Trouble TTC

Am I expecting too much from my RE?

I sent her an email today asking questions about DH's SA.  I specifically just asked about the debris and round cells found.  I also asked if IUI (which was previously suggested by her) would help greatly because of the wash.  Here was her response:

"Concentration is low, but total count is normal. Motility is low. Morphology is normal The statement-- "The results obtained may be inaccurate due to the presence of cell clumps or debris in the counting chamber." is a standard disclaimer put on all semen analysis reports. The amount of debris and round cells is not unusual, as no comment was made. The round cells were less than the amount that would be a concern. IUI may help, or IVF."

Am I expecting to much out of my RE to have a little more of a response to the IUI besides it "may help"?  And why is she mentioning IVF now when we have never discussed it?!

Sorry this was so long, I just feel so lost with the RE's I'm dealing with and I can't find my way out.  TIA!! 

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After almost 2 years of TTC and fertility treatments we got a surprise BFP in May 2013
1/14/14 Baby Boy!! 
TTC for #2 October 2015

Re: Am I expecting too much from my RE?

  • I always think its hard to tell people's tone and such in emails.  I would definitely want to have an appt or at least a phone call to discuss your concerns. 
    CafeMom Tickers
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    TTC since July 2011
    BFP #1: 2/15/12-Ectopic/Mtx at 6 wks

    BFP #2: 10/12/12-m/c at 5 wks. 
    BFP #3: 8/27/13
    Me: MTHFR, Low AMH (1.1), High NK cells and Antiphospholipid Antibodies.
    DH:MFI-Low morph (1%), DNA fragmentation: Excellent!
    5 rounds of clomid, 3 IUIs, and multiple non-medicated cycles- BFFN                                                      
    IVF with ICSI in August 2013 brought us our babies.  ER-9R, 7M, 4F w/ICSI  ET of 2-Grade 2 blasts. 
    + HPT at 6dp5dt. #1 (8dp5dt)- 105    #2 (13dp5dt)- 510  #3 (15dp5dt)- 960  #4 (17dp5dt)- 1889
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  • You are both right.  It is hard to know tone through email.  I think I'm just so sensitive right now that I am over thinking everything.  Thanks ladies!
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    After almost 2 years of TTC and fertility treatments we got a surprise BFP in May 2013
    1/14/14 Baby Boy!! 
    TTC for #2 October 2015

  • ky29ky29 member

    We are dealing with MFI - low motility.  RE says the count is good though.  (So it sounds similar to yours)  He suggested IUI, but said we won't know if it's possible until we do a wash - to make sure the numbers are high enough.  Maybe that's what your RE is thinking too?  We are going to schedule an IUI, but also knowing that if the numbers are too low they won't do it, therefore needing IVF. 

    image
    TTC since March 2012
    DX: MFI (4% motility)

    Cycle 13: Natural cycle w/ HSG test = BFP
    Identical twins! 
    Lost my angel boys at 10.5 weeks

    Cycle 14-16: Natural Cycles = BFN
    Cycle 17: Follistim + Trigger + IUI = BFN
    Cycle 18: Natural Cycle = BFN
    Cycle 19: Follistim + Trigger +IUI#2
    Polyp found: SIS 11/11 - hysteroscopy 11/14
    Cycle 20: Follistim + IUI#2 = BFFN
    Cycle 21: Follistim (adj. dosage) + IUI#3 TI  = BFN
    IUI cancelled due to weather
    Cycle 22: Follistim + IUI#3.1 = BFN

    Cycle 23: treatment break, IVF consult
    Cycle 24 - 26: natural cycle w/ acupuncture + Chinese herbs = BFN
    Cycle 27: Follistim + IUI#4 = BFFN
    Natural Cycles until IVF
    Cycle 30: IVF#1 - Starting with Menopur + Follistim + Ganirelix
    17 retrieved, 12 fertilized, 5dt w/ 2 blasts, 5 frosties

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  • I agree with the pp that just set up an appt either phone or in person and go over it. Remember this is your life and future, and if you don't understand or something is not made clear to you, ask!!!!!!

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    Married BF 6/29/2002/
    TTC Since Aug 2011/
    ME:34 all clear/DH:41 DX Severe MFI/
    IVF w/ICSI OCT 2012 Stims started 10/8/ER 10/19/12/ET 10/24/Beta#1 11/2=BFN (beta was 1.2)

    IVF 2.0-Baseline 11/7/12 beta 0/All Clear
    Stim start 11/7/12//ER 11/19 11M//10F
    ET 2 embies 11/24//Beta#1 28 Beta #2 23 Beta#3 29
    stop meds Beta#4 37/C/P 5W5D EDD:8/12/13/IVF#3 in Jan

    Ivf 3-frozen 3 poor 3day/fet=bfn

    Ivf#4 New dr. New protocol=beta1 197 beta#2 677 beta#3 1557
     u/s 8/13 =TWINS 2 strong hb
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  • I think this is typical email response from an RE.  They're not as personable in email, and I'm sure they want to be realistic without being too negative or positive.  If I was an RE and trying to be as straight forward and quick in my email responses, this is how I'd probably come across.  Try not to read too much into it, as you said...it's so hard to convey tone.

    TTC since July 2009. Dx MFI & LPD. 
    IUI#1&2&3 (2011 & 2012) BFN
    IUI#4 1/23/13 on 75iu x9 Follistim = BFP then chem preg m/c (Feb 2013)
    IUI#5 BFN (April 2013)
    IVF w/ICSI Oct. 2, 2012 - 13R, 11M, 7F, 1 frozen blast 4BB grade - - - FET Nov 15, 2013
    BFP! Beta 1:104 @ 10dp6dt, Beta 2:178 @ 12dp6dt,  beta 3:366 @ 14dp6dt
    Saw heartbeat twice before missed M/C at 8w3d on 12/27/13, missing my little angel boy
    JUNE 2014 IVF#2;  5R, 2M, 1F Three day transfer 6/7.  Beta 6/18 - BFN
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