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My 1st RE appt ....

Forum: Trying to Conceive with Medical Assistance


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December 15th, 2009, 11:23 AM
Mega Super Mommy
Join Date: May 2009
Posts: 2,464
Well I just got back from our 1st RE appt. When my alarm went off this morning my stomach immediately starting turning, I just have the worst nerves !! Anyways, DH met me @ the clinic..worst part was waiting 45min till we even saw the doc. The resident came in first, then the doc. He is super duper nice. Very calm, reassuring & to the point. He spent about an hr. with us talking.
First of all, I was never told that I had a polyp on my sonohysterogram--no one (ob/gyn) NEVER told me that, just that it was normal. Well no, its not normal ! So I was a bit shocked & speechless when he told me that. Also with DH having a slight abnormal SA back in oct. I knew we'd repeat it at some point. So here is the gameplan: I am having a repeat sonohysterogram to see if that polyp is still there, if it is then surgery required (PLEASE NO !!!!!) if its gone then life is good. Secondly, DH will be repeating his SA mid-Jan and lastly, on Monday I will have a 7DPO progesterone check to see if this 50mg Clomid is enough.
Overall the appt. went well. He explained to me the different options, Clomid +IUI/ Injectables+IUI or IVF. I was a little taken back at the statistics. Clomid +IUI 6-10%, Inject+IUI 12-16% and IVF 40%. He actually said if it were him he'd go for the Clomid+IUI first. He did NOT really encourage the injectables+IUI for lack of control over how many follies will end up but did say the "fast track" method IVF is more easily controlled. He also explained a study of couples who did IUI for a few cycles & failed then proceeded to IVF vs. those just going straight to IVF and the outcomes were similar.
My mind is a bit in overload right now. I have NO freakin clue what DH thinks about it all since he left immediately to get back to work. Its a lot to take in. And I guess for starters once I get this repeat sono. done, bloodwork & his SA we'll be able to go from there to make some decisions ....
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December 15th, 2009, 11:41 AM
KMH KMH is offline
TTCMA Cheer Captain
Join Date: Sep 2008
Location: right of center
Posts: 19,318
Sounds like you have a great plan to get moving in the right direction! I hope that your repeat tests bring better news so you can start treatment very soon...can't wait for updates!

We skipped IUI/injectables for the same reason your. dr. mentioned...I was terrified that we'd have a ton of follies. We did Clomid + IUI for a while and then went straight to IVF.

I hope we can celebrate with you soon!

Melissa & DH
IVF babies Claire (5), Abigail (3) and George (3)

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December 15th, 2009, 11:48 AM
Mega Super Mommy
Join Date: Dec 2007
Posts: 1,292
It can be overwhelming!

When I had my HSG with my old RE, and he misdiagnosed me w/tubal blockage, he gave us 3 options:

1. Laparoscopy
2. Clomid + IUI for three cycles--he said if these failed, that would tell us what we needed to know

I was VERY overwhelmed at the thought of going from temping/charting to IVF!

We opted for #2 and obviously those all failed.

Anyway---take it a step at a time--get the initial testing results in and go from there. For example, if there is any kind of motility issue, an IUI would make total sense. So you cannot really make a decision until you get all the results back in and can lay everything out on the table.

For what it's worth---I did Follistim this last cycle and only had 1 mature follie, and 2 smaller ones that may/may not have caught up. I, too, was worried about too many follies w/injects, but that wasn't the case for me.

Another thing to think about if you try injects--my friend started off doing injects + IUI but she overstimulated and her (our, as we have the same one) RE converted her to IVF at a substantially reduced cost. That is something to ask your RE---if you did injects and overstimmed, would converting to IVF be an option?

Hang in there---one step at a time!
Married with two awesome 7 year olds, we're TTC with unexplained infertility.
Thank you sophiasmomma for my beautiful siggy!
Nov/Dec Follistim cycle = BFP, chemical pregnancy
Dec/Jan TTC naturally after m/c, BFN
Jan 2010 2nd round of Follistim

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December 15th, 2009, 11:49 AM
~*Jackie*~'s Avatar Platinum Supermommy
Join Date: Apr 2008
Location: The Land of Infertility
Posts: 16,586
Hooray for getting that appointment out of the way! Hopefully when they go in with the SNG again, they won't be able to see any polyp left!!
Our TTC journey: 6 cycles Clomid, lap surgery/ D&C, IUI, 2 x IVF; 41 cycles- BFN.
IVF#1 (March 2010) Transferred two 8-cell grade A (perfect) embies- BFN and heartbroken.

IVF#2/FET#1 (Jan/Feb 2011):Transferred two (7&8 cell) grade A (PERFECT) embies- BFN again.
IVF#3/FET#2 (November 2014) Transferred two perfect blasts- First BFP Ever.

BABY BOY- JULY 2015 @ 34 weeks 6 days

Our family is now complete. The End.

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December 15th, 2009, 12:20 PM
redbirds's Avatar Blessed Again!
Join Date: Jul 2007
Location: CO
Posts: 18,447
It can be very overwhelming, and each RE sites different statistics, but they sometimes can be daunting. I hope it all goes well with all your tests and the first IUI is a keeper! That does happen
Gwynne, celebrating the newest of our four precious miracles

Hat's off to Vicki for my cute siggy, thank you!
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December 15th, 2009, 02:38 PM
Posts: n/a
Hope all the testing goes great and that the polyp is gone and DH has super spermies!!!

It is daunting and this is no "guarantee" as to what treatment will work best...I've gotten pregnant with Clomid twice, yet I didn't get pregnant with IVF....unfortunately it's just a lot of trial and error....just takes things one step at a time and you'll get there

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December 15th, 2009, 03:15 PM
Mega Super Mommy
Join Date: Jan 2009
Posts: 2,149
I only did one cycle of IUI with femara because I was concerned about multiples with both clomid and injectibles. I then went right to IVF (in part because my insurance covered it) and in part because after the failed IUI and being comfortable with the process, I realized that for me the cost/benefit ratio favored IVF.

It's a very overwhelming decision to make either way and I definitely second guessed myself A LOT along the way --- particularly decisions made in my first IVF cycle. I think the best thing is to give yourself a week to think about it, learn as much as you can about how each process works (from the web and us!) and then decide what you feel most comfortable with.

I will say that I think I made the right decision doing at least one IUI cycle, because if nothing else, it helped me get comfortable with the idea of medications, and going to the RE for b/w and u/s on a regular basis. Also with the IUI you usually have to do a trigger shot, so I at least got comfortable with that also. Also, in the end for me, I know now that going right to IVF after the one IUI was right for us, because we seem to have some embryo quality issues, but hindsight is always 20/20.

Best of luck with whatever you decide!!! I hope that no matter what you choose, you get that bfp very soon!!

September 2009 IVF - BFN; November IVF -Ec topic Pregnancy; May 2010- IVF cycle- BFN,
July 2010 IVF cycle: BFP - m/c induced at 8 weeks because of no heartbeat
March 2011 IVF: BFP!!!
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December 15th, 2009, 09:02 PM
Platinum Supermommy
Join Date: Oct 2008
Location: Minnesota
Posts: 8,103
It sounds like you have a very good RE on your hands... that is so great! I hope that your repeat tests yield better results than the first time around. I can't wait to hear what your plan will be. It is all overwhelming at first, but once you get your feet wet it gets a LOT easier.

Keep us posted!

Yet another wonderful siggy by HeatherW.... thank you so much!!!

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