My Retun
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Thread: My Retun

  1. #1
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    Default My Retun

    Hi Ladies,

    It's been months since I've posted anything, or even checked the forums. For the past year, DH & I have been on the journey to discover why DH has zero sperm count.... He's had multiple blood test, MRI, we've gone to 2 different urologist, endocrinologist, and finally a fertility specialist. We FINALLY got our answer - DH has Y-chromosome microdeletion. It's time to move on with donor sperm.

    I have been working a temporary job (which I LOVE!) for the past 6 months, and should find out in the next month if I'll have a permanent position, and fingers crossed, b/c the insurance would cover IUI/IVF!! (up to $15K!)

    We've never considered IUI since we were hoping to find sperm and do ICSI.

    I'm hoping to get some insight on IUI - unmedicated vs medicated? Generally what is the cost of a medicated cycle? (without donor sperm, I know the cost of that) and what does a medicated cycle include?

    I just don't know if we should at least try IUI first, before jumping to a more invasive IVF. the only testing I've had done was day 20 bloodwork and ultrasound, which came back "normal". To my knowledge, I ovualte CD 15, however my cycles are usually only 24 days (so luteal phase is only 9 days or so)

    I'm afraid to "waste" several months trying IUI, when IVF has such a higher sucess rate....and I only can say that knowing that our insurance would cover most of it (yes we'd still have our deductible, and prob some med wouldn't be covered)

    Thoughts? Experiences? For those that maybe have tried IUI & IVF, would you do something differently??

    thanks!

    Toni

  2. #2
    Mega Poster CaityA83's Avatar
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    Congrats on getting a diagnosis and now having a direction to go in! I am nearly the iui pro. I have done 6 total IUIs. DH and I had unexplained infertility although his swimmers had issues. I tested fine and ovulated every month.
    Our first 3 IUIs (all bfn) were done at my OB office (no monitoring or anything... Just call when you get a positive opk). They only cost about $200 a pop or so. I had the insurance that covered up to $15k of fertility treatments over my lifetime so I don't remember the exact cost. Two of those three I used clomid for. My 4th iui (another bfn) was with femara and a trigger and was done at an REs office. They did do some ultrasounds and bw to decide when to give me the trigger and do the iui. My 5th iui was with femara/fillistim/trigger. They did all the ultrasounds and bloodwork for that also. That one resulted in a BFP but it ended up being a blighted ovum. For iui #6 we did basically the same protocol as with iui #5 and that one is what gave us our DS!

    I'm fine with how everything turned out, but I feel like the first 3 IUIs were a complete waste of time and money!! I don't think they were times properly and I wasn't being monitored or anything. If I had to go back and do it again I would have skipped straight to iui with injectables. Of course hindsight is 20/20 though! If I were in your shoes then I would not start with IVF. From my understanding of your post, you don't have any signs of fertility problems, right? Just DH doesn't have any sperm? IVF is considerably more expensive than iui. And for me, I knew we would want to have more children, so I wouldn't want to spend all my insurance money getting baby #1 and then not be able to afford to ttc more children in the future.

    GL with your decisions!! Feel free to message me if you have any other questions!
    Caitlin & James
    11/11/07

    4 IUIs-BFN
    IUI/Injectables - BFP!
    MC 4/22/10 -10w5d -BO
    IUI/Injectables-BFP!



    Corbin Gregory arrived 3-25-11

    Lilypie Pregnancy tickers

  3. #3
    Posting Addict smsturner's Avatar
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    I haven't been there. But I talk with a ton of ladies that have. Usually their reasons for doing the IUI first is a cost thing. Plus it's less invasive. The meds for IVF are much more crazy, and expensive. (actually if the meds aren't covered, it still might be cheaper to pay for IUI)
    From what I've heard from others, it was a couple hundred to do IUI, but a normal IVF is around 5000.

    I hope whatever you pick is perfect for you!!! And I hope you get your baby very very soon!!!
    Maddz likes this.
    Susan, dh Tom, dd Megan, ds Marcus, ds #2 coming Feb, 2014

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    I never knew until that moment how badly it could hurt to lose something you never really had. - Missed Miscarriage at 10 weeks - 3/26

  4. #4
    Community Host AnnaRO's Avatar
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    Default

    I agree with the IUI sounding like the better option initially. As long as you are ovulating regularly IUI should be the way to go, especially since it would be more cost effective. I also like Caitlin's point about saving some of that insurance benefit for future babies. Whatever you end up deciding, and KUP!

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    Oh my - just realized that I can't spell - name of post should have read "My Return"

    So yes, I currently (to my knowledge) do NOT have any fertility problems. However, I've only done Day 22 blood work, which indicated that I ovulated, and progestrone levels were around a 10. (I think, this was about a year ago) And an ultrasound that came back normal with no issues.

    Therefore I think it's best if we start with IUI. We had our consultation about 6 months ago with Shady Grove Fertility (an office in my area) and we really liked the dr's and staff. However, recently found out that the insurance I will receive through my work does NOT cover IVF, and only 70/30 % of other procedures. This is b/c another clinic in the area is the preferred clinic (b/c I work for a hospital, they prefer a use a clinic associated with the hospital) So now we have to schedule a consultations at the new clinic and start over. Only makes sense since this clinic is covered through insurance.

    Since insurance is covering our procedures, would you suggest going with Clomid or injectibles?

  6. #6
    Mega Poster CaityA83's Avatar
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    You can probably have your current clinic send all your test results to the clinic that is covered under your insurance. That way you won't have to repeat any tests you've already done. As for clomid vs injectibles... That's probably something you should talk to the RE about and see what he says. If it were me, I would go with injectables just to give yourself the best shot. However I used an oral medication with my injectables. I used femara (you can get a great coupon on their website to cover any femara expenses). But you do run the risk of multiples if you are a fertile mertile and go that route. It might be beneficial to try just iui one month to see if you can get pregnant that way before upping the number of eggs.

    Very exciting though!! Best of luck to you!! I'll be stalking you
    Caitlin & James
    11/11/07

    4 IUIs-BFN
    IUI/Injectables - BFP!
    MC 4/22/10 -10w5d -BO
    IUI/Injectables-BFP!



    Corbin Gregory arrived 3-25-11

    Lilypie Pregnancy tickers

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    Thanks Caity for your response and advice. Still waiting on job.....womp womp womp. Last we heard, they hoped to have the budget passed by end of May. I hate waiting

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    Oh and Congrats on your LO!! Very exciting!!!!

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