WTF!?! IVF!?! aka Our First Fertility Appointment

Thursday May 1^st, 2014 – WTF!?! IVF!?!  aka Our First Fertility Appointment!

Ever the planner, I was focused on all aspects of our appointment, down to the most frequent question all women ask themselves when preparing for an important meeting…What will I wear? My mother always said when you are feeling down, or unsure of yourself, at least look fabulous! I think there is some truth in that. I’ve had several days were I felt like crap inside, but I looked good on the outside.

With the printed New Patient paperwork in our hands and having decided on my newly dry-cleaned favorite maroon ankle pants, cream blouse and blue cardigan, we set out for our appointment.

I don’t think I've ever been as nervous for anything in my life as I was for this appointment.  My husband and I were driving separately because I had to go into work after the appointment for an important work meeting.

As we walked into the office, the front desk ladies knew who I was when we walked in. They were very welcoming. There goes those warm and fuzzies!

Because we live in one of the many states in these United States that does not offer coverage for Infertility treatment, I knew what we were in for. 
On a positive note, my insurance and my husbands covers the diagnosis of infertility. So many tests and procedures leading up to treatment are covered. Check your medical benefits policy to see if this is covered. If you have any questions about this topic, please e-mail me!

Our wait was very short, and a very pleasant nurse brought us in to take my blood pressure, height and weight, (she let me write it down because don't most women know their weight?) She then went over how the appointment would unfold. We would meet with Dr. C for about 20-30 minutes, then he would perform a baseline ultrasound and then another nurse would do our blood draws and collect urine sample, and we would meet with the financial counselor, and then the physician again if we had any additional questions.

Blood pressure was perfect: 120/80. I thought for sure it would be high because my nerves were going insane. Thank you empty stomach and 1/2 cup of coffee!
Suppose now is the time to tell you a little about me and my husband. We're both 33 years old and carry a little 'happy to be married' weight. My husband is 6'1" and built like a football player. And he has the most amazing hazel eyes. In the past few weeks we've really started to take our weight seriously, knowing what could lie ahead for us. Last year we both lost a bunch of weight, and over Christmas, Santa gave us a few extra LB's. I come from a large family and I always knew I wanted to be a mom. My husband is an only child and always wanted a large family. Win-Win!

The nurse then brought us into Dr. C's office and he was very calming. He got right into it. I was worried he would suggest trying to bring up my husbands sperm count and then several rounds of IUI before suggesting IVF. 

When I say I was worried, it's because we only have a certain amount of money to work with. Remember that retched job I mentioned? Yes, it was awful, but when I walked away from it, I left with enough stock for a rainy day or some fertility treatments. Dr. C said, 

"I like seeing patients like you. Young, with male factor. We'll see what's what with you and if everything looks good, we'll get you pregnant."

 I like this guy. He goes through our potential treatment plan and then gets into some science. Having done my fair share of research, I knew a lot about what he was speaking about. My husband was following because I gave him the Cliffnotes version of my findings. 

He said that IUI wouldn't work for us because we don't have much sperm to work with and our only option would be IVF using ICSI, which is Intra-cytoplasmic sperm injection. They can take a single sperm and inject it directly into the egg to fertilize it. Traditional IVF would have an egg in the petri-dish and then sperm would be added and one of the millions of normal sperm would make its way into the egg. ICSI does the fertilization for you. Science!

Next, we had the baseline vaginal ultrasound (u/s). I also have to mention that I've never had a male doctor as my lady doctor. So, there is a whole other layer to my nerves. But he's very professional, and makes me feel at ease. 

If you don't know what this kind of ultrasound is, please look it up. Be prepared.

After a quick peek around, Dr. C. immediately said that I had a polyp in my uterus. A uterine polyp can make it hard for an embryo to implant into the uterine wall, and should be removed. If we don't remove it, an embryo could attach to the polyp, and miscarriage is very likely. If my husband didn't have his issue, my issue would be a serious hindrance in achieving/maintaining pregnancy because of it's location. Right ovary looked good, and left ovary, 'looks even better!'

Doctor said we still had to check out my fallopian tubes. We would need to schedule surgery to remove the polyp and could do all of the other diagnostic tests at the time of the surgery.  

We then met with the nurse who told us about screening for cerebral palsy and an optional genetic test we could request by a company called counsyl. https://www.counsyl.com/ We decided to get this additional testing done because we have already come this far. I asked the nurse how many patients get this genetic testing done and she said, about 50/50.

The nurse only took one vial for the counsyl testing, and about a million other for the diagnostic testing, (ok, maybe 7 or 8) and just one tube for my husband. 

Dr. C. stopped in to check-in on us, and I asked him about the spotting I've been having between cycles. He said, it's most likely because of the polyp. 

Next came the Financial Counselor...dun dun dun!

Our financial counselor was very knowledgeable and she was able to explain our options in a clear and concise way. I know she talks about this subject multiple times a day and still she had enthusiasm and took her time making sure we understood everything. I'm going to create another post just to talk about affording IVF.