Wednesday, March 24, 2010

march (on) madness

Thank you to whoever submitted the news about my lumpectomy to LFCA and to those who stopped by to offer their support. Tomorrow at 10:45 is my appointment to receive the biopsy results. I'll post as soon as I know.

Now, for all things infertility, let's rewind to yesterday afternoon: My consult/treatment plan appointment.

First, my doctor kindly removed the internal stitch from my belly button. Thank. God. I was tired of looking at it.

Then we discussed the plan. His clinic has better success rates with Femara than Clomid, which I already knew. He thinks that, given my decent response to Clomid, Femara is the best place to start. So for next cycle (cycle #24... two years...), we will be doing Femara + trigger + IUI#3. If for some reason I don't respond well, we'll do a different protocol for the following cycle: Femara + minimal injects, which are injects on days 5, 7, and 9 of my cycle + trigger + IUI#3 (previous cycle's IUI will have been cancelled due to poor response).

If all goes well, we'll do 3 IUIs--putting my total at 5. However, if Joey's numbers are still bad after IUI#4, we may skip the last IUI and move to IVF w/ICSI. We may also try a cycle of freezing a sample or two of Joey's sperm ahead of an IUI so we have more sperm to work with, or we may try a double or back-to-back IUI. This will all just depend on how the first cycle goes and what his numbers look like. He's less concerned about count, and more concerned about motility.

Cost. I was upfront with him: this was my biggest concern. I wanted a baby and would be willing to spend a ton of money on one, if I actually had the money. But it looks like we have options. They do a shared embryo program, where we give half of our embryos to another couple and half of the cost of our cycle is covered. They also offer free meds to couples who qualify financially (we should) and other financing options (fertility credit cards, loans, and installment payments on a case-by-case basis). As Joey said last night, we would make it work, somehow and someway. For now, we'll do our best to be diligent with money and save as much as possible just in case. And, as I tweeted yesterday, I was really proud of myself: I didn't vomit, crap my pants, break out in hives, rip my hair out, scream, or cry at my doctor's mention of IVF.

So that's it. If all goes to plan, we'll have IUIs in April, May, and June. And if AF gets her shit together and she arrives on time, all three IUIs could fall on the weekend. So cross your fingers that the stars align for me, because that would be three less days I would need to take off from work!

18 comments:

Kandid Kelli said...

Hopefully you wont need MAY & JUNE!! Just sayin is all :) Being positive!!

xo
-K

erika said...

Wow!!! I fell in love with your RE already. I feel like he is a very proactive doctor and you are in very good hands to expedite your journey to that long-deserved BFP.
Sounds like you have a fantastic plan worked out.
Go Femara, bring on that BFP!

Crossed Fingers said...

Fingers crossed - of course! It sounds like you have a great game plan going on. I also love how they are willing to work with you for cost! Awesome! I'm really hopeful for you guys!

Dawn said...

I hope AF cooperates, but I also am keeping my fingers crossed that your next IUI is you last! I know your time is coming!

Rach said...

Sounds like a plan. Glad they have some financial options for you!

Al said...

Sounds like a great plan. It's so nice that he's covered all the what if's with you so you always know what the next step will be if things don't go as well as you like.

Hope that this next IUI is your last.

Jessica said...

Glad you have a plan for the next few cycles!!

Good luck tomorrow...you will be in my thoughts.

Rebecca said...

A plan is always a wonderful thing to have. I think your RE sounds wonderful.

Thinking of you for your appointment tomorrow. ((hugs))

Elizabeth said...

So great to hear your plan, and I'm sososososo happy to hear that there are financial options to help you. So often in this journey we aren't given a lot of helpful options, and it sounds like you are in a great place to have the best care you can get. Sending you all the positive vibes I can do have everything align the best for you!

Katie said...

That is AWESOME that your RE has such a good plan for you!! :-) I hope you don't NEED that whole plan, but comforting to know that your RE gets it. And that is awesome about the different options to help with cost!!

((HUGS))

2catdaughters said...

So happy you have a great plan in place!!!

JC said...

It sounds like it went really well! I'm hoping I get to cycle with you in April and we both get BFP's!!! Ahh wouldn't that be so nice...
Good luck tomorrow!

Kelly said...

I'm so glad that you have a plan! I'm hoping you don't even have to travel down the IVF path!

Good luck tomorrow. I'll be thinking about you.

Carrie said...

Sounds like a great plan and you are aware of the potential future plans as well!! (Not to mention you go rid of the belly stitch!) So glad to hear that you will be getting started soon! I am so excited for you!

AplusB said...

Sounds like a good meeting with your RE and I am so hopeful that you will only need one more IUI to do the trick!
Good luck at your appointment.

arlnurse said...

Sounds like you have a great plan! I've been thinking of you & praying with everything I have that you get great news tomorrow!

If you end up on follistim, I have some extra & 3 follistim pens & would be more than happy to send it to you. our meds are covered by insurance completely except for small copays & I'd love to help you out if I can. xo

Littlest True Blue said...

Thinking of you today! hope the appt goes well.
:)LTB

Waiting Lisa said...

Sounds like you have a lot of financial options. I am impressed. That's great. It gives you the ability to worry less about money and focus all your energy into getting pregnant. :)