Final RE appt this week - any advice? — The Bump
Pregnant after IF

Final RE appt this week - any advice?

So I have my final appointment with the RE this week. Any advice on what I should ask? For those that have been moved on from RE to OB, did your RE keep in touch? I just don't really know what to expect and I've been really happy with the RE and nurses this whole time.
Me:41  DH: 46 high count but poor motility & morphology
TTC on and off since 2005

July 2012: Infertility tests started at OB/Gyn, HSG and HSN all clear
Sept 2012: IUI #1 w/Clomid - BFN
Oct 2012: IUI #2 w/Clomid - cancelled due to cyst
Nov 2012: IUI #3 w/Clomid - BFN
Break to move and find new PCP, OB/Gyn & RE
Sept 2013: first appt with RE
Nov / Dec 2013: IVF #1 with ICSI split
  Dec 6: Retrieval, 4 retrieved, 2 mature, 1 fertilized
  Dec 11: Transferred 1 (Day 5)
  Dec 30:  HCG Beta, 4980. BFP!
 1 little bean!
EDD: August 28 30 2014
LO Arrived! August 31 2014

All Welcome!

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Re: Final RE appt this week - any advice?

  • At the final appointment (from my experiences) they normally tell you to see your OB within two weeks, so you may want to book that appointment now. Other than that, they  will tell you when to quite meds if you are still on them.

    I didn't hear from my RE again until a month after DD was born. They will call and get your birth details for their SART data.

    Congrats!
    IVF #1- BFP- DD 4/8/2011
    FET #1- 3BB and 3B-B
    Beta #1 (4w0d)- 504
    Beta #2 (4w4d)- 4,577
    Beta #3 (6w0d)- 78,399 HB 115 bpm
    U/S #2 7w0d- HB 155 bpm

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  • make sure u get all your records for when you transition to your ob, especially the genetic testing if you had that done 

    i haven't heard from the RE office since graduating - i don't mind though as it wasn't a particularly warm office....more like a baby factory but i'm not complaining as their statistics are pretty great

    TTC#2
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    Our little IVF miracle born 5/7/2014
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  • I got all my paperwork since I had frozen embryos in their labs and discharge paperwork about meds and seeing an OB. Other then that she told me she wants an email with pictures and wished me luck! It took like 5 mins after the final ultrasound was done.
    Me: 24 w/ PCOS, DH: 30 w/ MFI
    IVF #1 14 Retrieved, 10 Mature, 8 Fertilized, 1 frozen (4BB)
    3 day transfer of one 8 cell embryo BFN
     IVF #2 14 retrieved, 12 mature, 9 fertilized, 3 frozen (5AB)
    3 day transfer of two 8 cell embryos
    Beta #1 9/19 BFP 90!! Beta #2 9/24 657!! Beta #3 10/01 6,899!!
    1st U/S 10/08 showed one baby with a HB of 122 <3
    PAIF/SAIF Welcome

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  • Not much.  They'll probably tell you to make sure you get in to see your OB or M/W with the week, but that's really it.  They'll also want to know where to send all of your records.  I had mine all sent to me because I wasn't sure if I was going to stick with my OB - this way I could make my own copies to give to whomever may have needed them without going back to the RE over and over.  They'll tell you when to stop your estrace and PIO, they'll give you one last u/s pic, and really that's it!

    The hardest part is definitely getting used to not being constantly monitored.  Not gonna beat around the bush, it's nerve wracking.  I'm just about 19w and I still freak out on almost a daily basis that something is wrong.  But it does get easier.  I still worry, but not nearly as much as I did at first.

    Congrats on graduating!
    Me 31 ~ DH 30
    IVF/FET #1 - BFP!!
    <3 CJW 6/15/2014 <3
    DX - PCOS 2004
    FET #2 - scheduled for 11/24/15
  • When we graduated from our RE, they gave us a letter and medical records for the OB.  We are also supposed to follow-up with the RE at 20 weeks. This was specified in our IVF contract, so I'd review the contract for any specific actions you might need to take.

    I agree with PP that it was hard to go from frequent monitoring to almost none.  I just try to focus on the positive, no issues things are progressing as expected.

    Congratulations on graduating!
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  • I got all of my paperwork so I would not have to repeat testing. This included not just u/s, but also things like bloodwork that was done both before and after the BFP. My RE gave me a card to mail back that let's them know the outcome of the pregnancy. We won't have any other contact with them now, unless something goes wrong.

    I know it is hard when you have a place and people you like, but saying goodbye is a really good thing!

    TTC Since January 2012 Me:37 DH:34      DX July 2013: Unexplained Infertility      New DX Dec 2013: DOR
    BFP#1 6/4/12 EDD 2/13/13 M/C 6/6/12  BFP#2 2/21/13 EDD 11/3/13 M/C 2/26/13 BFP#3 C/P
    4 rounds of clomid, 2 with IUI = BFN
    November/December Retesting/Natural Cycle = Surprise BFP @ 11dpo! Beta#1 [email protected] Beta #2 [email protected] u/s#1 6w2d hb113 u/s#2 8w2d, measuring 8w4d hb168! 10w2d hb171 12w3d Verifi results are in and good! EDD 8/23 Our Baby Girl Rainbow Baby born 8/20/2014!!!
    Um...what? BFP 11/2/15!?! EDD 7/4/16
  • Make sure you ask how long you should continue your progesterone or other meds if you on any. Usually the RE determines the length of time. 
    I wasn't ready at the time since I graduated at 9 weeks, but you could ask about donating any left over meds. I still have about 200 units of follistim, and now that I'm 26 weeks, I'm ready to donate them back. We were completely OOP, so I know how appreciative someone would be if they needed meds for one last stim day.
    I miss my RE terribly! She was always available to answer questions and emails, even after I had graduated. I plan on going back after the baby is born (when nobody is in the waiting room of course) to thank her for the gift she gave to us. 
    Good luck!
    DH & I: 29
    TTC #1 4/2009 -  DD 2/5/10
    TTC #2 since October 2011
    2IF issues
    7/2013 - IUI #1: 50 units Follistim +  Ovidrel  = BFN
    8/2013 - IUI #2: 50 units Follistim +  Ovidrel  = BFP! Beta #1 (12 dpiui) 8/21: 45  Beta #2 (16 dpiui) 8/26: 301 Beta #3 (21 dpiui) 8/30: 1,929. 1st Ultrasound 9/4 - One perfect sac. 2nd Ultrasound 9/13 - Heartbeat at 124 bpm! Anniversary  

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  • I'm planning on keeping in touch with my RE's office, just because I've developed a great relationship with some of the u/s and med techs. They have a "Baby Harvest" every fall...where the office sponsors a big party at a local park and invites all the patients who graduated to show off their LO's. Around Christmas, they get tons of cards from patients and they hang them in the lobby too...it's kind of nice :-)
    {Me:27, Dx:PCOS, LPD, & rob(14;15)}
    {DH:31 all clear, "super sperm"}
    Ecstatically married July 30, 2011--TTC since Jan 2013:::Baby #1 due 9/11, Conceived on cycle #5 of Femara + Hcg + IUI
    ~Love and Light to everyone~ 
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    My furbabies--Mr. Bubbles and Miss Kitty <3
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  • Thank you all so much! You brought up things I wasn't even thinking about.
    Me:41  DH: 46 high count but poor motility & morphology
    TTC on and off since 2005

    July 2012: Infertility tests started at OB/Gyn, HSG and HSN all clear
    Sept 2012: IUI #1 w/Clomid - BFN
    Oct 2012: IUI #2 w/Clomid - cancelled due to cyst
    Nov 2012: IUI #3 w/Clomid - BFN
    Break to move and find new PCP, OB/Gyn & RE
    Sept 2013: first appt with RE
    Nov / Dec 2013: IVF #1 with ICSI split
      Dec 6: Retrieval, 4 retrieved, 2 mature, 1 fertilized
      Dec 11: Transferred 1 (Day 5)
      Dec 30:  HCG Beta, 4980. BFP!
     1 little bean!
    EDD: August 28 30 2014
    LO Arrived! August 31 2014

    All Welcome!

    image image
      Baby Birthday Ticker Ticker
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