I don't know what to expect at our first appointment next Monday. Is it a 'meet and greet' type of thing? Or will the doctor start right away with blood draws and semen analysis and what have you? I'm pretty nervous, but also anxious to get started. I really wanted a 2014 baby but that window is fast closing.
I do ovulate on my own, but not consistently. One cycle will be 30 days, the next 41, and so on.
TTC #1 since April 2013
My first appointment I kind of expected the meet and greet type thing as well but noooope! Ha! I had a transvaginal ultrasound, blood draws, and my RE ordered a semen analysis for DH. After the US and the blood work we did have a meeting in her office to discuss our options for a treatment plan. (I have PCOS and don't ovulate predictably...my average cycle length is 60+ days...yikes!) I had done 2 50mg clomid cycles at another clinic but we decided on the first cycle in her office being the same 50mg clomid with ultrasound monitoring and a 10,000 unit HCG trigger with timed intercourse if DH's sample came back within normal limits and the same meds but with IUI if his count was low or had some other problem. She was really helpful in helping us decide what was right for us and not pushing us to more invasive (and expensive!) treatments. I left the appointment with a prescription for Provera so that we wouldn't have to wait forever for a new cycle (I was already on CD 50 something!) and instructions to call on the first full day of bleeding so they could schedule the basline ultrasounds, an HCG (just in case!), and approptiate cycle day lab work and ultrasounds.
(On a separate note, don't give up hope on a 2014 baby! We got our BFP the first month seeing the RE! Having a good provider makes all the difference!!!)
I think most are just a consult, though I did have a brief checkup (just breast, abdominal exam). They won't want to do much testing until you begin a new cycle so you probably don't need to prepare for anything like that, especially as most tests are fasting. With our RE, he looked at my charts, asked about our timeline, and weird symptoms, and then looked at our previous medical consults (for us it was an ultrasound to look for fibroids and an SA). He made a plan for testing and the. Gave us our instructions and we went from there. It was probably only half an hour.
Could it go differently? Absolutely. But most likely the first appt will be low key.
Depends on how much they know about your situation and where you are in your cycle. Even if they have all they need and you are at a good point for testing it doesn't mean they will do it. Many like to keep things low key and just talk about history and why you are there. Others are more proactive if they feel they have the necessary info on hand and you are at a good point.
When I met with an OB they we talked about our history, timeline, etc. She ordered some blood work and an HSG for me, as well as a SA for DH - then sent us to an RE.
The consultation with the RE was also a lot of questions about our history, as well as looking over our past testing. She took a lot of time with us to really understand where we were and what had been going on (both in regards to our fertility and general medical history). She encouraged us and talked with us about what good next steps would be. She ordered a repeat SA for DH and did a quick ultrasound on me to look at my ovaries/uterus. It was about an hour total and we came away feeling very encouraged! We moved forward with an IUI the next cycle after our consultation, so it moved pretty quick!
Have your questions ready to discuss! Good luck! :)
DH: 27 Me: 22 Married 1/1/11
TTC since 11/12. Me - mild endo, everything else normal. DH - SA 1: low sperm count (7 mil) and motility (28%), but SA 2&3: totally normal.
3/14 Lap / Hyst- discovered a leftover staple behind my uterus from previous appendectomy, a few spots of endometriosis (which were removed), and a heart shaped uterus (which the doctor repaired).
12/13 Femara + IUI #1 - BFN ; 4/14 & 6/14 Femara only - BFN
Rejoice in hope, be patient in tribulation, be constant in prayer. -Romans 12:12
The two initial consults I have had with two different RE's/clinics both included a physical exam and transvaginal ultrasound. I was appreciative because the appts are NOT cheap! (One initial cost $250, the other was $325 - so it was nice they also included an ultrasound, approx. $150-$160 without insurance).
The very first time I met with the RE, he looked over our testing we had done via my GP/OBGYN which was CD3 labs (FSH, E2, prolactin, TSH) and the SA my GP ordered for my DH. After the ultrasound, he recommended additional testing to be completed prior to beginning any treatments (HSG, another SA with strict kruger analysis, DNA fragmentation test for DH, and infectious disease panels for both). Once we completed those things we met again and made a plan for treatment. We fit in one letrozole + IUI cycle and one letrozole + TI cycle before we moved to a new city.
My most recent initial appt with the new RE involved going over all my history/labs/prior treatments/SA results/HSG results and discussion of options, plus the physical exam and ultrasound.
I would go in as prepared as possible - questions, notebook if you want to take notes, etc. In my experience, they are very nice, allow you time to go over everything, and of course time to ask questions. I took notes the first time but not the second. I have been at this infertility stuff for a long time now so it all kind of makes sense to me. Anyway, that's my two cents. Good luck with your appt!
Me (35) & DH (44) Est. August 10, 2003
NTNP June 2010 - June 2011; TTC #1 (and charting) since July 2011 (see my Bio for my complete history)
4 unsuccessful IUIs in 2013-2014
IVF planned July 2014!!
Well, first appointment was this morning. Just some blood work, an order for SA, and a promise of a call back for more appointments. I guess it's finally on it's way, just wish it would happen faster! lol