Oh poppy, you poor thing. Just remember, blood will not be spurting anywhere ;-) Or gushing, or spraying. At worst you'll have a little seepage which will easily be caught by the little blue "piddle pad" they'll put underneath you. That was the only thing different at my menstrual ultrasound that wasn't at the others. I tend to also have crazy dreams, and the best thing I've found when I'm stressing about something, or tossing and turning is having a good book to read (not a scary book), before bed, or even if I wake up during the night. It helps settle my mind down a little. Good luck, and I hope all your tests go smoothly. My HSG was completely painless, so I hope yours is the same.
@Blade, suppose they find blockages. Then what?
Should I be concerned about endometriosis? I just used Google to look up why my knees ache before and during menstruation. Admittedly, I'm only reading sites like Yahoo Answers and nothing actually serious.The medical world must hate Google. But people online are talking about a link between achy knees and endometriosis? What on earth does that even mean? I don't have most of the endometriosis symptoms except what I think are normal PMS/period cramps and mild pelvic cramps after sex sometimes that can last about a day I think. I know the latter is abnormal but I can't think of how often I actually experience it. I asked my sister-in-law about it the first month that I felt it. She said that since I was just overcoming vaginismus and becoming sexually active, it was probably all kinds of hormones in my body causing the post-sex cramps. I haven't brought it up to her since, but I don't think I've had it much since then.
Now I think I am diseased. :(
Guys, I'm sad. :( Achy knees are stupid, and PMS cramps always interrupt my two-week wait halfway through and taunt me the rest of the wait. I want to hope that I could have an experience like Velvetcrush and have all my usual PMS symptoms but actually be pregnant, but after seven failed months of feeling this same progression, I can't convince myself that AF won't come within a week. I expect to have to go for the HSG. I've been awake since 3AM. Just too excited at the prospect of having something shoved up my cervix.
EDIT: I did just find this on the Woman's Day website which somewhat puts my mind at ease but does not address stupid achy knees:
“Is it normal to experience cramping after intercourse—even when you’re not expecting your period?”
"Yes. 'Cramping after intercourse can be normal, especially if the cervix—the bottom portion of the uterus—has been jarred at all during sex, through contact with a penis, fingers or a sex toy,' notes Stern. 'A cramping sensation can also, sometimes, be the result of discomfort in the bladder or urinary tract.' To reduce cramping during and after sex, try emptying your bladder before and after sex. Still, says Stern, if you experience persistent cramping after intercourse, it’s best to see your doctor to rule out any underlying health conditions like endometriosis, fibroids or a urinary tract infection."
@alzora this is outside my field now, as it's a rather complex question. The ultimate decision will rest with the skill, experience, and preferences of your gynecologist.
In the past the traditional approach was tuboplasty, an umbrella term which could include many operations or procedures depending on the underlying cause or anatomy. In your case, since you do not have endometriosis symptoms (I highly doubt you have endometrial tissue in your knee joints), no STDs including no PID, no prior ectopic pregnancy, etc lets say the cause is intraabdominal and ntrapelvic adhesions either pinching your tube(s) shut or distorting the normal relationship between the tube and the ovary such that eggs never find their way inside. One could laparoscopically clean up these adhesions and pexy (attach) the tube to the fimbriae. One could insert a camera-guided series of instruments into your uterus, up your tubes, and deploy a stent to propr the tube open where it is collapsed. You could even resect the collapsed segment and sew the remaining parts back together again. The success is very much dependent on the degree of damage to the tube itself.
However, since surgery creates adhesions each time you do it (less so laparoscopically, but still) and since there is a much elevated risk for ectopic pregnancy once any tubal procedure is done (don't know the numbers) my understanding is that most gynecologists proceed straight to IVF, since it's cheaper and has fewer complications. But again only someone in the field will truly be able to explain the risks and benefits to each treatment arm, and the treatment will absolutely depend on the underlying problem.
Thank you for the information, Blade. This is going to be so much fun. What an adventure. Are there any risks involved with the HSG test? What if things are so bad inside of me that the dye leaks right out of my tubes and just floods my pelvic region. Could something like that happen, and would it be a very bad situation?
Also, can anyone tell me about IVF and insurance? I know my insurance doesn't cover ANY infertility treatment, only the testing up to a diagnosis. But in August I go on my husband's insurance. I have no idea if his plan covers any type of infertility treatment. Is it even possible to find an affordable insurance plan that covers something like IVF? Do they exist? And I guess there would likely be very high deductibles. Can anyone give me an idea of the potential costs? I know I am jumping the gun and making assumptions that a) my period definitely is coming this month and b) my tubes are hopelessly blocked. But how do people--especially young couples just starting out--ever swing something like IVF? Apart from mortgage and school loans, everything is cash on the barrel for us; we don't like to get in debt, and if people typically get in massive debt over IVF, we may just start looking into adoption from foster care if it comes down to that. Anyone have an encouraging story on the topic?
No risk whatsoever to the dye. Occasionally people have an allergy to it (they will ask if you're allergic to iodine) in which case you would need to be desensitized to it before injection (and that's usually for intravascular injections, not in a body cavity).
In only a few states (Pennsylvania not being one) is IVF mandated to be covered by private insurance plans. When you switch plans, call them up, wait 30min on the phone, grow increasingly angry at the world, and then ask. :)
*If*-- *if*-- this is a road you need to go down, arrange a consultation with a REI (consultations are free) and ask about payment plan options. Make decisions with as much data as possible.
I called my insurance and surprise surprise they only cover fertility work up like yours. HOWEVER, there is a possibility that you or I could appeal to our insurance companies to cover surical costs of laparoscopic adhesion removal surgeries, as a sequelae of your trauma and my abdominal surgeries. I think there is a case, you just have to know how to work the ins system and be dogmatic and ruthless with a good dose of psycho b!tch thrown in. I've worked extensively with insurance companies, although not for medical billing, and I've gotten good results if you constantly say "you're not being very helpful, I'd like to speak with your supervisor."
Originally Posted by alzora
No way no how could you buy a plan that would cover IVF, a procedure that costs about 13-16k and has up to a 40ish% success rate per cycle. Your best bet would to become employed with a fantastic company; in my area there's Microsoft, and I know their insurance funds it. Also, just because it's covered doesn't mean they won't put weird stipulations on it like $15000 lifetime max or "define" infertility as not being able to conceive within 5 (five!) years.
I learned a lot from this site: http://www.fertilitylifelines.com/pa...urancelist.jsp I read the info on every state, and I broke it down as such ... Good: Illinois, Maryland, Mass, NJ, RI (?); Bad: Ark, Cali, Conn, HI, LA, NY, OH; Not sure: MT, TX, WV. There is absolutely no way my DH and I could afford IVF, and we live modest, couponing, cc debt-free lives. I do however, pay a huge amount every month in student debt which sucks a lot (more than most people spend on rent actually). Should we be forced down the IVF road, we'd certainly be shippin up to Boston. Most fertility clinics do not offer financing and make you pay in full before they start. It's 100% something I would not participate in as a cash paying customer, but to each their own. I'm more willing to transfer our lives 4000 miles (still cheaper than IVF!).
I will also need to investigate the cash price of IVF across the border in Vancouver. I really hope there are other Berries that will share their insight! Sorry to be such a cloud of darkness over here.
Edit: found this http://www.victoriafertility.com/44p_premier_plan.htm, a clinic in Victora, BC (our favorite vacation city). $12000 CAD for 3 cycles but not incl drugs... much better than prices stateside.
Poppy, you and I potentially have a really crappy dilemma on our hands here. I guess I'll see you in Boston. I'm seriously starting to panic over here though. I do not want to go down this road. I'm a pessimist and have spent my afternoon texting my sisters news of my hopeless sterility. My older sister told me to look into adoption because she and my parents are convinced that I will die if I get pregnant anyway because of my accident injuries. That didn't cheer me up. They don't understand the longing for my own biological munchkin. Adopt adopt adopt...that's all I hear...and I grew up talking about adoption so they use that as ammo, like, "Look you've always wanted to adopt so just be safe and do that instead!" They mean well but they don't understand. I mean I DO want to adopt, but a biological baby is different, you know? But look how dramatic I am...I'm talking like I've already had the HSG and have received the worst possible news. I'm not good at this waiting game. Thank you for the very helpful info, Blade and Poppy.
[QUOTE=blade;1849821]Does anyone else "wheel themselves out" (i.e. calculate EDD-- a term from the plastic 'pregnancy wheel' one carries in one's white coat pocket) each month? It can't be healthy, but I do.
I sure do! And calculate how pregnant I will be at different events, such as my kids birthdays and holidays. Plus when each trimester would commence.... I'm pretty sure I have a slight addiction in this area😉
Alzora when do you see the infertility specialist to kick off the workup?
Originally Posted by alzora
I'm sure this won't be very helpful to Alzora or Poppy, but I did some research because I was interested in finding out about IVF in Australia. Medicare actually covers IVF here. IVF costs roughly $8,000 per cycle (varies silghtly from clinic to clinic) and roughly $5,000 is rebated, which means people will be about $2,000 - $3,000 out of pocket per cycle. Medicare doesn't cover consultations, prescribed medications or hospital stays. You can take out health cover plans that will cover IVF, but you have to be a member of these plans for at least twelve months before utilising IVF. I just thought it might be interesting to compare two first-world countries in their approach to IVF. By the way, the Australian dollar and American dollar are of a similar value at the moment. Various sources listed below...
Article comparing infertility in Australia to infertility in America: