Trouble TTC
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First RE Appointment

nswain85nswain85 member
edited April 2014 in Trouble TTC

We had our first RE appointment yesterday and to say it was not what I expected it to be would be a major understatement... We walked in and after briefly asking us some basic questions she says "well, I looked at your HSG results and the right tube needs to be removed". Uh...

She said that it is so badly damaged that even pregnancy is a risk due to a possible ectopic and the fluid that is getting stuck in the tube could be toxic to any pregnancy that resulted from the left side causing miscarriage or just flushing the pregnancy before we ever even knew about it. She said that we will go in and remove the tube if it is bad as she thinks it to be and will look at the left tube also because she is slightly concerned about it also. I asked what would happen if we left it and she said nothing (like it's not going to burst or anything) but that our odds of getting pregnant were even lower. That news kind of put an end to any other questions that I had, lol. She said that we would only have to wait one cycle after surgery to try again and that we can continue to try naturally, IUI or other ways as long as she is able to make sure the left side is ok. If for some reason both tubes are bad and have to come out, we go straight to IVF.

I wanted to burst into tears when she told me but there was so much information that I just kind of forgot about the crying and listened, lol. We are doing some more blood work and another SA for DH and then we will plan the surgery. It was such a relief to be around people who actually got what the hell I was talking about and I didn't have to deal with stupid admin people arguing with me about insurance and testing dates, etc. The visit with the insurance lady was well worth the time alone! It turns out that my OB who is billing me for everything is billing it wrong and my insurance should cover it and if not it at least goes towards by deductable vs. just straight out of pocket like they want.

This is definitely a setback that I was not anticipating but I almost feel as if the stress and pressure is off. There is a reason I wasn't getting pregnant and now we know why and what to do to fix it. I'm hoping for surgery end of May/early June so keep good vibes my way ladies. As always, thank you for being such a wonderful group. This was one place where I actually looked forward to sharing this with because I know we are all going through similar battles together. :)

Trying to have baby #1 since April 2013

DH SA March,May 2014 - Low motility and shape issues. On vitamins per RE to help

Me testing April 3, 2014 - FSH and LH good, HSG showed blocked right tube

April 29, 2014 - First RE appt., right tube needs to be removed and possibly left also if

it's bad too. RE suggests going straight to IVF

June 4, 2014 - LAP/HSC and unexpected endo. removed but tubes got to stay!

June 13, 2014 - Post-Op appointment. We decide where to go next since main issue

is MFI influenced. Trying naturally until decision... Repeat SA  in September. Aiming for IUI #1 November 2014.

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Re: First RE Appointment

  • Options
    Sorry about your tubes! But I'm glad you seem to be in good hands!! :hugs:

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    Me: 30, PCOS-non IR, Annovulatory; DH: 31, SA normal :)
    Testing Completed! HSG Clear, Ovarian Reserve score 17, Elevated Testosterone, everything else normal so far
     Clomid 150mg + HCG + IUI #1 May/June 2014 (BFN)
    Clomid 150 mg + HCG + IUI #2 July 2014 (BFN)
    Femara 2.5mg + Estrace + HCG + IUI #3 Cancelled d/t no response
    Moving on to IVF with ICSI after break to lose weight.
    image

    My Ovulation Chart
  • Options
    Wow, hope you can have the surgery done soon!
    Me: 29, DH: 31
    TTC since May 2012, married since 7-08-06
    Me: irregular cycles, possible endo
    DH: bilateral varicoceles (surgically corrected on 12-13-13)
    Treatment: 3 cycles of Clomid alone, 2 cycles with Clomid and IUI
    HSG Feb. 14:  all clear
    1st appointment with RE 3-20-14
    2nd appt with RE: normal postcoital test, u/s showed a large follicle the day after I got a positive OPK, most likely problem is endo :(
    2nd HSG May 14: My RE used a dye that is supposed to help calm down inflammation from endo

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  • Options
    I'm sorry about the setback, but it sounds like you're with a good RE.  Hopefully you can have the surgery and get things taken care of and you'll be back in the game soon.  Sending good vibes your way!
    Married on October 20, 2012.  Began trying in January 2013.
    RE appointment & testing December 2013 - February 2014= Unexplained IF, possible endometriosis
    IUI#1- March 22 (100mg clomid, 75 mg of Bravelle, Ovidrel trigger) = BFP!!!



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    jjgrl55jjgrl55 member
    That sounds like a lot to take at your first appointment, good for you for having such a positive attitude about it all! Sending good vibes to your left tube that it's good and healthy for your surgery!
    image
    image
    Me & DH: 24 Married: 5/11
    Started TTC: 12/12 Testing Started: 5/14
    Dx: Irregular Ovulation, possible PCOS
    Treatment starting July '14: Letrozole + Trigger + TI
    Surprise natural BFP right before starting meds!!!!!- EDD 3/7/15

  • Options
    KT416KT416 member
    Sending good vibes your way! Good luck with the surgery!

    Me: 29, DH: 30

    Married: April, 2011; TTC: July, 2012

    Dx: MFI; June '14 IVF w/ ICSI: 11R, 8M, 5F... 1 5dt, beta #1: 213, beta #2: 621, beta #3: 8545!



    BabyFruit Ticker
  • Options
    CbeanzCbeanz member
    Good thing you got this checked out when you did.  Ectopics are worse than anything imaginable (mentally, physically, emotionally) and it sounds like you are avoiding the risk.  Good luck to you.  Sounds like you are in good hands.
  • Options
    I'm so sorry for the heartbreaking news :( I'll be praying. It really sounds like your RE knows what she is doing so that's really good.
  • Options
    I'm sorry about the unexpected need for surgery but FX that all goes well and you can keep your other tube. Hopefully it will be worth it and get you your BFP!!



    ********Siggy/Ticker Warning***********



    Me (35) no known issues DH (37) MFI. TTC 21 months (24 cycles)
    Dx MFI with low to normal count, low motility, morphology 3%
    HSG normal, ultrasound and labs on me all normal. 

    1 cycle of Clomid 50mg and TI, unmonitored by OBGYN= BFN
    1 cycle of Clomid 50mg and IUI, unmonitored by OBGYN= BFN
    Started seeing an RE!!
    2 more cycles of clomid 50mg (great response), with IUI and Pregnyl trigger (4.8-8 mil good ones after wash) = all BFN
    1 cycle of clomid 50mg (3-7) followed by Follistim 75iu (7-11) + IUI = BFN
    December 2013 DH saw urologist and is taking Anastrozole, CoQ10, and L-Carnitine
    IUI #5 natural cycle (needed a med break) = BFN
    IUI #6 Follistim 75iu (CD3-10) + Pregnyl (CD11) + IUI (final count after wash 300K) = BFN
    IUI #7 Follistim 75iu (CD3-9) + Pregnyl (CD11) + IUI on 2/20 (post wash count 12.5 million)= BFN
    IUI cancelled (DH OOT) Clomid 50mg (CD3-7) 1 follicle +(not well timed) TI = BFN
    IUI #8 and last one!! Clomid 100mg (CD3-7) +OPK before US + IUI 4/17 (post wash 8.5 mil)= BFN

    Pre-IVF testing complete! SHG great and measurements taken! Labs for infectious diseases completed, FSH (5.4), TSH (1.6), Prolactin (11), AMH (2.6), Estradiol (40).

    Started BCP 5/29 and Lupron 6/11 prep for IVF #1! Started follistim 225u/day on 6/28. Monitoring on 7/2 >15 follicles measuring 11-14, E2 758. Monitoring on 7/5 all ready to go!! Great follicle sizes and lining is at 9. Tigger 7/5, ER 7/7 16R 9M 3F. Stimmed too fast in just 7 days. 7/10 3dt of 2 8-cell grade 2 & 4. 7/14 P4 >60.
    Holy crap BFP!!!
    Beta #1 (14dpo) 7/21 112 Beta #2 (16dpo) 7/23 286 a Beta #3 (18dpo) 7/25 761 Beta #4 (21dpo) 2631!!! Hold on tight little embies!!
      First Ultrasound 8/7- 1 perfect little bean with a beating heart 117bpm!! EDD 3/30.
    Second ultrasound 9/2 Little bean measuring a few days ahead with a heart rate of 161!



    PAIF/SAIF/All Welcome!

    image




    Pregnancy Ticker




    March 15 Siggy Challenge: You had one job

    image
  • Options
    It must be such a relief to have a plan in place. Good luck with your surgery.

    Me-36
    DH -35
    Married in 2008
    Started TTC in 2011
    Began testing May 2014
    Test Results
    HSG- clear
    Hysteroscopy- clear
    SA- 11 mil count
    45% motility
    Diagnosis: MFI
    July 2014: Femera 5mg CD 4-8, Trigger, IUI = BFN
    August 2015: Femera 5mg CD 4-8, Trigger, IUI = BFN
    September 2015: Femera 5mg CD 4-8, Trigger, IUI = BFN
    May 2018 after long period of not trying, starting adoption process with family friend's newborn
    November 2018 Adoption complete!


  • Options
    I'm so sorry about your tube(s)! I hope the surgery is just what was needed for you to get a quick BFP, though.
    January 3T Siggy Challenge - New Year's Resolutions
    image
    imageimage

    Me (29), DH (30) TTC actively 54 55+ cycles | All BFNs
    MFI (low everything) | Endo Stage 1 & Stenotic Cervix (treated) | PCO
    Married - July 2008 | Started TTC - Jan 2009RE Visit #1 - Mar 2014 
    IUI #1 ICI #1 - June | IUI #1.1 Laparoscopy - Aug
    IUIs #1.2, 2, 3 - Sept, Oct, Nov (Letrozole) - BFNs 
    IUI #4 - Dec (Bravelle) | IUI #5 - Dec/Jan (Bravelle) - 5 follies + TI - BFNs
    IUI #5.1 - Jan (Bravelle) Cancelled 
    Planning to start IVF in March!
    ***All Welcome***
  • Options
    lebradfordlebradford member
    edited May 2014
    Awww, I'm so sorry about your tubes. That sucks. I'm glad you like your RE though. That will make a *huge* difference. When I saw how complicated everything could be, I was even more thankful that I went to a specialist instead of trying to have my OB/GYN's staff (try to) navigate all of the insurance and monitoring.

    Keep us updated about your surgery date. I hope that goes well for you and you can move onto treatment ASAP.
    **siggy warning**  **everyone welcome**

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    DS- 11.07.02
    DSS- 6.26.04
    Married- 6.29.13
    TTC Again- Sept. 2013
    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    Test Results/Diagnosis- HSG & SA totally normal
    DX: 3/2014 Prolactinoma/Hyperprolactinemia- Started cabergoline 2/2014
    5/2014 Possible mild PCOS in addition to hyperprolactinemia??
    7/2014 Adding probable tubal factor to the diagnosis list
    9/2014 And now adding hypothyroid to the list- Started synthroid 9/2014
    Cycles 1-4 - Sept.-March- All Anovulatory 
    IUI #1 March/April-  Clomid 50mg + Clomid 100mg +Trigger + IUI #1 = BFN
     IUI #2 April/May-Clomid 100mg + Clomid 150mg + Trigger + IUI #2 + Endometrin=BFN
    IUI #3- June- Follistim 75iu + Trigger + IUI #3  Benched due to a 40 mm cyst. :-(
    IUI #3- July- Follistim 75iu + Trigger + IUI #3 + Endometrin = BFP! on 7/25/14
    Slowly rising betas - Ectopic suspected on 8/8/14 & confirmed on 8/11/14
    Methotrexate on 8/12/14 -HCG negative on 9/2/14
    IVF #1- November- Antagonist protocol: 11/1: start stims, 200iu of Follistim; 11/12 ER 17R/14M/14F; 11/17 5 day transfer of two blasts, 2 blasts and 2 expanding morulas frozen; 11/22 BFP!! (On FRER at 5dp5dt)
    Betas: 9dp5dt 205, 11dp5dt 497, 14dp5dt 1,709
    u/s at 5w0d- 1 sac; u/s at 6w0d 1 baby with heartbeat, another sac without a heartbeat
    image


  • Options
    Sorry about your tubes, but a gameplan and some answers are helpful.  ((hugs))

    ****SIGGY WARNING****


     Hashimoto's with irregular cycles  DH- 37 Severe oligoasthenoteratozoospermia

    TTC since May 2012

    HSG- all clear

    March 2014 - RE appt. 
    April 2014- Saline sono all's good, terrible SA results - 8 sperm found all abnormal
    May 2014- Fert Urology- Bilateral varicoceles, recommend Donor Sperm
    12/2014-  Surprise natural BFP  EDD 7/31/15 Plan:  Starting foster to adoption, natural cycles




  • Options
    I am in the same boat.  I had a large cyst on my right ovary. I had to have that removed before I could proceed with any fertility treatment. I had it removed in January, where it was so large that the OB had to take my ovary and tube on that side. I went back to the RE in March and scheduled my baseline testing, including an HSG. The HSG one showed that my one remaining tube was damaged during surgery. IVF is now my only option. 

    Just remember... IVF has a higher success rate over IUI.  It is a stressful process, but I wish you all the best to getting your BFP!!!
    I am 37 and DH is 40
    10/2012 Start TTC
    09/2013 Finally got to see the RE 12/2013 HSG-both tubes clear
    01/2014 Large Cyst Removed along with right ovary and tube
    04/2014 2nd HSG-Remaining tube damaged/blocked
    05/2014 Testing cycle and BCP to prep for IVF
    06/2014 IVF cycle #1 is scheduled cancelled due to low estrogen
    07/2014 Started Estrace to help with my estrogen issues
    08/2014 IVF cycle #2 is scheduled delayed
    09/2014 IVF cycle #2 is scheduled failed- 6 follicles, 1 retrieved, 0 fertilized
    10/2014 WTF scheduled for 10/22 and second opinion scheduled for 10/10
    11/2014 Moving on to the new RE!  
    01/2015 IVF cycle #3 is scheduled delayed
    02/2015 IVF cycle #3 is scheduled

    image
  • Options
    TVLilyTVLily member
    ((Hugs)) I'm sorry about your tube. I am sending you lots of +++ vibes for a quick and successful surgery.

    EDD 5/2/14, NMC 9/11/13
    EDD 10/15/14, CP 2/8/14

    IF Diagnosis: PCOS, MFI 

    Current Cycle: 5 mg Femara/1000mg Metformin + TI = BFP, EDD 4/23/15 Please be our RAINBOW

    image

    **ALL AL/IF Welcome**
    My Chart

  • Options
    Thank you all so much for your very sweet and heart warming replies, the goodness I get from this board is so amazing :)

    Trying to have baby #1 since April 2013

    DH SA March,May 2014 - Low motility and shape issues. On vitamins per RE to help

    Me testing April 3, 2014 - FSH and LH good, HSG showed blocked right tube

    April 29, 2014 - First RE appt., right tube needs to be removed and possibly left also if

    it's bad too. RE suggests going straight to IVF

    June 4, 2014 - LAP/HSC and unexpected endo. removed but tubes got to stay!

    June 13, 2014 - Post-Op appointment. We decide where to go next since main issue

    is MFI influenced. Trying naturally until decision... Repeat SA  in September. Aiming for IUI #1 November 2014.

    image

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