Sorry for the silence, folks. I was waiting til after our Wednesday appointment with the reproductive endocrinologist. I was relatively certain I was going to have bad news — even before the worry of a miscarriage.
We went last week to begin the process of getting my body ready to release an extra egg or two. Unfortunately, the doctor found something that looked like I just ovulated. That or a cyst, but he was dubious about the latter.
As you may recall, I had a weird cycle a few months back. So I went home convinced that my ovulation cycle was off and that the process would be even more difficult.
I stress-ate a lot of pretzels and even considered breaking the no-sugary-stuff streak (seven months and counting!). Instead, Tim took me to a couple of shelters to look at cute animals.
But the good news is that the stress was for naught. The doctor determined that it had been a cyst and that it was gone now. Meanwhile, I have two robust follicles in each ovary.
We’ll be proceeding with the plan, which I found out is startlingly pricey.
The five tablets of Clomid were $39.60. That helps multiple egg development.
Next Wednesday, we’ll go in for an ultrasound to check that they’re the right size. Unfortunately, that procedure will be considered infertility treatment, which isn’t covered by my insurance. So that’ll be $343.
Assuming everything is ready — and it better be because I don’t want to pay for two ultrasounds this month — he’ll send us home with two prescriptions. One will be the shot that induces ovulation in one to two days, thereby letting us, ahem, focus on our efforts. The other is progesterone for after said ovulation.
Both will need to be filled at a specialty pharmacy, which doesn’t take our insurance. We’ve filled progesterone prescriptions there in the past, and it’s been somewhere around $60-80. I can’t remember exactly. The shot, according to the doctor, will be $80-120.
Add in the cost of the two office visits at $30 each, and you’re looking at up to $650 for one month’s attempt.
Granted, that’s a drop in the bucket compared to $15,000 for IVF. But… ouch.
The good news is that Tim and I have no problem actually getting pregnant. The most it’s ever taken is two months of actively trying. So we should only need to do this twice at most. I hope.
But then you have to consider just how much we’ve spent in the past.
Each of the five pregnancies came with multiple doctor visits.
#1: Ultrasound ($35 co-pay) plus a visit to the OB/GYN ($40) plus D&C ($150). Total: $225.
#2: OB visit to confirm the pregnancy, then an ER visit ($65) when the bleeding started. Total $105.
#3: Two OB visits — confirm the pregnancy, another bad news-laden sonogram — plus D&C. Total: $190.
#4: Two OB visits, trip to the ER when the bleeding. Total: $145.
#5: Three OB visits — one of which was the later-heartbreaking successful ultrasound — plus ER visit when we thought it was ectopic, visit to urgent care ($20) when the miscarriage started, visit to the ER when the bleeding got alarmingly heavy. Total: $270.
Not to mention the four, $30 co-pays to the endocrinologist.
So by the end of this month, we’ll have paid up between $1,600-1,700 in this effort to make/sustain a pregnancy. Or $2,250 – $2,350 if we have to try a second month.
And so far, it’s only gotten us heartache. Speaking of which, let’s not forget the cumulative three weeks’ time I took off to grieve. That more than doubles the cost.
In other words, let’s hope this one has a happy ending.
Image by Daniel Lobo