Infertility Bites

Infertile, Trying to Conceive, and Forty-One Years Old – Ain't THAT a Bummer!?!

Take 2 – this time, with feeling! February 8, 2008

Ok, so I’m not pregnant this month.  As I said, no shock there.  I started my period the morning I was to go to the doctor.  I may not be surprised, but I am a bit bummed that it didn’t work.Dr. S met with us this past Wednesday, and we discussed our options.  I lobbied for Clomid + IUI this month.  Dr. S agreed, as did F.  Starting my Clomid tonight.  This time, I’m to take 3 pills each night (as opposed to two) during (Cycle Day 3 – Cycle Day 7) CD3-CD7.  She’s hoping this will cause more eggs to mature this cycle, instead of just the one like last month. She told me to start using the OPK on day 10, which is this Friday.  That’s also the day I go in for my ultrasound to see how many follicles have matured.  (Have I mentioned to you that these ultrasounds are $195 a pop, and that insurance is covering nada on those little gems?)  If I don’t ovulate over the weekend, I’m to inject myself with some stuff called Ovidrel that will cause me to ovulate within a certain time period following the injection.  On that Monday (or possibly Tuesday), F will have to go in and do his part by donating some swimmers into a cup.  Then I go in a couple hours later to have the procedure completed.  Please, God, please let this take.  Please let me get pregnant this month.  Please have one of F’s swimmers meet with a ready and willing egg. 

We’re also encouraged to go home following the IUI and have intercourse too, as kind of a plan to keep as many swimmers in the vicinity of the egg(s) as possible.  Call it hedging our bets, if you will.  F will probably be ready to have sex, since he can’t ejaculate for 3-5 days before donating his sample for the IUI.  If all goes well, I could conceivably be with child as early as 2-13-08.  Again, keep those fingers crossed and say a tiny prayer or two! 

I just read about another procedure called fallopian tube sperm perfusion (FSP).  That’s IUI, plus injecting about 20-30% of the washed sperm even further, into the fallopian tube as well, with a balloon inflated after insertion to ensure none of the sperm injected there swim south, back into the womb.  The patient leaves office with the balloon inflated within her for a while, then can deflate it all by herself later.  From what I’ve seen of the research, FSP seems to have a significantly higher rate of pregnancy than just IUI and shouldn’t be that much more expensive, relatively speaking.  I’ll ask Dr. S when next I see her whether or not this clinic does FSP, and if so, how much more is it cost-wise than IUI? 

IUI costs $350, unless it’s done on a weekend.  If IUI has to be done on a weekend, that’ll be an additional $50, thankyouverymuch.  I forgot to mention that previously.  F and I would definitely prefer that my OPK doesn’t show positive on a Saturday!    

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