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RE appointment help?

Forum: Trying to Conceive with Medical Assistance


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June 5th, 2011, 02:58 PM
CaseyCase's Avatar Super Mommy
Join Date: Apr 2011
Location: NY
Posts: 713
I posted this on AIP, but it might be better here, I hope you don't mine me just popping in. I thought you all might know the answer..

What goes on during a first appointment with an RE?
We've been TTC for 12 cycles now (with one m/c @ 12 weeks) and my husband has very low sperm counts (although I'm super happy to report he had a 2nd SA and they jumped UP! Still low, but improved... so, at least that's in the right direction).

We have an appt on the 10th with an RE?
What goes on at this first appointment, when it's assumed it's the man that has the issues?
Will I still get tested for anything, just to be sure? Will he have more tests on his end?
I have no idea what to expect.. so I was just wondering if anyone could clue me in here!

(thanks for the siggy, Meganpixel!)

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June 5th, 2011, 06:02 PM
LindseyE117's Avatar Wookie's Girl
Join Date: May 2009
Location: Texas
Posts: 3,741
Well as far as what your RE tells you, it depends on all of your medical information. Bring every medical record that you can bring, or at least have it faxed to the office before hand.

Expect your first appointment to be long. Depending on your RE, they might do a vaginal U/S to just check things out. They might also run some blood tests or other tests on you and your hubby. Your RE will also talk to you, and give you options based on your history and what is on hand at the time. Mine suggested IUI based on our history, but when all tests came back a few days later (his second SA was way worse than his first a year ago) my RE suggested IVF based upon our new test results.

So expect some blood taken, some discussions of medical history, some "maybe" game plans, and a lot of talking. But as far as I have seen, every doctor is different. I would also write down questions and bring them with you.

Thank you Shortcake for my beautiful siggy!
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June 5th, 2011, 06:46 PM
KMH KMH is offline
TTCMA Cheer Captain
Join Date: Sep 2008
Location: right of center
Posts: 19,318
Lindsey covered it all really well!

Mostly it is a get-to-know-you-and-your-issues kind of appointment. If you can have your records sent to the RE early, he/she might go over them beforehand, so I'd suggest that.

The only other thing I can think of that you might discuss is insurance coverage. If you don't already know what your insurance covers, the RE or their staff might. If you want to find out on your own, you can either look up the details in the info you have about your plan, or you can use the free insurance service from Fertility Lifelines. You can call them at 1-866-LETS-TRY, give them your plan info, and they'll call you back within 24 hours and explain everything to you. I used the service and found that it was really helpful!

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

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June 5th, 2011, 08:59 PM
Working mommy
Join Date: Apr 2011
Location: Moreno Valley, CA
Posts: 409
I second all of what Lindsey said. And I would advise you to keep an open mind about the cause of your infertility. Let your doctor do a full work up of you both. The more info the better! I went to my 1st appt expecting clomid to help with my mild PCOS. 1 month later we found out my DH has low counts and now we are doing IVF (after a few IUI).

Keep an open mind and ask plenty of questions!! Good luck to you! Keep us posted!
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June 6th, 2011, 01:59 AM
ETanny's Avatar Mamma 2 Moo & Pops
Join Date: Feb 2007
Location: Hull
Posts: 19,770
Id say let you both get tested. We went thinking it was just me that was the problem but after DH got tested we found out he has a low sperm count.
write down any questions you have before hand as i find i'd forget something otherwise.
just expect to be given appointments for tests really.

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June 6th, 2011, 06:43 AM
*JenJen*'s Avatar impatiently waiting
Join Date: Aug 2008
Location: west, but east. south, but not north.
Posts: 7,854
I think the others have given you some great answers. Before proceeding with treatment, I'd definitely want to have the doctor do a workup on both of you- SA and basic blood panel for your SO, blood panel and ultrasound for you, most likely.

My Blog
Me: 27, PCOS, ENDO, RPL, severe vitamin D defficiency
Him: 36, severe MFI post VR but counts climbing

2006-2015 7+ 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.

IVF referral in= 7/2017
RE Appt #1- 8/22/2017- doctor swears I don't have PCOS or RPL, go VEGAN to cure all
RE Appt #2- 8/24/2017- sono shows clear cysts, high afc, all bloodwork comes back PCOS typical

PAUSED UNTIL JANUARY 2018 to find a new IVF clinic

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June 6th, 2011, 09:54 AM
CaseyCase's Avatar Super Mommy
Join Date: Apr 2011
Location: NY
Posts: 713
Thank you all SO very much.
I'm not in a rush to get medical treatments or procedures to help us. I'm not opposed to it, not in the least.. I'll do whatever it takes to get our baby. That said, I HAVE been pregnant before on my own, so I know it CAN happen. I just want to discuss options and see where we should, maybe, go from here.
My husbands sperm counts HAVE gone up. Not considerably, but some. I'm curious as to what the specialist will suggest... I'm just excited for the appointment, feels like it brings me closer. Just wasn't sure what to expect.
Thank you again, so much!
(thanks for the siggy, Meganpixel!)

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June 6th, 2011, 03:31 PM
LindseyE117's Avatar Wookie's Girl
Join Date: May 2009
Location: Texas
Posts: 3,741
I hope all goes well for you. Good luck!

Thank you Shortcake for my beautiful siggy!
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June 7th, 2011, 06:51 AM
♥Ashley♥'s Avatar Platinum Supermommy
Join Date: Apr 2008
Location: St. Louis, MO
Posts: 14,102
Everyone has given you great answers! I hope the appointment goes well!
Cycle #1-9 - All Natural....5BFN's, 4BFP's (all ended in miscarriage)
Cycle #10-11 - Met with first RE, diagnosed with heterzygeous MTHFR mutation & slightly low SA on all counts. -BFN, Cycle #12 - First IUI+Trigger - BFN, Cycle #13 - BFN
Cycle #14-15 - Met with new RE, diagnosed with a blocked right tube that previous RE completely overlooked or didnt care to mention. Soy (120mg) - BFN
Cycle #16 - Clomid (100mg) - BFN, Cycle #17 - Clomid (100mg)+Trigger+IUI - BFN
Cycle #18 - Acupuncture+Clomid (100mg) - BFN
Cycle #19-27 - 2 Soy (160mg) cycles, the rest all natural also 30lbs lost!! - BFN's
Cycle #28 - New RE is GREAT! Put on bcp 7/6/11, Lap surgery 8/1/11- Tubal cyst (5cm) found and removed, Uterine Septum removed, and Stage II-III endo removed. Cycle #29 - All Natural - BFN, Cycle #30 - All Natural - BFN, Cycle#31 - All Natural - BFN, DONE TTC FOR NOW

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