So... WTF appointment yesterday. No real surprises there, except that I couldn't stop crying during the meeting. I kind of thought my shit was more together than that. Pretty much everything is on the table. Her recommendation is to go straight to IVF with anonymous donor (AD) sperm but she will support us in any of three main options with a handful of variables:
- Up to 4 IUIs using AD, with or without clomid and/or monitoring (estimated cost $850 each without monitoring or $1200 with, pregnancy rate 15%). She recommended an HSG first which I vetoed. Not going down that road ever again.
- IVF with AD, with or without ICSI (estimated cost $12,500 without ICSI or $14,000 with, pregnancy rate 56%). This is where she would recommend we start. She initially said we don't need ICSI since we did it on half our embryos with KD and it made no difference, but when I reminded her we'd likely be using a different donor this time around, she conceded that we might want to consider it as an insurance policy because "weird things happen."
- IVF with KD, MESA and ICSI (estimated cost $19,000, pregnancy rate 56%). While she agreed to help us if we go this route, it was clear she didn't think it was a good option due to cost, level of invasiveness, and logistics of KD being out of town. She estimated the cost of MESA to be around $5,000 but admitted that was only an educated guess as she is fairly removed from the financial aspects.