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I really should have recorded everything they said, I'm sure I'll screw something up trying to explain it.
It's Game On.
To avoid typing all this out, I took pictures of what she wants done. I apologize if they are huge.
Step one is to call my insurance and find out which of these are covered (if any), if not covered, this is $2000 worth of bloodwork that I don't think will go towards my deductible (insurance newbie) :/ At least they gave me all the codes to make it easier to discuss it with them.
This kinda works out good for me, since my GP didn't want another thyroid draw until pregnancy occurred OR September, and that made me nervous. The way they have it worded is that they want answers for extremely heavy periods and recurrent pregnancy loss, NOT infertility. The chromosome test is 100% optional and DH wants to skip it for now, and I'm ok with that.
They want this done as well, there is absolutely no reason this wont get covered.
They also want to do a Sonohystogram and ultrasound (they only bill for the hystogram since they do the ultrasound with it). They'd also like to do something called Femmeview, which is pushing air bubbles through my tubes to see if they're open. They admitted, they've never seen it covered by insurance before, BUT (don't you love a but?) where I had an untreated STI known to cause scarring of the tubes, so they'll push the company a bit. If they won't cover, DH and I will discuss the cost since this has been a concern of mine from the start.
Right now they are not asking for actual CD 3 labs. They didn't say why other than "one step at a time." They said they will do them though, just starting with this.
They gave me a handout on both Clomid and Femera, and that the results of everything would determine which they would give me IF I needed it.
They also gave me a req for a SA for DH, no urologist needed, they can do it and give the results to me (with a signed form of course) with out us having to pay for an office visit for DH. Soon as he's back he will go get it done, since the "next step" depends on what that SA says.
I also need to schedule a new pap, a follow up to the abnormal one last year to see if I need yet another colposcopy. We've already decided that an OB will be doing the next one, because they can take more samples (I could throw up even thinking about another one.. that thing was terrible).
Progesterone is definitely on the table. Depending on what future labs show for cd 3 and cd 21 progesterone it could be start on day of BFP, or start 4dpo.. and baby aspirin is an official "prescribed" medication until further notice... she was horrified that the last OB had told me to stop it. They did say that Lovonox is also possibly on the table if anything comes back with the clotting tests. I knew this... but hell, I can't even give myself a freaking finger poke for an A1C! *cries* Hopefully if it comes to that I will be able to get past it because it's the difference between being pregnant and miscarrying... right? (someone reassure me here.. of all the things they talked about.. this was the one that got me)
I'm sure I missed something. It was a long appointment (was there over 2 hours between three people) and there was a lot of information. They were very glad I went in there having a decent idea of what to expect to happen, and understood what they were saying.
What really struck me was.. I told her that the last doctor said that everything was related to my weight, that if I'd just lose the weight, I'd be fixed. And I said that nothing like being told it's all my own fault for being fat, that nothing else could be working against me. She said "Ashley, I'm going to use your own words here. Yes, you are "fat", and it is good that you recognize that, and know that you have to lose some weight. And yes, your infertility could be caused by you being "fat"... but your being "fat" could also be caused by your infertility as well. It is my job to hopefully fix both your weight and your infertility all at the same time. Nothing would please me more than to never write you a prescription for a fertility medication because you would up not needing it." (she even used air quotes every time she used the word fat )
Something I thought was really cool.. I mentioned to them that it was going to suck getting pregnant and having to pay full price for OB appointments until I reached my deductible. They said that they don't usually send the bill to insurance until the end of pregnancy, the end of the year or until advised by the patient. So I could pay for all appointments at full price and hit my deductible then only pay 30% for delivery (my oop max is $6300), OR I could hit my deductible with delivery, then only pay 30% for the remaining plus my copay for appointments. Seriously, this new place is AWESOME!
Oh.. DH is in Texas for at least the next 12 weeks. He's been advised they might have a foreman position opening in the next week or so and if that happens they want him to take it. It's a raise, but it means working longer down there (like... end of year or further). Nothing's ever for sure with his work, but that kinda puts a kink in TTC. Does give me longer to lose more weight though
I am so so so so so glad you are seeing this OB!! This one seems to know what is going on and is willing to actually help you! I hope insurance covers all those tests (or at least most of them) and I LOVE that your doc is willing to word it appropriately to help you out That has made a huge difference with my new doc and saved us lots of money.
I KNOW if you get to where you need the Lonovox you can do it! You are amazingly strong and you can do anything when it comes to TTC I have seen your will power!
I am just so happy things are finally moving forward for you!! I can't wait to follow your journey from here. I hope you and DH time some good O time visits in the near future
I'll do my best to time my O's with trips, but I couldn't even seen to time them when I could leave whenever I wanted... let alone when I have to book a flight weeks out. :/
I bought a fitbit to help keep me accountable for how lazy I am. Now I just need AF to go away so I can get the heck outside again. She hasn't been overly heavy.. but I have the constant nagging sensation that at any moment she's going to unleash hell.. and I don't want to be away from a bathroom when that finally happens.
AF's gone.. yay. First week of eating well and trying to be semi active has come and gone and I lost 2.8lbs and 7.5"!!!!!!!!!!!!!!
If I keep that up, I'll see 210 in two weeks
My current goal is to be 192lbs by summer. That's how much I weighed when we left for New Orleans to get married. i want to put on my wedding outfit and see that it's too big because I'm more fit than fat.
Goal after that is I'd like to see the 160's this fall. The 3rd Anniversary is where you exchange leather items.. we've decided we want dressy leather jackets and our Wedding rings (yeah, we're going big this year LOL).. but I don't want to buy either until I've met my weight because neither of them can be resized (titanium rings can't be resized).
I can do it, I know I can.
Mini goal is to lose 20lbs by May 1st. I'll be going to see Woody around then I hope, and I think he'd be excited to see some of me missing
First round of labs are scheduled for Monday, they will determine if I have PCOS or not. The results will determine if I need to start metformin or just see a nutritionist/dietitian.
IF I don't need metformin, I'm going to book in with a new doctor to have my foot looked at. I've been in extreme pain for several days now, have resorted to taping it. Which is fine, but tape doesn't stick to me well so I'll be spending $80 (yes you read that right) on tape every month to keep it taped.
So that's my update. We aren't sure what other tests we're going to do. We have the list, but part of me doesn't want to spend the money until DH has done his SA... but another part of me doesn't want to spend weeks scheduling appointments if that's fine.. that'll cut into my ttc time!
I don't know if I officially said, but clomid/femera with progesterone supplementation is our next step step if we don't get pregnant naturally by the time his SA is done. I never thought I'd need drugs to get pregnant.
Labs are back. They were good, but indicate I have PCOS. I start metformin tonight. I'm supposed to add 5 min casual exercise ( a walk) or 2 minutes harder exercise (cardio or a bike ride in a tough tear) for every metformin pill I take a day. I start at 1, and the goal is 3.
Do not be anxious about anything, but in every situation, by prayer and petition, with thanksgiving, present your requests to God.
Now faith is being sure of what we hope for and certain of what we do not see.
And we know that all things work together for good to those who love God, to those who are the called according to His purpose. 'Blessings' by Laura Story (What if trials of this life, are your mercies in disguise) Glorious Ruins
I was really sorry to have to type it. We have less than 600k normal swimming sperm in each ejaculate according to his SA. There are vitmains, drugs, tests to be tried and run. The nurse had me check for something and it looks like he might have a varicocele (which restricts how many sperm can actually come out) on one side, so that will have to be checked. IF he does have that, and vitamins and drugs don't improve his counts we won't be looking at surgery to fix it. Too much money on too little of a chance it would work.
We still haven't officially discussed our options. But we have a pretty logical route we'll take starting with vitamins and a retest, then seeing the dr and a re-test and going from there. If counts go up, we have one path, if not, it leads us to IVF.
We need at least a year to save for IVF. If I could go to work full time it'd be fine, but I can't. Me going to work means Reme goes into daycare, which we pay half for.. and it also means I won't ever get to go see DH.
I might see if I can find something part-time and flexible.. but those jobs don't seem to exist. We want to still try while all this is going on, but I need to be able to just jump in the car and go when opks are looking positive, I can't do that if I'm working.
This years Pap wasn't clear again, low grade cells with possible high. Colposcopy showed low and high in one single spot, cervical os clear.
OB says we can wait and retest in December since doing a leep will put us on hold. Unless the pap gets worse, I'm not having a leep in December either, I just haven't told her that yet.
Scheduling a D&C to remove polyps and adenomyosis tomorrow... hoping they can fit me in quickly and we can get in a few ttc cycles before Christmas.. even if I do have to drive 10hours each way for them )
Dh is home this weekend, we aren't trying this cycle because it's dangerous to get pregnant so soon after a D&C. But it looks like my cycles will line up nicely, I might even get to see my husband on our anniversary. lol.