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Appalled - Not quite sure what to think!

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angelstar220 Posted: 01-10-2012 2:27 PM

Yesterday I went to see a new RE - I was so excited - his website and his personnel when I called both said that "he works to find the underlying issue, fixing that, and then pursues IF treatments".  That is NOT the impression I got at all! 

Ok this is what happened – I am very detailed so this may get wordy =)

The reason I left my previous RE is because she was a little spacey and never quite worked to find out the reason for my delayed Ovulation. Hindsight is 20/20 and I realize that I probably should have been more vocal in my expectations and what I wanted from her – but in the face of seeing a new doctor whose website and office personnel said his focus was to “find the root of the problem and work from there” I thought that leaving that RE was the best decision and that this new dr. would find the issue and we would work to fix the issue, then work to get pregnant. SO-NOT-THE-CASE! So here is the story:

After seeing a nurse and going over history, etc. we waited about 30 minutes for the Doctor, he took us into his office – introduced us to his resident (a female whose name I can’t remember).

The first thing out of his mouth was: So what questions do you have for me? Me being captain obvious said – I think we all know what we are here for – can you help us get pregnant? His answer – I’m sure I can but after reviewing your medical information and seeing your “host” of problems – I wouldn’t do anything but IVF with ICSI for you guys. (Keep in mind this is a $15,000 procedure – it has a 60-70% chance of conception, which is great – but I don’t have $15,000 just to throw around.) Me – What do you mean by host of problems? I HAD endometriosis – it has been removed, DH has slightly low morphology (4%  and "5% is considered normal"). Him – yes with those two combined I’m telling you that I won’t do anything less than IVF with ICSI. Me totally serious and completely heartbroken – I look at my husband and say “I think that maybe getting pregnant isn’t in our cards then and maybe we should start moving forward to the adoption process” [this is me being respectfully vocal and attempting to get the doctor to back off]

Then the doctor says in a 100% serious and in a snarky tone says “When you want something bad enough you do what you have to do to obtain it!” (He also repeated it several times throughout the visit). My draw dropped to the floor, my throat and gut felt like someone had punched it with a great intensity, and my heart sank. Who is this man and why the heck did he talk to us like that?

It only got worse – I fight back tears, I keep my head high and I go forward with questions as to why IUI is not an option – we discuss: Yes I had two of them before but they were BEFORE my surgery to remove endometriosis – so they were useless (I had a partially blocked tube and my left ovary was adhered to my uterus - both are free and clear now =). I mention that I would at least like to try IUI again before jumping to IVF considering the circumstances.  He says – Okay you’ve had two IUI’s in the past right? I say yes and again explain again that they were before the removal of my Endo – his response (sarcastically) – "well you’re not pregnant are you?" [THANK YOU CAPTAIN OBVIOUS! NO clearly I am not pregnant or I wouldn’t be here!!] This conversation goes on for a bit and I have him pretty much convinced to try IUI at least once or twice – he seems to be okay with it but then pulls some paperwork from my chart – reads it to me and says these are the reasons he will not do any IUI’s for me/DH.  Again – they were all pre-operative issues!

He then tells me that he thinks that anything but IVF with ICSI is repeating the same process and expecting different results – umm yeah duh - the circumstances are totally different now! So between my wanting to punch him in the throat, my frustration of being told an exact 180 than what was discussed with my previous RE, and my general heartbreak over this guy being such a butthead about EVERYTHING – I start to cry.  He then repeats his line of “If you want something bad enough you'll do what you have to do to obtain it" and sends his nurse in to show me the financing options/brochures for IVF with ICSI – she was nice and very explanatory, I did like her but I was so frustrated by that point my mind was made up – I would finish the appointment and never go back to him.

The icing on the very bitter cake of this appointment was after the nurse showed us the stuff and we were excused, we were walking out – he meets us in the hallway – puts his hand on my shoulder and proceeds to tell me I should seek counseling because I cried over what he was telling me. He said he thinks I would really benefit from it and that I shouldn’t be so emotional. It was all I could do not to tell him to Flip Off!

I also asked at some point in the appointment about what I was told is his approach was and if we could figure out why I O so late – he said sure we could do some blood tests for that but they aren’t going to change anything. UMM REALLY?! That is soooo stupid!!! Yes they will absolutely change things – like finding the root of the problem and fixing it so I have 12 chances a year rather than the 13 I’ve had in 2 years!  and technically only one good chance since my laparascopy/hysteroscopy!!! 

Ugh – thinking about it gets me so frustrated all over again!!! I’ve never met someone who has just formed their opinion and no matter what you say they think they’re right and can’t possibly think of any other options.

I do not think that IVF with ICSI is out of the question - I do however think that is skipping quite a few steps - my thoughts are that we should find the reason for my delayed ovulation, then talk about my options as far as ART are concerned.  Obviously I won't be returning to his office, but I'm kind of in limbo about what to do - I can go back to my old RE - If I do that I will have a consult with her and lay out my expectations so there is no longer a gray area/area of frustration for me; or I can see another doctor within her practice - who has a great reputation - I would just feel awkward seeing a different doctor within the same practice.  Either way I am fearful and nervous about what I should do, and extremely fearful of seeing someone new because of this experience.  My old RE was very kind to me - but her lack of organization and professionalism at my appointments deeply frustrated me.

Does anyone else have endo and has been told that IVF with ICSI is their only option?  I just feel that his tactics were so extreme and that I should atleast try lesser options before jumping to IVF.  Any advice?  I realize that IVF with ICSI would get us a baby right away if we could afford it - but it isn't in our cards and we would probably have to save for the next year or two to make it in our cards.  Which seems like such a long time to just sit around and wait - not to mention that the Endo could come back during that time - making me feel even more rushed for treatment now! 

If you read all of that thank you!  and I thank you in advance for your words of help or support! 

AngelAngel 28 & Sean 23 Smile -                   My Charts

From previous marriage: Baby Boy Garryn - 8, Baby Boy Kaiden - 7

Baby TTC Baby #1 together Baby

DH - Mild MFI ; Me - Endo (Completely removed August 2011 Pray it doesn't come back)
2 IUI's in 2011-#1 with Clomid - BFN, #2 with Follistim and Femara - BFN
Conceived naturally Jan. 2012!  Angel March 6, 2012 - Ectopic Pregnancy removed Laparoscopically Sad - seeking the silver lining in that we did get pregnant au naturel.

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Onebabysofar replied on 01-10-2012 3:44 PM

I am not able to answer any of your specific questions but I do think it is in your best interest to find someone who is really sincere and dedicated to working on what you all, as a team, feel is the best approach.  I would have cried too if I was talked to like that!  How frustrating and condescending!  Seriously, find a doctor that knows how to listen and not push the IVF agenda unless and until all other avenues have been exhausted. 

I am so sorry that you had to deal with this.  Hug

Maria-35 DH-42, 2 Sweet Boys and 6 Teeny Angels make that 7 Teeny Angels Waiting in Heaven .

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angelstar220 replied on 01-10-2012 3:56 PM

Thank you Maria!  I started following your blog the other day =) You write so well!  I think about blogging at times but I think I am a rambler so IDK how well it would go over Stick out tongue

AngelAngel 28 & Sean 23 Smile -                   My Charts

From previous marriage: Baby Boy Garryn - 8, Baby Boy Kaiden - 7

Baby TTC Baby #1 together Baby

DH - Mild MFI ; Me - Endo (Completely removed August 2011 Pray it doesn't come back)
2 IUI's in 2011-#1 with Clomid - BFN, #2 with Follistim and Femara - BFN
Conceived naturally Jan. 2012!  Angel March 6, 2012 - Ectopic Pregnancy removed Laparoscopically Sad - seeking the silver lining in that we did get pregnant au naturel.

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Posts 2,479
Onebabysofar replied on 01-10-2012 4:10 PM

Thanks you!  If you want to blog just do it!  Just write from your heart and it will be perfect.  Even if it starts as a neat way to journal your thoughts and experiences, you never know who's life you might touch!  Please let me know if you do, I would love to be your first follower! 

Maria-35 DH-42, 2 Sweet Boys and 6 Teeny Angels make that 7 Teeny Angels Waiting in Heaven .

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Mopie replied on 01-10-2012 4:13 PM

Wow, what an experience.  I just wanted to say I'm sorry for how that went after being so hopefull and optimistic about what was going to happen.  The reality of your visit would have been a very painful slap in the face.  What did your DH think about the experience?

I can understand your hesitation to seek out another RE, fearful for this repeat experience.  Take some time to think about it and if you can muster up the strength, seek out one other new RE that you'd like to consult with, whether it be a different RE in your practice or a new RE in a different practice all together.

Your siggie doesn't mention your age.  There's a gal here (LoveBug) who never attempted IUI before having her lap but afterwards she got preggo on the first IUI attempt.  Now I've heard that endo can come back but don't have any information on this.  I'd guess an RE may think about your prior endo when thinking of ways to treat you to get pregnant - aka IUI vs. IVF

Me - 35 (the problem), DH -41 (great swimmers), TTC #1 since 11/2010

IUI #1 August 2011- cancelled, ovulated on tubeless side Angry

IVF #1 w/ ICSI Sept 2011 - BFN Sad

IVF#2 w/ICSI Nov 2011 - free all day 1 for FET later

FET#1 1/20/12  - Broken Heart m/c at 7 weeks 4 days

FET#2 4/24/12 - BFN Sad

IVF#3 w/ ICSI & PGS under New RE - June 2012!

RPL/kayrotyping - reveals MTHFR A1298C heterozygous positive

Issues:  unicornuate uterus (half of a normal size uterus and one tube), ovulation, short LP, polycystic ovaries

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angelstar220 replied on 01-10-2012 4:27 PM

Thank you Mopie!  I am 27 and DH is 23  =) 

I didn't know Lovebug had a lap, then IUI and got her BFP - I am so happy for her! 

Where I live (Tulsa, OK) there is only one Fertility Center - that is where my previous RE is - there are three doctors there.  There is also one private practice Dr. - (the one that I saw yesterday aka the rudest dr. ever!) 

One of the other doctors at the Fertility clinic has a great reputation from people I actually know - but I was already established with my previous doctor so I stayed with her - mostly out fear of an awkward run in at the clinic =)  I don't like that kind of confrontation at all!  I thought this new RE was the answer - he seemed to want to solve issues before jumping into ART and he was at a different clinic so no chance of awkward run in. 

You asked what my DH thought - he is a very calm and mild mannered man, but he was so so mad at that man for his demeanor and words - in fact (and my husband has never done this before) when the dr. had his hand on my shoulder and said the thing to me about counseling, Sean (DH) put his arm around me and said "let's go" - TOTALLY out of character for him but it was sweet and loving and protective towards me and it made me feel like he was connected with me and knew I was hurting and at my limit.  I'm not sure I have ever been more proud to be his wife than at that moment.  Smile 

I had my Laparoscopy less than 5 months ago - so I was hoping that we would find the reasoning for my delayed O and then go for IUI's once that was solved.  Now I feel in limbo and just stuck as far as what to do.  I am going for a consult with an acupuncturist this evening - in a little less than an hour.  I figure if anything - it will help me release some stress/tension and it's a step in the general right direction.  I think I will go running and do some yoga tonight and really think about what I should do. 

Thank you for your response and thoughts!

AngelAngel 28 & Sean 23 Smile -                   My Charts

From previous marriage: Baby Boy Garryn - 8, Baby Boy Kaiden - 7

Baby TTC Baby #1 together Baby

DH - Mild MFI ; Me - Endo (Completely removed August 2011 Pray it doesn't come back)
2 IUI's in 2011-#1 with Clomid - BFN, #2 with Follistim and Femara - BFN
Conceived naturally Jan. 2012!  Angel March 6, 2012 - Ectopic Pregnancy removed Laparoscopically Sad - seeking the silver lining in that we did get pregnant au naturel.

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Posts 2,479
Onebabysofar replied on 01-10-2012 4:33 PM

Forgive me if this is an ignorant question but is there a reason you wouldn't try Clomid, then trigger, and follow with an IUI?  Or is this what you already had tried? 

Maria-35 DH-42, 2 Sweet Boys and 6 Teeny Angels make that 7 Teeny Angels Waiting in Heaven .

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mrsr1127 replied on 01-10-2012 5:15 PM

Hi Angel! I don't have much to say that has not already been said but I'm sorry you had to go through this.  Many, many, Hug to you.

me- 31 Heart DH-38 & 1 cocker spaniel furbaby

TTC#1 since 7/10 (23 cycles)

05/11- Lap and hysteroscopy. Stage II endometriosis and polyps removed.

5 Clomid + IUI- BFNs Sad

#6 in progress

moving on to IVF summer 2012 with intralipid therapy for autoimmune response issues

http://www.tcoyf.com/members/mrsr1127/pccharts/19.aspx

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MissAnthro replied on 01-10-2012 5:17 PM

I definitely, without a doubt, think it's important for you to find the right doctor for you. Someone who doesn't try to pigeonhole you into a particular 'solution' without considering alternatives. We're all different and so different things will work - if you want to try IUI or get blood tests run...that's your prerogative and he should not tell you no! Good luck finding the right doctor! Hug

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cand82 replied on 01-10-2012 5:59 PM

Well here's my take on your situation: I think the reason the RE said IVF/ICSI is the only option is because you have both male and female IF factors. So when this is the case they suggest going straight to the bug guns because it's most effective. Even though you did have your endo removed you still have male problems which reduces the effectiveness of IUIs, another reason to try IVF right away.

Although your new RE wasn't very respectful to your feelings, I still see the reason why he was so adamant about going straight to IVF. It sounds like he's a no nonsense type of guy, and just wants to work to getting you pg ASAP. As PPs said if this Is not how you feel and would like to take a different approach then most definitely find a new RE whom you see eye to eye with.

I know how it feels to be told IVF is your only option. That's what happened to DH and I. We had both male and female IF factors. I thought we'd do lots of testing and find out in depth our reasons for IF, then try clomid, IUIs then IVF if all else failed. I felt blindsided by that suggestion. I remember feeling like I wanted to cry, like that IVF was the most advanced and final resort to getting pg that if it failed we would never have a baby.

The RE explained that it was up to us and that her suggestion was only what they recommended (a professional opinion) and that if we wanted to try other options first we were more than welcome to do so. She then said that those other methods may not work and we would end up at IVF anyway (wasting time and money). That last sentence really made sense to DH and I and ultimately we chose to accept her professional opinion nd go straight to IVF/ICSI. I am glad we went with her suggestion as we were successful on our first cycle.

That being said we were open to what ever method needed to get us our baby. We never felt our RE was disrespectful or out of line. And most importantly we trusted them and the clinic. I think that if you don't have that then you need to change clinics or just deal with it if changing isn't an option (not ideal). 

Im sorry you felt so insulted by the new clinic. IF is hard enough to deal with you don't need to deal with emotionless Drs. Now you have to make a decision in which clinic to return to, if any, and how to proceed. I also agree with the new RE that counciling may be a good option, I wish I would have been offered counciling just to deal with the stresses of IF.

Good luck with your decision. I hope you find your answers and that you get your precious little baby soon!

Lilypie First Birthday tickers

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natpink replied on 01-10-2012 6:06 PM

Hi lady! Don't have any advice to offer but just wanted to say that sounds like it was an awful experience and so sorry you had to go through it. I hope that you find a better RE and everything works out they way you want it too. Lots of baby dust! xx

me: 26 dh: 28

Baby Oct 27/12!!

Married September 12, 2009, together 8 years | TTC#1 since April 2010

Seeing a RE since June 2011 | unexplained IF

IUI's postponed twice, very curved cervix and require an ultrasound and full bladder at time of IUI

IUI#1 Feb 4/12  (Puregon & Ovidrel, Progesterone - 282mil @ 95%!!)  - BFP!!! Beta#1 = 1398 | 02/20 | 17dpiui 

First ultrasound 03.12.12 | Heartbeat 143 -  baby measuring right on track!

 

 

 

 

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Lovebug81 replied on 01-11-2012 8:01 AM

Angelstar - So sorry to hear about your negative experience with the new RE. I feel like if they choose that particular field of study in medicine, they should be a little more sympathetic to women's feeling and experiences.

Wanted to kind of chime in and tell you what my RE told me after we had surgery. I had my Lap in late July to remove Stage 3 endo. After a month of healing, RE said that my endo is very aggressive, and basically we would need to get pregnant within the year before it came back. A little scary to hear, but it was nice that he was being honest. That being said, he suggested that IVF would be the most expedient option. BUT, it was up to us how we wanted to proceed. We expressed our concerns with not being ready for IVF and wanted to try IUI. He was on board with that. Very willing to work with what we were comfortable with. The success rate for IUI is only about 5% higher than a normal cycle. We actually tried 2 cycles post surgery just to see if anything would happen naturally, but nothing did. I did a pretty standard 100mg Clomid, Ovidrel, and IUI. Amazingly it worked. I think even the RE was a little surprised. Told me I was a rockstar. I truly believe that without the surgery IUI would never have worked. I think it's a least worth a shot especially since you aren't ready for IVF financially or emotionally at this time.

I will note that I didn't have ovulation problems even prior to surgery, so that is one way in which we differ. And as for your male factor, I was under the impression that IUI was a great option for MFI. The other thing to consider, is that pretty much all the fertility drugs will aggravate Endo more. It's kind of catch 22. You get rid of the endo, then pump your body full of more hormones to get pregnant, just increasing your chances of endo coming back.

I know you feel uncomfortable with your current RE, and feel weird going to the other in the practice, but at the end of the day....it's your care, you pay for it, and you should get the care you deserve. If you don't feel you are getting it, don't be afraid to switch. I really hope you can find the solution that works best for you. Good luck!!!

 

Susi (30), DH (30)

TTC since: July 2009

July 2011 - Lap to remove Stage III endometriosis

September 2011 - RE Suggestion is to try naturally 2-3 cycles (Natural cycle 1 - BFN, Cycle 2-BFN)

October 2011/November 2011 - Clomid, Ovidrel, IUI - BFP. Beta 11/25/11- 680, Beta #2 11/29/11 - 3,754

My Chart: http://www.tcoyf.com/forum/chart.asp?id=lovebug81

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ThreePrinces replied on 01-11-2012 8:40 AM

Hug

(pg ment.)

I was also told that IVF was our only option, and it is a tough pill to swallow.  Having Secondary Infertility, my husband wasn't really willing to do IVF (but I was.)  We were told that it would be our best option by *the* Dr. Schoolcraft, though he was willing to try a few rounds of IUI.  We were also told that by the RE we wound up seeing after the rounds of IUI all failed. Frankly, I'm pretty sure the REs said this simply because they didn't know what was wrong with me and just wanted to get me pregnant and out of there.

I do agree that if you're not ready to pursue IVF, then you should go see someone else.  Someone else who is willing to try other things first.  I do believe that this RE looked at the fact that you have both male/female factors and was simply stating his opinion, and it is one that I've heard a lot when a couple is dealing with both male and female factor - IVF probably really is the fastest way to get you pregnant.  It doesn't mean it is the only way!  If you're willing to spend some time trying other things first (I sure as heck was!), then find someone who will let you!

I did see a counselor during my first trial with infertility.  It helped quite a bit.  That said, the RE shouldn't have been surprised to see a woman crying about infertility.  I cried just about every time I saw my RE, and he never suggested I see a counselor.  He would simply hand me a tissue and continue discussing whatever we were discussing.  Infertility is extremely emotional, extremely heartbreaking, and it is only natural for a woman to feel as you do.  Add the blow you received being told you have to do IVF, and of COURSE you were upset!

FWIW, I am currently 34 weeks pregnant without any ART.  After 3.5 years of trying, multiple failed IUIs, and being told I had to do IVF.  I got pg about 18 months after being told I needed IVF and subsequently leaving the RE's office and never going back.  Miracles do happen.  I'm not saying that you need to wait for one (heck, I have also been pregnant with injectables and IUI and I do not regret that one iota), but they do happen. 

Good luck with whatever you decide to do!!!  Hug

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angelstar220 replied on 01-11-2012 9:06 AM

I'm going to try to answer anyone individually =)

Maria/Onebaby - That is what I am wanting to do - but since I'm in limbo with the RE situation I figure it will atleast be next cycle until I can do that - so I am going to start acupuncture to help me relax and get ready for that =) And it wasn't a dumb question at all!

mrsr - Thank you and Hug back to you!  I see you're moving on to IVF - I hope it goes great and you get your take home baby soon!! 

Miss Anthro - Thank you - I completely agree - but I get timid in this situation and he really didn't even act like blood draws or IUI's were considerable - basically told me to shut up in more words.  I know that he isn't the right RE for us - and I hope I can work through the stress/limbo of the situation to find the right one.

cand82 - IUI is also very effective for people with male and female factors - especially people with minor issues like Sean and I - I had stage 1 endo - 7.5 years after having my youngest son - so it doesn't appear aggressive.  Sean has 4% strict morphology when they want to see 5% - normal male count is 20 mil/ml - he has 113 mil/ml and 5 full ml, so a total count of around 565 million - all other parameters are normal.  So we were told by the previous RE that it really wasn't that big of a worry.  He had previously had some really bad SA #'s (in 2010) believed to be caused by febrile illness.  I totally believe that IVF is a great option, and one that I will heartfully consider when/if I have to, but I believe that you should try lower options first if they are known that they could possibly work.  I am at prime age to conceive and my dh is also - age is not a pressing factor for us.  I am so happy that you have a beautiful DS from IVF/ICSI!!!  Hearing/seeing your story makes me a believer in it even more than I was before - I just don't want to skip steps if I don't have to.  It also is not in our financial cards anytime soon.  I really think that the dr. saw we have been trying for two years and played on our emotion a little bit.  All together I would never see him again or choose him for IVF/ICSI if it comes to that - simply because of his attitude =)  I beleive you had a great RE that treated you with respect, and I agree with what you said that I need to find that too.  I also agree that counseling is never a bad idea - it was just the way he said it to me that came across snide.  =)  Thank you so much for sharing your story and for your words of encouragement!! 

Natpink - thank you so much!!!  I hope your next IUI goes well!  Are they going to try any dilation procedures to help the cervical opening?  Baby Dust and Pray that it goes off without a hitch and you get that BFP this time!!!

Lovebug - Lovveeee your story!  Congrats on your baby/pregnancy!! So thrilled for/with you!!  Part of my endo was that my left ovary was adhered to the backside of my uterus - as well as the end of my left tube was partially blocked - so any eggs being produced on my left side were completely useless - 6 days after the surgery I O'd from my left side and according to U/S everything looked great - she had unblocked the tube during surgery and tested it and it was great.  I had never heard that follicle stimulating drugs would aggravate endo until this RE said that - and now you said it too.  I've tried googling it and can't find much info on it =(  I, like you have always heard that IUI is great for male factor also - it gets rid of the useless sperm and only inserts the high functioning, surviving sperm into the uterus for prime fertilization (you know this though haha).   Thank you for your words of encouragement/advice!  Are you going to find out the sex of your baby and are you going to post it on here? =D

My consult went well last night with the chiro/acupuncturist - he does a mix of Eastern/Western acu - and has helped many women get pregnant - he said that he has had some clients do IUI and get pregnant but none of his clients had to do IVF - and I did not tell him our story - he just said that - so maybe it was a sign/maybe it wasn't =D  but either way I am excited to do something instead of nothing this cycle =) I also went home last night and had been feeling moist all day like you do right before O - and lo and behold got an almost positive opk - on CD14!  I hope it wasn't a fluke but I guess time will tell - I am very excited because I have never O'd before CD20 and that was on Clomid!  The earliest I've ever O'd was cd26 on my own and that was after my laparoscopy.  Pray for a nice positive opk in the next day or so! 

Again, thank you ladies so much - your support, kind words, and such mean so much to me! 

AngelAngel 28 & Sean 23 Smile -                   My Charts

From previous marriage: Baby Boy Garryn - 8, Baby Boy Kaiden - 7

Baby TTC Baby #1 together Baby

DH - Mild MFI ; Me - Endo (Completely removed August 2011 Pray it doesn't come back)
2 IUI's in 2011-#1 with Clomid - BFN, #2 with Follistim and Femara - BFN
Conceived naturally Jan. 2012!  Angel March 6, 2012 - Ectopic Pregnancy removed Laparoscopically Sad - seeking the silver lining in that we did get pregnant au naturel.

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angelstar220 replied on 01-11-2012 9:23 AM

Hi Threeprinces - Sorry I didn't get you on the last round - you posted while I was posting =)

Your story really gives me a lot of hope!  What a miracle your sweet little girl on the way is!!  I do want to atleast try IUI before skipping to IVF because I do believe it could work now - especially with the endo being gone and Sean's #'s improving so drastically.  If it doesn't work and I have to go to IVF - I may regret it - but I also don't want to not try because I think I would regret that more.  IUI's are about $400 at the clinic here - and my monitoring is covered by insurance - The IUI and the medications are not though, bringing the cost to around $600 out of pocket. A cost risk we are willing to take and hoping it pays off.

In our case IVF scientifically may be faster - but financially not so much.  We don't have $15k - and it would take us atleast a year to save that much.  I am not willing to go into debt for it by using the credit line for it either. 

Thank you for the good luck wishes and sharing your story!!  Hug right back at you!

AngelAngel 28 & Sean 23 Smile -                   My Charts

From previous marriage: Baby Boy Garryn - 8, Baby Boy Kaiden - 7

Baby TTC Baby #1 together Baby

DH - Mild MFI ; Me - Endo (Completely removed August 2011 Pray it doesn't come back)
2 IUI's in 2011-#1 with Clomid - BFN, #2 with Follistim and Femara - BFN
Conceived naturally Jan. 2012!  Angel March 6, 2012 - Ectopic Pregnancy removed Laparoscopically Sad - seeking the silver lining in that we did get pregnant au naturel.

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d_arnold replied on 01-11-2012 9:38 AM

I don't have much experience with IF but I wanted to say how sorry I am that you had such a terrible experience.  The fact that he thinks you need counseling because you were upset during your consult is absolutely ridiculous!  I was SO emotional when my DH and I were TTC and we only had to do a couple rounds of Clomid to get pregnant.  I cannot imagine what a basket case I would've been if I were going through what you have been going through.

When DH and I were TTC I was with an OB that was just "ok".  I made an appt with her after charting for 6 months and after my appt with her I felt about an inch tall.  She basically told me the reason I wasn't getting pregnant was because I was stressing myself out and was being "counterproductive".  I immediately looked for a different dr. and found THE BEST OB.  She took the time to listen to me and run some labs.  We finally found out I had low progesterone so once I was on the right dosage of Clomid we were able to conceive.

Anyway, I share my story with you (although it's not near what you are going through) to tell you it does make a huge difference when you are going to a dr who you feel listens to you.

Good luck!  And I hope you get pregnant VERY SOON!

Danica (29), Heart DH (31), Married Oct. '08

Baby Girl Adelyn Mae born July 8, 2011 

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Posts 151
earlyspring replied on 01-11-2012 10:38 AM

Well it seems like you've had alot of great responses, and I don't have much new to add, but I wanted to chime in because I'm in a very similar position to you now. You can see more of my history in my sig, but in November I had a lap and removed some mild endo from my uterus and a nasty endometrioma from my right ovary. I have a wonderful RE, who is knowledgeable and organized and very respectful. So far every decision has been made between she, my DH and I and I have felt comfortable with every one. When I woke up from surgery she said that she recommended IVF, but only because she is one of those "lets get you pregnant asap" drs, and she knows that we would only be paying about $7000 out of pocket, which we can do (somewhat) comfortably. I said that I wanted to try on my own for a few months first (we have no male factor) and then maybe IUI, and then IVF and she thought that was also a good plan, since I'm still (barely!) in my twenties. But now I'm thinking that, as PP mentioned, the drugs for IUI can exacerbate endo, so I'd rather just go to IVF while our chances are at their best (so soon after surgery). 

All that being said, this was a decision I came to in my own time, because my dr gave me all the information but was respectful of what I wanted to do. This guy sounds like an a**hole and I think that bedside manner is just as important as expertise. I read alot of reviews online and ended up picking an RE that's an hour from my house, when there is one only 10 minutes away, for this reason. 

Best of luck in whatever you decide to do. Sometimes all you need is to sleep on it. Smile

DH (30)  Heart Me (29) 

TTC #1 since 6/10

9/10 Angel blighted ovum D&C 9 weeks

laparoscopy 11/11 removed mild endo from uterus and endometrioma from R ovary

2/12 Angel at 5 weeks (at least I can get pregnant again!)

RPL workup scheduled for late 2/12- all clear

4/12 BFP after IUI with injectables- Beta #1 14 dpiui 447   5 week ultrasound shows 5 sacs???!!   6 week ultrasound shows two beautiful heartbeats!! BabyBaby due 12/21/12

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Posts 79
lulu32 replied on 01-11-2012 1:55 PM

I haven't read all the replies, but you mentioned that you didn't go with someone who might be the best doctor who has the best reputation because you were worried about running into your fired doctor in the hall. 

I think I have one of the best REs in the world, and still when I ran into her in the hall today, she said "remind me--was yours a fresh or frozen IVF cycle?" Doctors see SO many patients, yours may remember you, but very possibly you'll look familiar, but she'll need your chart to know the details. If she does remember exactly who you are, is it better to get pregnant or to avoid an awkward conversation with your fired RE? Not to mention, if she's not as good as the other one--the best feedback she can get is to have her patients go to someone else. Just my thoughts on it. 

Me (34) + Heart DH (32) 

TTC#1 Since July 2010

April 2011 DH diagnosed varicocele and severe MFI

IVF#1: Sept 2011 / ER: 11 eggs, 6 fertilized / ET: Day 3, 2 transferred, 1 frozen --BFN Sad

IVF# 2: Nov 2011 / ER Only 5 eggs, 3 fertilized/ ET: Day 5, 1 transferred, none to freeze--BFP!!! Smile

IdeaMy blog: http://whatinfertility.blogspot.com/

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Posts 505
cand82 replied on 01-11-2012 2:13 PM

How wonderful that your consult went well yesterday. I truly believe that we are in charge of our medical histories. Meaning that you seek out the healthcare professionals for the type of care you desire and require. So perhaps seeing an acupuncturist is a better option for the care you are seeking? It sounds like it. I agree with a PP, I think lots of REs just treat childlessness and not necessarily your reason for IF. I found that confusing when we went in for our consult. But I think you found your fit. Good for you! But I hope you get your miracle BFP before you have to go back to see them! Wink how awesome is that that you ovulated early (normally)?!

Lilypie First Birthday tickers

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Posts 218
natpink replied on 01-11-2012 2:47 PM

Angel, looks like you are getting tons of great advice! :) Thanks for the Baby Dust and well wishes! After 2 mock/trial IUIs (RE wouldn't let us do the real thing until he was sure it was possible, but he never mentioned anything about a dilation process?!?) Basically we discovered that I need to have a FULL bladder AND an ultrasound at the same time while doing the IUI. Not the most comfortable situation, and what takes most 5mins takes them like 20-40 but very excited to have finally found a solution to the problem and be able to go ahead with it.  

YAY for a +OPK on CD14! That happened to me the past few months, which is so strange, I never O before CD19-23. I had a very long and annoying cycle and then the last 2 have been earlier O.  

I can definitely see how you wouldn't want to move straight to IVF for 15k! Both DH and I are self employed and don't have coverage (we are in ON, Canada) so everything we do is out of pocket. The IUI itself is $750 and the meds are around $600. I hope one IUI will bring both of us BFPs!! 

Good luck to you darling!! xx

me: 26 dh: 28

Baby Oct 27/12!!

Married September 12, 2009, together 8 years | TTC#1 since April 2010

Seeing a RE since June 2011 | unexplained IF

IUI's postponed twice, very curved cervix and require an ultrasound and full bladder at time of IUI

IUI#1 Feb 4/12  (Puregon & Ovidrel, Progesterone - 282mil @ 95%!!)  - BFP!!! Beta#1 = 1398 | 02/20 | 17dpiui 

First ultrasound 03.12.12 | Heartbeat 143 -  baby measuring right on track!

 

 

 

 

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