5

Josh’s Urology Appointment

It has been so long….

Nothing has been going on. We were told by my doctor that due to Josh’s numbers being low that we were to wait and see what happen with his thyroid medicine to see if that made a difference in his numbers. The only problem with that is that his doctor requires him to be on each dose for 3 months before checking his thyroid numbers to see if they have improved at all. Josh has been able to get the doctor to move the dosage sooner because he noticed no difference and his thyroid numbers weren’t moving very much so the doctor has made some exceptions. This also mean there has been no baby appointments since July…..which was kind of nice to be honest. I only stressed a few times about it but it was nice to not be worrying everyday, expecting my period, not being depressed when it came. It was a little relief to get a break again. Obviously it was frustrating to have everything on hold again but I accepted it.

During this little break I found out a friend of Josh’s was pregnant with twins from IVF and she works at the same company as me. I decided to pry a little to get some information. She had told me that they were trying for 2 1/2 years and once they went to a doctor they found out her husbands count was low, 3 Million. They did six rounds of clomid, three rounds of femara, one laprascopic surgery, four failed IUI’s, and one round of IVF. I don’t remember what the laprascopic was for, I believe her tubes where clogged, but I can’t remember. She told me that her husband was put on vitamins from his doctor to improve his count. Just vitamins you can buy at a local grocery store. This concoction improved his count from 3 Million to 80 Million in just three months. HOLY COW. I bought those the next week. It cost 35 dollars. Two of the bottles lasted a month and the other 2 have about a month left. I also asked her about the cost of the IVF. I already knew how much IUI would cost and even though we are going though different facilities I was just curious since we work for the same company and use the same insurance. She said that it was the 9,800 down before the procedure could be done. From there the meds cost anywhere from 2,800 to 5,000 dollars. She stated that her cost 2,800(If I have to I hope it’s the same). Then there is the doctors appointments, blood work and ultra sound that are covered under insurance but you have to pay the difference for. It’s just nice to have a price point in mind if it ever gets to that. I also didn’t know that you could claim that on your taxes which I though was awesome. I obviously don’t know the details but its nice to know that going through all this that we can at least get something back for it, financially. I hope it doesn’t get to that point and that we can do this ourselves or with IUI.

Josh had his appointment this past Monday with a urologist. It was just like any other first appointment where not much happened. They did an exam on him, ask us numerous questions, and Josh gave a sample for a semen analysis since the last one was from May. Josh has been taking those vitamins for the last month so I am hoping it made some what of a difference. His doctor said they will do the semen analysis, they will do a DNA test to verify his supply is good, and they want to do blood work. Josh still needs to do the scan and the blood work but we are just waiting on results right now. The DNA test takes about 3 weeks to get the results. Hopefully, everything is good and we can do IUI the end of November. My cycle decided to go haywire this month and come 9 days early. It is kind of good though because that moved my ovulation to occur after we get his results. Though that was very annoying it is kind of a blessing in disguise.

My periods have been awful lately. They are so painful. The day before I am in pain and the day of I am dying. I noticed that I have pains on the right side every month. It never alternated which I found odd. The pain in my lower back is constant, it is a really intense pressure and sometimes shooting pain that happens every month. It doesn’t matter what I take or drink or do that never goes away. The second day it isn’t too bad. I really don’t want them to test for Endo until after at least one round of IUI(if it gets to that) but I think that it might be necessary. Prepare for TMI: I have pain during sex and its worse after, awful (lower back and lower abdomen) pain during and before periods,(painful) diarrhea during and before periods, and Bloating during and after periods. More recently inconsistent periods and bleeding in-between periods. The pain I have during my periods knocks me out. The lower back and lower abdomen pain makes me not want to get out of bed at all. But I have to. I can’t call off work every month. I don’t know what to do. I am going to try to just grin and bear it until after we get Josh’s test results back. Until then. We wait.

2

Now I Feel Confused and Foolish

No surgery for me…for now…I think!

Originally when I spoke with Lisa* she was saying I could get the surgery Tuesday(27th) or depending on my cycle in February sometime at the end of February. My manager was sick and when he finally came back on Saturday(24th) He said, “Don’t worry about this place. Do what you have to do. Just see if you can get it done next week and we will go from there.” Don’t have to tell me twice.

I contacted my Doctors Office on Monday morning to see if I could still go in for the surgery on Tuesday(Crazy, I know). I realized I was speaking with Lisa* so I asked her about the Cycle Days with the surgery. She said that surgery had to be done between CD 5-11. She said that it was highly unlikely that I would be able to get into the surgery that quick. She finally called me back at about 11AM. Hello Lisa* Tell me something good! Lisa* tells me that, “since the Doctor hasn’t seen you since the HSG she isn’t going to do the surgery because you need pre-testing to verify that you need the surgery. She doesn’t want to cut for no reason. So, she said let’s schedule an appointment to discuss what you want to do next.”

…….

Though I am grateful she doesn’t want to cut into me for no reason and I was skeptical about just going right into a surgery without pre-surgery testing. I am a little confused and feel rather foolish. I have been talking to them for almost 2 weeks about this. Why wasn’t something said sooner about not doing the surgery until after I spoke with her sooner? Or why didn’t the doctor say something when I messaged her to get information on the surgery? The doctor told me at the HSG that because it came back normal that this is the next test she wanted to do. I completely understand that I need pre-testing but let’s just schedule that. I don’t want to waste time with us chatting…AGAIN for me to come back for another visit after that to get this going. I just want us to figure this out.

There is another potential obstacle for us as well. I have applied for a new job a few weeks ago and did a final interview today. I think that all went well! It is a bit of a drive but its a pay increase and if I do get the job it is a great opportunity to move up in banking. I want to go back to school and it is much more of a possibility if I get out of the branch side of banking; this would be a move to the operational, back end of banking. I am hoping for the best BUT it is yet another delay in the TTC journey because of the delay in insurance.

I was talking with Josh about this tonight. We are going to get him tested in March; when his insurance through his work kicks in. We are FINALLY going to start using OPT(Ovulation Prediction Kit). I know I am way behind the times for someone that has been TTC for over 2 years. I just got some First Response ones from a friend but I was wondering:

-What OPK do you guys prefer?

-Where do you buy them from? (They can be pretty expensive)

-Is there a better time to test?

As I said, I am behind the times. The past 2 I took I got “?”. The first one I think was my fault…I MAY have unclipped it in a nervous frustration while waiting for the answer! I swear it was way more then 5 minutes. BUT the second time I think I did everything right and still got a “?”.  I know what OPKs are but I haven’t looked into them too much because of the price but now….With all these delays and insurance and new job and house repairs and anything else that can and will happen. I don’t want to keep allowing these delays to hold us back. I want to do everything I can to get us a baby.

Any other advice for someone who:

-Has normal blood work(boarder line diabetic is the only thing)

-6 rounds of Clomid- Fail

-And Negative HSG Results(Right ovary was a little far away, long right tube)

I am open to any suggestions on opinions I was even thinking of posting my Blood work results on here to see what people think. Maybe next post. I am tired! =] Let me know what you guys are thinking!

6

Endometriosis Surgery Question

I called my Insurance back again to verify what was or was not covered. Taking multiple peoples’ advice I contact my Doctor’s Office first to get the more precise information to ask the Insurance company. I called and spoke with Lisa* who was specific to my doctor(a nurse, secretary, or something like that). When I spoke with Lisa* she told me the procedure code for the Diagnostic Laparoscopy. She then told me to not mention Infertility at all(which I knew after talking to you fine folks). I then contacted the Insurance company to ask the question yet again. I told the woman on the phone that I had a procedure code and wanted to verify if it was covered under my new insurance? I gave her the code and she said,” Yes, it is covered…depending on why it is being done.” I was baffled that she could even say that, “depending on why” What? Why does that matter? I asked the obvious question, “What do you mean by that?” She responds with, “Well, if you have predetermined symptom that suggest Endometriosis that it could be covered but if it is being done for Infertility purposes then it could be denied” WHAT? I didn’t even say Infertility, do you have a note on my file? Do you know me? I was blown away. At that point I was just confused as to what I was supposed to do but held it together and pushed the confusion aside to finish this conversation. After we hung up I was so pissed. There is no way to candy coat this. I was confused as to why a procedure could be approved for patient A because they have signs of Endo but Patient B wants to have a child and needs to this test but it is not approved. Why is an Insurance Company allowed to do this? UNBELIEVABLE!

Today I decided to contact my Doctor again to find out the soonest I could have the surgery and get a quick overview of the surgery because I knew nothing about what was going to be done to me. All I knew is that I was going to get 2 small cuts and a camera was going into me to check for Endo. I called the Doctor and it was Lisa* again. I told her what my insurance said and she was very kind. She looked over what I had done last year to see what was and wasn’t covered. Everything was covered but that wasn’t any help to me see as I have a whole new Insurance Company now. But it was nice she went out of her way to look into that. She then said that we should hopefully be able to cover it so that it is mostly covered by the insurance. Once I heard that I felt a little relief. Now time for procedure questions: I asked when was the soonest I could have the procedure done? She said that it depended on my cycle and asked when my period started. Well, it started Sunday Night. Lisa responded with, “Next week then….so….Monday Tuesday or Wednesday….Tuesday the 27th would be when it is available.” WHOA that is quick. Well, my job is extremely short staffed so I know that is not possible. “When would be the next time?” “Well, again, that depends on your cycle. You would call us when you start and we could schedule from there.” Thats fine. Thats how most things work when you are getting testing to have a baby. Lisa continued, “The procedure takes about and hour and a half depending on what she finds” What do you mean by that? I thought she was just looking around. “If the Doctor find signs of Endometriosis then she will remove what she can which could potentially make the surgery last longer and the recovery last longer as well.” Ok, that makes more sense now but it also makes me a little more nervous. I have never been put under…EVER! So, the idea of almost an unknown time of how long I will be under is a little unnerving. I told Lisa* that “I was under the impression that I would be able to get the surgery Friday and come back to work on Monday.” Her exact response, “Oh, you are a strong woman! We suggest taking a week off(thats the max.) and you are limited to what you can do.” How in the world am I going to be able to take a week off work when we are short staffed? I don’t want to use vacation time for this. What if I don’t even have Endo and I have to take all this time off? OH GOODNESS! Lisa* then asked me what I do and I told her(I work at a bank). She said, “You are limited to lifting 10 lbs. which means no lifting Coin or heavy bags of money, are you in charge of the Vault(yes)? Then you will definitely need help with the money once you go back. You need to be very careful you don’t tear or rip anything the Doctor did.” Rip or tear….that sounds great. That was all I needed and was exhausted from the information I received. I told her that I would contact her once  verify when I can have the surgery and it would most likely be next month after my period.

I contacted HR through my work just to verify what I am supposed to do when I have the surgery and I will use sick time to cover my time off. I was just comforted that I didn’t have to use any vacation time(if I use more then a week I will but I don’t plan on that). After doing some basic math I believe that it was between CD 9-11 I am supposed to get the surgery done. Well, instead of guessing I figured I would just call the Doctor’s Office back to ask. When I called the new lady I spoke with said that it didn’t matter when I had the surgery, I just couldn’t do it when I was on my period. Now I am even more confused. I want to do this sooner rather then later but I don’t want to overwhelm myself. The 26th of February I am having a wisdom tooth pulled and having a crown put in. An hour and a half appointment that I will need some recovery from for sure.  I was hoping that if there isn’t a time frame that I can get it done on February 20th. Six days of recovery should be enough right? Maybe? So here are my questions for you ladies:

Is there a certain time I need to get this surgery done?

How long should I give myself for recovery?

Is it a bad idea to do the surgery so close to my dentist appointment?

What was the surgery like for any of you that had it done? and the recovery?

How long was the surgery?

Whats the next step if it is Endo?

What’s the next step if it isn’t Endo?

Any help would be greatly appreciated! =]