I tend to forget what questions to ask when I'm in the presence of a doctor so I'd like to start a list.
Would anyone be willing to share the questions I should ask when I visit the RE on Tuesday? This is the first time I've talked to any medical professional about my cycles and TTC, and basically my goal is to figure out a game plan.
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TTC since Oct '09
Missed miscarriage 3/24/10 @ 16 wks, Partial Molar Pregnancy
Began our IF journey in May '11
Asherman's Diagnosis (cervical & uterine scarring) - Surgery 8/17/11
IUIs #1-#5 & 1 canceled IUI, IVF #1, 2 FETs - all BFNIVF# 2 December '12, BFP 1/13! EDD 9/21 Complete Previa and Short Cervix. C-section scheduled for 9/3
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Re: 1st RE appt on Tuesday - questions to ask?
Do you have any specific problems during your cycles that you know of?
Did your RE give you papers to fill out about your history?
I have been all over the place with my O timing...anywhere from CD16 to CD CD29. My luteal phase is on average 12-13 days long, but have been as short as 11 days long. I'm concerned about both of those things (less so the LP length).
They want me to come in 15 minutes before my appointment to fill out paperwork, and they've got my medical files.
TTC since Oct '09
Missed miscarriage 3/24/10 @ 16 wks, Partial Molar Pregnancy
Began our IF journey in May '11
Asherman's Diagnosis (cervical & uterine scarring) - Surgery 8/17/11
IUIs #1-#5 & 1 canceled IUI, IVF #1, 2 FETs - all BFN
IVF# 2 December '12, BFP 1/13! EDD 9/21
My RE had me fill out a bunch a papers about everything that had been going on. I also brought in all my charts.
The 12-13 day LP is perfect, even the 11 days is considered "fine" - under 10 is too short. Depending on how often the 11 day LPs occur, you could ask about B6 or vitex or even progesterone supplementation to lengthen your LP.
But really, this question will be better AFTER the RE has done some initial tests. have you had an HSG done? If not, they'll probably want to do that and/or an SHG. They'll probably test your FSH and E2 (ovarian reserve) on CD3, but insist on an AMH test. It's a much more reliable predictor of ovarian reserve than FSH. They'll probably do an u/s just to get the lay of the land and potentially an antral follicle count, depending on what CD you're going in.
I don't know much about your history aside from what's in your siggy, but that info leaves it soooo wide open as to what the RE might want to do, test, etc, that it's kind of hard to give advice right now. But definitely ask about AMH if he mentions wanting to test your ovarian reserve.
The list of tests my RE ordered is in my siggy. He was pretty straight forward about it, so most of my questions were about timing and who/where the different tests would be done. I asked questions about what each test would specifically be looking for, and what the procedures would be if anything was discovered in any of the tests. It was a ton of information to take in, but I'm glad to have had it all laid out like that.
Most of my questions have really been for the nurses and billing people. Lots of questions about procedure and diagnosis codes in order to get things through our insurance.
Good luck with your appointment! I hope you get a clear picture of where things will go from here and lots of good vibes from your RE!