[mistletoe]

So, my doctor is not real big on tests. I got a blood test, did the clomid challenge and DH had the SA. We are asymptomatic aside from not getting pregnant and I'm in good health, within the optimal BMI and no relevant family or personal medical history. But I expected more tests before being labeled "unknown." I asked about HSG and the doc dismissed it because "you have no symptoms, do you want to be subjected to the radiation?" Now we've had our first IUI, and the lack of prep work is bothering me.

I'm thinking I should push for more testing or at least clearer answers, and potentially a different doctor. This guy is highly respective and actually the chair of the department, so my intellect says trust him. Plus, I am of the personal opinion that our health system uses too many unnecessary tests. But my neurotic (and financial) side keeps suggesting to me: if you want this done right, you need to take charge of it; you're a stranger to them. Before we pay for another IUI, I'd like to be more comfortable that there's a chance it could work. (We pay OOP for treatment, but we're lucky enough to have insurance coverage for testing.)

But the real point to this too-long story: what kind of procedure did you discover at your dr's office when you first went? Is limited testing more common than I realize? Thanks for your thoughts.

[kayakr]

I am not sure why your doctor would do IUI without checking if your tubes are open with an HSG. As far as I am aware there aren't many symptoms to having blocked tubes and if you have blocked tubes an IUI will not help you.

I am confused for you too? I am sorry, but I would be asking more questions.

I just switched RE myself. I thought the first one was pushing me right to IVF. This second one is trying things the first Dr never even mentioned. If you don't feel right about it in your heart, than it's probably not.

Good Luck. Keep us posted!

[*JenJen*]

At my RE's office, it's routine to do CD3 bloodwork, an SA, an HSG, and an u/s as part of the baseline testing before moving on to anything else. I would be uncomfortable with anything less, and with a doctor that doesn't seem to be listening to your concerns.

As someone else who is self-pay for treatment but has insurance coverage for diagnostic, I'd be doing everything I can first to make sure i'm not wasting my money. Go with your gut instinct and find a doctor you are comfortable with and feel is working in your best interests.

[sweet.hun]

Definitely ask for that HSG and possibly a Sono. They should be doing those tests before moving along with IUI just in case there is something wrong that you don't know about.

[KMH]

Originally Posted by *JenJen*

At my RE's office, it's routine to do CD3 bloodwork, an SA, an HSG, and an u/s as part of the baseline testing before moving on to anything else. I would be uncomfortable with anything less, and with a doctor that doesn't seem to be listening to your concerns.

As someone else who is self-pay for treatment but has insurance coverage for diagnostic, I'd be doing everything I can first to make sure i'm not wasting my money. Go with your gut instinct and find a doctor you are comfortable with and feel is working in your best interests.

Yes. Exactly this!

[mistletoe]

Thanks. I suppose I wanted to be sure I wasn't overreacting. Clearly, I am just being rational in questioning these methods.