I'm new - and have some RE questions :-)

Stretchad

Quick intro - My name is Ashley, I'll be 30 in September and have been married to my husband for just under 6 years. Together for 13.5 years! My husband and I have been TTC since October 2009. We got our BFP on new years day 2010 and on March 23rd learned I had a missed miscarriage and had a D&C the following day. A week later I was diagnosed with a partial molar pregnancy and had to wait until September 2010 to start TTC again. 

So since my D&C I've had pretty irregular cycles 27 days all the way to 42. This month is looking like it'll be almost 34 days long if I O today or tomorrow. I've also had much more noticeable O pain, longer periods. 

Anyway - I've been trying to get in to my OBGYN office to discuss my cycle irregularity and concerns I have about TTC since so far we've had six unsuccessful cycles with good timing in nearly all of them. It's been nearly impossible to get in to see her, so I decided to go ahead and just make an appointment with a RE to discuss things, and come up with a game plan. My appointment is on Tuesday.

 I was wondering what questions you'd ask if you were me during my appointment?  

KdgTeacher

Sorry about your loss. 

I've never experienced a loss, so my advice may be way off base, but I'm not sure that trying for 6 months with "good timing in nearly all of them" warrents going to an RE yet.  Are you charting your cycles to see if you O?  Even with somewhat irregular cycles, as long as you O and have a good LP, I don't think you have anything to worry about for a few more months.

Mrs.Slick

Some questions you might want to ask are about what testing will be done before hand. I think it's pretty standard for cd3 and 7dpo bloodwork, a transvaginal u/s, an hsg and a SA to be done as kind of "first steps" in testing. If treatments are discussed, I would ask what kind of monitoring will be done since all fertility medications carry some sort of risk that monitoring can help to some degree. 

However, if your RE is thorough, they should answer most of these before you ask. They'll want any records your OBGYN has and they'll want family history of your family and probably your dh's family too. Good luck! 

Stretchad

KdgTeacher:

Sorry about your loss. 

I've never experienced a loss, so my advice may be way off base, but I'm not sure that trying for 6 months with "good timing in nearly all of them" warrents going to an RE yet.  Are you charting your cycles to see if you O?  Even with somewhat irregular cycles, as long as you O and have a good LP, I don't think you have anything to worry about for a few more months.

Yeah, I've been charting my cycles since we started TTC. I do O, but it seems to be all over the place. Luteal phase length is 12-13 days on average but has been as short as 11.

I should clarify that I've had 6 active TTC cycles post my miscarriage (I'm on my 7th right now), and had a few cycles prior to my BFP for 10 TTC cycles total. 

I feel that I have enough reasons to consult a doc now about TTC vs. waiting a few more months just given my miscarriage cause, the aggressive D&C I had, and my irregular cycles with late(r) ovulation timing.   

seymourthepony

First off I am sorry for your loss. Second I see no problem with you going to the RE because your cycles should not be so inconsistent unless you have a condition. It seems to me something else is going on. After my m/c things were all over the place.

You should ask why your cycles are so inconsistent?

Ask if you need an Ultrasound?

If the person is a good RE they should order cycle day 3 testing as well as a Prolactin, Thyroid, FSH, progesterone etc.

KdgTeacher

Stretchad:

KdgTeacher:

Sorry about your loss. 

I've never experienced a loss, so my advice may be way off base, but I'm not sure that trying for 6 months with "good timing in nearly all of them" warrents going to an RE yet.  Are you charting your cycles to see if you O?  Even with somewhat irregular cycles, as long as you O and have a good LP, I don't think you have anything to worry about for a few more months.

Yeah, I've been charting my cycles since we started TTC. I do O, but it seems to be all over the place. Luteal phase length is 12-13 days on average but has been as short as 11.

I should clarify that I've had 6 active TTC cycles post my miscarriage (I'm on my 7th right now), and had a few cycles prior to my BFP for 10 TTC cycles total. 

I feel that I have enough reasons to consult a doc now about TTC vs. waiting a few more months just given my miscarriage cause, the aggressive D&C I had, and my irregular cycles with late(r) ovulation timing.   

That makes sense I guess.  I ditto all of Mrs. Slick's advice.

ChicagoWeded2007

Good luck at the RE.  Most REs are very thorough, so I'm sure he'll cover all the bases. If you forget something, you can call afterward.

I am sorry for your loss.  We also experienced a loss and we only waited about 6 months before starting testing.  But we started testing with an OB first, which took a lot longer and set us back by a few months.