Holy hell was that information overload (just like you ladies said)! I LOVE him and his office staff. They were all so nice! We talked for quite a while, and he genuinely cared about what I was saying. He feels that I have an ovulation problem. It's funny, because my old OB didn't see anything wrong with me ovulating on cd16-18 for the last few years, and most recently (since the d&c in September) on cd23-24.
He thinks that my 3 losses could have been caused by the problem with late ovulation and not having the appropriate pregnancy support (progesterone) that helps when you ovulate late. Another possibility is MTHFR. My new OB did the whole recurrent loss panel and I came back with 1 copy of the A1298C mutation. He explained that it's not the most severe case, but between that not being treated and the later ovulation it wasn't prime pregnancy supporting conditions. If you remember my old OB didn't feel that doing the recurrent loss panel was important either.
The RE did cervical cultures and an u/s to check my ovaries/uterus today. My lining is good, and I had one larger follie that was 13x17 on the right side and a bunch of smaller ones. He confirmed that I haven't ovulated yet even though I'm on cd18, but said my ovaries look good and healthy. He gave me a plan for the rest of this cycle- start baby aspirin now, wait until O then use progesterone gel 2 days after I get a positive opk to support a possible pregnancy, and he wants me to go get a blood hcg and progesterone test 2 weeks after O. If AF shows he wants me to call so they can set me up for an HSG. I'll be starting Clomid cd5-9, using the progesterone too, and staying on the baby aspirin. He also wants me to go and get my FSH and Estradiol tested on cd 2,3, or4. I've had a lot of blood tests done in the last few weeks and all have come back normal except for the MTHFR. The genetic karyotype is normal too. I just had the Protein C and Protein S done this morning and he's sending me for Prolactin, Anti-Mullerian Hormone, and Homocysteine too. He's sending DH for the genetic karyotype tests and a SA too. My mind is spinning, but for the first time it's in a good way. When we were doing the initial intake he was very impressed by how much I knew and how much research I'd done. After we went back to his office after the u/s and cultures he paid me a huge compliment and said that he felt like he was talking with one of his colleagues and not a patient when he talked to me. That I knew what I was talking about and had made his job easy, because I had pretty much diagnosed myself, and it wasn't often that a patient did that and made complete sense. I have so many of you and JM to thank for that. If I wasn't a part of this community I wouldn't know what I do.
I appreciate the fact that he didn't blow me off like my old OB by calling me "Dr. Google." He recognized and said that there is a lot of good research out there on the internet, you just have to be careful.
There is a huge part of me that is leaning toward ditching this cycle. DH and I haven't started BDing yet, because my opks were nowhere near close to positive. I'm also so tired of stressing. I feel like I want to take a break and mental rest and start fresh with this new plan on cd 1. What do you think? Thank you for listening to my ramble and for always being there.
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Had my 1st RE appt today (long)
and 2-4-2012, chemical 
04/21/10 - 7w5d 
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