Wednesday, June 18, 2008

Canceled cycle

We ended up deciding to hold on the fresh cycle until Oct.   I hope the decision isn't a mistake.  I'll be 1 month away from turning 39 at that point.  The thing is, if we were already having to wait until August, it's only an additional 2 months.  Granted, it's 7 months since the last time I cycled (and who knows if that went poorly because I was 7 months older than the time prior to that), but there's nothing I can do about it.  

We're going to try to proceed with the transfer of the embryos we already have frozen to our surrogate in August.  I just didn't feel like I could handle that and a fresh cycle in the same month under the circumstances.   The next cycle my Dr. offers after that isn't until Oct.

Things are still sad and stressful.  I'm hoping that, by Oct., at least we'll be in a position where we could handle bad news.  I can't imagine doing both in August and finding out the transfer to the surrogate didn't work and we didn't have any normal embryos.  We're already in such a depressed state right now due to missing DH's Dad that I can't take the risk of setting us up for that kind of situation.





Sunday, June 15, 2008

Father's Day

We got back from Long Island Friday night. We didn't want to leave my mother in law, but could tell she needed some time to herself. We've been calling her 3 to 4 times a day to check on her and plan to go back again Friday-Tues.

I know today is going to be especially rough for DH. Father's Day has always been kind of hard on him just like Mother's Day always is for me due to not having children. But, now he will also suffer because he no longer has his Dad either. I remember asking my MIL the week before last what we could get DH's Dad for Father's Day and she had said that he had been carrying around a soft briefcase sort of thing that DH had given to him years ago (I think it was just something that DH had and didn't use) to the point that it was getting holes in it. It was definitely nothing great but he liked it only because it was from DH. So, we had planned to get him a really nice one to replace it. I feel so upset that, if this had to happen, it couldn't have at least been after Father's Day so he could have gotten all the gifts and cards from the family and would have left knowing how much we all love him.

We canceled the July IVF cycle. We just don't have that in us right now. My intent when canceling had been to postpone until August and I think that's what DH wants to do. But part of me just feels like putting it on hold even longer until the next cycle Dr. S. has after that which is in Oct. If I could be reassured that waiting that long wouldn't make a difference, I would definitely wait.

I'm not sure what we'll do about the surrogacy. The lady who will be my GS is just wonderful and told me not to worry; that she'd wait for us as long as we needed her to. Financially, it's going to be rough as my FIL had been sending us money for the surrogacy. Now, after taking over management of the finances temporarily to help out, I can see he was being extremely generous by helping us. I'm sure he had been expecting money in for deals he was working on that would have taken care of everything, but now that money is not coming in and we certainly do not want to take anything from my MIL as she'll need what she gets for selling the house and from life insurance to take care of herself. But, my MIL insists that it was so important to my father in law that we do this and he would not have wanted us to cancel everything. She made me promise not to. So I guess we'll have to find some way to do it. I just can't see doing a fresh IVF cycle in August and trying to get my surrogate's transfer of the embryos we already have set up for August as well. It just seems like too much....emotionally and financially.

I really don't know what to do. I feel like I just have to make the decision and not trouble DH with this as he has more than enough to deal with right now.

Sunday, June 8, 2008

Death of a much loved father in law

My father in law died very suddenly on Friday afternoon.   It came as a complete shock to everyone.  He was 73 but seemingly very healthy and active.  He was a great man who treated me like his own daughter.  Whenever I saw him, his eyes would light up and he'd give me a big hug and tell me how beautiful I was.   The whole family is devastated.   My husband doesn't know how he'll pull through this.  He always used to call his Dad for advice and guidance on things.  His Mom and Dad had just celebrated their 50th wedding anniversary not too long ago.  They had known each other since they were 14.  They were the kind of couple that was so obviously as much in love 50 years later as they were upon getting married.  I am very worried for my mother in law.   

My husband's mom and dad had both been helping us financially with the surrogacy and have always been there for us to talk to throughout hard times.  I am sad that, if we ever have a child, he will not get to see him/her.  I know my father in law would have loved that more than anything.  I went in his office to try to help sort through papers yesterday and he actually had a file of articles about infertility.  He wanted to understand and help.  I couldn't help but start crying.  He had really wanted to have the whole family together, but never pressured us because he and my MIL understood it would be painful for us to be around Jordan's brother's children.  The sad thing is now we are all here together and we have met some of the children for the first time (and they are so cute) and we have bridged the gap that had grown between his brothers and their wives and us.  Yet, I hate that it took this for it to happen.  I feel like I was selfish and should have done it sooner for the sake of my in laws who were getting older.
I will never again assume there is always time to make a situation right.

My husband is so devastated.  There is so much more to say but the funeral is today and I should go get ready.  It's going to be an extremely difficult day for everyone.



Wednesday, June 4, 2008

Money

Well, it looks like we're going to try to move forward with this other surrogate in Vegas, but I'm really worried about the financial aspect of it all. We called tons of insurance companies and she talked with an insurance broker. The bottom line is there are no individual plans out there which even cover maternity (let alone when it's a surrogacy) without a 12 month waiting period except for the policies underwritten by Lloyd's of London specifically for surrogacy pregnancy coverage and they are very expensive.

The best one I could find requires a $8,200 premium and there is a $ 17,200 deductible. The deductible has to be paid up front along with the premium but, at the end of pregnancy, they do return any unused balance of the deductible after 6 months.

Our only other option is to just self pay all the medical costs but I honestly have no idea how expensive a pregnancy could get if there happened to be complications. We already know she'll probably need a C-section since she had one for her child.

So, the question is do we pay $ 8,200 to guarantee that our medical costs won't end up in excess of $ 17,200 (so essentially, our costs would have to end up being more than $25,400 for the insurance to have been worth it). If there is a miscarriage after she's transferred over to the OB, there is no refund of any of the premium so we'd risk losing substantial money there for nothing....not that we're not used to that, of course. I'm looking to my in laws for guidance with this since they make pretty level headed decisions when it comes to finances. So far, they seem to be of the opinion that we should just self pay. It's just that, knowing our luck, it is not too difficult to imagine some kind of major complications occurring which would result in like $ 150,000 - $ 200,000 in medical bills. And then we'd really be kicking ourselves for having been worried about saving $ 8,200!

I had a consult with my Dr. yesterday to discuss my protocol for this cycle. Last time I was on the same 300 iu follistim for 2 days then down to 225 iu follistim that I had been on for the 2 cycles prior. But last time, I didn't respond to that dose for some reason. I don't know if it was due to increased age (it was 7 or 8 months since my prior fresh cycle) or just a fluke.

When I got out to Vegas after 8 nights of stims, my E2 was only at 180 as opposed to around 2000 the other times. So then, I had to be increased to 300 iu and things moved along better. I still had less eggs and embryos than prior cycles and I ended up without any normal ones.

This time, I had hoped to start at 375 and drop to 300 but the Dr. told me in an e-mail that my only choices are either starting at 375 and dropping to 225 or starting at 450 and dropping to 300. This makes no sense to me and neither of those plans seems ideal but he says these are the only options. He said that, if the higher dose is more than I need, my body will just get rid of the excess and it won't hurt egg quality. Why not just put everyone on super high doses to begin with then? I told him I'd go ahead and do the higher dose but am feeling nervous about it. I just wish my body hadn't acted so unpredictably on the past cycle. We had the protocol and dose down perfectly prior to that.

Sunday, June 1, 2008

Trying to pick myself up

Ok, well the last few days have been really rough.

As usual, Kobi has been a big comfort to me. He's been by my side even more than normal. Except this morning he took it a little too far when he almost jumped on the treadmill with me. Fortunately, I was able to hit the stop button and block him just in time.

DH was really surprised by how hard I was taking the news of the failed cycle because we had known from the start that the chances of it working were slim. As I tried to explain to him, it's not so much the failed cycle as it is getting bad news yet again. And it was right on top of the news about the Vegas surrogate I hoped to work with having the match with my DH. I can only take so much. I guess part of me is always holding out hope for the kind of miracles I see happen to others. Part of me remains convinced (in spite of only evidence to the contrary) that if you persist in getting something you want in life, you'll eventually succeed.

As I mentioned in my prior post, I do have another possibility for a surrogate in Vegas. Unfortunately, it's starting to look like it may not work out either because her medical insurance
has a very clear surrogacy exclusion. And, so far, the only insurance policy we have found that would cover the maternity for a surrogate costs upward of $ 25,000. And, it would end up being several thousand even if the transfer didn't work due to the application fee and administrative fee. Add this to the $ 20,000 which gets paid to the surrogate herself, the $ 6,500 to the agency, probably $ 5,000 to the attorney for contracts, $ 2,000 to the clinic for their "surrogate coordination fee"....
It's just crazy.

Anyway, DH and I are heading out to the beach. I definitely need to get out of the house even though it's hard to motivate myself to do anything right now.