October Cyclers - Post Here

iVillage Member
Registered: 02-29-2000
October Cyclers - Post Here
26
Tue, 09-04-2012 - 10:08am

Anyone looking at a cycle in October?  Here's a thread for you!  Good luck!!

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iVillage Member
Registered: 08-27-2008
Thu, 09-27-2012 - 11:27pm
I'm here =) Following my BFN in the September thread I'm jumping into another FET try. Just got my protocol today and I'll be doing a transfer on 10/29. Start BCPs Saturday. Anyone else here in the October group?

Caryn
iVillage Member
Registered: 10-05-2012
Fri, 10-05-2012 - 11:11pm

I'm new, not sure if I'm considered October or November. I'm on BCP now. Last day of the pill is scheduled to be 10/26. Training/orientation 10/24 and hopefully ER around Veterans Day. If I'm November and not October, I'll just hang around here until that thread is started.

I hate to say it, but I feel very underprepared for this and it seems like we've been planning it for soooo long! I was reading through the September cycles and all of this sounds like a completely new language. My husband has bad sperm. That's about as far as my technical knowledge goes at the moment. Our protocol includes ICIS, if/when we get there. We have tried every bazaar pregnancy technique we've heard of for the past 3 years, and are completely skipping over IUI or other treatments. We're told they just won't be effective for us. So here we are! Glad to have found this place!

iVillage Member
Registered: 02-29-2000
Sat, 10-06-2012 - 1:05am
Hi,

We had male factor issues that had us skip right over getting to try the less invasive procedures as well. It took three cycles (we had other issues as well) but we have an ivf miracle about to turn 3!

Starting out in the process can be so overwhelming, but you will catch on. Is there anything you have questions about or just want to know more about? We've all been there at one time or another, so feel free to take advantage of our knowledge. It really doesn't matter between October or November where you post, just posting and getting the support from others who have BTDT is a big help.

Good luck!!
Cilla
iVillage Member
Registered: 10-05-2012
Sat, 10-06-2012 - 10:20am

Yes! I have about a million questions, actually! First of all, so glad to hear about your success. That's very encouraging. I've tried to be cautiously optimistic about our likelihood, I'm 29 with no issues and my husband (DH?) is 29 as well. It just all seems like a bit of a crap shoot, with everyone's case being uniquely their own. So it's encouraging, but I'm trying not to let myself be too encouraged. A bright little ray of sunshine, I know! :smileyhappy:

Our doc is in St. Louis, and we're in Tulsa. There are two centers that I know of in Oklahoma. The one in Tulsa is AWFUL and I will never step foot in it again. I've heard good things about the center in OKC, but even better about our doctor in St. Louis, who is very "doctors-without-border" and a little vulger. I like him a lot. Plus his clinic has a 90% success rate. So anyway, being that our doctor is 6 hours away, I will obviously be doing a lot of traveling. I have already accepted that not being able to book airfare and hotel in advance is going to be a financial sting, but I feel like I should be able to get a good idea on pharm costs and types of meds.

Can you fill me in on the different types of shots and pills and such there are (I know everyone takes different ones)? I saw a lot of Lupron; it seems to be pretty standard. What is the average cost without insurance. We're doing all of this out-of-pocket. Hooray! Also, I saw something about royal bee jelly a few places. What on earth is that? It seems really effective. And why accupuncture for some ladies? Does that help?

I'm afraid you just opened up a whole can of questions. My apologies! 

iVillage Member
Registered: 08-27-2008
Sat, 10-06-2012 - 10:21am

Welcome!  From the looks of it there aren't very many people cycling in October so we can easily make this an Oct/Nov group =)  Some of us find comfort in knowing every single detail (all of mine are in my siggy) but there's absolutely nothing wrong with just letting the docs do their thing and taking one day at a time.  We also used ICSI because my husband has bad sperm (low count, morph and motility - the trifecta!).  We TTC for about three years before our first IVF in '09 too.  It's such a long hard road.  If you have questions don't hesitate to ask, I'll do my best to help.  Happy you found us here!!!

I just saw we were typing at the same time so I'm going to edit this and try to answer some of your questions:

1. Acupuncture has been shown in some studies to help grow eggs and help implantation.  I used it on my fresh cycle and my first FET (last month) but I'm going to try not using it this cycle and see how it goes.  The research is less sure about it helping in FET cycles.  If you have an acupuncturist near you this might be something to look in to. Mine was $75 a visit and she wanted to see me twice a week for 4 weeks before transfer.  Then on day of transfer it was $300 for acupuncture before and after transfer.  With you doing it remotely maybe you'd use a different acupuncturist on the day of transfer.

2. The cost of meds can vary a lot depending on what your doctor prescribes.  I was self pay during my fresh IVF and spent about $2k.  I found some of my meds on freegaragesale.com for about 1/2 price.  It's a site where other IVF patients sell their extras but beware, some get ripped off sometimes. I only bought from people who were local and I could meet in person to exchange $ with.  

3. Royal bee pollen has been shown to help with fertility but I forgot exactly how.  I took it during my fresh cycle...along with a handful of other vitamins and supplements =)

Please don't appologize for any question!  I remeber what it was like my first time through and it was so nice to have others to talk to about all of this.  It's a crazy ride but it does work =)  

Blog at http://someday-soon13.blogspot.com 


<Photobucket

DH - (34) & I (Caryn-37) got Married in Mar '06, started TTC Jan '07
~3 years of TTC, 8 cycles on Clomid, LAP surgery, 3 IUIs and 1 lucky IVF

IVF details: DHEA therapy and acupuncture for three months before IVF
BCPs for 30 days - Micro Lupron Flare protocol - started cycle on 8/29/09
Stims: Menopur (225) and Bravelle (225) for 10.5 days
ER 9/12/09 - 12 eggs, 11 mature, 11 fertilized with ICSI, 10 developed
5dt of 2 blasts on 9/17/09 - 4 A & B quality blasts made it to the freezer
OHSS started 9/20 - paracentesis of 750ml on 9/28 & 3x a day Heparin
Betas: 13 DPO hCG=107 on 9/25 and 16 DPO hCG=298 on 9/28/09
1st u/s on 10/14/09 at 6w4d ~ 1 stuck and had a heart rate of 122
2nd u/s on 10/27/09 at 8w3d ~ 3 days ahead and heart rate was 173
NT scan on 12/1/09 at 13w3d ~ heart rate was 164 and fold = 1.5mm
12/28/09 at 17w2d u/s said GIRL and 1/19 u/s at 20w3d agreed

Kylie Brynn arrived via c-section on May 29, 2010!

TTC #2 - FET in September of 2012 - BFN. Next FET in October, better luck this time, please!

baby growth

iVillage Member
Registered: 10-05-2012
Sat, 10-06-2012 - 10:23am

Oh, my name is Lindsay, btw. 

iVillage Member
Registered: 08-27-2008
Sat, 10-06-2012 - 10:39am
Hi Lindsay! I just added some answers to your questions in my post above =)
iVillage Member
Registered: 02-29-2000
Sat, 10-06-2012 - 3:35pm
Hi Lindsay,

I live in smaller city in Alabama and had to drive across the state for my procedures. It was only a 3 1/2 hour drive (one way) for me. I was able to do some of my monitoring locally (but because my local OB/GYN had to send out the bloodwork I realized that was more expensive than the gas and the last cycle I drove every visit to the RE's clinic for my monitoring). You may be able to work out an arrangement to do the monitoring locally and save you some travel. Oh, remember to record all your mileage and travel expenses to use on your taxes!!

About the meds, there really are several procedures, so can't give exact details, but one of the more common cycles uses lupron. This type of cycle usually starts with a few days to a few weeks of birth control pills which put you onto the right schedule and then you start taking lupron. Lupron is given via a subcutaneous injection and it basically turns off a lot of your normal hormone production so that it can be managed by the drugs that the RE will give you and will keep you from ovulating prematurely. (Other cycles that don't use lupron will use a different drug to prevent ovulation.) You will have a period a few days after stopping the birth control pills and on day 3 of your cycle, you go in for baseline monitoring which involves bloodwork and a transvaginal ultrasound (fun, huh!). They will look at the results and then probably give you a call with instructions about starting stim medicines. These are also injectible subcutaneously and usually done morning and evening. Monitoring goes with about every third day, then maybe two to three days (depending on how fast or slow you respond) and every other day for a couple visits and as you get closer to being ready for retrieval, you need to be monitored everyday. When your follicles are ready, you will take an hcg trigger shot at a very precise time (which is 36 hours before retrieval). This may be subcutaneous or it might be an intramuscular injection (depending on what your doctor prescribes). They will likely check you the next day to make sure the hcg is high enough in your system to mature the eggs for retrieval. Retrieval is usually done under anesthesia and they will be able to tell you how many eggs were harvested after you wake. They will immediately take them to be washed and ICSI'd and you will find out the next day how many fertilized. Usually, depending on the number of eggs and quality, you will do a 3 or a 5 day transfer. A 3 day transfer will put back embryos around the 8-cell stage and a 5 day transfer will put them back at a blastocyst stage. A lot of people prefer the 5 day transfer, but don't be concerned if your doctor wants to do a 3 day. That is very common and also has a lot of success. Hopefully you will have a few that you can freeze for backups (or even better, to try for a sibling later). You typically go about 10 days to 2 weeks in utter panic (aka the 2WW) while you wait to see if the cycle was successful or not. Try to do something to get your mind off everything or you can obsess over every little twinge.

You may want to do hpt's during the 2WW, and if you do, you have to remember that it does take longer for hcg to show in urine so you can get a negative hpt and go to the doctor and get a positive beta bloodtest. Don't do them if you are going to freak out over negatives. If it stresses you less to keep a watch on so that you aren't blindsided with a negative at the beta, then it's a good idea. Personally I could not stand to see another negative hpt in my life and I stayed away from them.

As to the cost, my insurance paid for diagnosis, but nothing for procedures. It really irked me that the same test I had one month to check my E2 levels I paid $3 for with insurance but the next month I had to pay $300-400 for it! Ugh!! Anyway, my fresh cycles cost about $11K (including ICSI and Assisted Hatching) and the meds when I did lupron were around $3K. I also did a cycle that omitted lupron and it worked better for me, but the meds were closer to $4K. When I did my monitoring with my local OB/GYN, the cycle itself cost $1200 less, but I spent closer to $2000 for the ultrasounds and bloodwork. All in all, I would say it cost about $14-15K total for each of the cycles that I did. A couple things you should keep in mind is to shop around for your meds. Pharmacies charge different prices, so you may be able to save some here and there. Some meds may still get covered by insurance if you try it, so file for insurance if you can (the PIO and estrogen I took after transfer were actually covered, I think maybe because they coded for pregnancy support or something other than infertility). Also some clinics have meds donated back to them, so check to see if they do and if you qualify to get some help that way.

Hope that with what Caryn shared helps some!

Good luck!!
iVillage Member
Registered: 10-05-2012
Sun, 10-07-2012 - 8:19pm

Wow. What AMAZING information! Thank you so much! I really feel so much better informed. I am such a planner and not being able to have every detail of this under control really just drives me crazy! Your info helped me to think of things that I can take charge of, like finding out the drugs that my doc plans on putting me on and shopping around for prices. That's at least something I can do in the interim!

iVillage Member
Registered: 02-29-2000
Mon, 10-08-2012 - 8:50pm
I know one of the hardest things for me was the lack of control!! I did things like chart out a spreadsheet of the drugs I took which days, and calculate how much meds I got out of the pen cartridges. LOL! I am a nerd!! :smileyhappy:

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