I talked to my clinic today, and my DR and I, in the past, had discussed the PGD testing, as I am older and we'd love a boy. In talking with the clinic today, they require ICSI if you're doing the PGD testing. My question is, is ICSI worth the additional $5000? Has anyone done IVF then ICSI or just in general had better luck with it? Part of me feels that if the IVF doesn't work the first time, that $5000 would really help an additional cycle. Any thoughts?
ICSI is done frequently to deal with MFI and I think in theory it has better fertilization rates because they’re injecting the sperm directly into the egg. $5000 seems very steep, though. I think ICSI for us is maybe $1500-$2500 extra and that’s in NYC, where I expect costs for everything to be wildly out of control. If you have any indication of MFI, I’d do it regardless of PGD testing. But if you don’t, I suppose it comes down to how badly you want to do the testing.
Hm..I think with PGD it will up your changes because instead of just giving you the grade of the embryo it's checking chromosomes/disorders etc. Or at least that is how I understood it which is why we are doing it. We are paying 3500 for PGD/icsi because of course that isn't covered just an extra cost.
Married: 5/09 ~ TTC Since: 10/10 ~ PCOS ~ Progesterone from 10/10 - 2/11 ~ HSG on 3/18 - Clear ~ Started Metformin 1000mg & Clomid 50mg 2/11 ~ Metformin upped to 1500mg 4/6 ~ 6/7 Now going to SG and put on Clomid, Ovidrel, Gonal F, Prometrium, Estrace ~ IUI #1 7/2 = BFP!!!!!! March 6th our little man was born.
6/17/13 - Ovidrel, Follistim, Prometrium ~ IUI #1 7/2 = BFP! March 17th our St. Pattys day baby arrived
10/29/17 - Started process for IVF, got pregnant & miscarried a 2nd time since summer. 2/22 started stims - Menopur, Gonal F, Cetrotide - retrieval 3/6 - , PIO, estrace 3xday - FET 4/18 = Beta 1: 616; Beta 2: 1342 = BFP
libellula28 did you mean 5K for PGD/PGS plus icsi? I did PICSI (which is icsi with sperm selected after binding to a special protein) and that was only an extra 1K (and my place is hella expensive...NYC also). ICSI alone shouldnt be 5K... I'd call the financial coordinator and get a price list....
I think ICSI was only $2000-2500 more at the clinic we're going to, which I think is one of the more expensive clinics. Did the $5k you were quoted include ICSI and PGS/PGD testing? We don't have MFI but want the chromosome screening so we are doing ICSI for that plus it increases fertilization rates.
Good luck deciding!
*TW*
Me:35 DH:35 Dx: PCOS DS1 born 11/2014 DS2 born 11/2018 3 previous losses Rainbow babydue 12/2021 - Team Green
I agree with the rest. This sounds like the PGS cost.
TTC history in spoiler box:
Me: 42, single Hysteroscopy: 2013 IUI #1-2: 2013 BFN Surgery 10/2015: Planned to start trying again but had a surgery. (Not related to fertility) Surgery 5/2016: Planned to start trying again but had another surgery. (Not related to fertility) IUI #3-5 (with Clomid): summer 2016 BFN IVF #1: 11/2016. 30R; 21M; 20F; 8B (6 day5 & 2 day6); 4 normal after PGS Medicated FET #1: 1/31/2017 transferred 1 embryo 3AA. BFP. Embryo stopped growing at 6w 1d. MUA at 9w 3d. Medicated FET #2: June 2017 - cancelled... Hysteroscopy #2: June 2017 Medicated FET #2: 8/7/2017 transferred 1 embryo 5BB. BFP. Ended in CP. Medicated FET #3: 10/11/2017 transferred 1 embryo 3AA. BFN ERA: December 2017 - need an extra 12 hours of PIO Medicated FET #4: 1/24/2018 transferred 1 embryo 4AA. BFN Out of embryos. IVF #2: 03/2018.
The ICSI is $1961 per cycle with the added $2646 for PGD/PGS with an additional $350 per embryo per cycle. I suppose for the better odds it's worth it, but my goodness it all just adds up so fast!!
Gosh, maybe I need to look into clinics in other states.
I feel like the price of the PGS/PGD isnt bad... the icsi seems overpriced and im guessing the 350 per embryo is either for the embryo biopsy or for per embryo in excess of say, 5???? if its an added biopsy fee, that sux (ive seen it at certain clinics) if its for extra embies, i think i was quoted something like 200-250 per embie
Our ICSI was included in our IVF price. Our PGS testing was roughly $2000. That was for eight embryos in 9 months. I believe it was $350 per extra embryo in those 9 months. We had five but two can back as inconclusive. We are retesting those but didn’t have to pay since it’s still 8 in 9.
Re: IVF vs. ICSI
Married: 5/09 ~ TTC Since: 10/10 ~ PCOS ~ Progesterone from 10/10 - 2/11 ~ HSG on 3/18 - Clear ~ Started Metformin 1000mg & Clomid 50mg 2/11 ~ Metformin upped to 1500mg 4/6 ~ 6/7 Now going to SG and put on Clomid, Ovidrel, Gonal F, Prometrium, Estrace ~ IUI #1 7/2 = BFP!!!!!! March 6th our little man was born.
6/17/13 - Ovidrel, Follistim, Prometrium ~ IUI #1 7/2 = BFP! March 17th our St. Pattys day baby arrived
10/29/17 - Started process for IVF, got pregnant & miscarried a 2nd time since summer. 2/22 started stims - Menopur, Gonal F, Cetrotide - retrieval 3/6 - , PIO, estrace 3xday - FET 4/18 = Beta 1: 616; Beta 2: 1342 = BFP
Good luck deciding!
Dx: PCOS
DS1 born 11/2014
DS2 born 11/2018
3 previous losses
Rainbow baby due 12/2021 - Team Green
Hysteroscopy: 2013
IUI #1-2: 2013 BFN
Surgery 10/2015: Planned to start trying again but had a surgery. (Not related to fertility)
Surgery 5/2016: Planned to start trying again but had another surgery. (Not related to fertility)
IUI #3-5 (with Clomid): summer 2016 BFN
IVF #1: 11/2016. 30R; 21M; 20F; 8B (6 day5 & 2 day6); 4 normal after PGS
Medicated FET #1: 1/31/2017 transferred 1 embryo 3AA. BFP. Embryo stopped growing at 6w 1d. MUA at 9w 3d.
Medicated FET #2: June 2017 - cancelled...
Hysteroscopy #2: June 2017
Medicated FET #2: 8/7/2017 transferred 1 embryo 5BB. BFP. Ended in CP.
Medicated FET #3: 10/11/2017 transferred 1 embryo 3AA. BFN
ERA: December 2017 - need an extra 12 hours of PIO
Medicated FET #4: 1/24/2018 transferred 1 embryo 4AA. BFN
Out of embryos.
IVF #2: 03/2018.
Gosh, maybe I need to look into clinics in other states.