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Ferility Issues with UD - a bit long

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Hello all...I haven't been on the board for about 2 months or so...It

has been ridiculously busy....Anyway, I do want to congratulate

! I am so happy that the cerclage went well and the pregnancy

is going well.

I am struggling over here....Hoping for some insight and feedback.

You ladies are all so knowledgeable - I find this board to be a big

source of education for me and I truly appreciate your stories.

I am bummed because I already have UD and a higher risk for pre-term

labor, mc, needing bedrest, and the like...That is enough to have you

stressed....But, I am also struggling with fertility issues. I had a

Lap/Hyst on 10/17 and they removed a lot of Endo. They gave me three

cycles to try to get pg on my own and then they said they would start

fertility treatments. Well, my 1st cycle was great - no Endo pain at

all. Then, my 2nd cycle, I had unbelievable pain and I got so

upset....To me, this meant that the Endo just came right back and so

quickly. So, my RE said that we should move ahead more quickly. He

wants to go right to Repronex, an injectible fertility drug, and IUI

procedures.

Now, the depressing and disturbing thing is that I just found out two

things...One, my insurance will not cover ANY fertility treatment and

this is going to cost us at least $900+ a month. I have Personal

Choice PPO plan - supposed to be the best - and I can not believe

they will not cover anything. Two, they told me the chances of

multiples is greatly increased and if that happens, they would need

to do selective reduction because of the UD to be able to save one of

the babies. I am horrified at the idea of trying so hard and then

needing to do that.

Okay - to get to the point, here are my questions:

1.) Has anyone out there struggled with fertility problems, gone

through treatment, and then lost the baby due to the MA issues? I

would like to hear your input.

2.) Has anyone out there struggled with fertility problems, gone

through treatment, and had a successful pregnancy? I would like to

hear your story.

3.) Has anyone had any experience with Lupron for treatment of

Endo? I have heard mixed stories about this drug and want some info

on if it is bad or good. Also, should I steer away from it since we

want to get pg and this would put that on hold, or should I take a

step back, try the Lupron and then hope that my fertility is

increased afterwards?

4.) Has anyone out there done fertility injections and then chose to

not do the IUI and did you acheive a pg?

5.) Can anyone tell me any first-hand stories of being in a

situation where you were told you needed to do a selective reduction

and what did you do?

6.) Am I right to think that b/c of my MA and my Endo that we should

not be wasting time and we should jump right into the treatments or

do I have time to wait and save money and stuff?

I apologize for soooo many questions, but hopefully, some of you will

have a few answers....

Thanks!!!!

Marie

26 yrs old

UD with Endo

TTC#1

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3.) Has anyone had any experience with Lupron for treatment of

Endo? I have heard mixed stories about this drug and want some info

on if it is bad or good. Also, should I steer away from it since we

want to get pg and this would put that on hold, or should I take a

step back, try the Lupron and then hope that my fertility is

increased afterwards?

Hi Marie,

I'm kind of in the same situation you are and thought I could provide

some insight. I had a lap done in Aug 2003 and we found a lot of

Stage II to Stage III endo. My OB removed all he could see and

started me on a six month course of Lupron in Sept 2003. My reasoning

for going with the Lupron instead of immediately trying to conceive

was because at the time we were not 100% sure of what kind of MA I

have so I opted to do further testing regarding my MA while on

Lupron.

Lupron will not increase fertility. Basically it just keeps your body

from going through the monthly hormonal cycle that allows your endo

to grow and grow month after month. The hope is that without these

hormones the endo will wither away and die and be reabsorbed by the

body. The bad part is that you are essentially in a menopausal state

while on Lupron. All those fun side effects of menopause come hand in

hand with Lupron. The worst for me has been hot flashes and moodiness.

Also you can lose bone density while on Lupron so if you do it be

sure you also take a calcium supplement.

I'm in my fourth month of Lupron therapy and plan to try to conceive

once my uterine septum is resection and once my six months on Lupron

is up. I am hoping the Lupron has bought me some time but I won't

really know for sure until next year.

I'm sorry I don't have more information for you, I just wanted you to

know that you aren't alone. Hang in there girl.

Suzie, 27

SU Bicollis

Resection possible in 1-2 months

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