Trouble TTC

What to expect from first visit?

This is month 9 TTC and my OBGYN doctor suggested seeing a fertility doctor to get some tests done, to see if everything is in working order for me and DH. 

I was wondering what to expect from the first visit and personal experiences with these appointments? I must admit I am a little nervous about it, as I've had some medical problems in the past (thyroid cancer 2.5 years ago) and after that experience I'm anxious about my body. I do know my hormone levels are fine, as I'm tested frequently. Thank you in advance! 


TTC since 4/12 
Me: 32, All clear, DH: 34, low count  
IVF /ICSI: 4/18/13~ OHSS~Freeze-all 
FET #1  6/28/13 BFN 
 FET #2  7/29/13 BFN
FET #3  12/16/13 BFN
*NEW RE*
IVF/ICSI #2  3/18/14 BFP, twins m/c 9w4d
IVF/ICSI #3 08/25/14 BFN
FET #4 10/14 BFN
IVF/ICSI #4 1/23/14 BFP Twins!
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Re: What to expect from first visit?

  • A lot of our initial testing was done w my obgyn so initial appt w the re was more of developing a plan. Initial testing usually includes a semen analysis for dh, cd3 lab work fsh, lh, e2,p4, prolactin levels possibly update your thyroid levels, a 7dpo p4 level, maybe a cd3 u/s and a hsg.
    "Everything will be alright in the end. So if it's not alright, it is not yet the end."
    Me:29 DH:29  TTC since 1/11 Dx: unexplained IF/early DOR/immune issues 
    Feb'12- July'12-testing(all clear minus slight arcuate ute), 3 IUI with clomid all BFN
    8/30IVF#1 Antagonist protocol- ER 9/11-8R, 7M, 5F. 
    ET 9/14 2 embies transferred. 1 10cell Grade 4, 1 8cell Grade 4. No frosties. BFN
    IVF#2 Antagonist protocol plus baby aspirin- ER 12/5-16R, 12M, 8F!
    ET 12/10 5dt! 1 fully expanded blast & 1 early blast. No frosties. BFN
    3/13 hysteroscopy & polypectomy, Consulted w Dr. Kwak-Kim.  
    DX: High NK cells, cytokines, DHEAs& PAI1;  hypothyroid, +APA, restricted bloodflow
    7/13 IVF#3 Long lupron protocol with PIO, Crinone, Prometrium, and vivelle
    (plus synthroid, metformin, baby asa, metanx, PNV, Vit E, D, calcium, fish oil, CoQ10, IVIg infusions and lovenox per Dr. Kwak-kim)
    ER 7/19 14R, 11M, 9F(4 natural fert, 5 with ICSI)
    ET 5dt 7/24 2 fully expanded blasts.  SURPRISE 3 FROSTIES!!!
    Beta #1 8/2 335!!!! Beta #2 829!!!  1st u/s 8/14 showed TWINS!!!!!
    11/11: TEAM PURPLE!!!!!
    3/21/14-L&W born at 37w via csection

    Here Comes the Sun Blog
    PAIF/SAIF welcome!
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  • imagemegs3084:
    A lot of our initial testing was done w my obgyn so initial appt w the re was more of developing a plan. Initial testing usually includes a semen analysis for dh, cd3 lab work fsh, lh, e2,p4, prolactin levels possibly update your thyroid levels, a 7dpo p4 level, maybe a cd3 u/s and a hsg.

    All of this.

    Also my RE just went over a complete medical history with both DH and I, as well as go over a potential plan of tx for us.  

    Me: 37, DH: 35 :: TCC since 2/11 SA: Perfect! CD3  HSG = Blocked Right Tube
    April- Femara 2.5mg + Trigger + IUI = BFN   May- Femara 5mg = CX - No Response on Left = BFN
    June- Femara 7.5mg + Trigger + IUI = BFN  August- Lap & Hysteroscopy = Blocked & Partially Blocked Tubes
    September- Femara 5mg = CX - No Response on Left = BFN  October- 100mg Clomid + Trigger + TI = BFN
    IVF # 1: Stims 11/30 ER 12/12/12! (10R, 10M, 8F, 2T, 6 F) :: Beta #1- 176  c/p @ 4w4d
    FET #1 February 26th :: Lost 4 to Thaw, Transferred 2 = BFFN
    IVF # 2 Stims 5/10 ER 5/21 (15R, 13M, 13F, 2T, 7F- 6d3 & 1d5) :: Beta # 1- 15 c/p @ 4w
    FET #2 Cancelled, Right Tube Developed a Hydro  8/28 Hydro & Scar Tissue Removed  Cleared for FET
    FET #2.2 Scheduled for September 20th
    2 Thawed, 2 Transferred! Beta #1- 96, Beta #2 906! :: EDD June 10th
    2015- 2 failed FET. We are done
    SURPRISE! BFP 8/8/16   EDD 4/1/17

     
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  • My first visit with my RE consisted of going through our medical history, blood work and an ultrasound.  I had already had a HSG done and DH had a semen analysis done.  It's a lot of info gathering and putting together a plan.  Check out Resolve.org for questions to ask on your first appointment.  It was a lot of help for me.  Good luck!
    Brandon Le born 9/9/13 as a result of IVF#1


  • My OB didn't do any testing, just had me on clomid for 6 months. When we first met with a fertility specialist, they did a thorough history for both my husband and I and then recommended a whole panel of tests. It's overwhelming, but hopefully you will come out with a good plan that will work for you!
  • For our first appointment, DW was on CD 4, so they did a bunch of initial testing right then.  The standard CD3 testing can really be done CD2 to CD4.  So she had bloodwork and a transvaginal ultrasound.  I was really glad ladies here had told us to expect the "vag cam", or DW would have been very unpleasantly surprised.

    At our first appointment, we went over the testing we'd already had done (CD3 FSH & estradiol, semen analysis) and what testing we still needed (AMH, transvaginal ultrasound with antral follicle count, saline ultrasound).  Then she discussed our treatment options and asked which we thought we'd like to do.  We actually weren't prepared to answer that question, so we told her we'd have to talk about it and get back to her.  After our visit with the doctor, we met the nurse we'd be working with and then they did the bloodwork and transvaginal ultrasound.  The whole appointment took about 2 hours.

    Same sex couple TTC with donor sperm.  I am 35 and carrying.  Endometriosis and DOR.
    AMH 0.5, AFC 5-8, FSH 7ish

    IVF #1 - antagonist.  Empty follicle syndrome.  1 retrieved, 0 fertilized.
    IVF #2 - antagonist.  Ovulated early.  3 retrieved, 2 fertilized, 0 blasts
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