We met with our reproductive endocrinologist (RE) for the first time yesterday. We were incredibly impressed with his knowledge and his level of detail while still explaining things to us in a way that we could understand. We were also incredibly overwhelmed with the amount of information we came away with from our appointment.
Part of our meet n' greet was an internal ultrasound to check out the state of my Lovely Lady Lumps: Ovary Edition. Let me tell you, there are few things in life more awkward than spreading your legs in a miniscule room with a doctor, a nurse, an intern, and your husband gazing at your reproductive organs rendered in fuzzy black and white. Except for maybe the act of giving birth. I'll consider this training.
Unfortunately, we came away from that experience with less than optimal news than what the doctor on base indicated when he said that my test results looked "good". Our RE was only able to locate eight follicles, instead of the 10-20 that he explained most non-reproductively challenged women would have. He thinks my reproductive organs might be a little farther along in the aging process than they should be, but he also pointed out that some of the follicles may have just been hidden by a cyst that was also present on one of my ovaries. I'll do some more testing this month and we'll reassess when we get that information.
Colby will also repeat his testing to make sure he wasn't just having a bad day, and will visit a urologist at the end of this month to rule out any physical issues. Despite what some anonymous commenters may believe, we do not find this embarrassing, shameful or in any way detrimental to his status as a man. In fact, male factor infertility is the sole cause for 20% of couples facing infertility and a contributing cause to 30-40%. I'll bet that seems like a pretty high number to you. Know why you didn't know that? Because no one talks about it. Because they are worried about reactions just like ones we've faced.
Ability to reproduce is not the measure of a man or woman, it is not a reflection of how good or frequent the sex is--as our doctor put it yesterday, it is simply an egg meeting the sperm through some sort of delivery system. If you're fortunate enough to be one of those lucky people who has been able to conceive easily, please don't think that those of us who aren't so fortunate are somehow embarrassed or consider ourselves to be "less than" in any way. We wouldn't be ashamed if our kidneys didn't function properly, or if our blood sugar didn't regulate properly, so why on earth would infertility be any different? /Tangent
We were also given two huge packets outlining our Intrauterine Insemination (IUI) and Invitro Fertilization (IVF) options, including how the procedure works and a breakdown of all the costs. Tricare doesn't cover any treatment after a diagnosis of infertility, so with the exception of some monitoring costs which are covered, everything will be out of pocket. Each round of IUI will cost in the neighborhood of $1200, and depending on which IVF package is chosen, it will cost anywhere from $11,000-20,000--neither of those numbers include meds which we would purchase separately and can cost from $200-400 for IUI and $2000-4000 for IVF.
Enter sticker shock.
So, that's where we are now. Our doctor is confident that by the time Colby leaves for his deployment, we'll have a plan and will be ready to go ahead with either IUI or IVF when he returns home in the Spring. Obviously, none of this is ideal. We joke about it as a defense mechanism, because it is absolutely the most terrifying, heartbreaking, unfair situation we've ever faced. We are overwhelmed, not only by all of the physical demands of these procedures, but also the staggering costs. I find myself on the verge of tears throughout the day, any time I think about our options, hence the joking to make the scariness a little more bearable.
We were saying last night that our doctor had better include some kind of academic screening to only pick the smart sperm, because that kiddo is going to be spending any potential college funds just being conceived. We're going to need some scholarship-level brainiacs. Either that or a reality tv show. What do you think: Angela & Colby + Embryo. That could work!
