Trouble TTC

Advice on appointment (loss mentioned)

Hi all, I am new to these forums. Husband and I have been trying to conceive since March 2016, with one miscarriage at 6 weeks back in June. Family has been hounding us about when we are having kids, but just don't have the heart to reveal the struggles yet. I am pretty convinced I have some hormonal imbalances (low progesterone) contributing to our difficulties so i made an appointment prior to the 1 year mark. Looking for any advice on what to expect and what to be prepared for at the appointment with the OB/GYN. I want to make sure I have answers for all her questions, I just really don't know what o expect! Thanks in advance, and good luck to all!!!

Re: Advice on appointment (loss mentioned)

  • Welcome @knottie1442369217 .  Sorry for your loss and the difficulty you're experiencing TTC.
    For us the first appointment with our OB/GYN regarding difficulty was very relaxed.  It was really just about a 15 minute conversation recapping my cycle details (when was your last? are they regular? heavy? how long do they last? painful?).  Then he ordered labs for both my husband and myself.  Once the labs came back they called with the results and for me reviewed them over the phone and went over next steps.  From there it will depend on the lab results as to what the next steps are.
    December FET Spreadsheet
    TTC History in spoiler  Instagram
    Me 35 - DH 42
    Married Oct 2007
    TTC Since Oct 2010 - MFI Diagnosis 2012 (Morphology 1% + High DNA Frag)
    IUI x2 in 2012 - BFN
    IVF #1 Feb 2018 - 9 Retrieved - 8 Mature - 5 Fertilized - 2 Snowbabies - no testing
    FET#1 March 2018 - BFP - MMC May @ 10w4d
    FET#2 July 2018 - BFN
    IVF #2 Nov 2018 - 10 Retrieved - 10 Mature - 8 Fertilized - 2 Snowbabies - no testing
    “Never give up on something that you can't go a day without thinking about.”― Winston Churchill
  • Knottie1442369217, I’m sorry for your loss and that you find yourself here. I approached beginning the IF treatment process slightly differently in that I mostly skipped my OB/GYN entirely except to ask her for an RE recommendation. (We also knew from DH’s urologist that MFI was a factor, and my OB did request to see a copy of his SA, but has otherwise been out of the picture.) Regardless, I’m sure your meeting will probably be similar to our first RE appointment in that your OB will take a medical history/TTC history and either refer you to a specialist or take some initial blood work and get an u/s. I was super nervous that the RE would laugh us out of the office, but that was not the case, and I know won’t be the case for you, either.

    I’d go in with some questions written down. Like, if you think you have low progesterone, bring that up and express your concern. And ask your OB what next steps will be after your initial tests. 

    Good luck!
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  • Thank you for the advice! Just a couple days away now, getting anxious and excited to get the ball rolling.
    My main concern is describing period cramps and pain to the doc. I just don't know if I experience excessive pain or not! My hunch is that if I don't know, it's probably just normal cramping. But it is VERY uncomfortable and requires pain meds every month, just not sure. Any insight on degree of pain that indicates something out of the ordinary for cramps?
  • @Knottie1442369217 - mention it, for sure. I don't know what kind of pain meds you're on, but I'd definitely mention it.

    I was just reading today about how many women have fibroids, and their fibroids aren't detected until late because they don't seek help for their very painful periods. They just think the pain is normal. 

    Also, if there's one thing I've learned through all of this, it's that you have to be your own advocate. No one will take better care of your body than you, or care more about it!
  • I told my RE that I thought my bleeding and period pain was excessive.  The pain was enough to wake me up in the night and not be able to go back to sleep for an hour or more, only once 800mg ibuprofen kicked in.  I was bleeding enough that I sometimes had orthostatic hypotension.  I've had friends throw up from pain, though I have never been at that level (and everyone experiences these things differently).  I felt like the RE really took my symptoms into consideration - and gave the impression that it was important that I mentioned it.  I think it helped somewhat in diagnosing a lining issue and a polyp that I just had removed.  So don't be shy!
    TTC History in Spoiler
    Me: 29  DH:34
    TTC 21 cycles
    All TI cycles BFN (with letrozole, ovidrel, prometrium)
    Hysteroscopy + Polypectomy + D&C on 1/3
    IUI #1 February 6, BFP 2/21, CP 2/26
    IUI #2 March 14, BFN
    IUI #3 April 11, BFN
    IUI #4 May 11, BFN
    July 2018 IVF, developed lead follicle, converted to TI, BFN
    August/September 2018 IVF converted to freeze-all: 7 mature eggs; we fertilized 3 and froze 4. 3/3 fertilized and 1 blast!
    October 2018 FET-BFN
    November 2018 FET-TBD

  • hoffmanr7hoffmanr7 member
    edited January 2018
    I would definitely mention it.
    Me:33, DH:38 Married: 8/2/2014
    TTC #1 Since: April 2015
    Unexplained Infertility

    Cycle 1&2 : Clomid 50mg- BFN
    Cycle 3: Letrozole 2.5mg- BFN
    Cycle 4: Letrozole 5mg- BFN
    Cycle 5: HSG-normal
                  Clomid 100mg+ Estrace- BFN
    Cycle 6: Letrozole 5mg+Trigger shot+IUI+Progestrone- BFN
    Cycle 7: Letrozole 5mg, Cyst found during follicle check
    Cycle 8: Birth control to treat left ovary cyst
    Cycle 9: Letrozole 7.5mg+Trigger shot+IUI+Progesterone- BFN
    Cycle 10: Letrozole 7.5mg, 2 Cysts found during follicle check
    Cycle 11: Clomid 100mg+Estradiol+Trigger shot+IUI+Progesterone- BFN
    Cycle 12: Clomid 100mg- BFN
    Cycle 13-16: Natural attempts while awaiting IVF 
    Cycle 14: IVF-BFN

  • Hi there - I saw you also posted on the check in - please go back to the knot, change your user name, log out of here, log back in and then your new user name should appear. Then it’s much easier for us to recognize you, tag you and reply to you in other threads  :)

    Some REs will take you without a referral from an OB. But some insurance might require the referral. So I would suggest to check your insurance, and if not needed take yourself to an RE if you already know you have problems. The one thing you have to do in IF unfortunately is advocate for yourself - or in other words be pretty pushy!
    Me 43 DH 45
    Married 12/2016
    TTC #1 since 04/2015
    AMA, DOR (AMH 0.65, AFC 2-4) and autoimmune issues (RA, APS), low TSH, adenomyosis
    7 retrievals, 3 transfers
    Jun19 FET BFP, due date 7th March 2020, DD born Feb20
    Sep17 IVF1 - 1ER, 1F, 1ET, BFN
    Nov17 IVF2 - 1ER, 0F
    Jan18 IVF3 - 3ER, 1F, 1ET, BFN
    Feb18 - second opinion and additional testing
    Apr18 IVF4 - cancelled (E2 too high)
    May/Jun18 IVF4 - 4ER, 0M, 1F, 1 frozen day 3 (not best quality)
    Jun/Jul18 IVF5 - 5 ER, 3M, 2F, 2 frozen day 3 (not best quality)
    Jul/Aug18 IVF6 - 4ER, 3M, 2F, 2 frozen day 3 (good quality)
    Aug/Sep18 IVF7 - cancelled (cyst)
    Sep/Oct18 IVF7 - 3ER, 3M, 2F, 2 frozen Day 3 (excellent quality)
    Oct18 IVF8 - Cancelled (cyst and too low TSH)
    Oct18-Jan19 bringing TSH under control
    Feb19 ERA and hysteroscopy
    Mar19 Investigation for fibroid and adenomyosis
    Apr19 adenomyosis confirmed, polyps removed
    Jun19 FET after 2 months Lupron, autoimmune protocol, transferred two day 3 frozen embryos
    Sep17 - Pergoveris 10-17 Sep, Orgalutran 15-18 Sep, Ovitrelle 18 Sep, ER 20 Sep for 2 follies, 1 mature egg, fertilized, ET 1x 2d 4-cell embryo 22/09, 05/10 BFN
    Nov17 IVF2 - Pergoveris 2-14 Nov, Orgalutran 5-14 Nov, Ovitrelle 15 Nov, ER 17 Nov for 3 follies, 1 mature egg, did not fertilize
    Jan18 IVF3 - Pergoveris 30 Dec - 8 Jan, Orgalutran 5-8 Jan, Ovitrelle 9 Jan, ER 11 Jan 3 eggs, 2 mature, 1 fertilized, ET 1x 4d 12-cell embryo 15/01, 24/01 BFN
    May/Jun18 IVF4 - Rekovelle 25-29 May, Menogon 30May - 2Jun, Zomacton 25 27 29 31 May and 2Jun, Cetrotide 30May - 3Jun, Gonasi 3Jun, ER 5Jun 4 eggs, none mature, two matured overnight, 1 fertilized with ICSI, Frozen day 3 but not good quality
    Jun/Jul18 IVF5 - Rekovelle 21-24 June, Menogon 25Jun-3Jul, Puregon 4-5Jul, Zomacton 21 23 25 27 29 Jun, Cetrotide 25Jun-5Jul, Gonasi 6Jul, ER 8Jul 5 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 but not good quality
    Jul/Aug18 IVF6 - Rekovelle 26-29 Jul, Menogon 30Jul-7Aug, Buserelin 26Jul-7Aug, Zomacton 26 28 30 Jul 1 3 Aug, Gonasi 7Aug, ER 9Aug 4 eggs, 3 mature, 2 fertilized (normal IVF), 2 frozen day 3 good quality
    Sep/Oct18 IVF7 - Menogon 19-30Sep, Buserelin 19-30Sep, Zomacton 19 21 23 25 27 Sep, Ovitrelle 1 Oct, ER 3 eggs, 3 mature, 2 fertilized with ICSI, 2 frozen day 3 excellent quality 

    Fav Quote: The greatest thing you'll ever learn is just to love and be loved in return

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