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preemptive testing?

I don't do "wait and see" very well. I know it can take the average person up to a year to get pregnant. We are on cycle #4. DH had a SA done for precautionary reasons (was near Chernobyl when it blew), and he's fine. I'm considering calling my doctor to set up an appointment for a few weeks from now. If we're successful, it can be the "verification" appointment. If not, I want to talk to her about doing some preliminary tests to identify any potential problems.

If there are no problems, and we both get totally clean bills of reproductive health, then there's nothing to be done but keep at it, and I can accept that. But I would HATE to give it a year before going in, only to find out there was a problem that could have been identified 8 months earlier. 

So, if this ends up happening, what kinds of preliminary tests would they do? What is the "first line" of problems to look for? Any suggestions?

(trying to predict any questions: been off BCP since early May, was immediately regular, cycles are 30-32 days, this is my second month charting, I have read TCOYF.) 

Dear Bump: You suck.

Re: preemptive testing?

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    I don't know that your doctor will do testing if you haven't been TTC for an extended amount of time unless there is some pre-existing condition present. I would also doubt if your insurance would cover the tests if you went in so early...hth.
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    I am doing the same thing. We haven't had an SA done yet, but I have done bloodwork and an ultrasound to get me checked out. I have an apt next week to see what the doctor says about all that. if she wants us to go for an SA then we will do that. I also was on BCP, came off and am very irregular.

    She'll probably do bloodwork, and an ultrasound, and go from there. She'll look for signs of PCOS and then work from there. I think thats the typical line of action they take...I could be wrong though.

    GL!!

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    So you've made it all the way through one 2ww charting and you're ready to get tested? Why don't you leave those appts for women who actually need them? There is a reason doctors say to wait a year before testing...because it's perfectly natural for it to take that long.

    ?

    Unless you're over 35, you probably need to settle down.?

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    Unless you have some pre-existing condition that would warrant it most doctors will not do testing before you've been ttc for 12 cycles. 

     

     

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    I should have been more specific: 2nd month charting temps, 4th month charting cycle (CM, etc.), so will be 4th 2ww. I'll be 30 in a few months and my doc said 6 months for 30-year-olds. I just don't want to waste time if there is a problem...I'd rather know early on and be proactive about it. And if there isn't, it'll help me CTFO (chill the f*ck out). I know it's probably jumping the gun a bit, but like I said, I don't do "wait and see" very well.
    Dear Bump: You suck.
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    Well.. if you are going to have a child you need to learn paitence.  If you do get tested early you are taking the spot of someone who has tried for the proper amount of time.  It is selfish and childish.  Wait your 12 months just like everyone else.. you are on cycle #4.. suck it up and deal..

    Sorry.. but people like you piss me off.. I have IF issues.. I knew about them before I ever started TTC yet I was good enough to wait my 12 months and you should too.. grrrrrrrrrrr

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    We went to the doctor one month ago and she wanted me to do the bloodwork on CD3, CD21, and HSG and DH to do the SA. I think those are the regular tests that doctors would want you to do.

     

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    Chill. If you really want go for testing on cycle 5 - maybe you should see a shrink first.
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    Please, please, please do not take an appointment from someone who needs it. You are only on cycle 4 and not even thirty. You need to calm the crap down. As you've said the average couple takes 6-12 months to get KU. You aren't even there for goodness sakes.

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    Personally I had all the testing done before hand because that's what my doctor recommended that we do to make sure everything was good. That being said, I do live in Canada and based on a lot of the posts that I have read things appear to be a bit different in the States. All of the blood work and everything was covered because that is part of our regular health care. I don't think I would have been doing all that if I had to pay out of my own pocket but I'm not in that situation so I can't be sure . . .

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    honestly i have no clue what the preliminary tests would be. i would just ask your doctor what she would recommend you do. she might tell you to keep trying for a while or she might order some test. it will most likely depend on what kind of insurance you have.
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    I haven't started TTC yet, so unfortunatly I don't have much (well, any) help for the OP, but some of the PPs brought up a question for me.

    Several people have said that if the OP gets tested that she is taking the chance to get tested away from someone else. Wouldn't a preliminary screening appointment be made with a regular GYN just like any appointment? If that is the case, why would that mean that someone else would not be able to get tests done? It seems like as long as the GYN has appointments available then everyone should be able to get seen.

     Like I said, I haven't started TTC yet, so I could be unaware of how all this works.

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    oh jesus, mary and joseph

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    To put it nicely, you probably should chill out a bit.  You're being pro-active by charting...it's not like you're sitting watching the world go by.  When you're first trying, its supposed to be a happy & fun time for you and your DH.  Enjoy the process and enjoy the excitement it brings to your relationship.  All the hope, all the what ifs...you still have that!!!   I'd rather have that back than the knowledge that I am infertile.

    Sometimes it just takes couples a little longer, and ditto pps, 6-12 is AVERAGE.  Some people get pg right away, some don't.  You're not even to the middle of the pack yet!  I don't think that freaking out is warranted yet.  You're not in any pain, you're not bleeding for days and days out of the month are you?  If that were the case, I'd agree that you would need to be looked at/tested.

    So you want to go for testing already?  Have you thought this through further?  What then when you find out something?  Start on treatment that isn't pleasant and could have nasty nasty side effects?   Other than the prospect of the outcome, no one is thrilled to be undergoing what they are undergoing.  Clomid/Femara etc etc.....these aren't wonderdrugs....and unfortunately not everything is an easy fix. 

    I'm not trying to be mean, I'm trying to offer some perspective.

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    I'm getting a preemptive appoinmtent with my Ob/gyn, too. It will be my annual in Nov. (month 11, cycle 12).  I don't want to "waste" my time waiting for a full year if there is a problem either, but you know what?  Life's not fair and sometimes you don't get everything you want.

    If my annual had been a few months ago so I could ask about things I would have loved it. But since it wasn't, and charting hasn't thrown out any red flags, I waited my turn.

    And yes, I am being snarky, because today is just a bad day for me and I shouldn't have opened the post - but I did. and that's life too.

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    Jennifer*L -- I appreciate the perspective. Sometimes the verbal b!tch-slapping back into reality works, but this time I truly appreciated the calmer perspective you took. I know charting is doing something, it just sometimes feels like it's so little. You weren't mean at all--thanks again.
    Dear Bump: You suck.
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    Since you deleted my blog comment, I'll post it here as well....

    "I don't know you but I feel the need to comment. I suggest you read through some IFers blogs, see what they go through, just so you can appreciate what you have and where you are in your TTC journey.

    This is way too early to be bitter or be feeling hopeless. You have no idea what bitterness or hopelessness is like at this moment and for that you should be glad.

    I suggest you do this because if you continue on with all this angst and don't get pregnant right away....I can't even imagine how you are going to handle it."

    I was being perfectly honest and nice. I'm sorry you felt the need to delete it.

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    I wanted to add that 20% of couples are infertile.  The good news is that odds are in your favor, you know?  There's an 80% chance that nothing would turn up!

    If you've already elimiated the possibility of your DH causing a problem, that's 1/3 of the battle, as stats I've read say that MFI contributes to about 30-40% of that original 20% of couples.  I'm too lazy to break it out exact for you, but that ups your odds further.

     

     

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    imageChrysallys:

    Since you deleted my blog comment, I'll post it here as well....

    "I don't know you but I feel the need to comment. I suggest you read through some IFers blogs, see what they go through, just so you can appreciate what you have and where you are in your TTC journey.

    This is way too early to be bitter or be feeling hopeless. You have no idea what bitterness or hopelessness is like at this moment and for that you should be glad.

    I suggest you do this because if you continue on with all this angst and don't get pregnant right away....I can't even imagine how you are going to handle it."

    I was being perfectly honest and nice. I'm sorry you felt the need to delete it.

    I do know there are women who have been through 1,000 times more heartache than I have, but I will never understand the idea that that makes the pain and disappointment I feel somehow unreal or undeserved or unworthy. I'm not bitter. I'm not hopeless. I'm sad when AF arrives, and I'm scared every month longer it takes that there might be something wrong. Sadness and fear are normal in the face of the unknown, of not realizing your goal.

    Dear Bump: You suck.
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    I would give your doctor a call and see what she thinks about it. She knows your medical history and can tell you if there is any reason for preemptive testing. Two months of charting isn't a long time and I bet he/she will want to see at least another 4 months before you go in for an appointment. If it will make you feel better make that appointment. I remember that feeling in the begining of wanting to do something but not knowing what. It probably wouldnt hurt to find something else to occupy your time so you dont think about it so much. Sorry for all the negative responses. Hang on and be patient.

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    RSS - I'm the same age as you (30), and also went off the pill in the Spring. My doctor said the same thing -- "if you don't have any luck after 6 months, give me a call". I think she just meant so I could come in and chat with her, not that we would start vigorous testing right then or anything. Perhaps that's what your doctor meant too.
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    There are some pretty harsh responses to your message that are totally unwarrented.  I suffer IF issues so I understand where the frustration comes from in reference to your prespective.  As far as the message that said 4 months isn't pain and sufferening....that's a bunch of crap.  It is painful at all times.  I have suffered years of IF and it has sucked the whole time it just gets more frustrating the longer it goes on.  As far as "please don't take a appointment from someone who has been trying for years"....that person would not be going to a regular OB and should be going to the many fertility specialists that wouldn't even see you in the first 4 months. I assure you any times I've been in my fertility specialist office there is not a couple in there that hasn't been ttc for over a year. Everyone knows stress can cause IF so maybe you just need reassurance from your dr. that your charts look normal and just 'sit back and relax '.   Whatever makes you feel at ease...

     

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    imageMrs White:

    Well.. if you are going to have a child you need to learn paitence.  If you do get tested early you are taking the spot of someone who has tried for the proper amount of time.  It is selfish and childish.  Wait your 12 months just like everyone else.. you are on cycle #4.. suck it up and deal..

    Sorry.. but people like you piss me off.. I have IF issues.. I knew about them before I ever started TTC yet I was good enough to wait my 12 months and you should too.. grrrrrrrrrrr

     

    ditto MrsW 100%!  (and Chrysallys's many comments  too!)

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