[ohnicole]

DH and I had kind of a whirlwind consultation with the RE today-- I am still trying to wrap my mind around it.

He seems like he will take a pretty aggressive approach. Right off the bat, we will check for hormonal issues (TSH, prolactin, insulin resistance, 7 dpo progesterone). DH will get a SA to check for any issues there. And if AF shows this cycle, I will get an HSG to check for any tube/uterus issues.

Then we will be going straight to Clomid cycles with monitoring and an HCG trigger. If I don't respond to Clomid we keep upping the dose. If we do 4 Clomid cycles without a good response, we move on to Femara. He seems to skip the CD3 hormone tests in favor of just going straight to meds with trigger. I'm not sure how I feel about that, but I will push for the tests if I don't respond well to the first couple doses of Clomid.

He also said that he will put me on Lovenox from a BFP, and refer me to a high risk OB, which is a huge relief to me, since I was afraid I wouldn't be able to find a doctor willing to treat my Factor II mutation. So that's good.

Something about him just rubbed me the wrong way, though. He was very confident, saying he couldn't imagine we would need IUI, so he didn't really even want to talk about it yet. And he was saying that once we get started on monitored cycles, it's his job to monitor, and he doesn't want me to use OPKs or temp anymore. It's a nice thought I guess, but I'm not sure I can really give up that last smidgen of control

I don't know... there is only one fertility clinic here, so I don't have an option. I guess I am just SOOOO not in an optimistic phase right now, and him being so optimistic just seemed arrogant. But I am happy to be moving forward with meds, and I am informed enough to be a good advocate as we go.

Sorry if this is rambly... I am still trying to figure out how I'm feeling about everything.

[tobi4]

Hi Nicole! Other than the arrogance, it sounds like a really good appointment. Im so glad they are starting off aggressively, I think thats gotta be better than not being taken seriously, right? Overall it sounds really good to me, but I havent been to see an RE yet, so what do I know really?!

[ohnicole]

Thanks, Tobi! I am feeling better about it this morning. I guess I just needed to feel a little more confident about dealing with a confident doctor

I am really starting to get excited about the Clomid cycles. It seems like a dream to maybe be able to ovulate at a NORMAL CD!!!! It has gotten so old to always be waiting until CD25 or CD35 just to pop out a darn egg! I can't even imagine what it would be like to only have to BD until CD15 or CD16. Ahhhh, heaven!

[tobi4]

lol, the trials we have to endure, lol!! Too much sex? Who woulda thought? lol
Anyway, Im really glad you are feeling better about it today. Im so exited about you O'ing earlier, I can only imagine how excited you are about it!! Yay eggies!!!

[MeganMomof5]

I really hope things work ASAP for you...GL!!

[ohnicole]

Thanks, girls! You're too nice.

[msshamis23]

yeah sometimes you have to sit on things, and let them sift through your brain for a night or so to clear up the fog. But, maybe an arrogant doctor isn't a bad thing? I mean it's good that he does have a battle plan set up, for all of the just in case. Way better then just playing it by ear, and then discussing options.

But yay for o'ing normally, and the eggies coming when they should!

Has DH gotten any better about it?

[Celena]

Nicole how are you doing today? Was sexy time achieved last night

I hope that the dizzying-ness (is that even close to being a real word? LOL) of yesterday's appointment has worn off some and things are making some more sense. Your next appointment should be allot more structured and between now n then you can make up a list of questions to ask or concerns about everything. Perhaps even ask why he doesnt do cd3 bloodwork and is cutting straight thru to the clomid/trigger shot and what his plan of action methods success rates, etc or how he thinks this is how he should go about doing fertility treatments before testing or what have you.

I know I had to really go over in my head before going to my appt, but mine was for recurrent loss focused more than anything. The nurses were awesome, always telling me to call with questions if I thought of any after the appointment and what not. They really worked well with my doc.

[ohnicole]

Thanks, girls! I am feeling better about everything today and yes, Celena, sexy time was acheived last night DH and I are on a roll this cycle- this may be the only time we've ever actually kept up with the every other night plan!!! Now if only my ovaries would get with the program!!

DH and I are doing better, Amy- mostly because I decided to stop talking about TTC with him At least for now, I think we both need a break from the conversation. We can be silent BD machines

[ldovey83]

I am glad that your Dr is so aggressive towards it and is wasting no time.. I hope that he can help you to achieve what you want.. I know when I get ready to go see the Dr I am going to be back on monitoring my cycles.. I don't think I could just sit back and not monitor them in some way anymore.. That would make me feel helpless and I would definitely want to know when I am Oing and what not if I have a good chance of success.. Good luck hun..

[ohnicole]

Thanks, Lindsey I totally know what you mean about feeling helpless without monitoring your cycle. Even thinking about not temping anymore makes me feel a little panicky. Control freak much??? I'll have to see how I feel about that after the first couple cycles. Until then I will be sneaky about it, I guess!

[~InHisHands~]

Sounds like a pretty good appt & a little like my RE. He's okay but he is very arrogant. Oh well... I'm just happy he's willing to treat me despite our little disagreement over thyroid meds. Oh & he's willing to do Femara... HUGE plus in my book! My RE won't touch it.

[ohnicole]

Thanks, Amanda! I'm glad that the word Femara came out of his mouth too! Such a relief. I have heard that it is so hard to get thyroid issues treated correctly. Hopefully you're getting your way on that