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Tomorrow is my appointment with the Infertility Specialist!


Forum: Trying to Conceive with Medical Assistance

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  #1  
January 23rd, 2012, 10:50 AM
nina9809's Avatar Mega Super Mommy
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So, tomorrow is my appointment with the Infertility Specialist!! I am looking forward to it! I am taking lots of notes with me - and hopefully my friend too (SO is working). I hope he sheds some light on my situation!

Wish me luck!
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  #2  
January 23rd, 2012, 10:55 AM
*JenJen*'s Avatar impatiently waiting
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good luck! Do you have a list of questions prepared for your doctor?
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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
Multiple early losses between 3 and 8 weeks.

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  #3  
January 23rd, 2012, 10:56 AM
nina9809's Avatar Mega Super Mommy
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I have notes - I guess I should have questions....
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  #4  
January 23rd, 2012, 11:26 AM
*JenJen*'s Avatar impatiently waiting
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Questions are always good too. THings like- What is the first step before we start treatment, how long do oyu allow me to try each specific type of treatment before we move on to the next step, what kind of monitoring do you do during cycles, what are your office hours, what are the lab hours, do you offer any kind of discounts if we are self-pay, what are the standard fees for your office(office visit, ultrasound, IUI, bloodwork, etc).
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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
Multiple early losses between 3 and 8 weeks.

Broken in heart, mind, and body. On a break until Summer 2014






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  #5  
January 23rd, 2012, 01:07 PM
ccartanddesign's Avatar With Faith
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Posts: 997
Do you have a voice recorder feature on your cell phone? That's what DH and I do when we ask the dr. questions. We record answers. We recently recorded the instructions on how to do injections and I'm so glad we did! Best of luck!
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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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  #6  
January 23rd, 2012, 01:33 PM
kayakr's Avatar Persuaded by POAS’ers
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Oh Good Luck! Ask lots of questions and ask him when you can start!
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Gretchen
Me (43) DH(33) 12 years together - ttc our first together-I have 14yr old DS
Cycles 1-6 = BFN
Cycle 7 SA results abnormal morphology 2%, 50 mg clomid = BFN
Cycle 8 sonogram normal 50 mg clomid + trigger = BFN
Cycle 9 SA results abnormal morphology and motility. Count 200 mill, 100mg clomid + trigger = BFN
Cycle 10 natural = BFN
Cycle 11 hsg tubes clear, natural + trigger+IUI = BFN
Cycle 12 repronex + trigger + 2 IUI = BFN
Cycle 13 natural ovaries to stimulated for more meds = BFN
Cycle 14-22 natural cycle with Acupuncture and planning ivf/icsi/DE = ALL BFN
Cycle 23 Clomid 50 mg & Progesterone = BFN
Cycle 24 Natural = BFN
Cycle 25 BCP, SA result 7% morphology = BFN
Cycle 26 BCP and Lupron preparing for IVF
Cycle 27 IVF Acupuncture, DE Retrieval April 7, Transfer April 12 =
7 eggs retrieved, 3 fertilized, 2 transferred - zero snow babies
BETA # 1 16DPO or 11dp5dt = 569
BETA # 2 19 DPO or 14dp5dt = 1078
BETA # 3 22DPO or 17dp5dt = 2414 TWINS!
BETA # 4 30DPO or 25dp5dt = 12,685 6weeks 3days 2 heartbeats! 114 & 116
Clayton and Colton Born @ 34 weeks 11/22/13
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  #7  
January 23rd, 2012, 02:06 PM
nina9809's Avatar Mega Super Mommy
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Quote:
Originally Posted by ccartanddesign View Post
Do you have a voice recorder feature on your cell phone? That's what DH and I do when we ask the dr. questions. We record answers. We recently recorded the instructions on how to do injections and I'm so glad we did! Best of luck!
That's a good idea!

Quote:
Originally Posted by kayakr View Post
Oh Good Luck! Ask lots of questions and ask him when you can start!
Start? Nothing to start yet..... just to go over test results and see what's next....
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  #8  
January 23rd, 2012, 05:06 PM
KMH KMH is offline
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Good luck...can't wait to hear what he thinks!
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  #9  
January 23rd, 2012, 05:20 PM
L-SBB's Avatar Bébé Cowgirl
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good luck! ditto Jen's advice to have questions ready....we did and i still felt scattered asking them because the entire discussion happened so quickly.
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  #10  
January 24th, 2012, 11:15 AM
KMH KMH is offline
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updates? Can't wait to hear about it!
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  #11  
January 24th, 2012, 10:57 PM
swtneka's Avatar Praying for a miracle
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Any updates?
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  #12  
January 25th, 2012, 09:21 AM
nina9809's Avatar Mega Super Mommy
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Okay... so the appointment went well. He was very knowledgeable and kind and interesting and I felt very good talking to him.
Firstly he told me that my MTHFR test was not normal and so I am having another test done to find out more about that.
The we talked about the thyroperoxidase antibody - and decided that I will need to take thyroid medication from a positive pregnancy test throughout a pregnancy.
He also said I would need to be taking progesterone from positive test to the end of the first trimester (vaginal once ever 12 hours - omg - seriously???)
As for the positive ANA test - he said it is just not something he tests for normally and I decided that is okay with me as he seemed very knowledgeable.
Then we talked about the high FSH (9.5) for my age.... and he said he expected to see less eggs or whatever when he did the ultrasound. We talked about take dhea if this was the case.
We did an ultrasound and looked at my uterus and ovaries and everything looked completely normal - in fact he said I had the ovaries/eggs of a 20 year old. He could see a lot - I think he counted 8 on one side and 14 or more on the other.... the point is - that everything looks completely normal in there which is great, as I was really worried about DOR.
We decided that I take the AMH test to try to figure out what was going on with the FSH. We decided that I would not start taking the dhea until we got the AMH results back.
I took both tests today - one takes a few days to come back, the AMH takes three weeks!
Overall I am very happy with the results so far. He said even if the MTHFR extra test comes back bad - it is easy to fix with extra Folic Acid and B6/B12.
He also said I did not really need to be taking the baby asprin - but that I could continue to do so if I wanted.
Goodness, I know that all sounds like a lot - I just want to update you all!
The progesterone vaginally does not sound pleasant to me - I'm can't even remember why he wanted that.... but whatever!
I'm happy - and I feel like we are making progress!!
Now I just need to get pregnant!! My temperature dropped a lot today on my chart..... i hope it doesn't mean bad things.....
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  #13  
January 25th, 2012, 09:30 AM
nina9809's Avatar Mega Super Mommy
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Oh and the other test was the Fasting homocysteine.
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  #14  
January 25th, 2012, 09:37 AM
mistletoe's Avatar Mega Super Mommy
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Sounds like you have found a great doc. Good to hear that you got lots accomplished.
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  #15  
January 25th, 2012, 09:37 AM
*JenJen*'s Avatar impatiently waiting
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Sounds pretty good. Why does the AMH take 3 weeks to come back? Mine has always come back very quickly.

The progesterone isn't pleasant, but its not too bad.
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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
Multiple early losses between 3 and 8 weeks.

Broken in heart, mind, and body. On a break until Summer 2014






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  #16  
January 25th, 2012, 09:43 AM
nina9809's Avatar Mega Super Mommy
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I don't know why the AMH takes so long to come back. :-( I suppose it gets sent out.
Is the progesterone going to impact my sex life?
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  #17  
January 25th, 2012, 09:59 AM
*JenJen*'s Avatar impatiently waiting
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it depends on if your doctor says no sex while on it. You can always just DTD before putting the progesterone in. Honestly, every time I've been on it, I have felt too crappy or been too nervous to even consider DTD during the time, so I can't help you too much.
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My Blog
2006-2013 6+ years of NTNP, TTC, TTCMA, Losses, Surgeries, and Diagnoses.
RPL and Genetic Tests came back 100% normal | Endo, PCOS, severe MFI
Multiple early losses between 3 and 8 weeks.

Broken in heart, mind, and body. On a break until Summer 2014






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  #18  
January 25th, 2012, 10:17 AM
nina9809's Avatar Mega Super Mommy
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Quote:
Originally Posted by *JenJen* View Post
it depends on if your doctor says no sex while on it. You can always just DTD before putting the progesterone in. Honestly, every time I've been on it, I have felt too crappy or been too nervous to even consider DTD during the time, so I can't help you too much.
Why have you been feeling crappy? Does the progesterone make you feel bad???
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  #19  
January 25th, 2012, 10:20 AM
*JenJen*'s Avatar impatiently waiting
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Quote:
Originally Posted by nina9809 View Post
Why have you been feeling crappy? Does the progesterone make you feel bad???
Between being pregnant(and not feeling good), and the exacerbated pregnancy symptoms caused by the progesterone, it's just a rough feeling. plus for me, it's highly emotional...after multiple losses, I'm paranoid during early pregnancy and too scared to even think about sex.
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My Blog
2006-2013 6+ years of NTNP, TTC, TTCMA, Losses, Surgeries, and Diagnoses.
RPL and Genetic Tests came back 100% normal | Endo, PCOS, severe MFI
Multiple early losses between 3 and 8 weeks.

Broken in heart, mind, and body. On a break until Summer 2014






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  #20  
January 25th, 2012, 10:27 AM
KMH KMH is offline
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Sounds like a great appointment! I'm so glad that you found a doc who will listen and pay attention to you when you have concerns!

Keep us updated when you get all your tests back...hopefully that AMH shows up more quickly than 3 weeks
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IVF babies Claire (3), Abigail (1) and George (1)

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