(I’m going to update this later once we get all of the bills in, just for my records, but I wanted to get it out there).
$97.52 = 2 hr glucose tolerance test + lipid panel – Passed!
$500 = Day 3 Bloodwork ($115 for 1st three and $135 for AMH, $20 for blood draw)
FSH – 8.5 (good – CCRM wants a # under 10)
LH – 10.9 (fine – CCRM wants a number below the FSH result, but it’s typical that it’s inverted in PCOS patients)
Estradiol (E2) – 53 (fine – CCRM wants <50, but it’s typical for PCOS patients to be above)
AMH – 8.4 (okay – CCRM wants > 1, this means I’ll be incredibly sensitive to fertility drugs – “record breaking sensitive” – so they’re going to be very conservative with my dosages)
$16.11 = Other Bloodwork – All normal
Blood type and screen (ABO-RH/antibody) – I’m A negative.
Varicella Zoster (chicken pox).
$TBD = Pap Smear. Normal.
FREE! = Genetic Consult (re: my Mom’s hereditary spherocytosis). We waived our right to test.
but I had 20-25 follicles per side – highly indicative of PCOS.
$60.75 = Quest Charges for SA and ASAP
Morphology slightly low (3% instead of 4%) – not concerning since his counts are good.
75% motility (want at least 40%) – was still good 2 hrs later
$0 (didn’t get charged the $200?) = Nurse consult. Informative – lots of signing of papers and releases.
$100 = RE consult w/ Dr. Sur.rey Awesome. He definitely put our minds at ease, & we like his plan moving forward.
$700 = Sperm Sample Freezing
Optional – Recommended by RE – Didn’t Do
$170 = Cystic Fibrosis test
$285 = Fragile X test
$350 = Spinal Muscular Atrophy test
The plan going forward:
3 IUI Cycles (Hopefully only ONE!) before moving onto IVF if necessary.
Assuming I ovulate, IUI success rates are about 20%/cycle (just slightly below the rate for a 30 yr old woman with no IF issues trying “naturally”). However, when I get that BFP, I have a 20% chance of multiples – 5% of that triplets…hence the very careful monitoring and low dosage for me.
Low dose Clomid + gonadotropins (75iu/day of menopur) + IUI + prometrium.
Keep frozen sample in Denver at CC.RM just in case Charlie’s out of town.
If Charlie’s in town, we can do the IUI in Grand Junction (100 miles from home instead of 350).
We can to monitoring (ultrasound follie scans) just 30 minutes from us, thankfully.
Charlie’s out of town from CD13-28 this cycle (*sigh*) so this is basically a benched cycle. Before he leaves for his next hitch in ND, he’ll leave a frozen sample in Denver so that our next cycle (in March) will be a go for the IUI, even if he ends up being gone when I ovulate.
A couple other points for me to remember…
*Hot Yoga – definitely abstain in 2ww… Dr S wasn’t sure about it even in the beginning of my cycle. Has anyone else had experience with this? I might hit it hard for the next few weeks and then stop while we’re doing IUI. Makes me sad though – I’m loving hot yoga lately!
*Acupunture – great. Highly recommends it, but he wants me to quit all herbal therapy while I’m on the menopur & clomid.