Cycle 2: CD 19 – Should I Be Hopeful?

Trying really hard not to get my hopes up. So far this whole TTC with PCOS thing has been brought to you by believing I probably can’t have kids. But I have a feeling (and a tiny hint of data) that this cycle may be different. And, why wouldn’t it be? I get to take my first pregnancy test on my 34th birthday.

Why do I think I might be pregnant? Well, I haven’t had any implementation bleeding yet, but apparently not all women get that. My BBT chart leads me to think this could be the cycle for BFP. It also could just be my body freaking out after being shot up with HCG a week ago and releasing a bunch of eggs. I’ll find out fairly soon.

I’ve read a bit about triphasic charts when you are pregnant… your temp starts low, it goes up after you ovulate, and then, after implementation it goes up again if you have the right amount of progesterone to stay pregnant. Two days ago, which was 6-7 days post ovulation, I had a dip in my temps (down to 97.3) and then it went back up. That’s either a fluke, or a good sign. It seems a little early to be an implementation dip (I triggered on CD 11, which means I likely didn’t ovulate until CD 13 — but with the trigger shot and what I was feeling I wonder if I released a little early. It’s apparently possible 24 hours after trigger but usually around 36.)

So far, my chart looks like this:

CD 11: trigger (9pm)
CD 12 (0 DPO): slight temp rise and strong ov. feels (97.3)
CD 13 (1 DPO): very strong rise (98.0)
CD 14 (2 DPO): remains strong rise (98.1)
CD 15 (3 DPO): possible corpes luteum dip  (97.4)
CD 16 (4 DPO): up again
CD 17 (5 DPO): slight drop
CD 18 (6 DPO): major drop – too early for implantation??? (97.3)
CD 19 (7 DPO): up again
CD 20 (8 DPO): possible triphasic shift (98.3)
CD 21 (9 DPO): tbd
CD 22 (10 DPO): tbd
CD 23 (11 DPO): tbd
CD 24 (12 DPO): tbd
CD 25 (13 DPO): tbd
CD 26 (14 DPO): — * 34th birthday
CD 27 (15 DPO): tbd
CD 28 (16 DPO): tbd

So – I think the CD6 drop was too early to be an implementation dip. The only thing that I think could have happened is that I somehow ovulated before the trigger shot (my follicles seem to grow really fast on Femera, as the doc told me to trigger the next night when I had one at 19 and one at 17) at my CD10 ultrasound.) There was a slight temp rise (from 97.0 baseline to 97.3) on morning of Trigger shot, then the next day it shot up to 98.0, so ovulation happened somewhere in there.)

Right now, all there is to do is wait. I was a little defeatist the other day when my temp dropped so significantly, but it’s a relief to see it bump back up. I’ve hit 98.3 in prior cycles in post ovulation, so it’s not strange for me, but according to temps this cycle it could be the start of the triphasic shift. Or it could be meaningless.

My BBT test times are a bit all over the place this cycle too — so it’s not 100% accurate. And I had one night of horrible sleep. But I’m hoping there’s something to it.

If we get pregnant this cycle, it would be amazing. It would mean not having to worry about spending $30,000-$100,000 on IVF treatments. So – we could buy that new couch we’ve been wanting…  and a crib. 🙂

 

The Potential Costs of IVF…

Although I’m still hopeful that I’ll get pregnant with less invasive and expensive means, I have to be realistic that we may have to resort to IVF in order to have a kid (or, at least, any faint hope of having a kid.) IVF, i.e., “In-Vitro Fertilization,” is a fairly common practice nowadays. When I tell people that I’m having trouble getting pregnant, everyone  jumps to share with me how they know “so and so” who got pregnant with IVF. Simple.

In many cases, these friends of friends lived in a state where IVF is covered by insurance. They mention their friend had to “pay a lot,” but don’t realize that “a lot” is actually co-pays and deductibles, which is still a lot, but it’s not the a lot a lot that is what IVF costs without any infertility coverage, which is the case for most women/couples in America. (Only Massachusetts, New Jersey, Maryland, Connecticut and Illinois require insurance coverage of IVF — elsewhere it’s up to your company if and what they want to cover, which is usually nothing unless you work for Facebook or Google or a giant bank.)

The average cost of a “fresh cycle” of IVF in the US is $12,000-$16,000. Think that’s a lot of money? That doesn’t include any of the medication required  (that’s an extra $3000-$5000+), or optional add ons, such as embryo biopsy and screening. If you get enough eggs out in round one, they can be frozen (and fertilized), for an annual fee, and then frozen cycles later are a little cheaper, at $3000-$5000+ per cycle, plus medications and the optional costs.

According to AdvancedFertility.com, IVF with preimplantation genetic testing (with meds) and a subsequent frozen embryo transfer usually costs about $17,000 – $25,000 in the US.

For women under 35, there is a 47.5% chance that $25,000 will amount to a child. There’s more than a 50% chance that you won’t get pregnant, and that $25,000 will be out the door, never to be seen again. When you turn 35, your chances of live birth decrease slightly to 39.6%. After you turn 38, those go down much more to 28%.

It’s a strange industry — medical clinics set up to give you hope, but also provide a realism in how you’re throwing substantial money at something that may not work, not to mention that if you do have a kid you really need that money to feed, clothe and shelter it. As a woman gets older, the clock is ticking, and suddenly money seems less important than just giving it all you’ve got to have a child. Maybe it won’t work, and maybe you’ll be $100k poorer for it, but at least you’ll know you tried.

Or, perhaps, you move to a state where they cover a cycle or two of IVF.