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Old Mar 6th, 2012, 17:05 PM   11
LillyLove
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To be specific the fimbrioplasty is $8-9,000 but with insurance coverage it will be $1600.



 
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Old Mar 7th, 2012, 10:53 AM   12
kcarey77
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My OBGYN billed my diagnostic Laparoscopy and Chromotubation as "Pelvic Pain" so I only had to pay 20% of $10,000. Maybe I should ask my RE is she could bill it as another lap? That's genius! I asked my OBGYN if he would do the fimbrioplasty laproscopically and he said he could, but it would not be done correctly, meaning, the tubes could close back up. He needed to get in there and really open them up permanently. I suppose it comes down to the surgeon and how experienced they are with the surgery.

IUI is expensive, and according to my OBGYN a big waste of money for women with occluded tubes. Your chances are slim. If you had endometriosis or something, maybe, but not blocked tubes. He also said no fertility drugs will help (I asked for clomid again). I tried clomid 100 mg for 4 cycles last year and all I got was ovulation pains and a nasty attitude. It made me very emotional and served no purpose what-so-ever.

I agree we should keep this thread alive! There seems to be very few of us TTC with blocked tubes. I know it can happen for us, and Im hopeful it will! I'm happy to share my experiences (I feel like I've done it all..lol) with anyone who cares to hear them.

I'm just glad we now have an answer as to why we have never had a BFP. I knew something was wrong with me in my 20's because I have always been in long term relationships and never been on birth control, and never even had a scare of being pregnant.

PS- My OBYGN also told me to get another HSG after 3 mth of my lapro to check and see if they were still open. I told him he was insane if he thought I would put myself through that horrific test again which led to INCORRECT results. More wasted time, money, and energy I will never get back.

Keep me posted on your surgery, I will keep you in my thoughts and prayers!

I got a HIGH on my clearblue easy fertility monitor this morning so DH and I will be going for it the next week in hopes of being successful.



 
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Old Mar 24th, 2012, 09:54 AM   13
LillyLove
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Awesome article to give us hope!!
http://findarticles.com/p/articles/m...5/ai_62981792/

The article basically says that tubal surgery is better than ivf in most cases with fimbrioplasty having a 78% pregnancy rate within a year! It also states that most doctors today aren't bothering to learn these surgical techniques and are just pushing people to ivf unnecessarily.

My surgery is on Tuesday and this article gives me some hope as I have been so down and doubtful the last week.



 
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Old Mar 24th, 2012, 10:10 AM   14
LillyLove
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Hope you liked the article. PS.....I think you should look for a Gynecological Surgeon in your area that is a specialist. After doing more research and talking to my surgeon he said fimbrioplasty should ONLY be done laparoscopically and that you should seek a specialist who does them frequently.

On the other side, I am getting super nervous that my insurance isn't going to cover it for some reason. I called them and they said they said they don't cover infertility "repair" but my doc said he wasn't billing it as that.. He is using Insurance cpt code: 58673 with 614.1 hydrosalpinx and 614.7 pelvic adhesions.

Hope this helps.



 
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Old Mar 24th, 2012, 11:05 AM   15
kcarey77
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Thank you so much for the article! Very informative

If your Doctor is billing it as something outside of infertility, you will be fine. My insurance was covering my cloimd and didn't even know it cause it was a "generic" drug. They are trained to tell you what your insurance will and will not cover. Your Dr. knows how to get around it, trust me, he wants to get paid...LOL! I think you're in good hands with your specialist and I'm so happy for you!
I have heard good things about the surgery as well, but you're correct, most surgeons don't bother with learning this skill anymore cause IVF is so popular. A trained professional in tubal surgery is a MUST! What state do you live in? How did you find a specialist in your area? If I call around everyone is going to tell me they "specialize in tubal surgery" although they only performed maybe a dozen fimbrioplastys.
I will be getting a new RE soon and I'm going to ask that she recommend a specialist in that field to do my surgery. I can't afford to miss a month of work. I'm in new home sales and if I don't work, I don't get paid. I must have another laparoscopy.
I was really hoping for a miracle last month but AF got me on Monday so we will try again this cycle and hope for that BFP.

I will keep you in my thoughts and prayers for a successful operation on Tuesday! I'd love to hear all about it and any updates you have. If I can get my insurance to cover it, I'm definitely going for it!



 
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Old Mar 24th, 2012, 15:44 PM   16
LillyLove
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I'm in Minnesota....Here is where I found my doctor: www.mngyn.com They are actually surgeons that specialize in gynecological disorders. I basically found them from searching the internet and then I went in for an hour long consultation with the doctor I chose. Before choose from their doctors, I googled the different surgeons name and the one I chose I was because my search brought up his name under all these seminars and conferences about tubal surgery. (I'm such a spy!) I went to my consultation with him with a list of questions about the procedure and what his thoughts were about going to straight to ivf. He was very objective and a great listener and answered all my questions thoroughly. I guess at this point I will just have to put my faith in his hands and God and pray it works. We are going to give it 6 months before moving on to ivf even though it says give it a year. (I am 36). Thanks for your thoughts and good wishes. They said I could go back to work in 4 days...but I am taking a week off to rest and heal.



 
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Old Mar 24th, 2012, 15:47 PM   17
LillyLove
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* sorry for all the typos! Typing from my blackberry!



 
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Old Mar 25th, 2012, 10:44 AM   18
kcarey77
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I did some research online and found the top doctors for 2011-2012 in Orlando and my new RE is on the list! Now, I just need a day off to get in and see her and see what her thoughts are on the surgery and who she could refer to do it. I'm not sure insurance would pay for a procedure done by a Reproductive Endocrinologist, an OBGYN looks less "suspicious"
Best of luck to you! Thanks so much for sharing your research with me. It's very helpful to speak to someone in my situation and bounce ideas off of one another.



 
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Old Mar 25th, 2012, 20:07 PM   19
LillyLove
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I bet your RE will have great suggestions and recommendations for surgeons. My surgeon actually gets referrals from the IVF clinic that we will be moving onto if the surgery doesn't work. Uggg....can't even think about that now!

I will check back here after surgery - probably Wednesday and give you a full report. I love having someone to talk to about this too. Hopefully we will be bump buddies soon!



 
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Old Mar 26th, 2012, 16:53 PM   20
kcarey77
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I will keep you in my thoughts and prayers for a SUPER successful surgery and a BFP coming very soon for you!!



 
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