Am I making the right decision?


#1

Hi,
I’ve been reading post on this site for a long time and finally decided to post. From my signature, you can see that I have not been trying for that long. My first pregnancy was not planned but we go so excited and bummed after the loss, that we’ve made it our goal for this year and 2011.
Fortunately, we currently have good coverage, but as of next year our coverage will be decreased significantly. We began treatment in Aug after 2 (possibly 3) miscarriages. We have had 2 failed cycles so far and are scheduled for IVF the end of this year.
If our coverage wasn’t changing as drastically, our initial plan was to try IUI until we got fed up. Since we have a 1.5 months left, I thought I’d move to IVF. But honestly I’d always dread doing IVF. It seemed too intensive and draining.
So far I’ve gotten mixed reactions about IVF. A coworker who is older and had no choice but to do IVF w/PGD doesn’t think its that bad and thinks why waste time on less successful procedures esp. since I have coverage. Then there are those who’ve never had the procedure who are in my age group who think its the worse thing you can do to your body. Saying its draining, time consuming and dangerous.
At this point I’m not scared, I just want a baby. If IVF is what it takes than I’m all for it. Plus if it means I’ll have full coverage this year, I will sure make it my business to get it done soon.
But I’m not sure if I’m making the right decision considering that I’m just focused on getting and staying pregnant. I’m healthy based on all tests except the slight chance of clotting. Should I go for this or should I take my time and max out my chances with IUI?


#2

[QUOTE=Cozi]Hi,
I’ve been reading post on this site for a long time and finally decided to post. From my signature, you can see that I have not been trying for that long. My first pregnancy was not planned but we go so excited and bummed after the loss, that we’ve made it our goal for this year and 2011.
Fortunately, we currently have good coverage, but as of next year our coverage will be decreased significantly. We began treatment in Aug after 2 (possibly 3) miscarriages. We have had 2 failed cycles so far and are scheduled for IVF the end of this year.
If our coverage wasn’t changing as drastically, our initial plan was to try IUI until we got fed up. Since we have a 1.5 months left, I thought I’d move to IVF. But honestly I’d always dread doing IVF. It seemed too intensive and draining.
So far I’ve gotten mixed reactions about IVF. A coworker who is older and had no choice but to do IVF w/PGD doesn’t think its that bad and thinks why waste time on less successful procedures esp. since I have coverage. Then there are those who’ve never had the procedure who are in my age group who think its the worse thing you can do to your body. Saying its draining, time consuming and dangerous.
At this point I’m not scared, I just want a baby. If IVF is what it takes than I’m all for it. Plus if it means I’ll have full coverage this year, I will sure make it my business to get it done soon.
But I’m not sure if I’m making the right decision considering that I’m just focused on getting and staying pregnant. I’m healthy based on all tests except the slight chance of clotting. Should I go for this or should I take my time and max out my chances with IUI?[/QUOTE]

I would go with it, but you would need to get on it asap as there is different protocols and depening whicj=h one your one it could it anywhere from 4 weeks to 8 weeks or more from start to finish.

i just did my first ivf, we have been trying for 4 yrs and have done 8 iui’s. i am glad i did it. i thought it was going to be really harsh on my body and emotionally draining. it really was not that bad, but everyone is different and reacts different to the meds. i wish you the best of luck in your journey.


#3

I can’t really tell you what to do. I knew the health risks going in. I knew I wanted a baby and all my tests were inconclusive. What did if for me was the success rates of IUI vs IVF. When I went for it I went all the way first prayer, then diet, acupuncture, and all the high tech IVF stuff. Even though we found no conclusive clotting factors my only successful IVF I used heparin- lovenox is similar and will give you a boost beyond the asprin. This is a weighty decision. The process is stressful and for me it was worth it. I wish you all the best. All I can say if staying in one spot doing the same things isn’t changing your results don’t be afraid to move, what ever you do be proactive in your care, get support, and educate yourself the very best you can. Don’t give up hope. Lots and lots of baby dust :babydust: I know your dreams can come true!


#4

i was a lil bit younger then you when we started ivf (28) we had the choice of cont iui or ivf… and when i saw the stats iui 15% or less or ivf 60% i didnt wanna waste my time … we had 3 known m/c and where trying since ds was 18months (he was 6 already) but for us this was the right choice… i you have coverage now i say use it… cause i swear doc always find hidden charges lol


#5

Due to your age and the fact that you have some coverage, if [U]I were you[/U], I would continue with IUI’s for awhile. IVF is very draining on the body physically and emotionally. In any event, it is up to you and you realy want to go with your instincts. We have a tendency to questions ourselves too much. If you really feel like it is the best idea to move onto IVF then go for it. You know yourself better than anyone else.


#6

If it weren’t for the insurance coverage, I would say to definitely stick with the IUIs a little bit longer. You’ve gotten pregnant twice within the last year without needing medical help, so I think chances are good you’d be pregnant again on your own within the next six months, even without IUI. Two failed cycles, though they feel like a ton, aren’t really very many. Even at my age, when I talked to IVF clinics this spring after my first MC, they all said to try 3-4 IUIs since I’d gotten pregnant within six months of trying twice before. I decided after my second loss this year to do IVF, but my reasoning is that I want to do PGD, not so much that I think I necessarily need IVF.

However, you are correct that the success rate with IVF would be a lot higher than a natural cycle or IUI cycle. If the insurance coverage is a major issue (e.g., it would be difficult to do IVF without it), then I’d say it’s a good idea to jump ahead now. You can always go back to IUIs if the IVF doesn’t work and when your insurance won’t cover it. It’s not something where you can’t go backward.

That said, I’m also just starting the process - my first shot is tomorrow - so ask me again at the end of the month after I’ve been through it.

As MRB points out, though, it’s getting pretty late in the year, so I’d make sure that you have a clear timeline for everything and that it would really be done this year. A lot of protocols require several weeks of birth control first, then might require another week or two of suppression before starting stims, then 8-12 days of stims, etc. Plus all the testing beforehand and possible clinic/lab closures over the holiday. It would be a bummer to decide on IVF because you have insurance right now, and then find out that all the expensive parts (retrieval, lab, and transfer) end up in 2011 when they’re not covered. If that’s going to be the case, I’d do a few more IUIs.


#7

IVF is quite involved with all the monitoring appoitnment, shots, etc. but personally, I don’t think it is anymore emotionally draining that any other form of TTC. The emotions really hit you when you get a BFN. And it is a little harder to take after you invested so much time and for most people, money, into it. If you have insurance coverage that covers IVF this year, I would personally totally go for it.

For me, I had $10K lifetime maximum in infertility coverage to be used any way I want to. After first failed IUI and evaluating success rates of IUI vs IVF, I just couldn’t waste any more time or money on IUI. But my situation was different, I was never pregnant once in 5 years of trying.

Each body reacts differently to drugs. I had nightly sweats while doing suppression phase of Lupron shots which was annoying but nothing I couldn’t handle. I just had to wash the sheets almost nightly. I didn’t have any side effects from Follistim and Menopur. Towards ER time, my lower abdomen felt heavier than usual but that’s about it. ER was a piece of cake. I was totally out for the procedure, slept the rest of the day and had no discomfort. I didn’t get OHSS and ET was super easy.

There is no way to predict how your body will react but I think that most people do just fine. You hear horror stories because it is human nature to talk more about bad experience instead of good. And as for your friends who haven’t been through procedure, what does their opinion really offer you? Nothing at all.

I wish you the best of luck.

Also, some people are slighly crazier than others. I have a friend who is considering doing IVF only because she really wants to increase her chances of twins (she has two kids that they conceived without any problems already).


#8

I would go for it also…i delayed doing ivf for 6 years because I was so afraid of what it would do to me physically and emotionally but it wasnt nearly as bad as I feared! I so wish I hadnt waited so long. I was a very high dose of gonal F and it made me exhausted all the time but that was the only thing i had to deal with. Ivf is time consuming because of all the blood work but i didnt find it much different than iui. If you have the opportunity to do ivf and coverage, the stats are so much higher than iui, I wouldnt waste my energy on the iui again. Good thing about ivf is they can see the quality of eggs your producing and then the quality of the embryos which gives your RE so much more information which may help in keeping a pregnancy.


#9

I agree, it is getting late in the year so if you are serious about IVF, you need to talk to your RE on Monday! As far as the actual procedure…physically it was not that bad and I agree that it is just as stressful mentally as TTC using other methods. The cost is what adds the extra stress so if you can squeeze in a cycle this year and have it paid for…I say go for it!


#10

Thanks for all the responses. I will try my best to answer all your questions and clarify where I am right now in the process.
I did in fact begin the IVF process last week. I am 5 days into BCP. It would be a miracle if I get the entire cycle completed this year, so we are expecting that it extends into 2010. My current coverage is 6 iui, 3 ivf lifetime coverage; this will be changing to 25k max. liftetime coverage from 2011. Although we still have coverage for next year, from a financial stand point, we might as well get most of the cost in this year in case we need to do more cycles of ivf, iui, or even just stim. drugs.
Also, I had blood/ultrasound done on CD3; only to find out that I had left over follicles/cysts from my last clomid/IUI cycle. The RN said it wasn’t a big deal, and that it’s common and the BCP should clear it up in no time. I have read that if they don’t go away the entire cycle can be put on hold until they do clear up. So that’s another hurdle that I am prepared for.
It is unfortunate that 80% of my decision to do IVF is based on financial coverage, but let’s be real its expensive and not guaranteed. I research alot, to the point where I think I do too much, so I think I’m pretty aware of the risks involved. And somehow I’m willing to take that chance.
essemkay: you asked about progesterone treatments. I’m not too familiar with the treatments but I do remember being told my progesterone levels are normal during each cycle. The only thing that stood out from the diagnostic testing was clotting… (PT or PTT test, not sure which), I was slightly outside the range and baby aspirin was recommended. I wish I was told this a long time ago. IT does make sense since the clots can block the placenta, making it hard for any growth. I remember that my first miscarriage I measured in a 5 weeks, when I knew we were further along.


#11

[QUOTE=Cozi]Thanks for all the responses. I will try my best to answer all your questions and clarify where I am right now in the process.
I did in fact begin the IVF process last week. I am 5 days into BCP. It would be a miracle if I get the entire cycle completed this year, so we are expecting that it extends into 2010. My current coverage is 6 iui, 3 ivf lifetime coverage; this will be changing to 25k max. liftetime coverage from 2011. Although we still have coverage for next year, from a financial stand point, we might as well get most of the cost in this year in case we need to do more cycles of ivf, iui, or even just stim. drugs.
Also, I had blood/ultrasound done on CD3; only to find out that I had left over follicles/cysts from my last clomid/IUI cycle. The RN said it wasn’t a big deal, and that it’s common and the BCP should clear it up in no time. I have read that if they don’t go away the entire cycle can be put on hold until they do clear up. So that’s another hurdle that I am prepared for.
It is unfortunate that 80% of my decision to do IVF is based on financial coverage, but let’s be real its expensive and not guaranteed. I research alot, to the point where I think I do too much, so I think I’m pretty aware of the risks involved. And somehow I’m willing to take that chance.
essemkay: you asked about progesterone treatments. I’m not too familiar with the treatments but I do remember being told my progesterone levels are normal during each cycle. The only thing that stood out from the diagnostic testing was clotting… (PT or PTT test, not sure which), I was slightly outside the range and baby aspirin was recommended. I wish I was told this a long time ago. IT does make sense since the clots can block the placenta, making it hard for any growth. I remember that my first miscarriage I measured in a 5 weeks, when I knew we were further along.[/QUOTE]

Cozi

If you have known clotting factors, you should definitely be on lovenox or another blood thinner. I would consult with hematologist and also a maternal fetal medicine specialist before beginning your next round of treatment. I am so sorry to hear of your losses, I have 3 myself. I do think if you are up for it, IVF is most emotionally draining- the physical parts are handle-able. I do think it’s harder on ladies who have to go through multiple cycles for sure. But it is also very informative when you have losses, as to other things going on. I learned I had PCOS by doing IVF! Who knew…

If you want, please feel free to join us on the Pregnancy loss section at the top, recurrent pregnancy loss thread. We all know lots and lots about recurrent loss testing and have tried a range of methods for achieving pregnancy. You would be most welcome.

Good luck=
Jess


#12

I agree with what a few others have mentioned. You may want to look more in depth into recurrent loss testing, as it sounds like getting pregnant isn’t a problem for you. I only discovered my clotting issues after 2 failed IVFs when we did more in depth testing on recurrent loss. I never got pregnant with an IUI due to MF issues but got pregnant all 3 times we did IVF, just lost the first 2 immediately. IVF will not necessarily help you stay pregnant any more than IUI will. I should also point out I was on baby aspirin all 3 times we did IVF - but only the last time when I added Lovenox was I able to hang on to the pregnancy. Maybe your clotting issue is not as severe, but it wouldn’t hurt to look into it further.

With that being said, if you can get at least the billing part of this cycle done this year while you have better coverage then I say go for it. My REs always made me pay in full when I started stims so if yours is the same as long as you start stims this year (even if ER is next year) maybe they can run it through your insurance to hit in 2010. And IVF is really not that bad. I never had any issues physically (bloating/discomfort toward the end of stims is pretty much it) although everyone reacts differently. If you are monitored properly the health risks are very low. It is emotionally draining but it’s definitely do-able.

Good luck with whatever you decide.