Posts Tagged ‘IVF’

Man Surgery Explained

Wednesday, June 24th, 2009

Shelton and I received our packet in the mail from his surgeon, the urologist, Dr. G., tonight. Inside was a stack of paperwork with instructions for the weeks and day leading up to his surgery. He can’t take anything that relieves pain, basically. No eating the night before. Abstinence for about five days prior. Pretty standard stuff. He and I both have required labs for HIV and Hepatitis that we’re taking care of on Monday.

I was kind of shocked to read that the surgery could take four hours. And the following conversation took place over dinner:

Me: Four hours is a long time. None of my surgeries ever took four hours.

Him: Take a lap top, you’ll be there for a while. This is going to suck balls.

Me: Ha… Ha…. you said suck balls. And your surgery will literally be…

Him: Nice one!

If you can’t have an immature puntastic laugh once in a while and share it with the Internet, what fun is this anyway?!

Here is my VERY layman’s attempt to explain the surgery. The purpose is to obtain the sperm, since they don’t have any other way out. (Basically has a natural vasectomy.) They’ll make a small incision in the aforementioned body part, insert a small “vacuum,” and draw out the sperm. A rep from the fertility clinic will be on hand to assess the quality of the sperm, and Shelton will remain “open” the entire time. They will not “close” until they are certain they have everything they need.

This will also be the first time we’ve ever seen his sperm sample, so fingers crossed we’ve got a few Michael Phelps swimmers in there!

Surgery takes place July 14; also that morning I take my very first shot of Lupron. What a really fun day that’s going to be!! Maybe we’ll go to Home Depot and Bed Bath and Beyond too if we have time!

In our original estimates, this surgery was supposed to cost us about $7,000 (out of pocket). The bill we received today (as everything has to be paid in advance) totals $4,467 (out of pocket). More unexpected savings making our total investment $3,000 less than originally expected.

See here for a running total of our IVF expenses.

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Big Box of IVF Needles and Fertility Drugs

Friday, June 19th, 2009

Earlier this week I received a phone call from the pharmacy filling our fertility drug order. I confirmed all of the pertinent details and then reviewed the order. They had the Doxycycline, Ovidrel, Progesterone in oil and Gonal-F, plus needles. I referenced the list we’d received in IVF class, and everything checked out. I had to call back with some insurance information, knowing it was really a waste of time because they weren’t going to cover any of this. Once I confirmed that I was told they would process my order through insurance and call the next day with a final total.

Yesterday, I received that call. I told the rep that if she hears a loud thump it was me falling out my chair. I think she was too busy to have a sense of humor and with a very concerned tone asked if I was OK. I laughed and told her I was just dreading the total. So drum roll please…. she ran the card and announced that we would be charged $1781.21. I didn’t fall out of my chair. In fact, I was rather relieved by that number. Don’t ask me why spending $1800 on prescriptions is relieving, but I expected an amount far surpassing that. Plus, we got our needles complimentary so that made the entire thing sound like a bargain!

I was told that FedEx would deliver the package tomorrow morning (today) between 8 and 3 and that someone had to be here so that the Gonal and Ovidrel could be refrigerated. At 8:15 the doorbell rang and our package had arrived. I signed. Walked back inside. Placed the box on the floor. And started bawling. I just kept saying “it’s here, I can’t believe we’re doing this, we’re actually doing this.” I think a part of me had just believed we were going to let time get away from us and one day it would be ten years later and there still wouldn’t be a baby. But that’s not the case. We are doing this. We are actually doing this.

So I had a good hearty cry this morning and then followed instructions and took inventory of the package. Two things were wrong:
1. My sharps container was missing. The container for the used needles. Don’t ask me why but I am so excited about that sharps container. It feels so official. I mean, how many people do you know what a needle box in their house? (If you can answer that… maybe you shouldn’t!)

2. My receipt was small. As in, a lot less than I was quoted less than 24 hours previously. $1142.66.

I called the pharmacy and I was told they would get my sharps container in the mail (damn right!), and then asked about the total. Don’t get me wrong, I’m jumping for joy over here. I saved $600 without even trying. I just wanted to confirm that a mistake hadn’t been made and which of the two charges we were actually incurring. Lucky us, it was the lower amount.

I promptly moved my drugs to the lower shelf of the fridge (behind the negro modelo) and then moved on.

I think when we have kids and we’re inevitably faced with the dreaded “how are babies made” question, I’ve got an easy answer. They come in a box. It’s like a model airplane kit. Except more expensive and more painful. The stork sends a box full of supplies and then you just make a baby. And a man, not your father, puts on the finishing touches, and wah-lah, you have a baby.

It should also be noted that two of my drugs are missing from the above list – Lupron and Menopur. We found out this week that our entire doses for both are being donated. I can’t even tell you how excited we were to learn this news. I’m not sharing specifics because I honestly don’t know what the disclosure parameters are with this and I don’t want to disrespect or cross a line I shouldn’t. But the parties responsible are likely reading this and we just want you to know that we are incredibly grateful. I’m not sure how those two items would have impacted our total Rx bill, but I am so very thankful that they didn’t. Hopefully we’ll have a fast cycle and we’ll be able to return the favor!!

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IVF Class and Our Big Bag of Needles

Wednesday, June 3rd, 2009

Well, folks, we’ve decided to get a goldfish. They’re like 35 cents, don’t come with any needles, or severe hormone shifts.

It wasn’t ALL that bad, but definitely overwhelming and quite sobering. After spending the past five years talking about it (and talking and talking), the whole thing slapped us in the face today. My stomach rolled over the moment we walked through the doors. During one portion while our coordinator “M” (she’s reading this… hello!) was giving her presentation, I thought I was going to have to leave. Tears started welling in my eyes and I was shaking my leg so hard I thought my sandal was going to fall off. Because rapidly shaking your leg is the cure for public crying.

We took our seat at the tables and there was a pink bag at our place. Shelton got really excited and thought it was a goody bag – full of drug-branded sticky notes, clicky pens and even candy. There was no candy in that bag. It might as well have been a goody bag from a Halloween party at Hansel’s and Gretel’s witch’s house. It was full of NEEDLES!!! Giant needles. Probably the same ones used to give elephants and humpback whales tranquilizers. There it is, my needle phobia (trypanophobia).

I literally shuddered. And used all self-restraint not to ask “M” if we could just get a topical cream or some sort of flavored Dimetapp-style liquid. Give me a pill the size of an Oreo cookie if you must. But needles? Most are tiny, I admit. The ones for Lupron, Gonal F, Menopur all seem to be relatively approachable. I’ll probably cry and throw a fit the first couple of times and then I’ll get over it. That progesterone needle? It’s the one that’s seven and a half feet long. It’s the one I’ll do daily injections with for SIX WEEKS! In my butt. Which will apparently bruise and be sore.

We also learned that despite my constant theory that we’d get ONE DRUG throughout our entire fertility preparedness project, that there will be multiple drugs. Administered BY NEEDLE multiple times a day. The Lupron, Gonal and Menopur will last up to 12 days. The progesterone starts at egg retrieval (Day Zero) and continues through what will hopefully be my sixth week of pregnancy.

The entire three hours did not consist of the needle parade. “M” thoroughly walked us through the ins and outs of this upcoming cycle. There were points where she’d make a little joke and the room would laugh and I would be so thankful. We’re in there with 18 other infertile couples and it felt like the most awkward first day of school. No one looking to their sides, straight ahead. I could feel the class-clown tension between Shelton and I; each of us constantly wanting to make some uninvited wise ass comment. Because we decided to wear our mature adult clothes today, we kept quiet.

She explained that due to the drugs our estrogen level on the day of egg retrieval would be close to 4000. Any other time of ovulation it would be about 300. That is ludicrous. She gently suggested to the husbands that they remember this estrogen spike and act accordingly.

We also heard from one of the clinic’s doctors. She explained some of the risks associated with the drugs, and risks and statistics for multiples. I still REALLY want twins, as in, does Shelton’s opinion count since he doesn’t?? However, since I was wearing my mature adult clothes, the ones that say you can trust me with a newborn baby and that I pay my taxes on time, I decided to hear out the doctor. Because of all the drugs we’re on, the likelihood of multiples skyrockets. I asked if family history of twins plays any role and she said that what we’re doing overrides genetics. Fair enough. So if we implant two embryos, there is a 50% chance we’ll have twins (or more!). If we implant a single embryo, there is a 5% chance will have twins. I felt like Jim Carrey in Dumb & Dumber – “so you’re saying there’s a chance!” It would be the responsible and safe choice to opt for the singleton. After all, I’ve decided we’ll have more than enough embryos to freeze and come back later.

Then we heard from the embryologist, described as our first babysitter. She takes the eggs, and the sperm, and waves her magic wand, or rather pipette, over the petri dishes and builds our little babies. The only concern I had with her was, how do we know my egg didn’t get matched with guy B’s sperm? Before I could ask she more than reassured me that that isn’t going to happen.

Finally, we signed so many forms that I honestly thought someone was going to hand me the keys to a new house. We consented to the IVF, embryo transfer, ICSI, embryo freezing and more. We signed off that the living spouse gets custody of the frozen embryos if one of us should die (I had to promise Shelton I wouldn’t make his “ghost” babies). If we both die then we selected to have our remaining embryos donated to research.

I have to call “M” tomorrow to get my birth control and prenatal vitamin prescriptions filled. I hadn’t even thought about the vitamins. I’m no good, NO GOOD AT ALL, with daily pills. So keep your fingers crossed for me. In college I used to tape my birth control to the bathroom mirror so I wouldn’t forget… maybe I’ll try that again.

Afterward, I made Shelton take me for ice cream. Not because the doctor hurt me, which was always my mom’s rule growing up, but because of the impending promise of pain.image

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IVF Handbook and a Scheduling Conflict

Wednesday, May 27th, 2009

I told you about receiving our IVF handbook/packet, which turned out to be an oddly emotional moment for me. I didn’t want to waste any time and so I asked Shelton to read through the entire thing with me – giving us a chance to discuss things, question things, maybe even laugh at a few things. He suggested we each read it separately, and then regroup to discuss. I suggested more strongly that we do it the way I had originally suggested.

In the end, we read through it together. All 50 some pages in one evening. We scribbled notes in the margins to ask at our June 3 IVF class. We read really big scientific words and referenced the glossary often. We were forced to discuss some of those uncomfortable ethical situations that those “easy breeder” couples don’t seem to ever face. You know – like who gets the embryos if we divorce, do you dispose/donate/freeze additional embryos, if you have multiples do you do selective reduction, etc. All things we’ve discussed ad nauseum previously, but forced to face a little more head on this time.

At the end of each page or section I would summarize by saying, “Bottom line, Brandi might die.” I’d giggle. Shelton wouldn’t. I guess the side effects with the fertility drugs, surgery, the actual carrying of the baby in my womb come with a lot of risks but the statistics seem to be on our side. We hope. Ovarian Hyperstimulation Syndrome (OHSS) seems to be the strongest risk, and this was expressed by Dr. T some months ago. I’m reassured by the daily or every-other-day visits we’ll be having once I start my meds. Surely if there are red flags that will allow us to catch them early and begin treatment.

I am so very hopeful that OHSS or any other side effects or circumstances force us to cancel our cycle mid-way, or not even start. They make it very clear that there are serious demands not only on your body and mind, but also on your schedule. It is imperative that you be available to make all of the labs, ultrasounds, check-ups, etc. It seems we’re already running into a bit of a scheduling conflict. Next month, one month before our cycle begins, I’m supposed to go in for “third day labs.” Blood is drawn on the third day of my period (and I could very well be completely botching this explanation) and they test for FSH (follicle stimulating hormone) levels. This helps them determine the dosage of my fertility drugs in July. Well, I have a business trip planned during that week (as always, my quarterly trip to NYC for work never fails to conveniently fall right at that time). Our IVF coordinator, “M”, is checking with Dr. T to find out how we should handle this. Regardless, I’ll still begin my birth control cycle next month.

That seems to be the low-down on where we stand right now. I really can’t believe we’re getting so close. Just one more week to the IVF class!

The IVF Training Packet

Tuesday, May 19th, 2009

Yesterday Shelton brought in the mail and there was a large yellow envelope. I’m still 12-years-old when it comes to mail – if it looks exciting I want to tear into it immediately. I grabbed the envelope and found it had come from our fertility clinic. I wasn’t sure what to expect, but tore it open and inside I found our IVF training packet. And I froze. It was this bizarre moment and I have no idea what came over me, but I started crying. Shelton gave me one of those odd half-laughs that I’m used to getting (when I sob uncontrollably during the Grey’s Anatomy season finale) and asked what was wrong. I just shrugged and said I wasn’t sure why I was crying.

For so long, five years to be exact, this “IVF thing” has been this “thing” we’re “going” to do. We’re eight weeks away from needles and hormones and lab work and the whole thing is getting very, very real. That packet just represented the reality of what we’re about to dive head first into. It included the information for our IVF prep class. It’s a $195 fee and we’ll spend four hours with the clinic nurses learning the whosy-whatsits of our IVF cycle. More specifically “review specific aspects of IVF, teach medication protocols, and answer general questions.” We’re supposed to read the 55 page handbook that includes a glossary of terms we’re going to hear, instructions, an FAQ, medication explanation, the emotional aspects, lab work and a pile of consent forms.

DID I MENTION IT IS GETTING REAL IN HERE?!?!

Budgeting for Infertility Released 3/17

Wednesday, March 18th, 2009

Just yesterday a new book was released to help couples manage the financial strain of infertility. ”Budgeting for Infertility“ was written by Angie Best-Boss and Evelina Sterling, and is a friendly guide to “bring home a baby without breaking the bank.” They walk you through understanding the fertility clinic selection process and understanding its success rate, working ‘with’ your insurance company to get more coverage, how to find affordable fertility drugs, understanding traveling abroad where treatment can be more affordable, and how to steer clear of unnecessary expenses.

And…. BabyOrBust.com is featured on page 191! In the chapter “I’ll Try Anything! Investigate Creative Alternatives,” they include a paragraph about creating a Web site to raise the funds. And that’s what we are, a fund raising site. Our first interview in 2006 was with the Wichita Eagle and they called us cyber-beggars, which went out on the AP wire and that’s what we were coined by everyone. Well, we sure aren’t beggars and unfortunately that’s what this book has called us, too. It’s unfortunate because creating a Web site is a creative way to earn the funds. It’s worked for us and we know others who’ve followed in our footsteps who’ve been able to do the same. The book seems to be positioning creating a fund raising site as a creative way to earn the funds, but calling the act “cyber-begging” has a seriously negative connotation and could possibly deter people who might have otherwise found value in it. Best-Boss also includes a quote from me during our 2006 interview, explaining what BabyOrBust.com is.

I’m not going to ruin it though, I want you to crack the cover and check it out for yourself. While we’re disappointed by that one teensy-weensy item, we’re SUPER EXCITED to have been included in this book and hope that many couples find value in the wealth of information in its roughly 260 pages.

If you’re interested in buying the book, we encourage you to purchase it using the link below, as 4% of your purchase will come back to BabyOrBust.com as a donation!