Megan vs. Tricare: Round Two

Yesterday I changed my PCM (Primary Care Manager for you non-military folks) to a civilian provider, one that has nothing to do with Madigan. Hopefully one that will send my referral directly to Tricare instead of Madigan and I can be seen at the RE in Olympia.  He's in the Tricare Network. I don't  I still haven't heard from Patient Advocacy. I'm not going to bother fighting with them until I see how Round Two goes first. I may have to break out the heavy gloves! I really need to write down  everything that I've had to put up with. Most recently, I got my CD3 blood work results which confirm that I do, in fact, have Diminished Ovarian Reserve. Do you think that I found this out from the IF cilnic? No. I had to call my PCM's office and they gave me the results over the phone. I've diagnosed myself based on the research I've done.  I haven't heard a word from the RE. The results of my CD3 labs (the labs that I had to fight for since they kept insisting that it'd be really rare for something to be off) came back in the normal ranges. However, the normal ranges cover a broad spectrum and a few of my hormones are actually a little high for my age.  These tests should have been the first thing the doctor did when I became their patient last September. I hate myself for listening to them and allowing them to keep telling me that I didn't need the blood work, that everything was fine.
 CD3 Lab Results:
Thyroid: 1.8
Estradiol: 55
FSH: 8.02
LH: 4.14

Coupled with my AMH of .85, it is very likely that the next time (when I actually get an appoitment) I see my doctor that I will be given the official word that I have DOR.  As far I know, this just means I have less eggs than I should at my age.  Because of my age, the doctors still expect my eggs to be of good quality but that's something they can't really know until we get to the IVF stage.  

I'm having doubts about moving right to IVF. I'm second guessing our decision to forgo the injectables and IUI. One of my RE's, Dr. B. said he doesn't like to do injectables and IUI because you can't control how many eggs actually fertilize. Makes sense. After all, this is the same treatment that allowed Kate Gosselin to become pregnant with sextuplets! The other RE, Dr. C., did give us the option of doing this treatment but said we would not have increased success, so we decided to opt for the lap/IVF route.  Now that I've been researching it, I don't understand why we wouldn't have an increased chance of success? You have the greatest chance of success in your first three rounds of IUI but since we'd be switching the protocol (i.e. drugs/treamtnet) my success rate should start fresh.  I've got a call into the IF clinic to discuss my lab results and I'm going to pretend I don't know what the results were. They probably won't give them to me over the phone so hopefully I can make an appointment and talk to them about everything.

So for now, I'm waiting for Tricare to approve the PCM change before I can make an appointment with her  Fingers crossed. If the referral doesn't come through then Mike and I are going to have to talk to Tricare again and have everything spelled out to us as far as what's covered and what's not covered if we switch to Standard. I still don't know what we'll do since we'd essentially be giving up our spot on the IVF waiting list.

I'm still having my laparoscopy on the 25th and am so happy that my mom will be flying in to be here for me.  Mike's having a crazy time at work right now and doesn't even know if he'll be able to get off for my surgery so I'm really glad my mom will be here.  What girl doesn't need her mommy every now and again?

Is it weird that I'm actually hoping they find endo or something? At least we'd have an answer as to why I'm not getting pregnant. Unexplained infertility is so incredibly frustrating! Maybe they'll find something, fix it and I'll be able to get pregnant without IVF. I know it's wishful thinking. Hope for the best but expect the worse.