A Patient Journey
Delayed REI Visit
Many patients don’t realize that the currently accepted definition of infertility is when one unsuccessfully tries to conceive (TTC) for 12 months if under 35 and 6 months if over 35. This is a story of someone who waited too long before seeking help.
Visited OB GYN
I'm 32 years old. After about a year of trying to conceive and feeling frustrated, I visit my OB GYN in hopes understanding what is wrong. The OB GYN initiated lab workup and found abnormalities. Lab tests indicated I was not ovulating and decided Clomid would be a good place to start. For 4 months, we timed intercourse, but we were unsuccessful.
Transitioned to REI
The OB GYN suggested it was time to send us to a Reproductive Endocrinologist (REI), but it took 2 months to get an appointment. I felt scared, angry and frustrated. Nothing is working but the clock is ticking.
The REI updated my lab tests and ran new tests, including a semen analysis (SA) on my husband. The only abnormality seen was similar to what my OB GYN found.
Insurance Mandated Procedures
However, my insurance guidelines mandated 3 gonadotropin (i.e., Gonal-f, Follistim) IUIs before it would cover an IVF cycle. As a result, we proceeded with the IUIs.
IVF & Tough Decisions
After those did not lead to pregnancy, we tried 2 rounds of IVF (in-vitro fertilization) and 1 FET (frozen embryo transfer). Sadly, the last one led to a miscarriage. Our insurance maxed out. Given the heartache and financial burden, we decided to heal mentally and physically, save money, and reassess. If we move forward with another IVF, we will have PGT-A (formerly known as PGD, PGS) testing on our embryos.
We now have to make difficult emotional and financial decisions.