, my H has no sperm in the ejaculate.  We still don't entirely know why, we did all the genetic testing and nothing popped up.  But luckily the doctor did retrieve sperm to freeze.  If your H has any present in the S.A., they may be able to freeze a sample that way, rather than surgically.  It may be worth it to go off the T just for 2-3 months or so, long enough to get a good couple samples from him to freeze.  Idk.  But bottom line is, there is still hope!  You've come to the right place, and we will be here to encourage you, and get creative with you if need be, while you find where your path leads. ❤ (((Hugs)))
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    Hi Katie! Firstly, I'm really sorry you find yourself here, and I hope you get as much support from these boards as I have.

    Secondly... Holy! It sounds like you guys have been through a lot at are dealing with a lot! The finances, the insurance, the diagnosis... and that particular diagnosis would affect so many other things too - like mental health, etc. It must be crazy hard, and I'm so sorry you have to go through this.

    I don't have much advice for you apart from what previous posters have already said. This board is mostly for women struggling with IF/actively undergoing treatment, and it doesn't sound like you're there at this point. That said, I think every single woman here knows what it's like to have doubts, to feel like it's never going to happen, and to want to curl into a little ball and cry. It is so unfair - brutally unfair!

    But don't lose hope. Be honest with your husband, have the difficult conversations - push when you need to push - and be really clear with him about how much pain you're in. Then you two can, together, decide on the best course of action moving forward. The good news for you two is that you're still quite young, and chances are the sole issue you're dealing with is the MFI issue - you have a few years to figure everything out.

    Much love to you! Courage!
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    Thank you all for your kinds words. I meant to reply so much sooner. I have been struggling with a lot of stress and anxiety as of late. Your replies are amazing and I am in awe of how strong you all are! It's kind of nice to get that all off my chest and more out in the open. 

    As we move further into this struggle, the option of having a baby "the old fashioned way" isn't really something achievable. My DH suggested some time ago that we look into a sperm donor. Honestly, I was shocked he brought it up. I didn't know how he would feel about it. He told me he knows how important it is to me to be pregnant. To have those experiences and that if the baby can, genetically, be one of ours that is fine by him. He's 100% on board for it. I have a friend from junior high who has experience dealing with using a sperm donor and everything. I have even switched to the obgyn they use. Partly because I know he's skilled (they had their second baby 1 year ago) and my previous obgyn semi-retired and doesn't deliver babies anymore. It's still an expensive process. Shots, medications, the actual sperm donation, and the IUI are thousands of dollars. So, an option, but not a viable one for the near future.

    Fostering/adoption is definitely an option we are open to. My DH is very adamant about wanting a child from as close to birth as possible. He had 2 older, adoptive siblings and it was rough. It had a profound effect on him and the rest of his family. So, I think he has apprehension about it, but he knows this could be the only way we have a family. We just are not in the right place in our lives right now. We're still struggling financially. We live in a one bedroom studio type apartment. It's a small, detached garage apartment. Don't get me wrong, it's wonderful. My brother in law gutted it down to the studs. Did the reno himself and he did a wonderful job. It's tight with us and our 2 dogs. Where we live, we can go through Catholic Charities. I was raised Catholic and attended Catholic school. I broke away from the church in college and haven't been to mass in quite some time. We aren't members of a Christian church (which is required for Catholic Charities) and we cannot show we are financially stable. So that's a no go. Private adoption is costly. I have a friend who adopted 2 babies nearly 2 years ago. It was over $10,000. 

    For something like money to come between us and starting a family hurts. We work so hard and just never seem to really gain traction towards starting a family. It makes me so sad.
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    @mcmullenk918 - don't lose hope!

    I know you were in education for some time, and leaving must have been tough - but it sounds like you and your DH are just starting your careers. When you take over your MIL's business, and in a couple more years' of electrician's work, you and your DH will be sitting pretty! Both of you are in the process of starting your own businesses - that would be rough!!

    My H and I have been working for about 10 years, and honestly, both of us were kicking ourselves after we needed some electrical work last year - one of us should have become an electrician! LOL! We thought: "If you are smart and hardworking and good with paperwork and reliable, you could do very, very well as an electrician."

    It is hard now - SO HARD! - but if you keep working hard and keep being smart (ie. advertising a little bit) and doing good work - word will get out there and it will get easier! Keep at it, you will not struggle like this for long.

    I know it's tough. Honestly, 2 years ago, if someone had told me that we'd need to do IVF, I would have said: "How?! That's so expensive!" But about a year ago, all of our hard work started to pay off, and suddenly paying for IVF wasn't such an impossibility, even if we had to go into debt to do it. 

    Hang in there! An IUI and donor sperm or an adoption might just be in your future!
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    Any chance DH can change jobs to a company that offers better insurance? My DH has low T and our physician wanted to give him T shots, but we were already seeing a RE and she said definetly no because it damages the sperm. We looked into other options and we ended up seeing an endocrinologist, but we don't have a solution yet. I read Clomid may help with low T but the doctor didn't recommend anything yet. Anyway, I am thinking with a better insurance you could afford an endocrinologist and maybe reverse the damage the T shots did while increasing his T?
    DOR (FSH 13, AMH 0.48, AFC 6-9)
    IVF #1 -2016 March, antagonist, 5 eggs, 2 fertilized, 3DT - 8 cell and 6 cell no frag, chemical pregnancy
    IVF #2 - 2016 June, micro dose lupron, 3 eggs, 1 fertilized, 3DT 6 cell, BFN
    IVF #3 - 2016 November, estrogen priming + antagonist, 9 follicles, 3 eggs, none fertilized
    IVF #4 - 2017 March, testosterone priming + micro dose lupron, 2 eggs, none fertilized
    IVF #5 - 2017 May, A/ACP protocol, 4 follicles out of 7 seemed to get to required size, ovulated before retrieval, converted into IUI - BFN
    IVF #6 - 2017 July, A/ACP protocol, 3 follicles one stopped growing, LH rising, converted to IUI - BFN
    IVF #7 - 2017 September, antagonist, 5 follicles, 6 eggs,  3 immature, 3 injected, 1 fertilized, stopped growing day 3
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    @marioana99 We have thought of him changing jobs. He just started at this new company. He works as an electrician apprentice. He's got about another year before he can test for his electrician license. He works in the commercial construction area. The issue here is that it's difficult to come by good, decent companies that have constant (or near constant) job sites. Once one job site finishes, he's on to the next. This company is experiencing a HUGE boom in growth and just obtained a ton of new contracts. That's rare for this field in this area. With me not bringing in a ton of money yet, we can't be too picky. Plus, we HAD to have medical insurance. We were previously on mine. Once I resigned in June, there went our coverage. Trust me, I have even considered going to work somewhere part time that can offer better health insurance. But my work schedule is intense with long hours, meeting clients before & after, plus a 45 min commute. Doesn't leave much time for a part time anything.

    It's frustrating. I'm desperate to get him to and endocrinologist, but I think he's made his peace with that. I don't know that I can.
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    @funkykey Thank you for your kind words and reminders. I know, it's not the end of this. The rational side of my brain totally gets it. It's the other side that's having some trouble. Frankly, it's being a bit louder now anyway. I've got my own struggles with depression and anxiety. The anxiety ramped up about 7 months ago. My decision to leave education was difficult. It was a byproduct of a terrible situation. I do not want to get into specifics, but it gutted me. Turned my world upside down. My DH deserves sainthood because I was a handful for a while. I've pulled myself up since then and I'm slowly crawling out of that dark hole. It makes things, like our struggle to have a family, exponentially harder to deal with. 

    Having a hubs who is an electrician is AMAZING. He's so handy now! LOL. I think he just realized he's now the "family electrician". His brother calls him with any and ALL electrical issues. He's had to help out plenty of other tenants who also rent from his brother. He spent one of his very few days off doing electrical work for his parents who are knee deep in a total reno. He pretends it annoys me, but I know he likes feeling needed by those he loves. It does him some good.
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    @mcmullenk918 - oh man! You know, while you're dealing with IF, it's really really tough to keep depression and anxiety at bay at the best of times... There is a reason support groups exist! This is HARD!!

    Thinking of you, and hope you are taking good care of yourself!
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