[Kary♥RN]

Ok I NEED my JM ladies.....

Here is the delima.

I am on CD1.

I can start the Clomid Chalenge test. That would me comming in on CD3 for baseline U/S.. and Blood Work.. On CD 5 starting Clomid taking 2 pills po until CD 9.... than on CD 10 having more Blood work.. They also want to do the two scans..

Here are the problems..
1. Insurance dose not cover (I already have a bill for over $8,000 for DH blood work.. that I have to try and see if I can get them to pay for it... not looking good though) I can call back and see if I could just do the CCT and not the scans untill nest month.... That would only be at the most $400.
2. From what I have read.. CCT is to check out your eggs... and get a feeling for IVF/IUI..As of now these are not someting we are looking into doing....
3. I will be working and it will be the weedend on CD 6-11 (Next month the days will be a little better to schedule the tests)
4. After getting the results of dh SA.... and how bad the results are... The only posiable option for a sucsessfull Pregnancy is IVF, we have to meet with the Urologist to see if thier is a anatomical problem

Right now.. this is all alittle overwhelming. I am considering maybe we should just stop trying. Every were we turn.. something else in wrong, wrong, and wrong.

What would you do at this point???


************************************************** ************

OK UPDATE!!!!!

Well I called my regular OBGYN... I have been considering changing Drs.. But wanted to give him a second chance to see what he would say...So the conversation lasted over a half hour on the phone... Here it is:

Well I started out by saying that I have seen an RE, the tests that he did, AND That I have seen a Hematologist, and when I said all this... He kinda stoped me at this point (I think he could hear in my voice were I was going with the whole conversation)

He wants me to come in tomorrow for fasting Bloodwork. FSH and more Hormone tests.. I will have to go back in for an ultrasound and more Bloodwork on CD12-13.. It will have to be CD13.. since CD12 is a sunday. He backsteped on the whole baby aspirin deal (the last conversation he didn't even want to talk about the MTHFR Mutation)... He wants me to stay on the baby aspirin AND he did bring up lovenox (I WAS SHOCKED!).. and said we can talk about that. He also wants me to start the progesterone the day of the U/S. and test early (hahahaha, that made me laugh!) To see if it +, if not I have to stop the Progesterone on CD 27-28 to bring on AF. He said that while DH's SA may not be the best numbers.. to follow up with the Urologist.. but has seen numbers come up.. and with having 3 conceptions in 11 months... He is not too concerned. And while he said I can not rule out that IUI/IVF might be the way to go... lets try and see if this helps... Imagine that... Was it the magical #3 miscarraige? GOD DOES THAT P*I*S*S ME OFF!!!! Now you want to listen to me..... He also said he dosen't think I need the scans... since I have had carried a child to term He feels that if thier was a problem with my uterus, shape or other... I would have never carried to term.. the only think that can be a culprit (of the last loss) is scaring with the D/C.. But he said... You have only had one d/c and that was with the second loss... so chances are it is not about scarring.

I took this route.. since my Insurance will cover his services.. since he is affliated with the Hospital. And right now... I just can't go thier and have the scans wih work and the finacial responsability.

What do you think??????

[krystal g]

I totally understand the financial aspect. I was without insurance for years and it sucks to have to worry about how much a treatment is going to cost. I think I would postpone for a month. Your schedule will be better suited for all the testing and it will give you some time to figure out if you really want to do it.

AND...you just found out about the SA. I know you got the numbers back and they are not looking good, but you don't know for sure that IVF is your only option do you? You have gotten pregnant, so it can happen. Maybe there is something that DH can take or do to help the sperm quality. I know there's a lot of negative s#@! you are up against, but don't give up yet. See the urologist. See what some initial options are other than IUI/IVF. I know it shouldn't all come down to money, but maybe try the less expensive stuff first.

Try to not let all the negative get you down. (OK, you can tell me to shut up with all the cheerleading ).

And if the problem is completely sperm related, ever consider a good male friend and a turkey baster? Sorry, just trying to make you smile.

[Trish36]

This is hard. Considering how much it costs I would wait and NTNP for a month. Hopfully you can get most of it covered by your insurance. I'm sorry Kary you have to deal with all that on top of everything else.

[momof6lopez]

Kary, boy you are in a dilema, hu? IMO I would try the clomid and do the monitoring this month. As for DH's issues, I still cant see how someone with such bad results could get you pg 3 times in one year! I really think he needs a re-peat test for comparison. So your insurance does not cover much it sounds like. To be honest with you, if my insurance did not cover all that I have started this month (ie, scans, bw, dh spermies) I could not afford to go any further with the ttc process and would probably just continue to ttc on my own with help of medications only.

Are you guys at one point looking into IVF? Does your insurance cover it? Mine does, but I will not go the IVF route myself. I think the most I would do would be IUI, and that may be a stretch for me, peronally. But Im also 38 and have 4 kids already from another marriage, and could not see myself doing IVF. You may feel different, and your income situation might call for it.

Personally I would take the easiest route this month and just give yourself time to wrap your arms around all of this.

[Augie]

I would definitely at least have DH see the urologist. I would look into what would be needed to fix his issues and decide from there. I probably would at least NTNP (maybe even break) until the appt because I'd be scared of conceiving and losing another.

[missy123]

Hi honey. It is me.... First of all you are still very young, I don't give a rats a@@ what that other doctor told you.

I know all too well and have seen the look of pain, longing, angusih, pride, and hurt all in your face. This TTC journey was so easy for us years ago and now we struggle. We so desperately want a baby with our wonderful men that we will go to all lengths and strides to get there. We spend days searching the internet for a new technique that may give us the baby we want, that we deserve. We order pills from the internet, we go to vitamin shops in search of a miracle. We take tests and have doctors prod us and poke us.

We have proven that we are good parents by the children we have raised thus far. We understand sacrifice, we have patience, we have what it takes... yet we struggle and cry and beg and pray and plead, just 1 more.

I babbled away just to let you know that I understand what you are going through. I did the basic testing but stopped there, any more would be too overwhelming for me. If I was you, I wouldn't give up. You have time left. You have not even lived half of your life yet!!!

Love you much and let us know what you decide.

[farasha]

HUGS Kary... I know this is a lot to deal with this week.. and the insurance companies... ugh. What a nightmare.

You and DH have gotten pregnant three times this year, which is fabulous considering the results. This makes me wonder whether or not they should repeat the results, and definitely see the urologist to get another opinion on the matter. Do you need IVF because of the sperm motility, or because it could be a sign of chromosomal abnormalities in those slower sperm?

Given how much stress you've been under, I might take this month off from actively trying (and not avoid either) and take care of the insurance and DH's little guys. Especially since this month's schedule might be too hectic for you. Then, you can always to the clomid challenge next cycle once you have more information from this month (or just get a surprise bfp!)

I'm so sorry that things are so rough right now. I don't think you should give up, and I know you won't. You are incredibly strong, and you are such a wonderful support for all of us. I hope we can be that support for you. You can do this! You will have a baby! HUGS!

[~InHisHands~]

Honestly, I'd break down & cry! I'm so sorry! I honestly don't know what I'd do but I know I'd start praying & asking the Lord what He wants me to do & go with that! Man, that is so difficult!

I'm adding you to my prayer list right now!

[Celena]

First off I'm sorry you're at a crossroads on this to you babe~!

Please don't get offended by anything I say, I'm kinda pissed at your doctors right now... I think they should be better advocates for you and POSITIVE!!! You need to be positive too!!! So having your doctors being the way they are isn't lifting you up, they're dragging you down GRRR!!!! (ok, so take what you read knowing that I care about you... I mean it with luv from my heart)

Kary I can sit here and tell you about some really bad situations of couples, like heres one example... *in their early 20's* with many factors against them who went on to have 1 MA baby and 1 naturally afterwards... her DH had 90% DEAD swimmers, she had PCOS & ENDO... THERE IS HOPE! I don't think your situation is THAT bad, it's not perfect either, but I think your doctors are however BAD, they sound pessimistic and mean. Not helpful at all, WHY did they get into that industry anyways if they're just going to be dicks about it to you. I just don't understand! They don't sound professional.

In bloodwork, I realize that a slight difference from the norm to us would mean there is a problem, but there is a grey area outside of "normal numbers" where it's still OK. So it depends on the doctor on what they consider normal or not... they all seem to conflict! Perhaps there isn't really a problem... but you never get a definite answer, are you going to give up? NO, DON'T GIVE UP!!! If you want this as bad as I think you do... you guys will eventually get and stay pregnant with or without medical assistance.... (maybe some new Dr's too) Regain that hope, reagain that positivity!

There may never be a conclusive answer as to why you had your losses, so that is something you're going to have to come to terms with on your own time... (we all do) However, there's nothing that says you're DEFINTELY going to have miscarriage after miscarriage after miscarriage AGAIN. If that is something you cannot handle then don't ttc for a while? or indefinitely?... but the option is your choice to make whether you want to go thru more testing, spend more money and turn up nothing or continute to try to concieve ... you know what you can and cannot handle. You know what YOU REALLY WANT TO DO... and talk about it with DH, where do you two come on all of this?

I don't know what to tell you... you're going to have to do allot of soul searching on this one and perhaps give some faith to what ever "God or religion" you believe in. Not everything happens when we want it to, I d**n sure know that one like anyone else does.

You have some blessings.... and there IS a silver lining.... reach for those stars baby! You can do this!

[Kary♥RN]

Updated!!!

[KDD]

Okay - you have a lot to think about. Since your tests with your OB are covered, why not try them this round? I do agree with him that you probably won't need IVF since conception doesn't seem to be your problem.

Whatever you decide - good luck! Let us know how you choose.

[farasha]

I think doing those tests that are covered are a good compromise to keep you on top of the testing without having to worry about insurance. KUP! Hugs Kary!

[missy123]

I think you sound excited and that is a great thing!

[Celena]

HOORAY!!! HOORAY!!! HOORAY!!!

GOOD FOR YOU FOR STICKING TO YOUR GUNS!!!

I'm glad that you called him and had a lengthy conversation about everything that you have done so far... it sucks it came to this for him to kinda take everything SERIOUS! However, now he is and it sounds like he's taking what YOU want serious. GOOD FOR YOU! This is wonderful news and a great victory in the battles you've fought thus far... hang in there, you're doing it!!!

[krystal g]

I think it sounds like a good plan and positive step in the right direction. And you sound happy about it. It sounds really promising. HUGS!

[momof6lopez]

Kary, now that sounds like a plan! This is the same plan that I went on last month with the bw, baby aspirin and progesterone from ovulation to 12dpo. It made me much more confident of conceiving and not m/c'ing. Although it was a bust, Im ok with the fact that I have taken some action in preventing a m/c.

And the dr. agrees with me on the DH spermie count! I just could not shake the fact that he got you pg three times this year and one of your losses was chromosonal. I really think he is just fine and with this new plan you are on your way to getting a BFP!

O/T-- I read a fortune cookie last night that said "Do the things you want to now, as your life is about to change." I love it!!!!!!

[Trish36]

It sounds like a good plan and compromise. Maybe the Lovenox will do the trick. I'm glad he's finally starting to listen to you and it's not going to cost you an arm and a leg.