It’s going to cost $5000. Yes, $5000 to avoid the dreaded hysterosonogram and still participate in the Pregnancy Guarantee Program. $5000 to recalibrate the accountants’ tables. I wonder what percentage chance they’re giving us to conceive? Perhaps 5 per cent less than their going stats? Oh, and if they find anything on ultrasound during transfer, this affects the finances — we will have to go to a single cycle plan.

The thing is, it’s not the HYS that is so dreaded; it’s the results. I’ve already said I won’t have uterine surgery so why bother with the HYS? It also irritates me that my previous fertility specialist did not offer or insist on a HYS each year during IVF treatment. Is this standard practice? Has anyone else done this test every year? The more I learn, the more I feel like my treatment was hit and miss, one step forward and two steps back.

Oddly enough, at this point it’s probably better to not do the HYS and pay the $5K. If nothing is discovered on ultrasound (which is probably what will happen given that I just had a clear U/S) then we still get to be in the program. If I do the HYS and something is found then we are definitely out of the program. I am mentally wringing my hands. What to do? What to do? I’m slow on the uptake regarding various medical procedures. That’s why I’m rethinking the HYS. Depending on the donor’s availability we might even go ahead next month! I wonder if doing the HYS during the ED cycle would interfere with the lining? ….just sent an email to the clinic coordinator on that question: apparently not. But my linings are always on the thin side and I’m nervous about doing anything to upset the chances or the schedule. Still don’t know what to do.

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Hysterosonogram Tug-of-War

September 3, 2009

This whole field is so muddy and murky that it’s hard to trust yourself to make decisions. When I started this process about five years ago, I turned myself over to the infertility specialists. It’s made me realize that they will throw every test, every procedure, every drug at you to see if something sticks. By last year, I was starting to feel like a lab rat. And nothing was working.

When I met with the first fertility specialist, she quite forcefully stated that we’d better get on the IVF wagon, and quickly. We were alarmed. Surely if I didn’t feel old or look old at 35 then my eggs couldn’t be old or stale! But perhaps I should have jumped on that wagon and done 3-4 IVF cycles in one year, my feelings about it be damned. At the time, however, I still could not grasp what she was saying. It was inconceivable. I still believed it would work through IUI. Fast forward five or six years and two clinics and we are now onto a third clinic and a donor egg. Wow!

So, onto the title of my post. Donor clinic wants me to have a hysterosonogram or hysterosalpingogram. I really don’t. I am taking my fertility journey into my own hands and am relentlessly questioning the necessity of all and any tests and drugs. I’m looking into what would I do given various results. The low-down is that I had a normal HSG when I first waded into this morass. I had several IVFs where they scan the uterus. I’ve had numerous pelvic scans. One of my friends, an OBGYN, told me that the type of fibroid and size of polyp that would harm implantation would definitely be picked up by a proper pelvic ultrasound. Maybe you’d need an HSG for a more detailed look. He also said that there is quite a bit of debate in the field about whether removing polyps or fibroids assists in implantation. Apparently there are studies that are on the fence about this. And yet, we’re told to not question our doctors and just do it! It makes me very angry. The truth is, women with fibroids get pregnant all the time.  Actually, two good friends of mine did so at 40. Not that anecdotes tell us all that much. And yet.

I’ve just fired back a response to donor clinic. We’ll see what they say.