My 'next steps' RE appt

iVillage Member
Registered: 06-16-2008
My 'next steps' RE appt
19
Thu, 11-13-2008 - 8:05pm

Hi ladies. I had my next steps appointment today.  I am still overwhelmed, although I am letting things sink in. Long vent below.


If you want just the summary:  The docs and nurses were not nice today, and they want us to move to a hybrid protocol IUI, and I am overwhelmed and need some time to think.


If you want the nitty gritty: My RE is in a university system, so the student doc talked with me first. He basically blew off my concerns about my back discomfort and thoughts that it might be endo. He blew off that my right ovary was behind my uterus during my sonohist. Then he explained the "steps" of levels of med, procedures, etc- while looking at the computer screen more than my face.  Frustrating, but I have learned to take the students with a grain of salt...the he left to go talk with my RE.


Then my RE came in and said that student and she had talked about what we decided my next step would be, with a hybrid protocol with IUI... really, because he explained diferent items, but never did "we" decide...anyway, she seemed amused (there was a little giggle) at my list of concerns and questions about my back pain, ovary position, and she said it is not likely I have any other issues than ovary cysts/disfunction and my TSH still needs to come down a bit...I had always felt comfortable with her before this appt. She also said "Your partner's sperm is not bad, we just want him to see the doctor to see if we can make it better", last time I was there they made a big deal about how borderline it was based on morph and motility...


Then a different nurse than I have ever seen there came in and gave me instructions for the hybrid protocol, etc. She was not nice at all, she said she was having a bad day...(hmmm, wanna talk about a bad day, how about being infertile!!!)


So I grew a backbone and explained that while I will consider the hybrid protocol and IUI, I want to wait for C to see the RE urol on Dec. 1st and for my new dose of synthroid to kick in before we proceed with anything, so that puts us to a mid January cycle at the earliest. At this point they were finally nice and emphasized that I am in control of this and if I want to wait 1 month or 6 months it is up to me and I can come back and talk with the nurse (hopefully the other nicer nurse) about any questions I have in the meantime. 


My insurance will cover these items, but they build towards a 'lifetime max' that is pretty small....like 1 or 2 IUI's based on the price sheet. I have to talk with the doc office and see if they code all of it as IF or if they are able to code any of it as diagnosis or something else that is covered.


I am going to keep hoping I get a BFP by some miracle before January, even though in my heart I know it won't happen. I am afraid to do the IUI because in my heart I am afraid(sure) it will not work and we will be crushed. I know it is early in my journey and I am so sorry anyone of us has to go through any of this.


Sorry for the long vent....Thanks for listening. 

Angela


Me 31, C 33. Together since 1994. TTC Since November 2006. Me-Low thyroid function, cystic ovaries but not PCOS C-1st SA rockstar except low morph, 2nd SA still low morph and now borderline motility....trying 3 unmonitored cycles of Femara....then it's back to the RE for me and the RE/Urologist for him


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Angela

Me 32, C 34. Toge

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iVillage Member
Registered: 10-31-2008
Thu, 11-13-2008 - 8:59pm

Hey Angela,


Don't you hate it when they (medical people) act like

~Christine~


TTC since 6/2007. 
IVF #1 Jan 2009 - BFN
IVF# 2  April 2009 - BFN
IVF# 3 July

iVillage Member
Registered: 06-28-2008
Fri, 11-14-2008 - 2:48am

((((HUGS))))What a jerk!

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iVillage Member
Registered: 10-31-2008
Fri, 11-14-2008 - 9:16am

Angela,


You and I sound more and more a like everytime I read your posts.

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iVillage Member
Registered: 06-16-2008
Fri, 11-14-2008 - 9:36am

I think some other ladies on here are on the same protocol...this clinic likes to be fancy and call it hybrid...LOL.


It is...Femara 5mg CD 3-7...then Gonal-f injections CD 7-9 at least, then based on U/S they have you continue, up, or stop the injections, then when U/S and b/w are 'good', trigger, 36 hours later IUI.


I just felt overhwhelmed because I didn't know they would want me on injections, since I did O on Femara (and I think I O

 

Angela

Me 32, C 34. Toge

iVillage Member
Registered: 10-31-2008
Fri, 11-14-2008 - 9:47am

I completely understand.

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iVillage Member
Registered: 06-16-2008
Fri, 11-14-2008 - 10:34am

No, they didn't have me trigger. They just had me do progesterone b/w 8 days after I got the +OPK to verify if I ovulated.

 

Angela

Me 32, C 34. Toge

iVillage Member
Registered: 10-31-2008
Fri, 11-14-2008 - 11:13am

Work- thats what I am suppose to be doing.

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iVillage Member
Registered: 01-08-2008
Fri, 11-14-2008 - 11:16am

oh angela,

(((((hugs))))) i'm so sorry you had that experience. it's horrible not to be taken seriously, especially when you just know you might be right. if you were in the chicago area, i would recommend changing to my RE. going through IF is hard enough, but you're putting yourself at the mercy of your clinic, and they're not taking the responsibility seriously (i don't mean the medical care, i mean not addressing your concerns). it can be really hard to know what to do. a friend of a friend, who went through IVF, chose their clinic based on success rates. they had a nasty doctor (who basically said that it was her fault for all this, since they were dealing with female IF) but they had confidence in the facility itself. the clinic i've been with is stand-alone (not a hospital clinic) but was recommended to us (and they have great ivf success rates, although i'm sure i've messed up their stats for the past few yrs w/ all my failed ivfs!)and the RE is a wonderful man, but his main nurse is a total you-know-what. she's totally condescending and dismissive, and treats me like i'm completely crazy to have any questions. i could only talk to RE during appts w/ him, but luckily he does his own u/s, so i would save up questions to ask during that time (yes, it's not the most comfortable scene asking him questions while i'm still in the stirrups!). i don't even know what my point is in all this. i guess i think it's important that you feel that you've made the best decision you can and you're comfortable with it. that means somehow having your questions answered.

ana


TTC since Sept '06. Diagnosed w/ PCOS, DH diagnosed with azoospermia Dec '06, TESA Mar '07
IVF/ICSI/AZH#1 Aug'07, BFN (6 usable eggs, 5 embies, 2 transferred, 1st beta=18, 2nd beta=12, 0 made it to blast to freeze)
IVF/ICSI#2:retrieval Nov'07 (w/ fresh TESA), FET sched Jan'08, no embryos to transfer (23 usable eggs, 12 embies, 0 made it to transfer)
IVF/ICSI#3: retrieval Mar'08, FET May'08, BFN (13 usable eggs, 7 fertilized w/ DH sperm= 0 blasts, 6 fertlized w/ DS=3 blasts, all 3 transferred, 1st beta=74, 2nd beta=64, 3rd beta=42)
1st cycle IUI/clomid/donor sperm postponed due to lack of follicular growth on 100mg clomidx5days.

ana

mom to beautiful baby lia.
iVillage Member
Registered: 06-16-2008
Fri, 11-14-2008 - 12:13pm

Thanks for understanding Christine.

 

Angela

Me 32, C 34. Toge

iVillage Member
Registered: 06-16-2008
Fri, 11-14-2008 - 12:19pm

Thanks for your kind words. It means a lot to have people understand all these crazy emotions. I have told C that he

 

Angela

Me 32, C 34. Toge

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