Reply to any information resources you recommend as I think about a fertility consult?

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[quote=Anonymous]At 39, you can't really waste your time with stuff that doesn't work.  (says 42-year-old who started at 39 and [b]did[/b] waste her time with stuff that didn't work, and now finds it might all have been a waste of time.)

Obviously everyone is different, but if I could do it all over again, I would:

*make sure your thyroid levels are ok going into things. And check to see if you're immune to chicken pox. That held me up two months, because I had to get the shot! OB-GYN and GP can do those tests, and they should be covered under well woman visits, so you shouldn't have to pay for 
*look at the clinics with the best stats for women in your age group. (Happily, many are in NJ or New York.)
*get a consult and all the testing at one of those clinics, and be on top of keeping all the records, because you might need to switch clinics if things aren't working for you ad they can move more quickly if you've got it all in hand. The consult itself and the diagnostic testing should be covered...and are not that expensive in the greater scheme of things.
them.
*Get an HSG, stat. It might be as simple as blocked fallopian tubes. Some insurers cover this procedure, some don't. IF you do need surgery, make sure it is coded as a necessary gyno procedure, not as for infertility -- that way it's covered. 
*max out how much money you put in your HSA for next year so you have money for procedures next year.   
*start saving money for OOP stuff. My insurance covers IVF, but the drugs have high copays -- one cycle was $4000 in meds before we hit our OOP max for the year. Even if you do get pregnant without ART, how nice will it be to have that money for the baby or a head start on a college fund?
*pick a  progressive clinic that does CCS testing on embryos and that does six-day transfers, which help older women because their embryos develop more slowly.  
*Unless your insurance insists on it, do no more than one IUI before moving on.  [/quote]

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