Estrogen questionsFebruary 1 2011 at 9:36 PM
|Julie (no login)|
I was wondering if anyone is willing to share some information about estrogen therapy? I have been diagnosed with High FSH, ovarian failure, and a low AFC in conjunction with a whole other lot of problems (male and female). We are considering using donor egg but the RE wants to run me through a "mock cycle" first. From what I am understanding, he wants to make sure my hormonal levels and uterine cavity and lining will be able to sustain a pregancy. Has anyone else done this? Of course, my health insurance only covers a small percentage, if any, of the cost of meds. I am looking into Estradiol (Climara) patches, Estradiol tablets-vaginally, or the estradiol (delestrogen) injections.
I have been trying to weigh the cost/cons/pros of each and was looking for some actual/practical advice.
Thanks for your input.
can be done relatively inexpensively
|February 1 2011, 10:02 PM |
generic estradiol is cheap. lupron can be purchased for about $100. Your insurance may cover meds, ultrasounds and doctors visits b/c they won't necessarily know it's infertilty related. Not sure what your insurance looks for but some are tipped off by expensive meds like gonal-f or follistim and some require preapproval for FETs and retrievals. Many fewer red flags for a mock cycle. I think it's good for peace of mind, particularly if you're about to invest quite a bit of $ for de.
Re: can be done relatively inexpensively
|February 2 2011, 10:11 AM |
I checked into the cost of the generic estradiol, your right- the cheapest of all the drugs so far. I was just wondering....how messy/inconvient is it? I had to use progesterone supp in the past and it wasn't that bad. Wondering if estradiol would be similiar?
Thanks for advice.
Should be super cheap, as you won't need Lupron
|February 1 2011, 10:12 PM |
Lupron is the most expensive of the mock cycle drugs and you won't need it if you are in ovarian failure. Estradiol is super cheap, as in, I get a thirty day supply for $4 at my pharmacy. Prometrium (progesterone) is expensive but you only need a two week supply, probably about $50.
I went through a mock cycle
|February 2 2011, 4:38 AM |
and it went quite well. It wasn't really a big deal. I took 3 delestrogen injections to see how much it would take to build up my lining and it was at 10.2 after 3 of the 5 shots I was prescribed to take. I agree that it's a good idea, because your RE will be able to figure out what it will take to get your lining where it needs to be in a "no pressure" environment, before you are cycling, instead of finding that out in a "pressured" environment of when you are cycling (pressured meaning that you would want it to work and timing is everything with cycles, from what I can understand, especially a fresh cycle).
Wishing you the best!
Re: I went through a mock cycle
|February 2 2011, 10:17 AM |
I agree, from what the RE staff described the mock cycle shouldn't be too bad (all things considered). From what I am understanding, they will prescribe the estrogen- I take it, then get an US to measure the uterine lining and some labs done to check hormonal levels. They also thought insurance may cover some of the cost for the scans/labs etc.
Again, appreciate your advice
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