I'm not even sure where to start with this. Let's just say I was smart to be nervous about yesterday's ultrasound.
I had a big ol' cyst on my left ovary, so we paid about $300 to be told that we won't be doing anything at all this month. Actually, it turned out to be worthwhile anyway, because (after I cried for a bit), the doctor took us to her office for a consultation, which was quite useful because we got to ask all our questions and then some.
First, somehow there's never been a really good test of my husband's sperm morphology. I have no idea how this happened - I thought everything had been tested and was pretty darn good. So we are doing that next week.
Then the doctor said that she would recommend only one more clomid + IUI cycle before moving on. She said that typically you move on after three cycles, but since we missed our IUI in cycle #2, she thought it would still be worth one more shot (if the SA comes back ok).
After that, she suggested two options. First is to move on to IUI + injectables, BUT she would want me to have a laparoscopy first. The other option is to move on to IVF, without the need for a laparoscopy.
Let's break this down, shall we?
Option #1 - Laparoscopy with 1-3 cycles of IUI + injectables. The laparoscopy costs, apparently, about $4000-$5000, PLUS the doctor recommended a week off of work (yikes!). The injectables cycles are also about $3000-$4000 each, with only about a 20% success rate. To get to the same success rate as IVF, we'd probably need three IUI cycles. Total cost (worst case) is $17,000.
Option #2 - IVF. One cycle is $8500, plus meds, another $3000 = $11,500. The package plan includes one IVF, followed by up to 6 FETs (or as many frozen embryos that there are left), and once the frozen embies are gone (but not before), a second fresh cycle. $14,500, plus meds ($3000 to $11,000, depending on how many IVFs and FETs we'd need) = $17,500 - $25,000.
We're both thinking IVF will be the better option.
To make things more complicated, if I'm not pregnant by fall, I was hoping to maybe get my knee surgery done and out of the way. I calculate that between our break month, our last clomid cycle, and I assume another break month before IVF, it will be almost fall by the time we'd be able to get started. I would seriously consider putting off IVF by another month or two to fix my knee. I don't know if it would be a bad idea to put my body under that much stress for several months in a row (drugs and surgery, followed by rehab and IVF), but it would be nice to get it all over with.
It's way too much to think about, and I think I'm going to need some time off to actually do that thinking. In the meantime, I'll be reading Mel's Navigating the Land of IF, and trying to enjoy my time off.
And hopefully training for a triathlon on June 6.
P.S. Advice, while not necessary, is always welcome.