Update on me

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yipeeladybug's picture
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Update on me

Hey ladies, sorry I've been busy with a sick DD and her sinus infection. Horrible, horrible things!!

Anyways, had my fertility clinic consult a couple of days ago, updated my post on the Stalkers Central thread about it. I'm kind of drained from it already.

I'm also busy b/c I am going to run in the CIBC Run for the Cure - it's my first 5k. I'm sure I can finish, it's just whether I can have a good running experience and am I prepared enough for it. So that makes me nervous.

raingirl28's picture
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*hugs* I agree that the money that would be spent on IVF might have better uses such as on your DD. How much is IUI with your clinic? Is it worth trying it once or twice?

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I would ask about IUI. I am not a fertility specialist, but having spent considerable time and effort trying to figure out our fertility issues and consulting with an RE, I am not really sure why you cannot try IUI given what you have said about test results. We also did not want to try IVF because we felt that we had to put our resources into our DS, not trying to have another baby. Although, there were times where I was feeling so low, that I was ready to try IVF. Infertility is rough and the decisions are hard. :bigarmhug:

My RE always wanted to try IUI first if that was possible. He also was very optimistic. Even though it took us 4 cycles with injectibles to finally have success, he always said that secondary infertility tends to be easier to treat and the odds of success are higher. Why? Because you have already proven that you can get pregnant and have a live birth.

So, I guess I would ask the RE about IUI. If they are not supportive, look for a second opinion. Good luck with the rest of the tests.

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Just read your update...a year ago my level was a 9 and back then they told me to see a fertility clinic but I didn't. Now my level is a 22 and we're going to do IVF with donor eggs. Costs about $25-30k. We could do so much with that money...tons of trips and such. DH put it this way... "Do we want to go on a trip and sight see and then it's over with or do we want a lifetime of having another child in our lives, something that will give us joy for the rest of our lives". Everyone's different though and spending that sort of money is never easy.

We also did one IUI cycle before making this decision. I've read IUI is better for 40 year old eggs because it's less manipulation but can take a few tries. In our case, one IUI was enough because 44 is looming ahead and I just want it to happen "now". IVF does have a lot of advantages but a lot more medication and monitoring. (Donor egg cycle is easier, all I do is get my lining ready.)

If your insurance covers IUI & IVF both, then you can always do some IUI's first. That way you also get used to what is involved. After my IUI, I was like "Shoot, if I can do this, then I can certainly tackle an IVF". Smile

Hope this helps some... /hugs

celticbandgeek's picture
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:lurk:

:bigarmhug: It's such a hard decision. I'm inclined to say try IUI first as well, especially due to the costs involved for IVF, but it is such a personal decision. Whatever you decide is right for your family is the RIGHT decision!

I know the Canadian system is different in some ways...are the clinics there as driven by "success statistics" as the ones here in the US? I just always wonder with older patients if they go right to IVF here because the success odds are higher, especially if the costs are going to be out-of-pocket for the patient. (Helps their stats, and they make a heck of a lot more $, too.)

You know we're the same age, and my FSH number is around 7.4, so a bit lower than yours but not by that much. I'm getting a few IUI cycles from my RE, but I know from our consult that it is only because my insurance won't cover IVF in our situation (at least one open tube and good numbers for DH) untill 3 or 4 IUIs, so they HAVE to go that route first. If we were paying out-of-pocket, they would have recommended going straight to IVF. Would I be better off if I went to IVF first? I have no idea of course, but I feel better doing the IUIs first, even if I ultimately end up with IVF.

:goodluck: And good luck with your 5K, too! Smile

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Hi Hun
Lovely to have an update.
As I really won't know what I am talking about I can't offer an opinion really....but I didn't want to not respond to the thread.
Huge hugs to you.
I hope you can make a decision and that it works for you.
xxxxxxxxxxxxxxxxxx

FLSunshineMom's picture
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I don't know much about IUI/IVF, either, so just wanted to wish you the very best. Thanks for the update Smile
And good luck with the 5K! I'm sure you'll do fine Smile Let us know how it went. I still haven't signed up for a 5K myself. Long story, but let's just say my hip joints weren't cooperating with running 3.1 miles 3x a week, so I've backed off and am doing strength training and power walking. A friend told me I'll still be able to run a 5K if I want to, but it won't put so much pressure on my joints if I'm not running all the time.

yipeeladybug's picture
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Thanks ladies, you gals are the best!!

We are still thinking on all this. And, for me anyway, I feel like I could change my mind anytime. Even tho my head says "You have a kid, don't waste money.", my heart says "I want a kid!"

Rachael, IUI is either $300 or $2700 depending on whether it's clomid or something else drug being used. Vs. IVF of $30,000 - it's A LOT cheaper.

Melanie, if you don't mind mentioning, did you or DH have any fertility concerns when you did IUI? Our dr was recommending IVF simply b/c pg rate was 40% and IUI was a lot lower (7-9%, I think, for my age). He didn't say no IUI...just didn't mention it except when comparing pg rates with IVF.

Jennifer, I can totally appreciate where you are coming from, if I was in your position, I probably would go IVF as quickly as possible too. These decisions really are very difficult to make, and in my own mind at least, I am constantly going back and forth. Good luck with your IVF, I hope that once is enough!! Smile

Jean, I agree, I often wonder if they recommend IVF just so they could charge more money and look better on their stats. Like I said before, this clinic has a 40% success rate for 40 yo. I'm not sure what is being covered, both DH and I should look at our medical benefits plan sometime soon.

Liz, thank you, you are always such a dear!!!

Mary, I agree with your friend, running every day isn't good, esp as we are just starting out...and I guess, esp at our ages??? Anyways, cross-training between runs is fantastic. Right now I run 3x a week and been walking lots at noon hour and after work pushing DD home in a stroller. I was told somewheres that bones take about a month to strength from an activity like running while muscles is only a matter of a few days or maybe a week. So we need to be careful at the start not to overtrain.

Ladies, I am running in the 5k day after tomorrow. I am feeling better and more prepared for it, as I ran maybe 4.5 kms yesterday and did fantastic! Not any record-breaking pace LOL, just that the general feeling, while tired and sore was awesome! Thanks for all the well wishes, hope DH will take some pics so I can share!

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Just wanted to offer a :bighug: I think everyone has said what needed to be said. Wishing you only the best!

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Thanks for the update, Sophia. When we first met with our RE back in May he basically gave us the choice of what we wanted to do between IUI and IVF. We chose IUI simply because we had gotten pg on our own before and it was covered by our insurance. Even though the odds for IVF are MUCH better, I'm just not ready for that yet. I'd rather give IUI a few tries before we move on- if nothing else at least to know we have done "everything."
I understand the struggle and debate on IVF; DH and I are praying that we never get there but are mentally (and financially) preparing for that to be the case.
And you are right- you can change your mind at ANY time. Just do what you and DH think it the best for y'all.
And GL with the 5K! Hope it's a great experience for you!

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"yipeeladybug" wrote:

Melanie, if you don't mind mentioning, did you or DH have any fertility concerns when you did IUI? Our dr was recommending IVF simply b/c pg rate was 40% and IUI was a lot lower (7-9%, I think, for my age). He didn't say no IUI...just didn't mention it except when comparing pg rates with IVF.

My DH had an excellent count, but he had some slight concerns with mobility. I was the one who had some hormonal issues. We actually attempted 3 cycles with just meds, no IUI. The 4th cycle was an IUI and that is the one where we had success. Our cycles ran us about $2000 per cycle because of the meds. We only paid for one med on our last cycle, thanks to an awesome pg. org member who donated meds to me.

The pg rate with IVF does tend to be higher. The decision between IVF and IUI can be hard. I know we really took the time to consider our options and our feelings about IVF from an ethical standpoint. How did we feel about some of the ethical aspects of IVF vs. IUI. We also decided to go with IUI first because we had already had one successful pregnancy/live birth without the need for fertility treatment, so we felt that IUI had a chance for success. Our RE felt the same way. However, I can tell you that the RE we chose was not concerned about his success statistics and his practice was very different from many in the field. That is why we chose him.

The other thing that I learned from all of this is that even if the RE knows what might be wrong fertility-wise, they never know how you will respond to a particular treatment until they try it. So, it is a learning curve for all involved. My first cycle on meds taught us that I needed a medication to stop me from ovulating on my own because I O'd on CD 12. The cycle was a bust and it was so disappointing, but it taught my RE some things about my body that we never anticipated. Any IUI/IVF cycle is the same. The RE has to see how your body will respond. I think for many IVF is also a recommendation because they can control it so much more. They are in charge of the eggs once they are retrieved, they can see how many fertilize, they can see how well they fertilize, etc. It not only increases their success stats, but it gives them a glimpse at fertilization, which does sometimes provide answers you would not get from IUI.