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  #1  
March 11th, 2011, 09:14 PM
cavewoman's Avatar our miracle is here!! <3
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Well I saw the obgyn on Monday.. she said all my blood tests were normal, my ultrasound everything was normal and she flat out said she has no idea why I have the early miscarriages. Said I can keep trying the progesterone if I want.. also said once DH's SA and blood draw come back if everything checks out on his end she will be glad to give me a referral to see a specialist. So yeah.. just waiting for the end of the month for DH's SA appt to likely make an appt with a specialist! I don't know whether to be happy or sad? I guess happy that everything seems to be normal.. but what the heck is the problem then!?
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  #2  
March 12th, 2011, 06:36 AM
KMH KMH is offline
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Quote:
Originally Posted by cavewoman View Post
.. but what the heck is the problem then!?
I had mixed feelings about seeing a specialist, too. I was excited because I thought there might be something simple that my OB missed that would fix us, but also scared because what if the RE found something wrong that we couldn't fix...my mind was going a million miles a minute. Overall, though, I think I was glad to be moving on...every step you take is a little closer to that tiny bundle of joy

Keep us posted when you get the SA results back and when you make your appointment. I'll try to find the list of questions that we made a while back to ask an RE at your first appointment.
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  #3  
March 12th, 2011, 07:17 AM
Lash's Avatar Platinum Supermommy
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Next step is RPL, recurrent pregnancy loss testing, clotting disorders, Karyotyping and immune testing. These are the usual steps for miscarriages especially early ones.
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  #4  
March 12th, 2011, 11:31 AM
cavewoman's Avatar our miracle is here!! <3
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Thanks for the info girls! I started poking around last night looking up potential specialists that take our insurance.. and wow.. within 100 miles there are only 2.. yes TWO!! doctors ;\ one is 50 miles away.. the other 85 miles away. The closer one I'm a little worried about.. his reviews are really 50/50 half GREAT half HORRIBLE! So yeah, I'm freaked out. The other doctor who is further had like only 2 people who reviewed him and it was only ratings.. no comments I could find. We shall see I guess.. ugh. No fun!
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  #5  
March 12th, 2011, 12:00 PM
KMH KMH is offline
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Oh...I quoted your "what is the problem" line, and then didn't say what I was going to say! The crazy thing is, you might not ever find "the problem." We never really did, but if you can at least rule out a bunch of things, you will still have the info you need to move forward.

We drove 2 hours each way for our RE, and it was completely worth it. I don't know what your insurance will cover or if it will cover anything, but is it possible that you could set up initial consults with both of the docs in your area and see what you think? My RE rubs some people the wrong way because he is very focused and business-like and comes off as cold until you get to know him. He and I got along great, and when I went in for an u/s after a trip to the ER for bleeding and he found Pokey's heartbeat, he got teary-eyed with us. Different patients work well with different docs.
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  #6  
March 12th, 2011, 12:48 PM
cavewoman's Avatar our miracle is here!! <3
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Yeah.. some of the seemingly negatively geared comments actually appealed to me in a weird way? Because they said hes all business like and blablabla.. but really, I'm not into wasting any more time so get down to business and getting results sounds great to me! I can definitely get what you mean about different docs working well with different patients.. and I mean, some of those negative comments could have been people who were doing IVF and weren't successful but were later successful with another doctor it seemed.. so I'm really not sure what to think of the comments? I'm not sure what exactly our insurance covers for fertility problems yet I need to look into that actually so I know what I'm getting myself into. I'm hoping my obgyn will have a recommendation for one of them to share when I speak with her after the SA and DHs blood work. Thanks for the info!
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  #7  
March 12th, 2011, 12:52 PM
KMH KMH is offline
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Fertility Lifelines is a great, FREE, service to use to find out about your insurance. You can call them (1-866-LETS-TRY) and give them your insurance info, and then they will call you back and explain everything in a way that you can actually understand. They'll also send you everything in writing so when you forget, you can look back and remind yourself. I thought they were very helpful!
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  #8  
March 12th, 2011, 12:56 PM
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i dont know how cali works, but in ny, they normally wont refer you to a RE until you have been trying a year; being that i am 36, i was able to get in a lot sooner than that; you will feel so much better once you are under the care of a RE - all they do is help people get pg, so they are better at looking at ultrasounds, order bloodwork the ob wouldnt even know about, and, will hopefully put together a treatment plan for you guys; your husband will be a lot more involved, once u are seeing an RE; i hope he gets his appt soon; by me, all my husband needed was a prescription from my OB for the lab; maybe you can expedite things???
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IUI on 3/13/11 - BFN
April natural cycle - BFP on 4/22 - chemical confirmed 4/28
IUI done on 5/12 - BFN

IUI #4 done 6/6 - BFN
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total of 4 failed IUIs
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  #9  
March 12th, 2011, 12:59 PM
Lash's Avatar Platinum Supermommy
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If you are open to posting their names and clinic I will do some research and evaluate their SART for you
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  #10  
March 12th, 2011, 02:47 PM
cavewoman's Avatar our miracle is here!! <3
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Lash - That would be awesome!

This is the closest one:
SALEM , RIFAAT D; MD

and this is the other one:
PATTON , WILLIAM C; MD

KMH - We have Tricare Prime for insurance.. my DH is active duty military. I will definitely check out that Fertility Lifeline place.

acgka - We have been trying about a year and a half now and my obgyn has already said if DH's tests come up normal shes giving me a referral. The soonest appt for the SA is the 29th of this month and the blood test he can pretty much do whenever and will probably do this week b/c those results take over a week to come back because they have to be sent out, the SA should be available like the next day.
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  #11  
March 12th, 2011, 03:12 PM
KMH KMH is offline
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Oh, geez...I should have remembered that you had Tricare. My DH is active duty AF, so I can help you with that! Tricare will cover all testing...SAs for your DH (mine had 3 or 4), ultrasounds, bloodwork, HSG, laps...they'll cover it all!

As far as treatment, they'll cover things like Clomid, Femara, and even injectables, but they won't cover anything that has to do with IUI or IVF. In other words, if you do injectibles with timed intercourse, Tricare will cover it. If you add IUI, then they cover nothing. Make sense? Here is another recent thread about Tricare and how to work with/around them: http://www.justmommies.com/forums/f7...questions.html (dealing with tricare questions.....)
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  #12  
March 12th, 2011, 03:31 PM
Lash's Avatar Platinum Supermommy
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Ok on quick glance I'd be much more willing to go with Dr Salem. His SART rates are MUCH higher, at around 55% which is really fantastic honestly, and above the National Average. I'd choose a clinic with rates like that.

https://www.sartcorsonline.com/rptCS...linicPKID=1961

He did a total of 429 cycles in 2009, which is a good number. His donor live birth rates are at 55%. The two numbers to look at are Live Birth Rate AND Donor Live Birth rate. Donor has nothing to do with you, but it has everything to do with the quality of the lab, which is the make or break for many of us in IVF. The lab is what can grow embies out to 5 days. The lab is what counts, more than protocol or approach. Donor eggs are typically young highly fertile women- so if those are the most fertile, strongest, healthiest eggs you could ever use, then those pregnancy rates better be high!! If they aren't, the lab typically is less than average.

Patton did only 170 cycles, and the live birth rate is low at only 37%. No way would I risk going there. IF his lab took tons of difficult patients, I'd expect low numbers because those women (like me) are more likely to fail. Their Donor rate is only around 40%. No good.

https://www.sartcorsonline.com/rptCS...linicPKID=2067
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  #13  
March 12th, 2011, 03:38 PM
Lash's Avatar Platinum Supermommy
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Women on forums reviewing Dr Salem
IVF Specialists In Southern California? - FertilityCommunity.com

Any California girls going thru IVF in Sept/Oct 2010? - Page 4 - FertilityCommunity.com
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  #14  
March 12th, 2011, 03:56 PM
cavewoman's Avatar our miracle is here!! <3
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Thanks so much for all the info! I will definitely be checking these all out. Gosh I feel overwhelmed! Like many of you, I'm sure, I never in a million years thought we'd have trouble and be having to seek any sort of medical assistance! No fun at all Its so true too.. you never know just how HARD it can be until you suffer with fertility issues yourself.

Thank you again! I'll keep you all in my T&Ps!
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  #15  
March 12th, 2011, 04:04 PM
Lash's Avatar Platinum Supermommy
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Know this too--- even if you don't think you'll need IVF at all, this is really the standard we have to choose a clinic. The other procedures are not regulated or tracked by any specific agency really, so there is no way to know if a doc often has success with clomid or IUI or any other treatment, so IVF is the standard, and Donor Egg IVF is the Gold standard

Typically I assume if they can attract a good embryologist and they really seem to be committed to achieving high stats while also serving all patients (not cherry picking) they are also probably a good clinic for other infertility issues

I'd REALLY push for Recurrent Pregnancy Loss Testing and I'm surprised your OB didn't do this. It's basic clotting testing and anyone can get this, not just at an RE. Plenty of people have clotting and thromobophilia issues, like varicose veins and so on. You might find the answer right there easily, without needing an RE. Just a suggestion that you could go see another OBGYN for clotting panels without driving all the way to that longer distance RE
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  #16  
March 12th, 2011, 04:23 PM
cavewoman's Avatar our miracle is here!! <3
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Thank you, I may just email my obgyn and see what she says about testing for that. I wonder if I'd be able to do that with her rather than making the big trip out for that? That seems to make more sense to me.. especially if its something I could get done sooner rather than later. As much as I'm "excited" to see an RE because I feel like its probably the best thing for me.. given the situation and distance and everything else its just stressing me out. I think I will go ahead an email her and ask about it, no harm in that!
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  #17  
March 12th, 2011, 05:11 PM
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lash - are you only able to research military related docs? or, i dont know what SART is - is there a way to research success w IUIs at a clinic? or, just live birth is what you need to focus on? i have the stats for my place but how do we know if an embryologist is really that great?
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Married May 2010
TTC since August 2010, almost a year
IUI in December 2010 - BFP - chemical
IUI on 3/13/11 - BFN
April natural cycle - BFP on 4/22 - chemical confirmed 4/28
IUI done on 5/12 - BFN

IUI #4 done 6/6 - BFN
so sick of getting BFNs

total of 4 failed IUIs
IVF in July

using acupuncture 1x week, Royal Jelly, pre natals, organic Spirulina, Maca Root and Red Raspberry tea
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  #18  
March 12th, 2011, 07:46 PM
Lash's Avatar Platinum Supermommy
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Sure post anything! You can learn alot about how to read the stats and how to interpret SART results, and how to REALLY interpret SART results

Jumping Over The Rainbow- It Won't Rain Forever!!: How to get SART SMART- Learning how to interpret SART data

Post your clinic and docs that you are looking at. If you have access to your online base for your insurance company, you can find docs on your coverage
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  #19  
March 12th, 2011, 08:07 PM
cavewoman's Avatar our miracle is here!! <3
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I went to the tricare website and was able to search for doctors in the network that way
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