[Augie]

I don't know where to begin. The appointment took two hours long! We went over my history and answered a lot of questions for him. He asked me to try to find out more about DH's family history because several of his aunts have suffered from RPL.

He went into great detail about the different possible causes. He told me that he doesn't believe the MTHFR is what caused my losses. He thinks that our issue is chromosomal. However, he can't test for that just yet. He had me go today for some bloodwork (which took an additional 40 minutes!). Today's test included checking my homocystine levels (which I wanted done anyway), antithrombin III activity, Protein S, and Protein C. All have to do with clotting disorders. (The homocystine should have been checked when it came back that I had MTHFR.)

As for the HSG/possible endo, I didn't bring it up. He seemed pretty confident that I don't have any issues anatomically...

We talked about DH's testosterone (which was never forwarded to him) and the SA results. The RE wasn't that concerned with DH's testosterone. Morphology is low, but the other numbers were good enough that he doesn't think that it's an issue at all.

So where does that leave us? At this point we've been ordered to NOT conceive. On CD 3 next month I have to go and have four more tests done: estradiol, FSH, LH, and anti-mullerian hormone.

The tests today were more to appease the insurance company and convince them the karyotyping is needed. The CD 3 tests are to try to figure out why my visits from AF are so short. Once given the clear to ttc, (as long as the tests are fine) he's not going to want to intervene to assist in getting pregnant.

He also told me to stop the baby aspirin. He said that when I get pregnant he's going to put me on Heparin immediately.

I am left with mixed feelings. He definitely seems informed and I have heard a ton of good things about him. But, we don't have a plan...we don't have anything concrete. In a way, I feel like we left with less answers than we went with...

Oh, and one last thing: he said my uterus is not tilted like the OB said. Of course, the one OB is the only one who's ever said anything about it being tilted...

[christylovesherbaby]

You had a really rough day! It is frustrating to feel like everything is still up in the air. It is great that all that bloodwork is being taken care of to hopefully get some answers. will he be the one that orders the karyotyping? I always thought, that without HSG and a saline U/S to look at the inside of the uterus, you could never be sure that our anatomy was nl (I was obviously wrong).

I am so sorry you feel like you had more questions created by today's visit than answers.

[Augie]

He commented that it (the hsg) hadn't been done, but didn't mention doing one...He would be the one to order the karyotyping but he wants to clear it with the insurance first (because it's so expensive).

well even though you didn't exactly get a plan, it does sound like your RE is being aggressive about figuring out exactly what is going on. While that sucks (we're going on a year of waiting for answers) it is progress toward that BFP! I hope it only takes this round of blood work and you will find out exactly what you need to do to get a sticky BFP.

My OB also told me my uterus was tilted and then the RE told me it wasn't LOL I'm still not sure what to think about that.

Can I ask how long AF usually is for you? Mine seem short to me, AF is usually here about 3 days and then I spot for another 3 or so. I don't usually have heavy AF's either. I guess I've never really thought much about it and when we did IVF they said my lining looked good, so AF must be doing the job. What concerns does your Dr. have with AF being short? Just curious

thanks! KUP on how everything goes!

[*Mommy2Remington*]

Hey Augie!!

Sorry that you had a crummy apt today. I would have also felt like we didn't get much accomplished but I think the doc is on the right track by doing those other tests first. Its good to narrow out whats NOT wrong then what is..ya know? Things will all work out in the end.

[adnelg775]

Hello ladies! I just wanted to say that a tilted uterus does not always stay tilted. My uterus can be tilted one day and not the next, and the same thing happens with other women (I do ultrasound for a living, and I have seen it with my own eyes!). I believe they call it a dynamic uterus ( but I don't know if that's the official term).

[Augie]

adnelg775, Good to know!

adamsgirl, without clomid my af is one light day. The last month on Clomid af was one heavy day and two days of spotting.