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Monthly Archives: January 2016

Y’all.

Approval! BCBS basically gave me a bonus month (or a one-month extension?) on the uterus requirement. So as long as The transfer happens by February 28 I’m good to go. So glad I don’t have one more unnecessary hurdle. 

I went in for blood work after work today so they can ascertain where I’m at in my cycle – at this point I’m either waiting for a period or waiting for a Provera prescription to induce a period. Here we go. 

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MOAR BLOGGING

I am a terrible blogger. So there’s that.

Where was I? Oh, so I am definitely not pregnant (which I pretty much already knew, but, ya know … confirmed). It was pretty disappointing to have our first IVF attempt fail, and no one likes waiting, but I feel like I’m in a good place and ready to take on 2016. Let’s do this.

When we finally got confirmation that my blood test was negative, they said that the plan was to wait out this January cycle, and gear up for a frozen transfer with my February cycle. While I am not thrilled with all the waiting, this is what I expected. I made an appointment to see my RE on 1/16 to go over the frozen transfer protocol. My RE’s office apparently knew that we ended up with frozen embryo, though I never actually got the e-mail I was supposed to get updating me to that end. Whatevs.

So we showed up on Thursday at the appointment and my RE went over everything, basically reassuring us that all of my numbers throughout the cycle were perfectly average and we shouldn’t get too down about the BFN, because obviously the 40-50% success rate means that inevitably at least 50% of people don’t get pregnant the first time. I am not sure why she thought math was going to make me feel any better given that I’ve already had 12 failed IUIs but that’s another story. Either way, I was glad to hear that they felt like the number of eggs and embryos and hormone levels and everything were normal. She said that my protocol was conservative because the goal was not to overstimulate and to do a fresh cycle, so I guess that makes me feel a little better about having fewer embryos in the end.

If you recall, we transferred 1 great looking day 3 embryo for the fresh cycle, and I still had 3 that they were watching to see if they could freeze. Of those 3 – 1 looked good (8 cells, can’t remember the grades), and 2 were potentials (both 4 cells). Apparently the 8 cell actually ended up being fragmented, but one of those 4 cell guys caught up and ended up being of great quality to freeze. The grade of the 1 little frosty we got is a 4AA which I am told is good. 4 refers to the stage of blastocyst it is (stage 4 is pretty advanced, right before hatching), and the As are like letter grades so who cares what they refer to – it’s good.

I guess it feels bittersweet to only have 1 on ice, but to have the 1 be seemingly really good looking. My RE said that my chances for the frozen cycle are actually a little bit better because of the embryo quality and the fact that it’s a blastocyst (as opposed to the 8 cell embryo I transferred last time). And it has a 95% chance of surviving the thaw.

So everything seems good, right? Wrong. Because then we met with our nurse who shared with us that Blue Cross Blue Shield has new fertility policies starting 1/1/16 which affect us. The first (and more relevant) issue is that they now require that my uterus be looked at (either via HSG or SHG) every year. My HSG was 1/29/15, so even though it isn’t expired yet it is about to be and they thought that BCBS wouldn’t even look at the prior authorization until I get a new one. Which, you guessed it, means we would have to skip ANOTHER cycle because the SHG can only be done days 6-14 and I was already at day 22 or something. They didn’t care that I haven’t ovulated yet either. Cue me trying not to cry in the doctor’s office because I don’t want to deal with ANOTHER delay and ANOTHER disappointment. My eyes were welling up and all I could say was “that really sucks Tracy.” Why does it suck? Because they should have noticed it. And had they noticed it like 8 days sooner I could have done the damn test this cycle. UGH

BCBS new policy number 2 that kind of set off our emotions: Apparently BCBS of MA is now paying for IUIs for same sex couples. Like, right away. And our nurse chose right after dumping the above on us to tell us this. I seriously love this nurse but really?! I wish I didn’t know that. Apparently they are JUST paying for the IUI part, which is only like $150/cycle but that is quite a lot of money when you’ve just paid for 12 of them …
So I’m almost at the point where I’m happy that BCBS is being more fair to lesbians, but I’m still kind of at the “seriously?!” phase and probably will be for at least a little while.

I basically guilted the clinic into submitting the prior auth for my frozen transfer anyway, just to see if it goes through, and it actually looks like it might be paying off. We didn’t get an immediate denial for the February cycle and the nurses think that since it is in process that it’ll end up going through. I’ll know more in the next couple of days hopefully. Cross your fingers that the universe throws me a bone here.

So that’s where we are. I’m waiting to get insurance approval and then waiting to get my period so we can get this party started again. Sorry for the novel of a post. It’s my own damn fault that I never remember to update. New Years resolution 2k16: try to actually post things on my blog.

Happy New Year! Cross your fingers for the prior auth to go through so I can get preggo in February (because we all know it would be a travesty to wait until March). Oh, and any of you with BCBS (especially BCBS MA) who are doing IUIs – look into this new coverage update!

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