Fertility treatment?
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  1. #1
    Mega Poster glwolf's Avatar
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    Default Fertility treatment?

    Ok so now I don't know what to do. I went to the RE today and he wants to do an HSG and if all goes well and if tubes aren't blocked etc. he wants to do an IUI right away. It costs about $2,200 per cycle so I don't think DH will go for that and I can't see doing 3 cycles of that.

    He did say DH semen analysis was normal and my lining looked good and he said I have a good overian reserve. He said you want to have about 10-20 and I have about 20 so that's great! I don't know why he won't just let me try Femera instead of going right for the IUI.

    I asked him if I should just try Femera and he said doing drugs alone without IUI or IVF only gives you about a 3-5% chance of getting pg. So I don't know... it seems like he's only interested in the big bucks and won't try meds 1st. He said I am ovulating so it wouldn't do anything for me. He said that I ovulated for sure last month by the ultrasound.

    So now I have to decide if I should do this or find a new dr or use the clomid i have? ahhhhh this is crazy.

    what do you think? Oh and he wouldnt' even look at my temp charts. he said that's not proof that you o'd that you need to look at the ultrasound.

    Oh and FF adjusted my O date to CD 26 so now if that's true there is no way i'm PG this cycle since we didn't BD anywhere around there.
    Last edited by glwolf; 03-01-2012 at 02:46 PM.
    Gina & Rob 6/3/00

    Proud Mom of Alyssa 11/19/04 and Logan 9/4/07





  2. #2
    Supporter Mimi83's Avatar
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    REs tend to be little hasty to start treatments, but I find it amazing that he recommends IUI without doing a whole workup. HSG is a good thing, at least you'll know where everything stands. My RE would not recommend anything until CD3 BW. Our problem is MFI so the recommendations were clear, but If you are ovulating on your own and your DH is good I don't see why he would not let you try a monitored/medicated cycle. Can you get a second opinion?
    Me 30 & DH 38 - Married 02/21/2003
    TTC #1 since March 2008
    1st IVF - February/March 2012-Cancelled due to low response
    2nd IVF - March/April-BFN
    Maybe another cycle?

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    Contributor CrescentMoonMama's Avatar
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    I would think that the RE would be willing to work with you and try the lesser invasive first. Maybe he's more interested in his success numbers? I agree that a second opinion might be a good idea.
    Last edited by CrescentMoonMama; 03-01-2012 at 05:27 PM.
    Lilypie Trying to Conceive 15 to 80 day cycle tickers

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    Mega Poster glwolf's Avatar
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    Quote Originally Posted by CrescentMoonMama View Post
    I would think that the RE would be willing to work with you and try the lesser invasive first. Maybe he's more interested in his success numbers? I agree that a second opinion might be a good idea.
    this is what DH said... he's probably worried about his #. I called an OBGYN in the area and made an appt for the 15th. She said i would be able to get Femara there as long as it seems like I'm a good canidate for it. I think that's a better way to go then to jump right into IUI. I mean... I would love to do that but it's just so expensive for something that might not even work.

    Oh and he wants me to get an HSG done. that's supposed to be the next step after AF shows he wants me to call. I just don't think I will. He was super nice but i am not ready for all that... I just want Femara LOL
    Gina & Rob 6/3/00

    Proud Mom of Alyssa 11/19/04 and Logan 9/4/07





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    Prolific Poster Leah261's Avatar
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    I agree on a second opinion Gina. My RE didn't even do an HSG yet. He said that I was O'ing but it wasn't an adequate O. I don't know how they can tell from an u/s at the end of your cycle if you O'd or not. He just looked at the blood work that my OBGYN did and said that I wasn't O'ing properly. He likes to do 3 rounds of Femara and then look at your tubes if that doesn't work or if something else indicates that they could be blocked. So he doesn't jump to anything invasive. He says he likes to start simple and then build from there. I bet since you have two kids your tubes are okay and you're just having trouble O'ing effectively. I would agree that Femara is the way to go! It worked for me right away and I never expected that after trying for so long. I hope you can get some Femara soon and get moving with this and that it'll work right away for you sweetie!
    MMC 4/12
    Leah (27)
    Drew (30)
    Diagnosed PCOS 2009 and Endometriosis May 2013
    Currently foster parents hoping to adopt
    Got our first placement at 2 days old 11/19 and hoping she is our forever daughter


  6. #6
    Mega Poster glwolf's Avatar
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    Quote Originally Posted by Leah261 View Post
    I agree on a second opinion Gina. My RE didn't even do an HSG yet. He said that I was O'ing but it wasn't an adequate O. I don't know how they can tell from an u/s at the end of your cycle if you O'd or not. He just looked at the blood work that my OBGYN did and said that I wasn't O'ing properly. He likes to do 3 rounds of Femara and then look at your tubes if that doesn't work or if something else indicates that they could be blocked. So he doesn't jump to anything invasive. He says he likes to start simple and then build from there. I bet since you have two kids your tubes are okay and you're just having trouble O'ing effectively. I would agree that Femara is the way to go! It worked for me right away and I never expected that after trying for so long. I hope you can get some Femara soon and get moving with this and that it'll work right away for you sweetie!
    Thanks so much Leah! I wish I lived by you so I could go to your DR!!! this is the only RE in the area I guess so I think I will be getting Femara from the OB and I don't know if they do bloodwork or not. this RE didn't do any bloodwork today either which i thought was really weird. I just don't want to do all that if i don't need to. We have decided if we need to go that invasive we are done and I will need to be happy with my 2 that i have. I just can't see spending that much money on something if we don't need to. If we didn't have any kids it would be a no brainer and I'd do it in a heartbeat but I feel like it's taking $ from my kids' mouthes KWIM?

    Leah I thought of you today and wished I could call you. I've been so upset and feel hopeless. I hope the dr on the 15th can help me. Oh and he said that he could tell I ovulated by my uterine lining? I don't know... maybe he was blowing smoke up my ***. maybe he's a fraud... who knows.
    Gina & Rob 6/3/00

    Proud Mom of Alyssa 11/19/04 and Logan 9/4/07





  7. #7
    Prolific Poster Leah261's Avatar
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    Aww honey I'm so sorry you were feeling so bad today. I'll pm you my number and you can text me or call me. If you have verizon we can text all we want. Hehe. I definitely feel like it's probably best to see the OB if they'll let you try Femara. Fertility treatments can be so expensive and I think it's best to start more basic. It definitely worked in my case. My RE didn't do an ultrasound until he did all the baseline blood work and everything and that was on days 2-5 of my cycle. He went ahead and ordered it when I went in to see him though and set it all up even though I was about to O I think. I'm not sure if they can tell by your lining. It builds up anyway. It's not like you don't have AF if you don't O because I've always had it even when I didn't O. So that doesn't make sense to me really but I could be wrong. Even so, I did 3 rounds of Clomid and O'd great but it appeared to cause some other side effects that made the egg unable to implant. So there are lots of things that can happen. I definitely think seeing someone else will help because at least you can get two different opinions and see which one you feel more comfortable about. That's what's most important in the end anyway. You feeling comfortable with whatever they're doing. I could see them wanting to do IUI in a few months if Femara didn't work but...right away without any indication you need to do it I'm not so sure. I'm sure it'll all work out though sweetie. I feel right now like Femara is a miracle drug and like choosing to take it was the best decision I made. And because of the lack of side effects I'd take it again in a heartbeat. Giant hugs to you sweetie!
    MMC 4/12
    Leah (27)
    Drew (30)
    Diagnosed PCOS 2009 and Endometriosis May 2013
    Currently foster parents hoping to adopt
    Got our first placement at 2 days old 11/19 and hoping she is our forever daughter


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    Mega Poster lemonlemon's Avatar
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    Gina- Thinking of you! I agree and I think you should try Femara- I'd feel more comfortable spending that big amount of money on an IUI if I knew I had tried cheaper/medicated options first.. How much is Femara??? Obviously it must HELP somewhat if it worked for Leah after all this time!!!!!
    HUGS!
    Cait+Kevin
    DS Brody 9/12/08
    DD Paisley 10/23/12

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    Mega Poster glwolf's Avatar
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    thanks ladies! yes i agree i would rather try a cheaper option first. it's silly to just go for the big guns right away you know?

    oh and I didn't like that he wouldn't even look at my charts. I have 4 months of info that he wouldn't even consider. oh well. he also said that since I've been getting AF i've been ovulating which i know isn't true. whatever... I think he's full of himself. maybe he's gotten too important LOL
    Gina & Rob 6/3/00

    Proud Mom of Alyssa 11/19/04 and Logan 9/4/07





  10. #10
    Prolific Poster Leah261's Avatar
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    That's so annoying that he said if you get AF you O because you don't O on bc pills and you sill get AF. WTH is up with this guy? Sounds like he kind of gave you the brush off and thinks he's pretty awesome. That's so disappointing. From what I hear most RE's are fantastic. I was so reluctant to go to one but mine is great and I feel extremely lucky that I got such a good one now. Oh and the great thing about Femara is that in comes in a generic now letrozole and I paid $2 for it. Clomid was $15-30 which isn't bad but heck I realized my fertility investment was only going to be $6 if it took three rounds and I felt pretty good about that. So basically insurance covered Femara and not Clomid...which is backwards from what they usually say. I have a good feeling about the Femara for you Gina! I think if you can get the OB to help you out good things are going to happen.
    MMC 4/12
    Leah (27)
    Drew (30)
    Diagnosed PCOS 2009 and Endometriosis May 2013
    Currently foster parents hoping to adopt
    Got our first placement at 2 days old 11/19 and hoping she is our forever daughter


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