If you have been reading you know that last week I wrote about a big decision we needed to make regarding the Immunological testing with Dr. Braverman in New York. Well over the weekend my husband and I spoke about it and he was in agreement with doing the testing to see if there is anything else contributing to my seemingly inability to carry a child besides my translocated chromosome. On Monday I called Dr. Braverman's office and spoke to Judy, the incredibly nice billing lady and gave her the okay to start the process with us. My credit card was charged Dr. Braverman's $3,000 fee right away. I got an email shortly after I hung up the phone with June from the medical assistant with the lab form I needed to complete, have my OBGYN sign, and fax to Reprosource, the lab that processes the blood work. On Tuesday my OBGYN signed the forms and faxed them like we needed. I was told to expect a call from Reprosource Friday or Monday to arrange the actual blood draw with the lab here in Ohio. So things were progressing seamlessly just how I like it.
Yesterday we met with Dr. Awadalla at Institute for Reproductive Health. It was me, my husband, my sister, and my niece. We took my sister so we could discuss doing an egg donor cycle using her eggs, and my niece had to come because she had no sitter for her. I had faxed every lab, every test, every report along with a written out medical history of our pregnancies to the doctor weeks ago, but it was apparent that he just started looking through them when we got to our appointment. I get it-I'm sure he's a busy man. When I explained to him that we were interested in doing an egg donor cycle with my sister because I have a translocated chromosome, have had a stillborn, have had three miscarriages with two confirmed as having Down Syndrome, and most recently had a failed IVF with PGD cycle-the doctor was instantly on board with the egg donor cycle. When I brought up that we were getting ready to do immunological testing with Dr. Braverman the doctor kinda lost it on us. He didn't want to talk about, said he wouldn't support it, and said it was completely unnecessary because we KNOW why I've lost our babies...the translocation OF COURSE. He asked me if my biggest fear was losing another baby-well absolutely-and offered to do the Egg Donor Money Back Guarantee Program with us which basically gives us 6 chances of having a living baby or we would get more than half our money back (I will explain more about this later). He did an ultrasound on me to check to see if there were fluid in my tubes because of my previous HSG results-no fluid seen. He also did an ultrasound on my sister to check her follicle count since she has been on birth control for four years-plenty of follicles. We met with the very nice billing lady to discuss the costs of one fresh cycle, one frozen cycle, and the money back guarantee program. We also met with the egg donor nurse coordinator to discuss the process of getting my sister medically cleared and synchronizing our cycles. By this time my niece was in the lobby with my sister throwing a fit so we had to wrap it up and get out of there. When we got to the car my niece was sure to tell me she was mad because we were taking too long! I'm in trouble if we end up with a child that has her personality!!
So from the standpoint of Dr. Awadalla-he is confident he will be able to get me pregnant on our first fresh donor cycle, confident I do no not need immunological testing or treatment, and confident I will be able to carry that baby to birth.
Since we left our appointment yesterday my mind has been going a million miles a minute. Me and my husband have been arguing about the immunological testing-he no longer wants to do it but I still do. I'm crunching numbers in my head, battling conflicting thoughts, and feeling extremely out of control with all of this.
Let me just share with you the conversations that I've been having with myself over the past 30 hours.
Crunching the numbers-
To screen my sister we will have to pay $2,050. Our psychological testing will cost $250.
We can use our left over medication from our failed cycle for the most part...maybe have to spend $1000 on meds
So for one complete cycle with freezing, it would be $18,700
If the fresh cycle didn't work and we ended up doing a frozen cycle (if we even have any to freeze), we are looking at $22,700.
For the Donor Egg Money Back Guarantee Program we could get 3 fresh cycles AND 3 frozen cycles for $24,000. No extra fees for ICSI or embryo freezing and storing.
We would still have to pay $1800 to have my sister medically cleared, $250 for our psychological testing. $250 to "insure" my sister for each fresh IVF cycle she does. And $1,000 for medication the first fresh cycle, but $300 for meds every frozen cycle and $3000 for meds for every additional fresh cycle.
So if we HAD to use all three fresh and all three frozen cycles it would cost us $34,700 total for everything.
3 fresh cycles + 3 frozen cycles without meds, screening costs, and freezing costs is a $54,300 value. So $24,000 is a steal.
If we get pregnant the first fresh cycle and have a living baby as a result, and we did the money back guarantee program, we would get no money back and would have over paid $9,600 which we would never see again.
If we didn't get pregnant the first fresh cycle but got pregnant the first frozen cycle and have a living baby as a result, and we did the money back guarantee program, we would be out $5,900 which we would never see again.
The money back guarantee program is only cost effective if its going to take us more than one fresh and one frozen cycle to get pregnant and have a living baby.
Bear with me as we continue to walk this journey we didn't ask to walk. I'm doing the best I can with what I've been given in this life.