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What to expect at my inital RE appt?


Forum: Trying to Conceive with Medical Assistance

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  #1  
March 21st, 2011, 03:05 PM
*JenJen*'s Avatar impatiently waiting
Join Date: Aug 2008
Location: west, but east. south, but not north.
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What should I expect at my first RE appt? Last time we saw an RE, they were in the same office as the OBGYN, so they already had all my records and could pull up my history easily. I've been told they've already requested my records from my PCM, but I should write out a complete history too(base medical clinics are notorious for losing records partially, I swear!). Will there be bloodwork done? an ultrasound? How long should I expect to be there? I was not expecting to get in this quickly(Normally its a 6 week wait to get into this RE and there was a cancellation for next week), so I'm a little unprepared right now. I figured I had another few weeks to get all my paperwork together and such.
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2006-2013 6+ years of NTNP, TTC, TTCMA, Losses, Surgeries, and Diagnoses.
RPL and Genetic Tests came back 100% normal | Endo, PCOS, severe MFI
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  #2  
March 21st, 2011, 03:51 PM
Jacquie's Avatar Platinum Supermommy
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I don't know if this is standard protocol everywhere, but when I went from my OB's office to the fertility clinic, they wanted results from all the blood tests, sperm analysis and hysterosalpingogram (tubes are clear of obstruction) transferred from the OB's office if they were done within the last year - otherwise we had to repeat them.
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TTC #1:
5/20/05:
5/27/05:
5/28/05: miscarriage
08/27/05:
08/30/05: miscarriage
01/15/05: misdiagnosed with PCOS
08/29/06: first appt at fertility clinic (was already pregnant with dd and didn't know it)
08/31/06:
05/16/07: DD was born

TTC #2:
11/13/09: let's try again!
03/10/10: tests with new OB - everything totally normal for DH and I, no indication of pcos; officially diagnosed with "Unexplained Infertility"
04/21/10 - 10/13/10: 7 unsuccessful rounds of clomid with OB
11/13/10 - 14/23/11: 3 unsuccessful IUI's with clomid at fertility clinic
07/27/11: ER for IVF - retrieved 27; 17 were mature enough to fertilize; all 17 fertilized; 11 made it to day 3 embryos; 6 made it to day 6 blasts. Transferred 1, froze 5.
08/08/11: positive hpt!
08/13/11 - 08/20/11: positive blood test (186), but cramping and bleeding. 2 days later, blood at 275; 2 days later, blood at 21. Inevitable miscarriage.
10/13/11: start suprefact for first FET
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  #3  
March 21st, 2011, 04:23 PM
*JenJen*'s Avatar impatiently waiting
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the only tests I've had done within the last year is my pap and then routine bloodwork last week from my PCM. It's been 3 years since we did MA, so none of my testing is current.
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Multiple early losses between 3 and 8 weeks.

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  #4  
March 21st, 2011, 06:16 PM
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I had all my stuff sent over, and I could tell my RE read it beforehand. Most of the appointment consisted of chatting about our history, goals, etc. I gave about a gallon of blood, had an ultrasound just to check to see if all was normal, and that was it. After all the results came back, that's when we really got down to business.
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  #5  
March 21st, 2011, 08:04 PM
A*LOT*OF*HOPE's Avatar Mega Super Mommy
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Location: Washington
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I had all my records sent to my RE. All of my bloodwork was current, so there were only a few tests that needed to be done. She also did an ultrasound. We spent about an hour chatting and coming up with a game plan. I would write down questions you want to ask, I got so caught up in everything, there was some stuff I forgot!! Good luck, I am really excited for you!!
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  #6  
March 21st, 2011, 09:29 PM
Lash's Avatar Platinum Supermommy
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Location: North Texas
Posts: 17,676
I think I've had 3 RE's meetings in the last 2 weeks hunting a specialist, and they all are basically the same. Reviewing some history, asking questions about your previous attempts, and offering an approach or advice. Usually they'll set out a timeline for you, including next appt for bloodwork and how to get the ball rolling. That meeting is usually the one where little happens, it's the next few where you start moving and start getting some answers. They can't really give you a full gameplan until they know hormone levels, so you'll probably go back on your next Day 3 and move from there.

My day 3 changed it all, and I do mean all, due to FSH, so we went on the hunt for a specialist. I've left one doc, seen another, been to SIRM and a SIRM seminar, and see someone this week 4 hours away in Houston. Day 3 prompted all of that.
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  #7  
March 22nd, 2011, 07:16 AM
*SamF*'s Avatar Platinum Supermommy
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Mine was a little different. We sat and talked about everything. He then pretty much looked me over from head to toe. Did an u/s, did blood work and then we discussed some more things. They also ordered a SA on DH the first time too.
By the end of it we had a basic game plan, all depending on anything additional the blood work showed.
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  #8  
March 22nd, 2011, 12:56 PM
LanasMommy's Avatar Super Mommy
Join Date: Oct 2009
Posts: 764
My RE is a little different. The first thing was they won't see anyone for the first initial appointment until you get AF. So my visit was perfectly planned. I called on CD1 and has my first appointment on CD2. I sat in her office for about 30 minutes discussing my chart (sent over by my OB/GYN) but she had very specific questions about my history. Then she explained all the different options and which ones she felt based on my history would work for me. She went over Clomid, Femara, IUI, IVF etc. After that I had to give a urine sample, then we went into the exam room to do the ultrsound to look at my tubes and whatnot. Then I had blood taken and she literally took 12 viles of blood for 12 different tests. After that we discussed my next steps which was to have an HSG & Hysteroscopy both and then they also prescribed my Clomid at that time. That was just my first appointment, so it seems to go pretty quickly.

She did also give me a script for DH to have his blood drawn and also to have an SA at that first appt. as well.
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  #9  
March 22nd, 2011, 01:18 PM
ccartanddesign's Avatar With Faith
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Posts: 997
Lash,
I've never had a CD3 blood test. What does it show? Why did it change things for you?
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Me-38 DH-38. TTC #1 since August 2009
2/2011 - IUI + Femara + HCG trigger and Progesterone injection BFN
3/2011 - IUI + Femara + HCG trigger and Progesterone injection
4/2011 - not doing IUI - DH out of town
5/2011 - IUI with Femara and HCG trigger. In hospital due to infection from IUI.
Took a break from all meds this summer.
9/2011: - Start with new RE - testing begins.
10/2011: - Hysteroscopy - determine tubes are blocked.
10/2011 : - Laparoscopy - clip blocked tubes, determine right ovary is adhered to pelvic wall, cut adhesions
11/24/2011: IVF cycle #1 begins. Start stims.
12/2/2011: End stims. HCG trigger.
12/4/2011: Egg Retrieval. 9 eggs, only 1 embryo.
12/7/2011: Transfer.
12/20/2011: IVF #1 failed.
1/16/2012: IVF #2 first scan
"Humanly speaking, it is impossible. But with God everything is possible." Matt. 19:26
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