Oxford study on Uterine Septums and Endo
Abstract CONCLUSION: Our results suggest a higher incidence of endometriosis in patients with a septate uterus. If it can be confirmed by others, the initial finding of a septate uterus in infertile patients should be followed by a combined hysteroscopy and laparoscopy.
So according to this study, it should have already been done. I could have had one hospital stay, instead of three...
And as I thought my sister E (the uber fertile one) was dx w/endo @ 16. Don't even get me started as to why/how I was never taken to a dr. with my problems that started around the same time (13). :(
I drew a fun chart last night from my research, and in lieu of Visio...
My uterine septum was removed because they often cause recurrent m/c in those who can get pg, and if you can carry to term it causes malpresentation, premature birth, high BP, etc. The septum is also related to endo, which is more likely to cause IF, than m/c. The septum is also connected to urinary malformations and I'm a UTI queen. And then there's the polyp (also related to septum) for good measure. All the pieces are starting to come together... I'm basically just defective, or as my dear sweet H says, I'm just "special". ;)
I think we need to figure out how to get a lap covered under our regular insurance and not our IF treatment benefit (like we did for my septum surgery, which was a congenital defect). Then we would still have our $11K left of our $15K lifetime benefit to do additional treatments if we need them (though that isn't enough for even one IVF cycle). The main reason we are hesitant to use our coverage for IVF now is if we do and it fails (which it does more often than not), then it's game over and they can send me right to the funny farm.
(Made a consult appt. for next Thursday to talk to my RE about next steps.)
2 comments:
Ours was covered because it falls under the "diagnosis of infertility" not the treatment of it, if that makes sense.
I have a 10K max lifetime benefit and got all my testing, 4 treatment cycles including 1 IUI, my hsg, shg and two IVF cycles under that coverage.
Our 10K is for the diagnosis and treatment of infertility to everything IF related fell under the benefit umbrella. You will need to clarify what insurance you have.
They can probably do the laparascopy and code it as something other than IF (i.e. cystic ovaries, or something like that, most RE's billing offices will work with you...)
OOP IVF is different than insurance covered IVF, especially if you have a separate meds plan. For us OOP IVF would be $7K + meds. Our insurance only paid $2400 for the IVF cycle because the insurance companies negotiate a different rate. HTH!
If it doesn't make sense, email me and I'll try to explain better!
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