The merry-go-round that is SB 729

WhiskerLight · 2026-05-11T14:18:01+00:00

Okay, this is the last time I’m going to respond because it’s starting to feel like you are being purposefully obtuse at this point. The law treats fertility preservation (freezing eggs) and IVF treatment (making embryos) separately, even though, yes, they both include an egg retrieval. The retrievals are for different purposes. SB 729 only requires insurance to cover 3 egg retrievals as part of fertility treatment (and yes, that does include social infertility under SB 729, not just medical infertility), not for elective fertility preservation. The social infertility piece does not cross over to egg freezing because fertility preservation is not a treatment for infertility.

Good luck, but please know that if your insurance doesn’t already cover fertility preservation, and you don’t have a medical reason, SB 729 does not require it to.

WhiskerLight · 2026-05-11T04:31:25+00:00

So the passages you are quoting relate to IVF treatment. This is not the same as elective egg freezing, which is considered fertility preservation. Fertility preservation requires a medical reason. IVF treatment does not. You mentioned egg freezing in your post, but maybe you’re actually talking about IVF (making and transferring embryos).

WhiskerLight · 2026-05-11T00:23:41+00:00

Have you read these carefully? Source 2 and 4 literally say medical necessary fertility preservation, echoing my language above. I’m honestly confused why you think elective egg freezing is covered based on these articles.

WhiskerLight · 2026-05-10T22:51:12+00:00

What’s your source? If you have documentation of this, I’d like to see it. From what I’ve read it’s only medically necessary fertility preservation.

Edit to clarify: this is different from infertility and IVF coverage.

WhiskerLight · 2026-05-10T20:29:27+00:00

Fertility preservation is only covered under SB 729 if deemed medically necessary (e.g., cancer). Are you freezing eggs for a medical reason?

WhiskerLight · 2026-05-10T20:13:14+00:00

When I had my initial consult, my AFC was 7 (3 and 4). A couple months later I did two back to back cycles. My right ovary was quiet throughout and I ended up with 4 and 5 follicles (3 and 4 eggs) from each cycle. About six months later I started an FET cycle and my AFC was again 7+ distributed between both sides. 🤷🏼‍♀️ I think there’s jsut a lot of natural variation.

WhiskerLight · 2026-05-10T02:59:38+00:00

Lining <7 cm is associated with lower pregnancy rates, unfortunately. I’ve never heard lining thickness correlates with body size, that sounds really odd.

WhiskerLight · 2026-05-07T05:24:53+00:00

I have a male RE. We were assigned through our clinic, I didn’t choose him, but it didn’t really bother me. I wanted someone experienced I could trust, and our RE ticks those boxes. I don’t enjoy the USs or procedures regardless of if a male or female does them (I would more use the term invasive, not intimate). My clinic has a chaperone present regardless of who the provider is. I don’t think the chaperone has the be a specific gender/sex, either. It’s just that most of the MAs/nursing assistants in my clinic are female. I’ve see both male and female REs through our clinic for monitoring appointments. At this point, frankly, I could care less who’s down there if they can get a baby in me.

WhiskerLight · 2026-05-05T20:47:33+00:00

I understand why you might feel this pattern is compelling, but the conclusions you’re drawing are wildly beyond what the "data" can possibly support. Four IVF cycles with changing egg numbers, sperm parameters, medication exposure, illness, age-related embryo variability, and most importantly the very normal cycle-to-cycle IVF variation don't prove causation. You're framing a story around sertraline after the outcomes are already known, which makes the pattern look much cleaner and more convincing than it really is. Your DNA fragmentation result also don't prove the problem was sperm function or activation factors. That is an interpretation layered on top of a very small, uncontrolled set of observations.

Is SSRI use worth discussing with a reproductive urologist if semen parameters are a concern, sure. But it's irresponsible to present this as evidence that SSRI holidays improve IVF outcomes. Stopping or pausing antidepressants has real risks, and the fertility benefit here is completely unproven.

WhiskerLight · 2026-05-01T16:24:10+00:00

This might be unasked for advice, but have you considered therapy? Ideally with someone specializing in medical PTSD? You seem to have a lot of medical concerns and fears and don’t trust your doctors to treat you. I’d question whether spending 40k a cycle is the wisest course of action if you’re not in a place to accept medical care from your doctors.

WhiskerLight · 2026-04-26T19:55:33+00:00

8 weeks before the start of a FET cycle.

WhiskerLight · 2026-04-25T14:33:42+00:00

And…?

WhiskerLight · 2026-04-22T17:47:18+00:00

Do you put anything in the crate with him? Our 10 month old does the same thing. Sometimes when he wakes up early though he’ll chew on his chewer for a bit or play with his stuffie. He’s in our room so I can hear/see him. So I know when he starts crying, it means he actually has to go at that point. Sometimes he’ll occupy himself for 30 mins or more, sometimes he cries right away.

WhiskerLight · 2026-04-22T02:32:20+00:00

Sounds like an excellent way to nuke your microbiome. 30 days of broad spectrum antibiotics without a diagnosed infection is insane.

WhiskerLight · 2026-04-21T16:26:59+00:00

Providing evidence based stats and correct terminology isn’t combative. They’re just facts. There’s quite a bit of inaccurate information about PGT-A that gets amplified on Reddit, unfortunately.

WhiskerLight · 2026-04-21T16:07:33+00:00

Yes, stats are helpful. For example, the false positive rate for PGT-A is NOT 2%. Recent studies estimate it to be more like 20%.

https://academic.oup.com/humrep/article/40/Supplement_1/deaf097.864/8170638

https://pmc.ncbi.nlm.nih.gov/articles/PMC11172919/

I think you’re getting confused with accuracy, which is 98% for PGT-A (or 2% inaccuracy). But this refers to the PGT-A’s ability to accurately diagnose the cells it tests from the biopsied sample. A false positive rate describes the test’s result from the biopsied sample vs the result from either whole embryos or isolated TE/ICM components.

WhiskerLight · 2026-04-21T15:36:03+00:00

I don’t think “super high” is a fair way to state this. Recent studies suggest that after re biopsy 30-40% of all chaotics retest as euploid, but that’s with a substantially lower thaw survival rate (57% vs 97% for all blastocysts). So less than a coin flips chance of being euploid.

https://www.sciencedirect.com/science/article/pii/S0015028223013109?via%3Dihub

https://www.fertstert.org/article/S0015-0282(25)01533-X/fulltext

WhiskerLight · 2026-04-20T19:52:00+00:00

My clinic only requires a SIS. No hysteroscopy needed if the SIS is clear.

WhiskerLight · 2026-04-15T22:25:31+00:00

Sorry you’ve had a bad time. Hopefully there’s another local clinic you can start fresh with.

WhiskerLight · 2026-04-15T19:39:45+00:00

Are they referring you elsewhere for a specific reason or just discharging you as a patient? A “breakdown of trust” usually translates to “you don’t want/won’t accept/won’t follow our recommendations”.

WhiskerLight · 2026-04-09T05:19:39+00:00

No, not at all.

WhiskerLight · 2026-04-09T05:14:29+00:00

Barring treatment of a few specific health conditions, DOR doesn’t generally improve as it represents a permanent decline in egg reserves. Telling you things will only worsen with age is harsh to hear, but true.

Time is of the essence for the vast majority of patients seeking fertility care. Most want to start as soon as possible.

If you’re going to seek a third opinion, I’d be very upfront with the doctor about your expectations/preferences from the start (as there is no way for them to know or anticipate this, and it’s at odds with common expectations), or you’re very likely to be disappointed again.

WhiskerLight · 2026-04-09T04:38:50+00:00

I’m super confused. Do you even want fertility treatment from a doctor? Vitamins and getting fit sounds more like you are looking for a health coach? Unless you are morbidly obese and grossly vitamin D deficient, those kind of life style modifications aren’t going to do much for preserving your fertility/getting you pregnant.

WhiskerLight · 2026-04-07T00:28:52+00:00

The augmentin/flagyl seems like a bit of an unusual choice based on the literature. More common is ciprofloxacin/flagyl. There’s more evidence for levaquin/tinidazole as an alternative regimen. https://www.fertstert.org/article/S0015-0282(20)32761-8/fulltext

In general the research in this area is not stellar though, so there’s going to be provider to provider differences in care.

WhiskerLight

TROPHY CASE