Any hope that I had was officially ruined.
So now, the tough decisions start. My RE can't get me in for a WTF consult until NEXT wednesday (grr!) so I guess I won't be cycling this month. Which is probably a good thing. I need a mental break- and really our decision is already 99% made regarding switching to IVF.
Do we stick with our current clinic? Do we go to another clinic? Do we do Donor Embryo? Do we give traditional IVF a shot first? Do we move straight to adoption?
I hate this. Too many decisions, too much hassle. Too many concerns.
I spent awhile this morning looking at SART data. This is the < 35 data for my current clinic for the last 10 years
| Cycles | Pregnancy | Live Birth | cancellation | Twins | |
| 2004 | 294 | 38.8 | 35 | 9.9 | 35.1 |
| 2005 | 248 | 46.8 | 43.1 | 6.5 | 28.4 |
| 2006 | 270 | 55.6 | 47.4 | 6.7 | 26.6 |
| 2007 | 224 | 53.6 | 47.8 | 3.1 | 33.6 |
| 2008 | 218 | 51.4 | 48.2 | 8.3 | 32.4 |
| 2009 | 209 | 50.7 | 45.5 | 6.2 | 35.8 |
| 2010 | 308 | 42.9 | 37 | 11.7 | 32.5 |
| 2011 | 275 | 41.1 | 32 | 10.9 | 30.7 |
| 2012 | 312 | 41.3 | 36.5 | 10.9 | 32.5 |
The decrease in live birth rates from 2009-2012 really has me concerned (going from 45% down to 36%, WTF) and it also puts their most recent year below the national average. Since we are 100% Out of Pocket this could add up VERY quickly.
So I did a bit of comparing between clinics. I looked at a handful of clinics within a 6ish hour drive of where I live now, that also are near friends or family that I could stay with.
| Cycles | Pregnancy | Live Birth | cancellation | Twins | |
| Clinic E | 55 | 63.6% | 58.2% | 5.5% | 46.9% |
| Clinic A | 338 | 50.9% | 45.6% | 6.8% | 29.9% |
| Clinic G | 403 | 51.4% | 45.4% | 4.0% | 33.9% |
| Clinic B | 67 | 44.8% | 41.8% | 0.0% | 35.7% |
| Clinic D | 58 | 43.1% | 37.9% | 6.9% | 18.2% |
| Current Clinic | 312 | 41.3% | 36.5% | 10.9% | 32.5% |
| Clinic H | 97 | 41.2% | 36.1% | 930.0% | 34.3% |
| Clinic C | 59 | 40.7% | 35.6% | 11.9% | 52.4% |
| Clinic F | 100 | 42.0% | 33.0% | 5.0% | 36.4% |
Clinics A and G are my front-runners. Unfortunately I'm too fat for any of the money-back guarantee programs.
There is also our Option C- IVF in cancun. The clinic I'm looking at (IREGA) has a 65% pregnancy rate (but no stats on live birth) they offer a free FET cycle if your IVF fails, and the cost is $5600+ meds. Yeah, there would be the hotel cost and airfare on top of it, but the cost of IVF+airfare+2 weeks in an all-inclusive would be the same as one cycle here in the states. Not gonna lie- getting a 2 week vacation out of the deal sounds appealing to me.
It's great that you're doing so much research to find a clinic! I know it's frustrating to be in that situation in the first place. I often think about changing clinics, but for different reasons.I'm doing an FET in June after two canceled cycles in April and in May. I didn't even know that people went to Cancun to do IVF, but it sounds like a really fun option. Good luck!
ReplyDelete