back from RE (X-post)

iVillage Member
Registered: 03-25-2010
back from RE (X-post)
16
Wed, 06-15-2011 - 11:02pm
I'm going to bed soon so I won't go into too many details.

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iVillage Member
Registered: 05-11-2010
Thu, 06-16-2011 - 10:33am

Lydia - Did the RE give any specifics about his diagnosis of

iVillage Member
Registered: 05-12-2008
Thu, 06-16-2011 - 7:25pm

I don't know what to tell you to do, Lydia, just wanted to let you know your in my thoughts.

iVillage Member
Registered: 03-25-2010
Fri, 06-17-2011 - 12:13am

Love you ladies! Warning....long...

So far the plan is keep BDing and if AF shows do the bloodwork for me and SA for DH. Labs the RE ordered are: FSH, Estradiol, TSH, ABO group & Rh, Rubella, and anti mullerian hormone. My paper says to have all of these drawn together on CD 2, 3, or 4. Any guesses on how many tubes that will be? I understand testing FSH and Estradiol. The TSH, the RE knows I have hyperthyroidism and that I am taking medicine for that under the guidance of an endocrinologist, but maybe he forgot or wants to check it for himself. I know my blood type and Rh, and also the RE checked that before my first surgery. I was tested for Rubella when I was pg and it was fine. I don't know too much about the last one, the septum is a mullerian defect so maybe that is related in some fashion?

The RE's office gave me a sheet of paper listing some procedures/tests and prices. I did stop by the benefits office at work and was told that there is no coverage for IF but saw that diagnostic tests/labwork are covered 100% under physician services. I need to call the insurance directly and ask about specific tests/procedures to be sure though. The RE checked the diagnostic code for 'fertility investigation testing' on the lab order sheet so not sure where that would fall. I thought about listing the items with prices yesterday and asking what to expect a cycle to cost, but I realize that depends on a lot of factors. I don't even know if the RE was thinking anything beyond the 'fertility pill' he mentioned.

I do feel better today. I know I am NOT a failure. I was so surprised I guess to actually hear the RE say IF. I totally agree with Julia, 6 months is not a long time and I am not in the 35 and over group so I'm a little unsure of this being an actual dx especially without testing. I have seen that a good amount of ladies after having the surgery I did are pg within 4-5 months. Is that the norm? I don't know (and wow, that is kind of quick I think). Also when the RE said secondary IF I said, "Really?" and he replied "Well, let me put it this way. How long did it take you to conceive your pg?" It was the first month. "We've been concentrating so much on your uterus {surgeries}. I think it is time now to look at other factors, to get the whole picture (glances at DH) especially given your history." I said I just think it is strange to be at this point now considering how quickly it happened for us before and asked if he thought there could be an issue with DH's guys but one good one got through and that's why we were pg. He said maybe. I do understand that one pg (or how quickly it happened) is not a direct predictor of future ones.

Right now I feel that I am not against the testing. If there is an issue I'd rather know about it now and deal with it.

Do I think I need a 'fertility pill'? I'm guessing that he was talking about clomid and since my temps indicate I am Oing at times that the RE said he would expect in my cycle, my answer is no. Not at this point.

DH is totally fine with the SA. He's already decided he will collect the sample at their office. I asked if he would want me there. He said no, he'd put on his big boy pants and deal. I had to laugh and point out that he probably wouldn't actually be 'wearing' them fully for this. He grinned. I'm so glad we could both laugh.

If we end up getting the tests and results are normal I think I would like to keep trying on our own a little longer. The RE did say he was willing to wait. I want to proceed at our pace and do things when we need and are ready for them.

Any thoughts or opinions? Do my thoughts make sense?

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iVillage Member
Registered: 05-12-2008
Fri, 06-17-2011 - 11:57am
You do make sense. I agree with doing the SA and if every things is okay there keep trying on your own for a while. It's great that you and DH can laugh about things like this, I think it helps our sanity!!

Dustie
iVillage Member
Registered: 07-28-2009
Fri, 06-17-2011 - 6:50pm
I won't bore you with tons of details but I was put on Clomid for month before even an ounce of testing was done. It's totally normal for them to do that. I know how much paying 100% out of pockets hurts BTDT still paying for the t-shirt. LOL I laugh at my "Unexplained Secondary Infertility" diagnosis. WTH kind of a diagnosis is THAT? It may as well be called "beats the hell out of me-itis"! :) For the record, no RE ever wants to look at your charts. They just don't care. If you're not O'ing, they will make you O - it's just not relevant what *you're* findings and research say. They plan to do their own research KWIM?
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iVillage Member
Registered: 06-27-2006
Fri, 06-17-2011 - 8:02pm
Lydia, I'm glad you got hold of what your insurance covers. Mine is similar. They will cover diagnostic testing, but not treatment. I even had an instance where I went in for the initial consult to discuss testing plans and so forth. Because the doctor didn't write anywhere in the office notes that it was "testing" (it was submitted as an infertility consult), insurance claimed they couldn't figure out if it was considered testing or treatment and whether they should be covering it or not. I was thinking, "umm...yeah...so sitting in the doctor's office having a chat is going to be treatment to get me pregnant. SURE!" If only it were that easy! LOL! Stupid insurance!

I hope that you get some good answers with your testing and that treatment isn't anything too complicated or expensive! (((HUGS)))
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iVillage Member
Registered: 03-25-2010
Sat, 06-18-2011 - 8:27am

OMG, Michelle LOL @ "still paying for the t-shirt" and "beats the hell out of me-itis"

I have heard it is common to prescribe Clomid even if the woman is Oing. I have also read that if you're Oing it probably won't cause an increase in mature follices and may dry up CM so some REs are now thinking that it won't really help the woman who is Oing on her own. Hmmm. I do know that my mom had 4 m/cs, took Clomid somewhere along the line, and then had me. The cause(s) for her m/cs was never investigated as far as I know. Maybe it helped her or maybe it didn't. I have no idea. I do know that I'm not willing to just take something without hearing why I should be taking it.

I had heard from other women who went to this practice (they did see the other REs in the group though) that the REs were willing to look at and discuss charts. I thought, well maybe he doesn't need to actually see them to believe what I'm saying. Or, yeah, like you said maybe he doesn't care because he'll find out his way. Either way, I won't be wasting ink printing charts for future visits!

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iVillage Member
Registered: 03-25-2010
Sat, 06-18-2011 - 8:30am

Ugh, Tee. Stupid insurance is right! They must have thought your doctor sprinkled some magic dust on you in the office. Thanks for the hugs.

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iVillage Member
Registered: 03-25-2010
Sat, 06-18-2011 - 10:05am

Came across this:

Day 3 Levels of FSH, LH, and Estradiol. The determination of blood concentrations of follicle stimulating hormone (FSH) and estradiol levels on menstrual cycle day 3 has been used to estimate fertility potential. Women with elevated levels of FSH and/or estradiol measurements on cycle day 3 have reduced pregnancy rates with both ovulation induction and assisted reproductive technologies (ART) such as in vitro fertilization (IVF). Studies have shown that women with elevated blood levels of luteinizing hormone (LH) on cycle day 3 also have poor pregnancy outcomes with fertility therapy.

Anti-Mullerian Hormone Test (AMH). Anti-Mullerian hormone levels are thought to reflect the size of the remaining pool of oocytes a woman might have. This test can be performed at any time of the cycle. Women with higher AMH values tend to produce more eggs.

copied and pasted from http://www.sart.org/detail.aspx?id=1905

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iVillage Member
Registered: 05-11-2010
Sat, 06-18-2011 - 10:11am

Lydia - Yes, you make total sense, and it's great news that diagnostics are totally covered no matter what dx he writes down!

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