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Saw the RE today and we have a new game plan!!!


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  #1  
February 15th, 2007, 05:03 PM
Rina42308's Avatar Mega Super Mommy
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Warning this post will be long but I wanted to share with you all since you have been such a great support for me through this crazy thing called TTC!!! .

Ok so I went to see the RE today. I will try and give you the reader's digest version because I spent about 45 min with him! Which is so unheard of with these kind of Dr's but the NP game me that slot right before lunch for this reason and really my Dr is such a doll i don't think he'd ever tell me he was out of time. So he walks in and says "OMG I feel like we're walking in this revolving door and not getting anywhere!" DH says "tell us about it!" So the Dr says "you had an excellent sperm sample and great follicles, I don't know why it didn't happen" So DH asks him to explain the big jump in sperm count...Dr shrugs his shoulders and is like "I don't know...you guys must want answers for all of this but I just don't know" So I ask him if we have tested/looked at everything there is to look for in regards to problems. he says no because I wasn't having difficulty gettting pg before but now that I am (it's been 6 months) he says " I think it's smart to do a few more tests" so I ask him about my FSH levels (as I pull out a list of things to discuss)...he laughs and says to DH "really you guys don't nee me when you have her doing all this work" He was kinda chucking at my list of questions/demands. then he said "tell me what you have on your list and I will do it" So I tell him i think my FSH definitly needs to be checked. he agrees. he goes on to say if I was 38 and walked in his door he would automatically do it and being that I'm 31, started seeing him at 28, he doesn't anticipate a problem but we should check to be sure. Then I asked about the HSG (I have only had a sonohystogram and a nysteroscopy). he says there is a small risk of infection doing an HSG and explains that. i told him i read that only an HSG shows him the tubes and he said this was true...he explained he didn't have concerns w/my tubes before because obviously eggs were getting through but again since we seem to be up against something now he thinks taking a look is in order. he also said that the rates of pg increase with an HSG so that may help us out too. I asked if the endometriosis could be back and causing blockages(he cleaned out endometriosis when he removed my septum the 1st surgery)...he said my endometriosis was a stage "1" and it doesn't grow back as quickly at a 1 then say a stage "3-4" so he says in a year a half he wouldn't expect to see much growth (this is the amount of time it's been since he cleaned it out with laprascopy surgery). Then I asked him about accupuncture...he basically did this long dissertation about how western medicine isn't so much in line with eastern medicine and how American pharmacutecal compaines are what fund the big research projects and they don't do reasearch on accupunture because they don't make money off it...so he said the research on accupuncture is "Soft" meaning not a whole lot of research subjects BUT with that said, says, "I work with a wonderful accupuncturist and together we have gotten some really great results." He said that whether it's the accupuncture itself or simply the perseverence one gains from seeing her, he is not sure, but he does have better results when his patients see her. Next we talked about the clomid. he actually said he personally hates clomid. he said he feels irresponsible giving it to me because of the side effects but that it's the cheapest, usually quickest result pill out there which is why it's used so much. he said it can cause problems with the uterus which I do not need being that I have had multiple surgeries on my uterus. he went on to say he much prefers the injectable med (forget the name) but that it is more expensive and placing you at a higher risk of twins...then he says "But we like twins right? We can have those?" (I love how he says we like they're his babies too and I said yes twins would be just fine. So he says "Ok do you want to let me do what I want to do?" and I said "tell me what that is " (control freak here) so he says "I'd like to do the FSH check, the HSG, and do another sperm analysis on your husband to make sure with this new count that jump we are still working with good motility and morphology...I would like you to see the accupuncturist in the meantime...get a little more grounded and centered (I told him I was completely emotionally unstable and depressed earlier in the conversation) and he said I would like to get all the diagnostics in, so take a month off of TTC, and then we go ahead next month if everything looks good with the injectable medication and timed intercourse". He said he didn't think IUI was so much necessary. Then he said "If you are not pg in 3 months let's reconvene and talk about IVF" He said he'd do IVF for me tomorrow if I wanted it but he didn't think we needed to pull out that big of a gun just yet...however he understands my desire NOW which is why he'd do it for me. I told him for IVF I'd have to go to my parents for the $$, we just don't have that and I'm sure they'd give it to me but I would feel awful if we spent all that money and I still didn't get pg so i would like to see if we could get a baby a little more cost effectively. he said he totally agreed and understood.

At first I thought if I was told to take time off I'd freak but I actually feel a little relieved. I have decided this month I will not chart/temp, nothing. We won't prevent but I'm not gonna be crazy trying to have sex on O day...that will be for next month. I think my response is indicative of me needing a break.

I called the accupuncturist but she isn't in on Thursdays so I left a msg. I hope she's not too costly. Regardless I'll do it.

Oh and i asked him about stress and if that plays a part..he said he believes so but that it's a vicious cycle, his words" You wouldn't be stressed if you weren't trying to have a baby right...it is so hard and it is so unfair. i do not blame you one bit for feeling like you do" So he and I are also hoping the new accupunture will work in helping the stress part as well.

he also talked about this immunity problem that can sometimes develop for women...that they get pg, and m/c, pg and m/c and that their antibodies actually begin to attack when an egg gets fertilized...much like when you get a vaccination...usually with a vaccination you get a little sick because it's a new thing being introduced to your system but then the next time you're exposed you don't get sick because your antibodies attack it...he said this is VERY rare and he isn't saying this is what's happening with me but he's throwing it out there so we are of aware of this ...he said their is no treatment for this but IVF usually can get past that. I sure hope that is not my problem .

Ok I think that's it. if you read this far I owe you a coffee Thanks for listening. I am so treating myself to a margarita and a massage this month! Two things I have been avoiding because of the "what if I'm pg"!
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  #2  
February 15th, 2007, 06:26 PM
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Norina...what an encouraging visit you had with your RE. He's definately a keeper!!!

You know my thoughts on accupuncture and I hope it works for you too. You sound some much more hopeful than you have in weeks, and with your new game plan, I hope it happens with the new meds.

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  #3  
February 15th, 2007, 06:53 PM
Rina42308's Avatar Mega Super Mommy
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Nicole, yes I do feel better, thanks for the encouragement...and look at your u/s!!! WOW! You can see the whole baby! I love it!!!!!!!
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  #4  
February 15th, 2007, 07:15 PM
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I'm so glad you had a good visit with the RE. It's so hard to get that undivided attention from them. We took a break for a month too, and honestly it was so needed.

....and enjoy that Margarita!!!!
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  #5  
February 15th, 2007, 07:17 PM
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Awe...thank you. I was shocked that peanut actually looked like a baby and no longer like a kidney bean. It's still very surreal.

As for you...you know I'm one of your biggest cheerleaders, and I'm here for ya hun! (((hugs)))
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  #6  
February 16th, 2007, 07:09 AM
4iris's Avatar Platinum Supermommy
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Oh, Norina...I'm so excited that you have such a wonderful RE and that he's doing so much to help you guys get your miracle. He sounds not only like a wonderful doctor, but a great man. I'm cheering my heart out for you and am looking forward to following you on this next stage of your journey.

And I'm not a coffee drinker, so enjoy mine yourself!
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  #7  
February 16th, 2007, 07:53 AM
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i'm just getting ready to leave to for work, but wanted to say you have a great doctor and i hope everything works out for you.
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  #8  
February 16th, 2007, 10:45 AM
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Sounds like you had a great meeting with your RE! The nurse at my RE suggested acupuncture a while back. I have read good things about acupuncture and infertility. I've been doing some research on it and contacting local acupuncturists to get info and costs. Unfortunately, my insurance doesn't cover any of it. I'm finding that the first consultation runs up to about $130 and then between $60-95 for appts after that (depending on the acupuncturist). Now I just have to scrape together some money to pay for it.

Testing the FSH is a good idea as well. My RE tested mine and found that it was elevated.. btw. I happen to be 31, so you're definitely not too young to have it tested.

Anyhow, good luck with this new game plan and enjoy this next month of no charting etc! I took a couple months off last fall, it really helps to back off of it sometimes!


Take Care!
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  #9  
February 16th, 2007, 12:34 PM
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Norina

I am so glad that you have a strategy mapped out and that you are feeling more optimistic about TTC. That is perseverance, girl!!!! And perseverance pays! I really hope acupuncture works for you too. It did wonders for me and I am still doing it now. There are other things you can also do to help your body work better, you know, yoga, meditation, that sort of thing. I often think we put our bodies through so much with all the drama of TTC, miscarriages, etc, that you need to be extra nice. And massage sounds like a great idea too.

So, here is three cheerleaders to your good news and to a much more relaxed and optimistic month

Paula
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  #10  
February 16th, 2007, 04:13 PM
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That meeting sounds like it was a very good and positive one! What a great RE you have! Those were good points to bring up. I'll probably be mentioning a few of those points myself on Wednesday with my RE as well.

I wish you lots of luck!

I too have heard how good acupuncture is when trying to conceive and beyond. I did try it a couple of times for various reason. I will say, it's not for me. But in my line of work (Massage Therapy), I can say that acupuncture is definitely a great treatment to try! You may find you like it a lot!
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  #11  
February 16th, 2007, 06:27 PM
Rina42308's Avatar Mega Super Mommy
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Thank you allll so much for your responses and support! Today I got my FSH levels and my estradol levels and both were fine. FSH is 8.37 (dr likes to see it under 10) and estradol was 44 (Dr likes to see it under 65) so at least that is out of the way. I have a hsg scheduled for Monday (ouch!) but a girl's gotta do what a girl's gotta do!
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"Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it's the only thing that ever has." -Margaret Mead
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  #12  
February 18th, 2007, 09:44 AM
candacesoon's Avatar Mega Super Mommy
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Norina...it sounds like you are handling this so well. You are taking care of business, girl! And what a great doc. you have...that's one in a million really. Keep me updated because I'm always in your corner, rooting for you.


Much love,
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  #13  
February 18th, 2007, 09:11 PM
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Norina, I wanted to start out by saying that I hope you don't feel like I forgot about you.. I lost power and had no internet until late Friday night, so I'm so sorry I've been out of touch! And it seems like I missed so much!!

I am so glad that you're feeling better, as you've been on my mind every day for the past week! I have to tell you, hun.. Your strength and perseverence never cease to amaze me. And your RE sounds absolutely amazing as well... It must have felt great to have all of that support and validation from someone IRL after the rollercoaster ride you've been on lately.. I'm glad the FSH and estradol came back okay, and wish you the best of luck with your HSG tomorrow (I think I have the right Monday?). I'm in your corner 110% sweetie! I have a feeling this will all be happening for you very soon!

Love you hun.. Keep us posted!!
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