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01-14-2013 at 9:44 AM
LaurenAsh2...
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LaurenAsh23 is not online. Last active: 06-19-2013, 3:21 PMSilver

Appointment update and some questions

I had my 1 year appt this morning with my obgyn. Reason behind meeting with my obgyn is that she specializes in infertility and they have an RE in the office who I can utilize and she can also obviously. 

 She asked about me using opks and making sure that we were timing sex okay...check and check. Also asked about family history, but to my knowledge only1 of my male cousins has had IF issues. I might try and delve into this a little bit more, at least with our parents and DH's brother. 

She ended up ordering a SA for DH. We are going to a specialized lab to have it done about an hour and a half away. So hopefully we will get that done in the next few weeks depending on scheduling. 

She said if the SA comes back okay that we will move on and do an HSG (between cd 7-10). After the HSG she said we would most likely move on and do a round of clomid.  

questions for you ladies:  

-the SA was ordered to check motility and count, not morphology. Is there any reason she wouldn't want morphology other than the cost is double?

-she said since I'm ovulating she isn't worried about doing any blood work on me. Does that seem normal?  

Im happy to have a plan, now just anxious to see what we find out!


TTC since January 2012. Me: 25 & DH: 31
DH SA (1/21/13) is perfect! 1st RE appt set for 1/30/13
BFP #1 on 1/26/13! EDD is 10/5/13! 1st appt at 5w6d and diagnosed high risk due to high BP. Put on meds. 1st Ultrasound scheduled for 2/22/13. Blighted ovum At 7w6d D&C 2/26/13

My Ovulation Chart Anniversary Lilypie Angel and Memorial tickers 
01-14-2013 at 9:48 AM
Slapalicio...
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Slapalicious is not online. Last active: 06-19-2013, 2:37 PMSilver
LaurenAsh23:

-she said since I'm ovulating she isn't worried about doing any blood work on me. Does that seem normal?  

You can be ovulating and still have abnormal b/w.  I would request the CD3 and 7DPO b/w.  It's especially necessary if you're going to end up doing any treatments.

(Sorry, I don't know the answer to your other question.  I would think that morphology would be important, too.)

Good luck!!

01-14-2013 at 9:50 AM
tigger99
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I think she still needs to do bloodwork on you to check your thyroid and prolactin levels. I was ovulating every month as well but both of these levels were off for me and once they were corrected with medications I started to have better stronger ovulations. I would ask about it. No idea why she wouldnt want to check morph mine automatically checked that for H and it pointed to his problems.
Glad the appt went well and good luck!


Married 8/30/08, TTC#1 since May 2011. Me 36, H 37
TTTC June Siggy
H SA-Count 84 Mil, Morph 6%, Motility 20%-11/13 surgery to fix bilateral varicoceles
3 month Post Surgery SA-Count 113 Mil, Morph 8% Motility 40% looking better!

Me:HSG clear, Prolactin high, micro-Pituitary Adenoma, Cabergoline=prolactin down to 1.
Cycle 18-5mg Femara+trigger+IUI. Follie on right, IUI#1-1/8-H-37Mil w\70% motil=BFN
Cycle 19 Femara+Trigger+IUI#2-2/8-2 follies on left-28mil 60% motil= BFN
Cycle 20-Clomid 50mg+trigger+IUI#3 left-33mm & 23mm, post wash 63 mil 80% moti=BFFN
Cycle 21 trying on our own unmedicated due to vacation timing!
Cycle 22 Clomid+trigger+IUI 22mm on right/23mm on left, Post wash 31 mil 80% motil BFN
Cycle 23 trying on own
Then 2 cycles if needed of Gonal-F and IUI
My Ovulation Chart  
01-14-2013 at 9:57 AM
2Dash
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Don't have any advice just wanted to say you must be relieved to at least have had the appointment and be working on a plan

[IMG]http://i1226.photobucket.com/albums/ee407/JWynn0626/th_9ded4b16-a133-4ac3-a0b3-bcd7f4cb0a72_zps480b0a1b.jpg[IMG] Lilypie Pregnancy tickers  BabyFruit Ticker 
01-14-2013 at 9:58 AM
LaurenAsh2...
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LaurenAsh23 is not online. Last active: 06-19-2013, 3:21 PMSilver
It won't let me edit on my iPad....but I also would ad that she told me what she wanted to do and then did ask me what I would like to do. So it sounds like she wants to do what I want or at least wants to make me happy/comfortable. 

TTC since January 2012. Me: 25 & DH: 31
DH SA (1/21/13) is perfect! 1st RE appt set for 1/30/13
BFP #1 on 1/26/13! EDD is 10/5/13! 1st appt at 5w6d and diagnosed high risk due to high BP. Put on meds. 1st Ultrasound scheduled for 2/22/13. Blighted ovum At 7w6d D&C 2/26/13

My Ovulation Chart Anniversary Lilypie Angel and Memorial tickers 
01-14-2013 at 9:59 AM
LaurenAsh2...
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LaurenAsh23 is not online. Last active: 06-19-2013, 3:21 PMSilver
tigger99:
I think she still needs to do bloodwork on you to check your thyroid and prolactin levels. I was ovulating every month as well but both of these levels were off for me and once they were corrected with medications I started to have better stronger ovulations. I would ask about it. No idea why she wouldnt want to check morph mine automatically checked that for H and it pointed to his problems. Glad the appt went well and good luck!
thanks for that info. I think if DHs SA comes back okay, I will ask for the bw in conjunction with the HSG.

TTC since January 2012. Me: 25 & DH: 31
DH SA (1/21/13) is perfect! 1st RE appt set for 1/30/13
BFP #1 on 1/26/13! EDD is 10/5/13! 1st appt at 5w6d and diagnosed high risk due to high BP. Put on meds. 1st Ultrasound scheduled for 2/22/13. Blighted ovum At 7w6d D&C 2/26/13

My Ovulation Chart Anniversary Lilypie Angel and Memorial tickers 
01-14-2013 at 9:59 AM
Slapalicio...
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Slapalicious is not online. Last active: 06-19-2013, 2:37 PMSilver

LaurenAsh23:
It won't let me edit on my iPad....but I also would ad that she told me what she wanted to do and then did ask me what I would like to do. So it sounds like she wants to do what I want or at least wants to make me happy/comfortable. 

Then I would definitely request the full workup.  There's no reason not to do it all at the same time.

01-14-2013 at 10:04 AM
SweetC80
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Some doctors don't take much stock in Morph, but if it comes back 0-1% it is very important. It should be an 'if it comes back ok' do the HSG, you need to do the HSG, and you need to do CD3 b/w and u/s.

I'm sure you know that if you do Clomid you need proper monitoring as well.



Me Dx: Weak Ovulation / Total Thyroid Removal
DH Dx: Mild MFI (borderline all 3), Varicocele
TTC#1 since 5.11
Clomid 50mg + TI = Poor Response
Clomid 100mg + TI (x2) = BFNs
Clomid 100mg+IUI#1 (5.6M Post Wash & 1 Follicle) = BFN
Surprise BFP on 1/20/13 EDD: 9/25/13 It's A Girl!!
S/PAIF Welcome
**Shibby! Lots of love for my TBBFF rayofsunshine99 and the newest member of her family, Lily!**

 Pregnancy Ticker 
01-14-2013 at 10:33 AM
GhostMonke...
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GhostMonkey is not online. Last active: 06-19-2013, 11:20 PMPlatinum

You need to ask to have the RE put in charge of your treatment. HSG only if the SA is clear? What kind of stupidity is that? You need an HSG before even touching meds. End of story. You need blood work before touching meds. That is not a point where you can waiver. How can she properly treat you without making sure there isn't a glaring issue first? Just because you ovulate doesn't mean there is an issue.

Your OB has no clue what she is doing and shouldn't be ordering any of this. It shouldn't be "well, I don't think you need blood work, but if you want it we can do it". It is an absolute must. There are pages of paperwork including family history that I had to complete for my RE appiontment- there shouldn't be any questions on history- they should have given you guidelines of exactly what information to gather.

She may be a wonderful OB and great at annuals and pregnancy/delivery, but she clearly has zero education in infertility.

 



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01-14-2013 at 10:48 AM
deelopi9
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deelopi9 is not online. Last active: 02-05-2013, 8:31 AMBronze

I would have them do the morp anyways as it is important if the percentage come back at 0-1% - no sense in having to go back and waste the money to have a 2nd SA. For you I would still do a HSG- if your tubes are blocked DH could have super sperm and it wouldn't do you any good. Some OB hand out Clomid like it's candy. It's a very serious drug and there could be serious complications from cysts to diminishing your uterine lining to having a Kate+8 situation. Part of the workup with a RE is having them do the cd3 bloodwork- any imblance could determine a different protocol the RE might take. Every situation is different. I would check out the Trouble TTC page and click the new to TTTC intro link - it has very good information that can help. GL


*** TTC since 10/2010 (no planned bc since 2007) Me (31) Sept 2012 - DX Luteal Phase Defect. HSG 8/2012: both tubes are open, cervix and lining look good; hypothyroidism; DH (35) SA Normal Clomid 50mg, trigger
10/2012 BFFN 1st cycle on clomid 50mg w/trigger shot, progesterone level 19.7, cd28 - hcg level 0.
***12/2012 Cycle #25 TTA break until March 2013***
3T Jan2013 Siggy Challenge - Favorite Thing About Winter
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OB/GYN=expertise in pregnancy/labor; RE=expertise in getting pregnant. (read this on someone's post, feel free to PM me to give you credit) I'm so glad I have a RE on my team. Consult a RE after 1 year under 35yo; 6 months 35yo+  
01-14-2013 at 10:52 AM
talon1226
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GhostMonkey:

You need to ask to have the RE put in charge of your treatment. HSG only if the SA is clear? What kind of stupidity is that? You need an HSG before even touching meds. End of story. You need blood work before touching meds. That is not a point where you can waiver. How can she properly treat you without making sure there isn't a glaring issue first? Just because you ovulate doesn't mean there is an issue.

Your OB has no clue what she is doing and shouldn't be ordering any of this. It shouldn't be "well, I don't think you need blood work, but if you want it we can do it". It is an absolute must. There are pages of paperwork including family history that I had to complete for my RE appiontment- there shouldn't be any questions on history- they should have given you guidelines of exactly what information to gather.

She may be a wonderful OB and great at annuals and pregnancy/delivery, but she clearly has zero education in infertility.

 

I agree. I have seen so many people come on this board after having gotten horrible advice from an OB, even if said OB "specializes" in infertility. You need all the regular testing before starting Clomid, not just some of it. CD3 bloodwork is an important part of the testing. And why not do the full S/A since he's having it done anyway? There is some question as to how important morph is but you should at least know what you're dealing with. Sometimes there are problems with both partners. That is why both of you need full testing, regardless of what the other person's results are.  

If you have an RE at the practice, why not just switch to them?  


 photo 7f92661f-85b6-40d5-9ebd-edc70e00a2e4_zps5ca3c95b.jpg

TTC #1 - Stopped using BC March 2011, officially TTC since August 2011
Dx: PCOS & mild hypothyroidism (me) & MFI
2 cycles Femara + trigger = BFN/no response. 2 cycles Clomid + trigger = BFN
IUI # 1 = BFN
Repeat SA - low motility & morphology w/ 99% bound by antisperm antibodies
Recommendation: IVF w/ICSI 
01-14-2013 at 11:51 AM
LaurenAsh2...
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LaurenAsh23 is not online. Last active: 06-19-2013, 3:21 PMSilver
I just called in to schedule the SA and found out that we will be at the RE's office who also practices with my OBGYN. I will probably ask them what his availability is as far as scheduling and see when I could get in with him or if I need a referral. I'm glad to have you ladies :) I wouldn't have a clue what to do on my own. 

TTC since January 2012. Me: 25 & DH: 31
DH SA (1/21/13) is perfect! 1st RE appt set for 1/30/13
BFP #1 on 1/26/13! EDD is 10/5/13! 1st appt at 5w6d and diagnosed high risk due to high BP. Put on meds. 1st Ultrasound scheduled for 2/22/13. Blighted ovum At 7w6d D&C 2/26/13

My Ovulation Chart Anniversary Lilypie Angel and Memorial tickers 
01-14-2013 at 4:41 PM
lobosabby
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lobosabby is not online. Last active: 06-19-2013, 7:29 PMSilver

LaurenAsh23:
I just called in to schedule the SA and found out that we will be at the RE's office who also practices with my OBGYN. I will probably ask them what his availability is as far as scheduling and see when I could get in with him or if I need a referral. I'm glad to have you ladies :) I wouldn't have a clue what to do on my own. 

Good. I'm glad to see you have a plan - but as PP's stated you need to go to the RE, not your OB.

Best wishes - keep us posted. FX for good results!



lots of <3 to my TBBFF Sothernpeach80 - BABY ETHAN IS HERE! 02.04.13 <3
TTC #1 since Jan 2012
BFP #1 07/27/12 - EDD 04/07/13; C/P on 07/31/12
BFP #2 10/11/12 - EDD 06/24/13; Blighted Ovum; D&C 11/30/12
BFP #3 03/10/13 - EDD 11/21/13 - PLEASE BE OUR TAKE HOME BABY!
Beta #1 - 95.8 (12DPO); Beta #2 - 502 (15DPO); Beta #3 - 2003 (18DPO)
First U/S showed one beautiful baby measuring 7w1d with a HR of 148!!! Second U/S showed baby measuring 9w0d with a HR of 173!!!
My Ugly BFP Chart
“I know God won't give me anything I can't handle. I just wish he didn't trust me so much." -Mother Teresa
My blog
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 BabyFruit Ticker
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01-14-2013 at 5:01 PM
AngieL444
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My charts clearly indicate that I'm ovulating regularly, but my b/w did show that there are issues that need to be addressed (AMH is high, which is indicative of PCOS).  I also had an initial ultrasound which revealed that my ovaries are polycystic.

I would definitely request b/w and an initial ultrasound to just "check" on how things looks.

Good luck!!



Me (33) DH (33) TTC #2 since July 2011 (3 month break Oct-Dec 2011)
1st RE Appt. 11/28/12 DX with PCOS
Feb 2013
Metformin+Femara+Dexamethasone+Ovidrel=BFN
Mar 2013
Metformin+Femara+Dexamethasone+Ovidrel=BFN
Apr 2013
IUI #1=BFN
May 2013
IUI #2 upped Femara from 2.5 mg to 5 mg=BFN
June 2013
5mg Femara+Dexamethasone+Ovidrel=??  
01-14-2013 at 5:42 PM
LaurenAsh2...
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LaurenAsh23 is not online. Last active: 06-19-2013, 3:21 PMSilver
AngieL444:

My charts clearly indicate that I'm ovulating regularly, but my b/w did show that there are issues that need to be addressed (AMH is high, which is indicative of PCOS).  I also had an initial ultrasound which revealed that my ovaries are polycystic.

I would definitely request b/w and an initial ultrasound to just "check" on how things looks.

Good luck!!

scheduled DH's SA for Monday (our anniversary-how romantic). When I'm there I'm going to check on getting in with the RE-that's who's doing the SA. Thanks for all the info and support :) 


TTC since January 2012. Me: 25 & DH: 31
DH SA (1/21/13) is perfect! 1st RE appt set for 1/30/13
BFP #1 on 1/26/13! EDD is 10/5/13! 1st appt at 5w6d and diagnosed high risk due to high BP. Put on meds. 1st Ultrasound scheduled for 2/22/13. Blighted ovum At 7w6d D&C 2/26/13

My Ovulation Chart Anniversary Lilypie Angel and Memorial tickers 
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