I speak a forgien language

So often I just get comments from those who I know exactly who you are.  (And those of you, I love when you add your bump signin name if your blogger name appears different).  Well my last post I got a comment an hour ago from someone, I'm not sure who they are.  But that's OK.  If people find my blog organically through serching for IF information, all the better.  Helping a larger group of people.

That said, Char - I tried to de-code myself in a comment in my last blog post so I hope that helps explain myself.  And that was a wonderful reminder!  I used to try and spell things out and not use acronyms as much as possible so that it flowed but over the years it's just become so habit forming!  But more than just the answer I wanted to reach out that if you are not already a memeber of The Bump's Infertility Forum, as you look towards IVF I say "Please come join us!"  And so I'm not mysterious; here is a direct link!

http://forums.thebump.com/categories/trouble-ttc

If you (or others reading this now, or in the future) need a support group of people who "get it", want to read of others journeys, or are just a seriously creepy stalking LOL.  After you create an account, you can post.  But until then you can "lurk" (message board lingo for look around) this give you a chance to read questions from others, get a feel for the board, etc.

When there is a group doing IVF in a certain month - they come up with a name for their group and have bi weekly checkins to see how everyone is doing.  From about a month leading up to the IVF to a month after.  It's wonderful!  I was part of the "Precious Pumkins" for October's IVF and then the "Harvest Hopefuls" for Nov. FET.  And more than just check ins for IVF, there are questions about everything, "get to know you" GTKY posts, posts for those on a break (AKA sitting on the bench), and many other things!

And if you are someone who found me from searching for miscarraiges, same hold true only for the TTCAL board!  Wonderful groups of women.  I'd say about a third of my facebook friends are people I met on one of the four forums I've been a part of on the bump.  And I've now met, 20 people in real life that I first *met* on the bump.  (Don't be freaked out, you will never be forced to meet anyone in real life if you're not comfortable) but after *knowing* someone for a year or more on the boards, it's great when you live in the same area or - like my trip to Reno - if you are traveling and can have a wonderful lunch with one of your "girls".

Hell, this Friday I am going to dinner and karaoke with four of them that I met back in fricking 2011!  I can't wait to see Megan, Julie, Kate, and Casey again.

So yes - dear followers this is a PSA that started as a hand reached out to one person.  But with the hopes of maybe reaching others who don't comment.  You read silently because they are looking to find where they "fit".  I'd hate to think what it would have been like these years with out you.  <3 p="">

IVF # 2 planning stage

So those of you from TTCAL or IF will have seen most of this info but *deep breath* here is "the plan" new info for those of you who read this update on the boards is bolded.

I had my final WTF on IVF#1 post loss today & plan for moving on with #2.  Because there was nothing genetically wrong with my little boy, he agrees we do not need to do PGD or karyotype testing.  And my antibody test for the most common three all were negative so there was no obvious attack on the fetus.  As for any more RLP testing, the only one he feels is necessary moving forward is the NK cells test (which is about $500 opp), which if high means I'll need to be on intra-lipids before starting IVF#2.  From what I've been told from ladies, it's a single IV done prior to start that takes two hours and then another in first tri.  Correct me if I'm wrong on my understanding from what you've said.

Aside from that, he plans on same protocol for next IVF except to add human growth hormone (HGH) to the antagonist protocol I was on before of :  BCP to line up with batch cycle.  Then FSH drugs of follistim and menopur, start Ganirelix at stim day 5 this time to try and keep my progesterone lower so I can do a fresh transfer (instead of freeze all FET like last time).  And if we can keep my progesterone below 1 on day of ER, maybe look at day three transfer if needed since last time I only had one make it to full freezable blast.  And agrees he wants Jeff and I on 600mg of CoQ-10 Ubiquinol for a few months prior - so our transfer goal time of early May or June sounds good to him.  I'm very pleased with the meeting and looking ahead to moving forward.  Nurse will email me tomorrow on any other tests that need re-updating like infectious disease.  But next up is repeat Saline Sono on cd6-10 of my next cycle (to look for placenta polyps or whatever do to m/c).  His batch cycles for May is start stims April 26-28th in order to for ER and/or ET May 7th-16th.  His June cycle is starting stims 5/24 - 5/26 for ER and/or ET June 4th-12th.  

From what he was saying about HGH it's only come into vague the last few years and is mainly for us AMA ladies, so I know it's not going to be too common - but I didn't remember hearing about it from the boards - but it turns out when others mentioned HGH I didn't realize that's what they were talking about.  I just assumed it was a drug I didn't take or need...until now.  

We're excited for why he said he wanted the tests, and the HGH and gave me a research data article from their own study on HGH.  For women over 40, live birth rate with HGH IVF that had a previous failed cycle went from 12% TO 21%.  And technically, I didn't have a failed cycle, (just not a live birth with) a m/c after a cycle so it can only help matters.  He said it improves egg quality as well as embryo development (less fragmentation etc).  Eeek!  

Until then, just need to redo Saline Sono after next AF (so probably end of the month) and call to get on BCP after March AF in order to fit in with batch cycle (whichever one we choose).  

Decision Made...IVF#2 here we come

So if you look back at this months blogs you know we were wavering on living child free or doing IVF one more time.  And I thought we were going to hold off on that decision until Mid March when it's time for Jeff's bonus.  But Jeff surprised me last night.  Out of the blue after being home for a few hours he said, "So I looked at a 401K for doing it again."  Nonchalant.  I looked up at him in the loft.  "Oh?  IVF you mean?" And he said yeah.

He looked at doing a 401K loan that would be huge - big enough to pay for a full OOP IVF cycle *and* pay off the one we just got in Sept.  It would only increase our monthly budget cost by about $125 a paycheck which so happens to just a little bit less than his promotion/raise is per paycheck so it's as if we wouldn't even notice because we didn't have that money two months ago in the monthly budget.
This would also keep us at one 401K loan, so if we needed another for a decent home loan down payment if need be (still not sure if we even qualify - see last post re that if you're that interested).  AND then his bonus could go toward a vacation for our fifth anniversary.   - And let me just say if you're someone who's all "why would you think about taking a vacation with these financial burdens? Let me just say unless you've come through five years of infertility and two miscarriages as fairly unscathed as I feel I am in the psychological world, you have no business deciding what is and is not needed or what you'd financially do in order to remain a fairly mentally healthy individual.  Not to sound defensive, but I truly believe staying connected as a couple by having a life outside of IF truly is what has kept me/us this sane and as crazy in love as we are.  And since we came out of the last six years having had two 401K loans of similar size and paying them off - I can say those five years go by so much faster than you think.  (:::Jumps off soap box::::).

Anyway!!  I was so happy to hear this.  Deep down I had prepared myself for the idea of child free but really hoped he felt as I did.  That seeing the heartbeat flicker those two weeks and living those several weeks knowing I was pregnant, were so joyful.  I can't help but feel we felt as if we had seen a glimpse of the other side of IF and want to go back and make it all the way to the other side.  We just are not ready to give up on that dream....yet.  So one more try.

To prepare for this, Jeff will go back to taking CoQ10 and Fertility Blend for Men for a few months and we'll plan on doing it in May/June.  I have my final WTF meeting with RE about my miscarriage and tell him we're moving ahead on Feb 17th.  I'll see if there are any tests that need to be redone, get a fresh pap, etc. before my Tar.get insurance runs out April 1st (because while I have fully run though my IF coverage it still has some medical bennies for wellness visits and testing I can at least take advantage before it goes bye-bye).  And my girls have already started mentioning free drugs they have to possibly give me when I mentioned we'll be taking $15K est. for OOP full cycle.  ((FX it is only this much.  I need to look back at my spreadsheet of what all they charged upfront to my insurance company before it was negotiated down and partially covered. YIKES I just looked and it was $13K WITHOUT meds or the transfer or the cryo cost if we have frosties!  Well, we should have two thousand or so in the HSA by then too but Jesus!  Oh and my RE gives a 5% discount to oop patients.  That seems so small  a discount after seeing what insurance gets off!!))  But I'm rambling.

Needless to say I am a frickin bundle of nerves these last 20 hours.  Nervous, excited, worried, happy, anxious - I've said, and it's so true, that I don't know whether to cry tears of joy or vomit.  OK, I did shed a few happy tears when I hugged Jeff after our conversations and have felt nauseous ever since.  So yeah.  There it is.

Any tax experts follow me? Any IVFers take medical deductions?

I'm grasping at straws here but might as well throw it out there when there are a decent size group of followers for such a private blog right?  I plan on finding someone professional to do our taxes this year after spending today looking into this but curious on a few points I can't find answers to yet...

So as mentioned in last blog, we owe $765 to the feds this year for taxes...but that was with me skipping the medical expenses section in Turbo Tax thinking I would revisit it later before filing to see if we fit the 10% of AGI needed to do itemize deductions.  (We take standard deductions because well, we don't have kids or a house so it makes sense).

ANYWAY if you're still reading - here is where it gets technical and boring as fuck.  Without even looking at our HSA (of which his company contributes $1,000 and we contribute $4,000) our OOP medical expenses this year WITHOUT insurance premiums is 6.8% of our AGI (I know it needs to be 10% but stick with me).  This includes our oop for IVF/FET, buying glasses & contacts for me this year, and paying off two huge medical bills in March unrelated to IF that were actually medical care from 2012 but paid off in 2013.

A) Do the bills I paid medically in 2013 but for care in 2012 count?  because otherwise we drop to 3.4% with just the IF and eye stuff.

B) HSA is pre tax (I believe but I'm not sure because...) in Turbo Tax it is listed in a whole separate section from medical expenses.  Am I right it's pre tax? Why if it's pre tax is there a section about it at all and why is it separate from medical expenses?  Because if A and B count we're now over 10%.

C) How can you tell if your insurance premiums (outside of the HSA) are pre or post tax?  I know it can only count if it's post tax.  We're in a CDHP (Consumer Driven High Premium) if that helps.  Like our HSA, our premiums are another ~$4K a year, so again if A & C count, we're over 10% or A&B, or B&C, or A&B&C.

Basically I need two out of three in order to make it.  I'm fairly certain of A being in.  And I'd think either B or C but doubt both...I really think it's B and not C - but the fact that B is in a separate section is what is really throwing me off.

Any advice?  Did any other IVFers do medical expenses deductions in the past have advice for this first timer?  Love to hear from you