Follow-up w/Dr Chen

Today I went in to see Dr Chen to go over my HSG results (and, to throw in a papsmear). I already knew that they were normal (HSG) as the Doctor that performed the test informed me of such right after! But it was nice to see the written report and to hear it from her, and to be able to spend a little more time talking about it. No tumors, both tubes were clear, no defects, no abnormalities involving the uterus or endometrial cavity. Yay? Yay!

Finally got copies of mine and hubby's blood work results.  We knew everything was alright, but again.. nice to go over in detail and to receive copies for our medical files here at home.  No STDs, no AIDS, I'm not a cystic fibrosis carrier, blood sugar is great, immune to chicken pox, I'm type O-Positive (thought it was negative all these years), insulin of course was 25.3 which is high on account of my PCOS.  Hubby just had a 'infertility ID screen'--which isn't as in depth as mine was so there isn't too much to report on, but semen analysis and STD/HIV panel was all perfect. So we've been COMPLETELY cleared to get crackin'. We're totally healthy!

So, remember how I had thought that I was going to have to finish out my BC pills? Well, she said just to do it for another week.. which means, our first cycle of TTC (trying to conceive) is in ..... deeeep breath... 2  and a half weeks there abouts. AHH! I'm so excited/nervous/scared/and more excited than anything.

The technical mumbo jumbo is as follows. Well, infertility isn't considered a 'medical necessity' so 99% of insurances (and all insurances in the state of CA) do not cover any fertility treatments.  I love my RE (reproductive endocrinologist), and her prices are in the normal range. It will cost us about $800.00 per cycle, at least the first cycle (month 1) because we will be using Clomid (cheaper than other options) to induce ovulation. Not cheap, but not as bad as it could be.. I suppose. This includes multiple ultrasounds/office visits--doesn't include the Clomid, though it's cheap @ Walmart pharmacy--and one IUI (intrauterine insemination).  Dr Chen's goal, as well as our goal, is to get this knocked out (and me knocked up!) as quickly as possible; the less cycles the better. A couple few at MOST. We're really praying/hoping this will work on the first cycle. The odds aren't really against us, but they aren't exactly cheering us along and showing us the way, either.  About 25% of the time, Clomid does not work. It's not a small percentage, but it isn't too discouraging. Some women, most actually, their Drs put them on cycle after cycle of Clomid.  Dr Chen and I agreed wholeheartedly that the longer something like this drags out when a medicine clearly isn't working with your body, the harder and more discouraging this will be on you, your husband, your job, your life in general and even your marriage.  An oxymoron, seeing as how you are creating a life and preparing for the happiest time of your lives together.

If the Clomid doesn't work in the first cycle, we will keep everything else the same (multiple ultrasounds/visits, IUI), but instead of the Clomid we will use an injectable ovulation medication: a trigger shot. On both cycles, we will be doing the IUI as well as the ol' fashioned way because Clomid and fertility drugs in general tend to thicken cervical mucus apparently, and makes it harder for sperm to find it's way. With the IUI, obviously, it has no problem getting to the uterus.  We might be successful with or without the IUIs, but in an effort to give ourselves the best odds, we've opted for doing that right from the start. The trigger shot 'package' is just about $1000.00 per cycle, $200 more than the Clomid package. This is the total cost per cycle, so you can see where this could get expensive...REALLY expensive if you weren't aggressive with it and just did cycle after cycle after cycle.

Oh, and since I've met my deductible with our HealthNet PPO/Insurance.. my prescriptions have been free for the last 3 months.  I was using Nature Made prenatal multi's + DHA (200mg of DHA in the vitamin), which were typically $18.99 a bottle. For a months supply. Not too bad, but hey.. if I can get pharmaceutical grade vitamins for free.. why not?! So I asked for a prescription and she said sure, wrote me one, and added that they didn't previously make (in the pharmacy) a prenatal with DHA in it. The ones she prescribed are called CitraNatal90DHA. They come in blister packs in the box and you take two gels a day, that look different so I assume this one doesn't have the DHA in the vitamin, it's separate.  I was just reading the box to get the name and noticed '..Gentle calcium citrate and dual iron, plus a stool softener...' Niiiiice.

I'll keep you updated! Next post will be how great or how not-so-great the new vitamins are. Not thrilled with the 'stool softening' bit on account of my taking Metformin 2x a day. G'head. Google Metformin side effects. You'll figure it out. Apparently, the new vits are amazing, according to Dr Chen and my pharmacist. So we'll see! The post after that one will be.... about... TTC, Cycle 1! Besos!