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Reproductive Endocrinologist visit details ;)


Forum: Trying to Conceive after Loss

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  #1  
March 31st, 2008, 02:02 PM
*Bobbie*'s Avatar Platinum Supermommy
Join Date: Jan 2007
Location: Rochester, NY
Posts: 15,518
I have been waiting a long time with a lot of heartache to get to this point. I am happy to say the visit went great and I am very happy with the new Doctor

I got there and did the routine new patient paper work. Medical history, insurance card, etc. Then they called me back and did weight, blood pressure and wanted to do an urine test, but I peed before I left home. I sat and talked with the doctor for what felt like 30 minutes. She went over everything. I showed her my BBT charts and she took a look at them and said they looked good but said temping wasn't required anymore unless I really enjoyed it. I told her it gives me a sense of peace knowing I ovulated and when. So she said I could continue if I wanted. She taked to me about the reasons why I might be having such a hard time getting and staying pregnant. Seems like I may have two issues going on. The semen analysis may explain why it takes so long for me to get pregnant. We are not sure yet why I can't seem to stay pregnant once I get knocked up

Dave's semen analysis wasn't so good. She said that could very likely be the reason it took six years to get one BFP. She gave me a copy of it. I will type the results even though they don't mean too much to me because I haven't had a chance to look it all up yet.

Liquefaction~ Complete
Viscosity~ Normal
Volume~ 3.2 ML (normal >=2.0)
Sperm Conc 40.1 (normal >=20.0)
Total Sperm Count 128.3 (normal >=40.0)
% Motility 47 (normal >=50%)
% Morphology 13 (normal >=30%)

The comments said : Some sperm with primary head defects also had coiled tails.

I gotta LMAO off at that. I know it isn't funny...but it sure sounds funny. So that's the scoop on the sperm. I think they are old

Okay enough of me laughing at Dave's expense.... he actually feels horrible that he has sperm issues. He keeps saying he is sorry. I just don't understand that part of it. It isn't his fault I would never even consider saying to him that it is. I do want him to start taking his vitamins like he is supposed to. I am sure after todays news that won't be an issue. I don't care who's fault it is why we haven't been able to have a child... I just want to finally carry one to term.... even if it means we need some help.

Okay back to the appointment.... after we discussed the swimmers we then swicthed to the possible causes for why I can't seem to stay pregnant once I get there. She said it could be anatomy, immune system, infection, or genetic. From what I gathered....Anatomy would be tubes, eggs and stuff like that... Immune system would be clotting disorders... Infection would be an infection in the uterus...and Genetic would be just that... LOL... she did say that was VERY unlikely because we both have two healthy children.

Luckily I guess a lot of the tests she would have run have already been done with normal results.

As far as tests go, I have had the hysterosalpingogram (HSG) and sonohystrogram(transvaginal ultrasound with saline injected into the uterus throught the cervix). I have also already had my progesterone levels checked monthly. The have run the antiphospolipid panel of blood work which checks for clotting disorders that can cause miscarriage. They have also run various other blood tests. Everything has been normal.

The RE ordered more tests to be run that haven't been done yet. They are:

Day3 FSH
Rheumatoid factor
ANA(HEP2)
Anti-thyroglobulin
Estradiol
Thrombophilia panel

I have no idea yet what they are for, I have to do some reading tonight. She said it will take about a week for her to have all the results in and then I can come back in to go over the results and decide where we go from there. She said from looking at everything it looks like I am ovulating and hinted that maybe just I just need a boost with Clomid. I have a feeling that might be my next step. I am fine with that. I told her I just want to do whatever is necessary to have a baby before I am 35.

So over all the appointment went great and I left happy. I am sure I am forgetting part of it, so I will edit later if I think of anything Is it next week yet????



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Bobbie mom to : Jeremy (21) Amanda (17) Matthew (3) and Daniel (20 months) step-mom to: Stephany(21) and Krista (18)
step-grandma to: Wesley (23 months)


On 1/31 at exactly 16 weeks pregnant Noah came too soon. He was our 7th loss
If you would like to see pictures of my sweet (but tiny) boy they can be viewed at www.caringbridge.org/visit/noahdarrohn they aren't the easiest pitures to look at but I am willing to share them with anyone who would like to see them <3
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  #2  
March 31st, 2008, 02:08 PM
..Jessica..'s Avatar Platinum Supermommy
Join Date: Jun 2007
Location: Canada
Posts: 11,084
Sounds like you are definitely stepping in the right direction!!! I'm soooo glad to hear she is running so many tests to see why you can't stay preggers! Finally, a doctor who cares!!!

If you do go for the Clomid, I hope it works the first cycle so you can get your Christmas miracle!!!

I'm praying for you guys!!!
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  #3  
March 31st, 2008, 02:09 PM
mom 2 haley & tyler's Avatar formerly mommy2haley17
Join Date: Aug 2007
Location: TX
Posts: 8,212
I am so glad it went well and you like the new dr. Poor Dave! Tell him to take those vitamins! I hope the week flies by so you can get your results and report back in. I hope she will give you the Clomid and it will help you get your sticky baby that you so deserve, Bobbie! I'll keep my fingers (and everything else) crossed for you!!!
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  #4  
March 31st, 2008, 02:28 PM
Platinum Supermommy
Join Date: Nov 2007
Location: California
Posts: 7,567
Bobbie, that sounds like such a wonderful appt!!!!

Im glad you got some answers regarding your hubbys sperm, i know its not good news, but could explain why you have had so many losses.

You are on such a good path right now, I cant wait til you get even more answers and have a plan of action for a healthy baby!
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  #5  
March 31st, 2008, 02:48 PM
katiegirl's Avatar Mega Super Mommy
Join Date: Dec 2007
Location: Indpls
Posts: 2,517
Sounds like you had an awesome appointment

I can't wait til next week!
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  #6  
March 31st, 2008, 02:51 PM
Eleysia's Avatar Mega Super Mommy
Join Date: Feb 2008
Location: Bremerton, Wa
Posts: 4,400
Oh Bobbie, I couldn't be more happy for you hunny!!! You sound so relieved and happy yourself. Im sorry about Dave's swimmers, and hope all you need is the clomid "boost"!
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  #7  
March 31st, 2008, 02:56 PM
tparum's Avatar Platinum Supermommy
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great apt. good luck i cant wait to see a bfp
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  #8  
March 31st, 2008, 02:59 PM
jademyst13's Avatar Platinum Supermommy
Join Date: Sep 2007
Location: Virginia
Posts: 5,129
Bobbie that's great! The Dr sounds wonderful and so promising! I hope Dave doesn't get too down on himself, it's not like it's his fault!
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  #9  
March 31st, 2008, 03:53 PM
Brittanie's Avatar just me
Join Date: Jul 2006
Location: Littleton, CO
Posts: 39,662
What a great doctor! I'm glad you're feeling so positive! Poor Dave, I hope the vitamins help! lol


I sent you a little package today. It should be there in 3-5 days. MUAH!
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  #10  
March 31st, 2008, 03:58 PM
Platinum Supermommy
Join Date: Dec 2004
Location: Oklahoma City
Posts: 5,660
Bobbie, sounds like you found yourself an awesome doctor. Isn't it great to have someone explain some things to you!!! I feel very hopeful for you. And the clomid isn't so bad. I didn't turn into crazy woman (at least any crazier than normal ) this month. Good luck to you!!!

and Dave shouldn't feel bad at all... the great thing is, you guys now have some answers.
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  #11  
March 31st, 2008, 03:58 PM
lynie07's Avatar Mega Super Mommy
Join Date: Apr 2006
Posts: 2,058
Bobbie that great you had a good app as for hubby's serm,my
partner has some issues too and he has to take Vitiam's,folic acid,
also fish oil tablets and last time he's results had inproved heaps,
l wish you all the best and hope you get your BFP soon as you so
deserve
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  #12  
March 31st, 2008, 06:26 PM
Danica's Avatar Mega Super Mommy
Join Date: Sep 2005
Location: Colorado
Posts: 4,478
I am glad the appt went well! I bet it is nice to have some answers now and a plan! I hope that you are pregnant this month but if you aren't I bet that Clomid will do wonders! You'll be pregnant in no time!
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  #13  
March 31st, 2008, 07:22 PM
Melanie0507's Avatar Mega Super Mommy
Join Date: Jan 2007
Location: Ohio
Posts: 3,593
YAY Bobbie!! I am so glad your appt went so well today! It sounds like you have found yourself a wonderful doctor!!!

Can't wait til next week when you get the results of all your new tests!!
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Proud Parents to:
Branden 10/28/1997
Owen 5/17/09 (Born with Hirschsprung's Disease)
And expecting our newest addition 5/7/12



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  #14  
March 31st, 2008, 07:59 PM
steph&amp;dam's Avatar Super Mommy
Join Date: Feb 2008
Location: Southern california
Posts: 601
Quote:
I have been waiting a long time with a lot of heartache to get to this point. I am happy to say the visit went great and I am very happy with the new Doctor

I got there and did the routine new patient paper work. Medical history, insurance card, etc. Then they called me back and did weight, blood pressure and wanted to do an urine test, but I peed before I left home. I sat and talked with the doctor for what felt like 30 minutes. She went over everything. I showed her my BBT charts and she took a look at them and said they looked good but said temping wasn't required anymore unless I really enjoyed it. I told her it gives me a sense of peace knowing I ovulated and when. So she said I could continue if I wanted. She taked to me about the reasons why I might be having such a hard time getting and staying pregnant. Seems like I may have two issues going on. The semen analysis may explain why it takes so long for me to get pregnant. We are not sure yet why I can't seem to stay pregnant once I get knocked up

Dave's semen analysis wasn't so good. She said that could very likely be the reason it took six years to get one BFP. She gave me a copy of it. I will type the results even though they don't mean too much to me because I haven't had a chance to look it all up yet.

Liquefaction~ Complete
Viscosity~ Normal
Volume~ 3.2 ML (normal >=2.0)
Sperm Conc 40.1 (normal >=20.0)
Total Sperm Count 128.3 (normal >=40.0)
% Motility 47 (normal >=50%)
% Morphology 13 (normal >=30%)

The comments said : Some sperm with primary head defects also had coiled tails.

I gotta LMAO off at that. I know it isn't funny...but it sure sounds funny. So that's the scoop on the sperm. I think they are old

Okay enough of me laughing at Dave's expense.... he actually feels horrible that he has sperm issues. He keeps saying he is sorry. I just don't understand that part of it. It isn't his fault I would never even consider saying to him that it is. I do want him to start taking his vitamins like he is supposed to. I am sure after todays news that won't be an issue. I don't care who's fault it is why we haven't been able to have a child... I just want to finally carry one to term.... even if it means we need some help.

Okay back to the appointment.... after we discussed the swimmers we then swicthed to the possible causes for why I can't seem to stay pregnant once I get there. She said it could be anatomy, immune system, infection, or genetic. From what I gathered....Anatomy would be tubes, eggs and stuff like that... Immune system would be clotting disorders... Infection would be an infection in the uterus...and Genetic would be just that... LOL... she did say that was VERY unlikely because we both have two healthy children.

Luckily I guess a lot of the tests she would have run have already been done with normal results.

As far as tests go, I have had the hysterosalpingogram (HSG) and sonohystrogram(transvaginal ultrasound with saline injected into the uterus throught the cervix). I have also already had my progesterone levels checked monthly. The have run the antiphospolipid panel of blood work which checks for clotting disorders that can cause miscarriage. They have also run various other blood tests. Everything has been normal.

The RE ordered more tests to be run that haven't been done yet. They are:

Day3 FSH
Rheumatoid factor
ANA(HEP2)
Anti-thyroglobulin
Estradiol
Thrombophilia panel

I have no idea yet what they are for, I have to do some reading tonight. She said it will take about a week for her to have all the results in and then I can come back in to go over the results and decide where we go from there. She said from looking at everything it looks like I am ovulating and hinted that maybe just I just need a boost with Clomid. I have a feeling that might be my next step. I am fine with that. I told her I just want to do whatever is necessary to have a baby before I am 35.

So over all the appointment went great and I left happy. I am sure I am forgetting part of it, so I will edit later if I think of anything Is it next week yet????

[/b]
Hi Bobby, yeah for a good appointment. I wanted to share what I know. Sperm wise, the shape/quality and movement is low. DF has low count and used to have low motility but the MVI and chinese herb cordcyp helps with that issue. We still do IUI's for the low count. His coiled tails (we had broken tails -smoking related, and giant heads. LOL) is causing the low motility. The tail of the sperm is where the mitochondria lives and that is what propels the sperm forward.

FSH and E2 is to evaluate your ovarian reserve
RH, ANA, Anti thyroglobulin are autoimmune tests
and the thrombophilia panel for clotting issues.

I am excited that you are making progress. I have a love hate relationship with clomid. I didn't responds very well, but it isn't the drug of choice for me (women over 35) due to our already elevated FSH. KUP!!
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  #15  
March 31st, 2008, 08:27 PM
greenchild's Avatar Platinum Supermommy
Join Date: Jul 2006
Location: MN
Posts: 16,124
I'm so glad your appt went great today!!! steph&dan explained it all better than I could . Make sure Dave takes those vitamins!!! and hopefully the clomid can give you your next miracle
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  #16  
March 31st, 2008, 08:30 PM
dee68's Avatar Platinum Supermommy
Join Date: Sep 2006
Location: Illinois ( originally From New Jersey:)
Posts: 13,040
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Bobbie,

It sounds like you have a great RE ! I am so happy for you & just know in my heart this is the first big step to getting that STICKY BEAN !!!!!!!
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  #17  
April 1st, 2008, 08:06 AM
Mum2three's Avatar Platinum Supermommy
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Bobbie, Im so glad that you had a great appointment. Sometimes you need to feel on top of the world. And now you have some answers as to why nothing is really working. I feel bad for Dave, but its really no ones fault. Im just so happy that you found a Dr that cares, and is willing to help you and Dave out..
Now just keep looking forward, not backwards, and no that in no time you will have a precious bundle in your arms...Good luck to you and Dave. You 2 are always in my prayers.
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  #18  
April 1st, 2008, 08:06 AM
luvmygirls's Avatar Mega Super Mommy
Join Date: Nov 2006
Posts: 2,467
Yay for a great appt. The doc sounds great. I'm sure they will figure out what's going on and you'll be pg with a sticky bean in no time!
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  #19  
April 1st, 2008, 10:19 AM
ShannonMVT's Avatar Platinum Supermommy
Join Date: Sep 2006
Posts: 10,854
Woot! Sounds like a great appointment. I hope all those tests and whatever you do next like Clomid gets you your sticky BFP!
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