Tuesday, October 19, 2010

It's Official

Just got the call - it's officially negative. Well, at least it’s not ectopic, right? I had such a debilitating fear all morning about this – so petrified that it would come back positive, with low progesterone and estrogen, and I would have to go through that horrible rollercoaster again. So at least the results are clear. Not happy, but at least I know for sure.

I have an appointment with the Doc on November 1 to see what he thinks about the next steps should be. Here is what I think are our choices:

1. Do another IUI with injectibles. It’s worked before, it will probably work again at some point. I could do lots of these with the $25K infertility benefits we will now have. Could definitely do another cycle in December.
2. Do an IVF cycle with my current doctor. He’s a fine doctor, one of the best in Houston based on success rates. We call him the Wal-mart doc – he churns through patients, he’ll do whatever, doesn’t seem too cutting edge. Advantage for this is he’s right here. I may be able to do it in December, if not I would need to wait until February.
3. Do an IVF cycle with Dr. Sher at SIRM or some other fabulous doctor. Cutting edge, really good doc. This would involve travel, and would definitely delay it until March, as that is the first time I would be able to take enough time off.

No matter what, I’m going to ask my current doc what he thinks, and I may schedule a phone consult with Dr. Sher – he does them over the phone for free. I’ve always thought that if we get to the IVF step that I didn’t want to go with my local doctor, that I wanted to go with someone more top notch considering how much it cost, but now that we have insurance, I don’t know.

Maybe I’m jumping ahead of myself and I should be just trying another IUI, but I’m pissed it didn’t work, and I don’t like the stats. I’m really pissed that I first saw my doc in November of last year, and it’s been almost a year seeing this guy, and I’m not freaking pregnant!!!

38 comments:

  1. I'm so sorry. That sucks! Hopefully you can get a consult with your doctor. Good luck with things. I'm thinking of you!

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  2. Huge sigh! And HUGS! Grrrrr. :( So disappointing!

    If it were me, considering all the things you just mentioned, I would go with option 3. Option 2 doesn't have a whole lot of positives, except for the closeness. My (old) RE was something like a churning factory, too. It's frustrating, and for the cost, you don't need that. But, that's just my opinion.

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  3. First of all, let me say that I am so sorry for this official BFN :(
    Second, it probably makes sense to have consultations with both Sher and your current RE so that you can make an educated decision as to which way to go. I assume that you can do some IUI's while you wait if you want to.
    I am thinking of you and sending you lots of love....

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  4. Glad you are looking forward! Hope your RE will have some insight. Excited to hear your next path.

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  5. ((((HUGS)))) Ugh, I'm so sorry Alex! What a major bummer. :(

    It's great you have so many options. Since you couldn't necessarily try IVF until Feb, I would be tempted to do another IUI. You should have plenty of insurance to cover both, right? (If there is time?)

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  6. Can you continue doing IUI cycles while you are planning the IVF cycle? I know at some point, if you decide on IVF, you'll need to take BCP and all that fun, but maybe in the meantime you can continue to use the doc you like and a procedure you know works? I'm sorry for the negative beta, but I'm happy you aren't dealing w/ an ectopic!

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  7. Very disappointing it is negative, but thank goodness you don't have to go through what you did a few months ago.

    Good luck with choosing your next path! That will be a tough decision I'm sure. Houston is such a great area for doctors, it's a shame there are no cutting edge REs here.

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  8. So sorry Alex (but glad it wasn't what you feared). Those are all tempting options... keep us informed!

    ...thinking of you. xo.

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  9. I totally understand wanting to move on to something more aggressive at this point. 2 out of 3 is great odds, but you've been trying for over a year now, and you need to see some results. I don't know what I would do if I were you... I think the doctors' opinions usually helps to clarify the path. Definitely consult with both. xoxox

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  10. So sorry...but good for you for already thinking about what comes next. I think you have a great shot with another IUI. You got pregnant 2/3 times and unfortunately got the shitty, shitty luck of an ectopic and a miscarriage. I think it's worth another go and then researching new doctors. Just my 2 cents.

    (((hugs)))

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  11. I'm so sorry that it's negative. (((HUGS)))

    I'm wishing you good thoughts as you try to reach a decision on how to proceed. I really have liked SIRM so far...the phone consult might be a good idea.

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  12. I hear you on the fears of ectopic. Boy howdy, I hear you. I am so sorry for the BFN.

    I would say- check into your insurance, see if SRIM is even able to be covered. May be a deal breaker. But do the phone consult with SRIM and a local doc or two. It may be the treatment would be similar at both locations.

    I do think at some point, IUI's become futile. I know it may be bad to say that, but as someone who did 10 herself, I wish someone had told me earlier.

    Hugs.

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  13. Major bummer that you got a negative. I am so sorry. I hope you find a path that's right for you. My thoughts are with you my friend.

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  14. I am so sorry that you got your negative. Whatever you decide, know that we are all supporting you and are here for you!

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  15. I am so sorry about this cycle.

    Oh decisions, so stressful! It might be good to hear a new opinion--do the phone consult. Since I have family in Dallas, SIRM is on my IVF list of possibilities as well, should it come to that by summer 2011. Sending good thoughts your way.

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  16. I'm really bummed for you on this cycle. Just a question about your choices. Is there a reason that IVF would be better--besides the higher success rates--than IUI for you? My two cents would be that if you do go the IVF route, you might as well go all the way with someone you have full confidence in. But delaying until March is hard.

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  17. So upset for you! I know that this cycle looked really like to work :(
    Hopefully you will get some good advice from your doc as to where to go next. I still think another IUI could be a good idea.
    Sending happy thoughts your way and crossing fingers SIRM will be fully covered for you.
    xxxooo

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  18. So sorry about this cycle, Alex! If it was me I would do at least another IUI while also doing the SIRM consult. You've had great results with IUIs so far (at least to me, I was 1 for 8) and that would make me feel like I'm being proactive while still moving forward. Just my thoughts, take them for what they're worth.... :)

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  19. I'm sorry about the BFN. =(

    I'm sure you will make the right decision and I hope it works out for you next time.

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  20. I'm so sorry about the BFN!!!!! I hope that whatever decision you make it works out for you.

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  21. Booo, BFN. So sorry, Alex. Why not go with the definitely awesome doc if you have coverage? Do it up right!

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  22. I'm so sorry. Hopefully you won't need it, but SIRM and Dr. Sher are wonderful. I think SIRM has a center in Dallas too, which would be closer for you. My thoughts were if I'm going to do IVF (and pay OOP for it) then I might as well go with the best.

    Take care.

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  23. I'm so sorry. I just wanted to chime in as I had a HORRIBLE experience with SIRM--loved my first doc there but he left to form his own practice, his replacement got fired while we were in the midst of an IVF cycle, and his replacement was just plain mean (so 3 REs in 3 months which was not exactly ideal). I never met Dr Sher though so if you decide that's the right choice for you I'm sure your experience will be different. Good luck--these are not easy choices!

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  24. Alex, I'm really sorry. That is a tough call to receive. And, yeah, it's good that it's not an ectopic but I know that it's still pretty crushing. I think talking to your doc is a good first step. I also think that the most important thing when doing IVF is being at a topnotch place that has an absolutely topnotch lab. The lab is critical.

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  25. Ah shit. This is crappy news. But to be honest, I totally get what you mean about at least having a clear answer. I dread getting a positive with this next FET as much as I hope I do, I'm scared of the LONG string of "maybe you are, maybe you arent, maybe it'll be ok, maybe it wont" with blood test after blood test after scan after scan! Whew. I hope if you do decide to go ahead with another IUI, that it brings you your Xmas miracle with a STRONG positive and wonderful growing baby :)

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  26. Im sorry this didnt workout this time:( Bummer I was really routing for you but I always am...To be honest if I was you since you now have insurance I would just go for the IVF...if I could turn back time I def would have skipped all the IUI and clomid cycles but back then I was as educated as I am now and I just think instead of going through the frustration why not increase your odds and go for the gold and what gives you best odds and also loweres your risk for etopic too:) I went to a Sirm for my last IVF the one that worked and I really like how they do thing very precise and I had seen more low key Dr. with my first IVF but I can say Sirm is on top of things and if you could see Dr. Sher himself that would be awesome!!! They will also know how to manage your Lovenox and may even do some Immune Testing at least where I had mine done that was standard....This is of course my thoughts but always do what you are comfortable with and whats best for you and your hubs...Take care....If you need anything just let me know

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  27. I am so sorry, Alex!

    I am glad that you have some financial back-up. I would say, take a break for a cycle, and go back for the IUI w/Injectibles...and then think about the IVF.

    Anyways, more than anything, I want your efforts to bear fruit fast enough.

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  28. I'm sorry it didn't work out this time. It's good to have a definite answer, but it sucks when it's negative. Since you have the insurance now, maybe you can do another IUI (or 2, hopefully not needed) and begin the search for another doctor or get the ball rolling with Dr. Sher. Just an idea. Keep the positive thinking up and keep moving forward...it's what keeps us sane. Mostly, anyway. :-)

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  29. Sorry to hear that! Someone said to me recently; Do what you need to do until you get the result you wish for.

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  30. I am so so sorry about this Alex. I know I haven't been around lately.. I am thinking of you and sending you positive thoughts for whatever decision you make in the near future... big hugs and kisses sweetie.

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  31. I am so sorry Alex. I have been a terrible commenter, but I have been thinking of you and am really sorry it was a BFN. It's a difficult decision to make ... what to do next ... I hope that the discussion with your current doc and a phone consult with Dr. Sher might make the decision more clear. Hang in there. *hugs*

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  32. What a horrible time you've been through. I can totally understand you being scared of a BFP after your experiences, but nevertheless I'm sorry to hear about your BFN.

    I don't think you're jumping ahead of yourself to go straight to IVF. The success rate is much higher than IUI, and BFNs month after month take an enormous emotional toll. I know it's very pricey in the US though, which makes your decision harder.

    xx

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  33. So sorry to hear about this BFN, Alex. I was really hoping this would be it for you. It is a hard decision to figure out what to do next. One thing is: you can always try IVF and see what happens. And you can always go back to IUIs. Will be here as you work through the decision process.

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  34. I'm visiting from ICWL. I'm sorry to hear this has been such a difficult process. I can only imagine. Wishing you your dream come true.

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  35. I'm so sorry for the negative!
    Getting a second opinion sounds like a good idea. Even with insurance coverage, going with someone at a cutting-edge-place could increase your chances. Although, since you've been quite successful with IUIs before, maybe it is worth to try some more before the big step to IVF.

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  36. Hugs to you!!!!!

    Are you going to explore another Re?


    ICLW
    http://daega99-arewethereyet.blogspot.com/

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  37. So sorry it was negative. I am in the same boat as you. I have been with my RE for a little bit over a year and I am still not pregnant. I both we get pregnant soon!

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  38. So sorry for your BFN. I think that if IUIs worked before then try again while waiting and making a slower but much more educated decision (not guess) on where you'll do a possible IVF. Hopefully it won't be necessary.

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