This cycle: Sperm analysis and HSG

bluek210

We did our first clomid cycle after my PCOS dx, and I'm not preg.  Not sure why she wanted us to wait to do the SA, but at least it's getting done (Friday). I have my HSG Monday and have done my online research - not so much looking forward to that.  Start my second round of Clomid today.  Only been down the 3T road for a month and it's already getting old!

 

Just venting I guess. Already sick of the bloodwork and poking and meds and all the detailed planning. And of course my husband is supposed to travel for work right around O-time - I'm stressing, but he has assured me he'll make it work and postpone if need be. 

 

Not to mention, the a/c went out in my car this weekend and is costing $1500 to fix, and the HSG is costing another $750 due to our huge-ass deductible.  It's a rough week. 

 

Blergh!  

KdgTeacher

Why are you starting and possibly wasting another round of meds before getting these tests done?

MsGMChick

bluek210:

HSG is costing another $750 due to our huge-ass deductible.  It's a rough week. 

 

Blergh!  

At least you have insurance for IF. It's more than a lot of people can say.

Just sayin' 

bluek210

Actually, my insurance only covers diagnostic testing, not treatment, so I'm just getting the benefit of having an insurance "rate," not actual coverage.

 

The doc said she wanted me to do the Clomid again this month because my ovulation is for sure an issue (with the PCOS), and that we can do treatments before this month's ovulation for both a sperm problem and a blocked tube.  I guess I'm glad she's proactive, but it does seem concerning.

KdgTeacher

bluek210:

Actually, my insurance only covers diagnostic testing, not treatment, so I'm just getting the benefit of having an insurance "rate," not actual coverage.

 

The doc said she wanted me to do the Clomid again this month because my ovulation is for sure an issue (with the PCOS), and that we can do treatments before this month's ovulation for both a sperm problem and a blocked tube.  I guess I'm glad she's proactive, but it does seem concerning.

Can I ask if by "doc" you mean an RE?  or an OB/GYN?  What treatment would you do for "a sperm problem" if one is found?

MsGMChick

KdgTeacher:

bluek210:

Actually, my insurance only covers diagnostic testing, not treatment, so I'm just getting the benefit of having an insurance "rate," not actual coverage.

 

The doc said she wanted me to do the Clomid again this month because my ovulation is for sure an issue (with the PCOS), and that we can do treatments before this month's ovulation for both a sperm problem and a blocked tube.  I guess I'm glad she's proactive, but it does seem concerning.

Can I ask if by "doc" you mean an RE?  or an OB/GYN?  What treatment would you do for "a sperm problem" if one is found?

 

bluek210

RE.  

Why is everyone so touchy? Just wanted to vent. 

EDIT: No idea what she would do for a "sperm problem," as I'm not the doctor. But when I asked her about not doing the Clomid this cycle and waiting for test results, she said she'd rather not waste time. Shrug. 

MsGMChick

bluek210:

RE.  

Why is everyone so touchy? Just wanted to vent. 

I wasn't aware we were touchy? I told you to be thankful you had any coverage for IF and KDG asked you an honest, seriously important question.

You're starting Clomid before you have any idea if you have blocked tubes or your husband has no sperm. How is she planning to "fix" those things suddenly in time for the clomid you're taking now to work? 

KdgTeacher

bluek210:

RE.  

Why is everyone so touchy? Just wanted to vent. 

EDIT: No idea what she would do for a "sperm problem," as I'm not the doctor. But when I asked her about not doing the Clomid this cycle and waiting for test results, she said she'd rather not waste time. Shrug. 

I'm not being touchy.  I was asking questions...that's what happens around here.  I was asking those questions because, truthfully, I find it laughable that any DR would be able to "fix a problem" like a sperm issue or a blocked tube when a patient has already started a medicated cycle in time to actually have a chance to ya know...work. 

MBJune

I agree with everyone.  I made the mistake of taking one unmonitored cycle of Clomid before my husband had his SA done and I will not do it again after reading about everything to be concerned about.  I don't think your doctor is doing the right thing by waiting until after you start a second cycle of Clomid before your HSG and an SA.  You cannot take a medicated cycle back, and they recommend only a max of 6 Clomid cycles.  I think you should find a second opinion, even if it means waiting.

Durham1008

Kdg is right. How are you supposed to fix anything after you've already taken the Clomid? It's too late then. You don't know at this point if your only issue is PCOS.

alb245

MsGMChick:

bluek210:

RE.  

Why is everyone so touchy? Just wanted to vent. 

I wasn't aware we were touchy? I told you to be thankful you had any coverage for IF and KDG asked you an honest, seriously important question.

You're starting Clomid before you have any idea if you have blocked tubes or your husband has no sperm. How is she planning to "fix" those things suddenly in time for the clomid you're taking now to work? 

Listen to these ladies! They are seriously such a wealth of information and knowledge.  It is fine to come on here and vent (Lord knows I've done it before).  Everyone is trying to be helpful and offer you advice based on their multitude of experiences. 

Also, it's helpful if you are able to put some information about yourself in your siggy (diagnosis, tests, treatment, etc) even though you mentioned some of it in your post.  That way people know what you have already had done and can offer better suggestions or advice...even if you just came here to vent.

It sounds like you were already questioning your RE about doing another medicated cycle prior to all of the testing.  And if you are OOP for treatment, wouldn't you want to wait until after the HSG and SA to make sure you weren't spending money for no reason? 

GL with your testing!

MrsPiz053009

katyj25:

KdgTeacher:

Why are you starting and possibly wasting another round of meds before getting these tests done?

This. :::headdesk:::

This: my OB wanted to start me on Clomid without even asking what CD I was on, thanks to these ladies I know to wait for our RE appt on 6/26. Listen to them..they know.

violetmarie61516

SweetC80:

OP, everybody is just trying to help you. I know it's hard to be patient, but you need to take PPs advice and get your testing done before more Clomid.

I am currently learning the hard way. I knew I had a problem and didn't push the SA, and come to find DH might have MFI. I wasted 2 medicated cycles, and you don't just "fix a sperm problem". 

I hope you don't have any additional issues, good luck. 

This.  Like everyone else has already said, which we aren't trying to jump down your throat, we want to make sure you are educated and make the right choices the first time around.  Many pp have learned the hard way.

For example, what are you going to do if there are no sperm or tons of sperm but no motility.  This cycle and meds will be a complete waste.  You only get a max of 6 Clomid cycles a lifetime and I would make sure you have all your T's crossed before moving forward.  Trust us when we tell you, there isn't a quick fix for anything when it comes to IF.

sarah_e87

bluek210:

Actually, my insurance only covers diagnostic testing, not treatment, so I'm just getting the benefit of having an insurance "rate," not actual coverage.

 

The doc said she wanted me to do the Clomid again this month because my ovulation is for sure an issue (with the PCOS), and that we can do treatments before this month's ovulation for both a sperm problem and a blocked tube.  I guess I'm glad she's proactive, but it does seem concerning.

I'm going to say this as gently as possible. She's not being proactive. She's being irresponsible as a medical provider. It's very irresponsible for an kind of doctor to say the bolded...especially since sperm is produced months before it's seen and "treatments" take several months before there is any possibility of improvement from treatment (in other words, the sperm that's being used now was produced 2-3 months ago). How is she going to speed up sperm production in just a few days? Also, completely blocked tubes require surgery. Sometimes they can be opened and repaired, other times they can't and just have to be removed.

Sony22

Hi Bluek210,

I'll have my HSG this month too. My husband's SA have been so different, we have to repeat them to see what his real count is. Initially, I was pretty angry about having to do the eval when I felt my DH low count was the problem but now I understand a little better. Tx won't work if something is wrong with me too.

Can you message me after the HSG to let me know how it goes?

Also, how old are you and how long have you guys been TTC?