Financial Costs of Infertility Treatment

Outlined below are our costs that we have paid so far for infertility treatment.

• 3 rounds of IUI at $500/ea = $1500
• Infectious disease testing $75 per person = $150
• IVF via the Attain Program (4 rounds - 2 fresh/2 frozen) = $16,500
• IVF sperm workup = $300
• Cryopreservation of sperm (done prior to my husband deploying) = $100
• Daily injectables for 1st round = $3500
• Anesthesia for egg retrieval = $500

Grand total for thus far: $22,550, and for 1st round of IVF:  $21,050.

NB:  Our insurance, Tricare, did not pay for any of the treatment.  The only meds they paid for were Clomid, Lupron and progesterone - all the inexpensive ones.  So much for supporting the troops, especially since it is male infertility factor for us!

We drained our savings of all we had - $9,000 - and the other $7,500 came from a Springstone Fertility Loan.  We had no idea the injectables would be $3500 and so when we received that call from the pharmacy, I almost fainted.  We had to take out another loan for the $3500 as it had to be paid immediately to start the round.  So in total, we took out $11,000 in loans.  The rest of the charges we paid in cash.  In cash total, it was $9,000 from savings and $2550 over time from our checking for a total of $11,550.  It looks like it works out to 1/2 in cash and 1/2 in loans.

I wish we did not have to take out any loans, but I also wish we did not have to drain our savings.  This kind of expense puts a lot of pressure on the process of having a baby.  No longer is a just a nice dinner and a bottle of wine.  Now, it is tens of thousands of dollars.  

Needless to say, even though my RE has said it is fine to go back to regular daily activities, I am still taking it easy.  I have not returned to my daily exercise régime or Ashtanga yoga practise.  I do still walk my dogs daily and go to work, but I am still careful in both of those.  I am holding out for the 6.5 week US on 12 December to see a heartbeat, so I can know for sure I am actually pregnant.  I know many people do many things during the first four weeks, including jumping on trampolines, and still remain pregnant, but with this much money at stake, I'm playing it safe and hoping not to be sorry.

Friday's News - MRI

This day did not go as planned.

It all started off with me driving 50 minutes in moderately heavy traffic (read: people who leisurely drive in the left lane and prevent you from passing) two cities away to have my MRI done. Upon arriving at the facility they tell me that I must be mistaken as they do not do MRIs. They point me towards the hospital up the road and advise me to check there. I call my referring RE's office and I am on hold for 10 minutes, so I hang up and go up the road. The hospital radiology department has no record of my name. My RE's office calls back and says, "Oh sorry. Someone must have given you the wrong information. You are meant to be at the hospital here." What??? I am in the wrong city? I was so hot at this point - literally and figuratively! It was 40 C/104 F already at noon and even with the air con in my car cranked to the max, I was still sweating. I begrudgingly drove another 30 minutes to get to the correct hospital and finally had my MRI.

It took about 45 minutes in total for the pelvic MRI, which I was surprised by. I thought with only having to image a small area that it would take less time than a full body MRI. I was too hot and tired to ask any questions though, and after 45 minutes of lying flat and still on a hard table my lower back was killing me as well (due to a previous SI sprain that flares up from time to time). Luckily I was able to pass the time listening to NPR, which helped with not thinking about the teeny tiny cavity I was in.

After my MRI, I do some yoga stretches (downward dog, padangusthasana) in the changing room to ease my back pain and then side step over to the cafeteria to stock up on some nuts, water and fruit before I hit the road again. It is now 3 hours since I left home, and I have to drive another 30 minutes to my acupuncture appointment which will last another 2 hours. Days like this make me really miss the days of public transit in the EU!

I make it to my acupuncture appointment just in the nick of time. I'm all bothered and irritated, but my practitioner is calming and serene. I quickly shed some of my stress. I hop up on the table and have many needles placed in carefully selected areas all over the front of my body including my head (acupuncturist says it is to lift my mood - ha!). I lie there for 30 minutes having a hard time relaxing. My mind is racing and the halogen lamp is bothering my vision even when my eyes are closed. My acupuncturist then removes all the needles, has me lie on my stomach and then places many more needles along my back including one directly in my SI joint. I practically leap off the table on insertion, but it magically starts to feel better immediately. I lie there for another 30 minutes and this time I am able to fully relax. I can no longer see the halogen light in my eyelids and I drift off to a floating type sleep with vivid images flashing before my eyes. Before I know it my practitioner has returned to remove my needles and I am now happy and buoyant. My stress is gone. How does acupuncture do that? It really is so incredibly amazing to me. I eagerly look forward to my next week's visit.

I should hear back from RE in about a week's time. Fingers crossed for good news and that we can proceed with our last IUI, and then IVF in October if not successful.

Post script: I'm on day 9 of my juice detox and it is going well. I feel like I have heaps of energy and have even lost 4 kg/8#. These past few days I have not lost anything more, so I have been a bit worried. I hope I can lose more weight while continuing to feel great.

AMH Results

I was previously quite concerned with my anti-Müllerian hormone results thinking they were on the low end and being overly worried regarding the research journals I had read. I spoke with my RE and she said not to worry. She said if my results were in the 0.1-0.5 range, she would be greatly concerned, but my results are good. Further, she said an AMH result of 1.1 basically tells her that if we attempt IVF, she will be able to collect 10-12 good eggs. That is all that is needed and is quite good for my age. I am buoyed by this news.

My RE also said that while she does not recommend taking DHEA, she also does not recommend against it. She said only one clinic in the US has all their patients taking DHEA and while she does not see the harm in it, it does NOT produce more eggs. It is only thought to improve the quality of the eggs produced. I am still on the fence about taking it as it can cause virilization and I am not keen on that! So I will continue with my prenatal vitamins, liquid B12 + Folic Acid (since I am a vegetarian), flax oil capsules as well as ground flax seeds on my oatmeal in the a.m., vitamin D drops and evening primrose oil capsules. I also do Ashtanga yoga daily which helps on so many different levels - physically, emotionally and mentally.

I am currently reading The Infertility Cure and will report back on the book's further recommendations for fertility boosting.