It may seem strange that I'm considering this since I've been griping about how long it's been taking to get to IVF. However, in light of my recent high FSH result and re-reading the insurance rules for IVF cycles, I'm wondering if I should try an IUI cycle with injectibles as kind of a test run for IVF.
My fear is that I won't get to try more than one IVF if I don't repsond well the first time which is entirely possible with this high FSH. The insurance criteria for them to authorize subsequent IVF cycles reads like this:
"Results of prior IUI cycles must be submitted with the initial IVF request, and 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 remember reading the part about having to produce 3 follies before but I missed the part about adequate embryo numbers and quality for transfer. What if my eggs don't fertilize or the embryos are poor quality. To me this says that if I don't make it to transfer, I won't be able to try again(at least with my own eggs).
At this point, I have not tried any injectibles and have no idea how I'll respond. I'm wondering if i should try an IUI with the same meds thay planned to use for IVF to see how i respond. Do they use Gonal-F and Menopur for IUIs?
My other concern is whether or not I'll have IF coverage next year. I would hope that my employer would keep it, but I know it's expensive and I could see them trying to drop it for next year. So, I would like to get 2 IVF attempts in this year if possible. As it stands now, I have time, but I'm not sure I will if I do another IUI.
I'm going to talk to the finance lady to see if I'm understanding the criteria for extra cycle right and see what she thinks. Then I might ask for a phone consutl with my RE to talk about it too. I haven't heard what he thinks about my high FSH result yet.
Any advice or opinions?