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  1. #191
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    Alohashell - I'll ask DH tonight. But from memory, I think it was about $4k for Dr G. Got some back from Medicare & PHI, but not sure how much. Plus maybe about $700 for the anaesthetist too. If your PHI doesn't cover infertility investigations, then you might have extra fees from the hospital.

  2. #192
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    Default Male Factor Infertility Chat

    Hi aloha - so sorry to have given wrong info. I got mixed up with my fibroid surgery. DH looked up his records - Dr G's fee was $1400. He can't remember how much anaesthetist was but I think it was over $500. That will depend on which hospy really.

    Dr Lok doing a fine needle aspiration & biopsy under local anaesthetic was $1500 in total.

  3. #193
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    Default Male Factor Infertility Chat

    Yeah thanks guys - we saw Dr G about 2 years ago for initial consult and to see if he would actually do the micro Disection - we were going thru Westmead Fertility Centre then but we had a few set backs and stuff but now we are going thru Hunter IVF and still using Dr G as they are both under IVF Australia. After all our issues and set backs I decided to bite the bullet and do it all thru the same place - so Hunter Ivf have given us their costings but I have to contact Dr G for his - I had a feeling it was about $4k tho in the back of my mind but I wasnt sure Where id gotten that from !! stress brain here !! Thanks for all your input guys - I will seriously cut down spending and up the savings plan I think...lol and yeah I wasn't even thinking about anaesthetist costs aswell - my poor DH will want that part - needle biopsy was bad enough

  4. #194
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    Default Male Factor Infertility Chat

    But I like the $1400 figure much much better !! Hopefully that will be our fee aswell - in the end tho it doesn't really - it'll just change when we can do it !!

  5. #195
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    Was a little surprised at the difference in consult fees. Dr L charged us $350 and we were in there for 30mins, while Dr G charged $190 and we were in there for an hour. I was impressed however with both of these MFI specialists, but we have decided now we will definitely go with Dr G. He ordered a couple more blood tests for DH, which hadn't been done at either of the other two clinics - microdeletion of the Y chromosome and inhibin B, but was happy that we had come to him with so much information.

    But I was more surprised with how confident Dr G was that his micro-dissection procedure would work for DH. Up to now DH has only ever produced 1 or 2 swimmers in each ejaculate (plus a few other non-swimmers), but Dr G firstly said that our chances were "very good", then later he said "excellent", and then later said he thought we'd even have one or two lots of extra sperm to freeze!! DH has been so happy all afternoon since hearing this - he hasn't stopped making comments like "we're going to have our own baby", and I haven't heard him say this for a long while. Me, I'm still slightly sceptical that we can go from our usual 1 or 2 sperm, to getting enough sperm to have extra left-over to freeze!

    A few things mentioned with Dr G. He told us he's been doing micro-dissection for 3 years now, and is now presently training up a couple of other doctors to do the procedure. We talked about Dr L, and he said that he's excellent, and queried why we'd come to him when we'd already had a consult with Dr L, since Dr L also does micro-dissection. Dr G said he highly regards Dr L, but I said that we'd heard that he (Dr G) was the best. He was very modest and quickly moved from this. He looked at DH testosterone and other levels, and agreed that DH should continue taking arimdex (anastrozole) saying that it can have very good benefits in sperm quality, and certainly has no side-affects.

    Dr G will be away for a few days in the middle of Feb and then again in the middle of March, so we're hoping that his absence dates don't clash for when we want to do the procedure, as the micro-dissection has to be on the same day as my EPU day.

    Now, we will go off and enjoy our two week holiday to Tasmania, see when AF next arrives, hope that our name gets to the top of the donor list and doubly hope that dates fall into place at the end of January.

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    Ginios  (23-01-2013)

  7. #196
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    MGC Bertie - So now you have an idea why I (and peonies) love him even though it turns out that he over-estimated both our chances of finding sperm. But in your case, since you do get a sperm or two in the ejaculate then you know that there must be tubules somewhere producing them, and Dr G sounds confident that he will find them.
    Good luck. If you need to avoid particular dates you might have to do long down-reg instead of antagonist cycle. IVFA Westmead managed me ready on time for a Dr G day back in Aug 2009 (when he only operated 1 day a week, and we also had to avoid his dates away). Unless you left out a 0 from 30, then it sounds like we were one of his first microdissections.

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    MGC Bertie  (23-12-2012)

  9. #197
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    Hi Bertie - well, in our case Dr Lok only estimated the chance of success with a microdissection as 5%, and he seemed to be discouraging us from even considering it. He also never did the BTs that Dr G said were so important, looking for chromosomal microdeletions, of I think Y, A & B (could be wrong on those). Dr G seemed surprised that Dr Lok had failed to do these - in fact, we had asked for them, DH went & had the tests but never got the results, despite chasing up a few times (it was a number of weeks too) - and then Genea tried to charge us for tests that they never gave us the results for! Dr G just requested the tests again himself, which they did straight away at IVFA & got the results really quickly ... there was no charge for it either.

    So maybe we're biased, but in every way Dr G seemed much more knowledgable and better equipped for this procedure than Dr Lok did. Even though Dr G gave us a 50% chance of finding sperm, but didn't find any, we were still glad he did it. DH also recovered better from that op with Dr G than he did from the biopsy with Dr Lok.

    Good luck with whatever you decide!
    Last edited by peoniesarepretty; 23-12-2012 at 12:22.

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    MGC Bertie  (23-12-2012)

  11. #198
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    Thanks both Felicita and Peonies.... the two of you have such a wealth of information that I feel very lucky that you are giving me so much.

    Felicita... I just re-looked through my paperwork and in fact Prof I at IVFA wants me to do the Long Down (Agonist), while it was Dr C at Fertility First who said Antagonist. I'm not sure exactly how you mean IVFA can get the timings right to coincide with Dr G's dates, but I'm very pleased to hear that that's possible. I guess now it will just depend on how the donor wait list goes, as we do still want that as back-up. And yes, he definitely said he's been doing the procedure for 3 years, so thanks again if you were one of his first.

    Peonies... Dr L had scheduled some of the blood tests, so Dr G was pleased to have those results in his hand. The microdeletion of the Y chromosome hadn't been done, so DH had that done on Friday when we got home. The local blood clinic had no idea what the test was, even with our explanation, and they ended up ringing Dr G themselves, and still couldn't work it out! Eventually they rang somewhere in Queensland who told them how much blood to take out of DH's arm, so hopefully it's right!! The blood clinic said we will get an $85 non-claimable bill for this test, but that's nothing in the whole scheme of it.

    Thank you again both of you ladies for such support. I really appreciate it greatly and am humbled by your good wishes :-) Thanks heaps.

  12. #199
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    MGC Bertie - re: timing of cycles.

    Antagonist (short cycle) has to start near the beginning of AF.

    Long down reg (agonist) uses Synarel or similar drug to shut everything down. So you start the Synarel every 12 hours from day 21, then have AF pretty much as usual, but it might be delayed. After that if you dutifully stay on Synarel you can stay down-regulated (not cycling) forever. So it doesn't matter when your cycles were going to be, just down-reg ahead of time and then start the stim phase appropriately so your eggs will be ready at a time that's going to be convenient for Dr G to get the sperm. I think peonies got him to do surgeries on more than 1 day a week, so if that's still the case you won't need to adjust FSH on the run to get eggs ready on an exact day, but will have a whole week (for example) to aim for. I think we had to be ready on a Thursday - not one of IVFA's usual collection days.

    Synarel dumps stored hormones out of your pituitary (my interpretation of product info), so you never build up enough to do anything useful with, so all your hormones stay at low levels (down-regulated). If you miss a dose you might build up a useful amount of hormones and undo all the effort of the sniffing. It tastes a bit like vinegar because it's an acetate solution. Some people have problematic menopausal symptoms when using it.

    We didn't have donor sperm as backup. We weren't ready for donor at that point. In any case it was against IVFA usual procedures to allow it at that time. But peonies got that policy changed. We froze my eggs when no sperm was found. It was classed as experimental at that time - I don't know if it still is. We thawed and ICSI'd them alongside my next batch of fresh eggs (using donor sperm) but the frozens performed a lot worse than fresh. Much better to have backup donor and to freeze embryos.

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    MGC Bertie  (23-12-2012)

  14. #200
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    Haha - you give me too much credit Felicita. Dr G actually got the policy changed on having donor sperm as backup. When Kirsty said it wasn't allowed, Dr G & my FS both said, "well that's just stupid" and they escalated it to Prof Illingworth, who also said "that's stupid - change it". I only found out after all that, because the counsellor rang to tell me the saga. I think the doctors were so surprised that was the policy, beacuse they were the ones who advised us to do that in the first place.

    As for the days of the week for the surgery, I don't know. We weren't told there were was a restriction on that front. Just that the 2 doctors would work it out amongst themselves & we shouldn't worry about that. I did an antagonist cycle & my EPU was on a Friday. DH's microdissection was really early, then Dr G took off ... probably back to the office because he consults on Fridays. Given that they regularly arrange it so that people only ever have EPUs on Mondays, Wednesdays & Fridays, I guess an extra couple of days here or there aren't a problem if needed.

    On the freezing eggs, we were told that it's still not as successful or not as widely done as freezing sperm. It is better to have them fresh, is my understanding.

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    MGC Bertie  (23-12-2012)


 

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