September Cyclers - Post here!!

iVillage Member
Registered: 02-29-2000
September Cyclers - Post here!!
169
Fri, 08-03-2012 - 11:03am

Here's a thread for all those looking at September as your cycle month! 

Good luck!!!  

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iVillage Member
Registered: 08-27-2008
Tue, 09-18-2012 - 11:39am

Christina ~ Oh no, what happened?!?!  Big {{{HUGS}}} This friggen sucks!!!

Tess ~ WOO-HOO! Congratulations on your strong little bean. I know the anxiety never really goes away but for me after I saw the heart beat for the first time I calmed down a lot.

proudmama ~ Sorry you're in so much pain =( Hope you recover quickly and your "what's up" appointment goes well. KUP!

AFM (Caryn) ~ I could be imagining things but I felt some cramping yesterday afternoon and evening. Obviously I'm hoping it was implantation but who knows. I took my last hcg shot today so my POAS adventures will start tomorrow. They will be false positive until at least this weekend from the shots but it'll give me a project to keep me busy =)

iVillage Member
Registered: 01-18-2008
Tue, 09-18-2012 - 11:35am
No eggs retrieved.

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iVillage Member
Registered: 03-21-2011
Tue, 09-18-2012 - 11:03am
Christina - GOOD LUCK!!!!!

Caryn - how are you feeling? Any symptoms yet? Have you started the POAS frenzy?

AFM - first US today at 5w4d and everything looks good! They saw a gestational sac and yolk sac which is what they expected to see. I go back next Monday and she said there should be a heartbeat by then. I am still trying to control my anxiety, mostly failing! I don't know how I'm supposed to focus on work with all of this going on!!
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iVillage Member
Registered: 01-18-2008
Mon, 09-17-2012 - 2:03pm

Thanks for the input Tess.  My insurance counts the cycle start when you fill your prescription for meds, so I'm defintely going through with ER and ET(if I have an embie).  I think if I can get through ET, I'll get to try again.  Hopefully my RE will have ideas on how to improve the response in another cycle if this one doesn't work.  I also may get a second opinion in between and compare the two plans.  What is good is that the insurance doesn't count cycles that result in live birth towards the lifetime limit.  So if by some miracle this cycle works and goes to term, I could still have potentially 6 attempts again for a sibling. 

Sometimes I forget that the goal is to get pg the first time around.  I'm such an unlucky realist that I just assume it won't work the 1st time and am more focused on making sure we'll get to try again.  What's wrong with me?  I wish I could just focus on the now.

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iVillage Member
Registered: 03-21-2011
Mon, 09-17-2012 - 12:48pm
Christina, the reason I asked is that my insurance covered 2 lifetime cycles but the cycle "started" at egg retrieval. I was actually annoyed after my first cycle because there were only 4 follicles due to one dominant follicle. I went ahead with retrieval but later wished I had canceled and tried a different protocol and more suppression. Even though the idea of cancellation at the time seemed horrible to me, in retrospect it would have made more sense with my insurance situation. Just wanted to make sure you weren't in the same boat!!!

If you have the three required follicles and they cover up to 6, I would go for it!! I feel like there are a ton of people on this board who have ended up with more eggs than visualized follicles!!!
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iVillage Member
Registered: 08-27-2008
Mon, 09-17-2012 - 11:11am
proudmama ~ The cost of freezing is typically around $500. Personally that cost would be worth it to me to avoid the stim phase of IVF again =) Good luck with your decision, I know it's not an easy one!

Christina ~ The way ICSI was explained to me is like an insurance policy that the fertilization will definitely happen. With fewer eggs that insurance becomes even more valuable. My guess is they will recommend it. Can they get a pre-auth for it from your insurance? How much would it be if you have to pay OOP for it? It is curious that your E2 dropped...did your doc say anything about that? I am pulling for your three musketeers!!!
iVillage Member
Registered: 01-18-2008
Mon, 09-17-2012 - 10:31am

Tess - They'll cover up to 6 but you have to meet their criteria for each one.  So just because they'll cover up to 6, doesn't mean I will get 6 cycles.  If you don't show enough of a response from the previous cycles, they don't have to approve more cycles.  This is what their rules say:

"results of subsequent cycles must be submitted with each request to demonstrate an adequate response (i.e., at least 3 follicles >12 mm diameter for FSH/IVF, and adequate embryo numbers and quality for transfer)."

I've hit the first mark with having 3 follies >12mm(barely), but I'm concerned that if I don't get at least one embryo to transfer, I won't be allowed to try again.  They do also cover donor egg cycles, but I'm really not ready for that without being able to try a couple cycles with my own eggs.  I really think I can do better than 3 follicles under different circumstances.  I think there are few things that happened this cycle that contributed to the slow/low response. 

I'm trying to be optimistic that I will get at least one embryo to transfer, but it's hard especially since my E2 dropped.

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iVillage Member
Registered: 03-21-2011
Mon, 09-17-2012 - 10:04am
Christina, how many cycles does your insurance cover?
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iVillage Member
Registered: 01-18-2008
Sun, 09-16-2012 - 8:13pm

Caryn - We weren't planning on doing ICSI originally but I wonder if they'll want to now.  I'm not sure if the insurance will pay for it on the 1st IVF or not.  They way their criteria reads is that you need low fertilization rates on a previous attempt before they will authorize it.  You would think they would allow it with less eggs, but it doesn't saying anything about that.  It almost seems like they want you to fail so they don't have to pay for more cycles.  I guess I could call the insurance company and ask if they'll pay for it, but I don't know think they will and we just don't have the money for it right now OOP.  Are fertilization rates lower with less eggs?  DH has normal motility(50%), borderline morphology, and we've had about 5 mil post wash for the two IUIs we did.  Shouldn't that be enough to fertilize the eggs naturally?  I guess I'll see what my RE recommends based on how many eggs we get. 

 

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iVillage Member
Registered: 08-27-2008
Sun, 09-16-2012 - 7:51pm
Christina ~ It's all about quality not quantity. I'm guessing you'll get a mature egg out of 2 of those for sure and I wouldn't count the 3rd out. Are you going to do ICSI?

proundmama ~ How many mature follicles do you have? If it were me I'd go through with retrieval...you've already done the hard part and you might as well get those eggs in the freezer. FETs are so much easier on you than a full fresh cycle so it would save you from the stimulation phase when your DH's issues get figured out. Please keep us posted!

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