Trouble TTC

1st RE appt tomorrow! Help!!

Do you have any suggestions as to what kinds of questions I should ask??

I'm planning to ask how many cycles of meds and TI they do before moving on to IUI...and a few other questions I've written down.

What did you ask?...or wish you'd asked??

Thanks!!
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Anniversary

Re: 1st RE appt tomorrow! Help!!

  • Ask if they have weekend hours if needed, if they do a trigger with meds and TI?  

    Have a good appointment! 

    CafeMom Tickers
     Anniversary
    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
    Dx shortened cervix, PTL, and preeclampsia during pregnancy.  Lots of medications and 13 weeks of bedrest, babies were born healthy at 34w4d!


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  • RunCC37RunCC37 member
    PP already asked the questions I'd suggest... just want to say good luck!
    **SIGGY WARNING**

    Me: 32 DH: 35  TTC#1 since March 2012
    Dx: Poor Embryo Quality, Arcuate Uterus, Poor Uterine Blood Flow, Mild Endo, 
           Protein S Deficiency, Sjorgen's Syndrome 

    IUI #1-5: BFN
    Laparoscopy & Hysteroscopy: minimal endo, partial septoplasty
    IVF #1: 10R/6M/6F ~ Day 3 ET = BFN
    IVF #2: 14R/9M/5F ~ transfer canceled ~ all embryos arrested at 1-2 cell stage
    IVF #3: 9R/5M/5F ~ 1 frosty!
    IVF #4 (FET #1): BFN

    IVF #5 (DE IVF #1 with Dr. KK protocol): Currently PREGNANT!!!!!!
    Synthroid + Prednisone + Metformin + Baby Aspirin + Supplements Galore = 15+ pills a day
    Lupron + Lovenox + Delestrogen + IVIG + B/W = 2-5 pokes a day
    19R, 17M, 17F - transferred two Grade A blasts 11/16, four frosties!!!
    Beta #1 11/24 (13dpo/8dp5dt) = 367 ~ Beta #2 11/26 (15dpo/10dp5dt) = 709
    Beta #3 11/29 (18dpo/13dp5dt) = 1,997 ~ Beta #4 12/1 (20dpo/15dp5dt) = 3,403

    imageimageimage

    My Blog: Running and Dreaming for Two ~ All are Welcome!
  • I'd ask about what your probability of success is with each type of treatment, considering your diagnosis. This can be useful when deciding when it's time to move on to other treatments.

    You may also want to ask some financial questions about their policies on payment due dates and potential insurance coverage.

    Good luck! 

    *** Trigger Warnings ***

    TTC #1 since March 2011
    Dx = Unexplained IF
    1 medicated TI cycle & 4 clomid IUIs = all BFNs
    June 2013 IVF #1 = 6 frosties + BFP!
    DS1 born 2/14

    TTC #2 since December 2014
    May 2015 unassisted BFP ended in m/c at 7wks
    April 2016 FET #1 = BFN
    June 2016 FET #2 = c/p
    August 2016 FET #3 = BFP!
    DS2 born 4/17
  • I asked about the statistics.  Like what chances I had with just meds, IUI, and IVF. I asked what tests would be done and when in my cycle they would be done.  I asked what diagnosis he thought based on my history.  I asked about the availability of early morning appointments and how many times I could expect to come in during a given cycle.  I asked how many cycles of something before moving on to the next thing. My RE does 3 of something and then moves on.  FYI my RE did an internal sono after I sat down and met with him.  Good luck.  
    ***SIGGY WARNING***

    DX: Unexplained
    6 Failed IUIs (Clomid and Gonal F).  
    IVF #1 began August 2013- BC, 4 days of Estrace, stimmed with Gonal F and Menopur, Ganirelix, 9R 5M 5F, Medrol and Doxycycline, 5 day transfer of 2 early blastocysts- good quality, Progesterone, Estrace, and baby aspirin, BETA on 9/20 BFN,   IVF #2 began September 2013, stimming with Gonal F (higher dose) and Menopur, Ganirelix, 18R 14M 9F with ICSI, 5 day transfer of 2 BBs one was starting to hatch, 2 frosties: 1  BB and 1 AC, BETA on 10/21, BFN BETA was a 5- chemical 
    Getting some more testing and trying to figure out what the issue is before FET in December, started acupuncture on 11/10, RLP and some other BW nothing major to report except slightly high Prolactin. Prolactin was slightly high when I started with my RE and I already had an MRI which was Neg.  Endo biopsy=negative.  WTF is wrong with us???
    12/18/13 FET of 1 BB and 1 AC.  Hoping for a miracle.  Beta 12/26 Low BETA-8 2nd BETA 5- chemical
    After 3 failed transfers IDK where to go from here.  Still no real answers as to why this isn't working.  Getting a second opinion in February and looking into immune testing.  
    2/14- NEW RE- Immune testing showed a partial dq alpha match with DH- On prednisone and did intralipids prior to transfer.  3/14 Lupron, gonal f, menopur, HGH.  ER 15 mature all 15 fertilized!  5dt of an early blast grade 1 and an expanded blast grade 2.  BETA on 4/21.  1 grade 2 embryo frozen
    BETA #1 59 BETA #2 148 BETA #3 283 BETA #4 2,783! US at 6w2d shows 1 bean measuring right on track! HR 121.  US at 8w3d measuring on track HR 177. Released form my RE.  EDD 12/28


    All Welcome
  • Good Luck. 

    Anniversary

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    Married 8/21/2010, Off BCP April 2011, Started TTC 10/2011

  • I think everyone pretty much covered it, but I think that a lot of questions will really depend on your diagnosis.  For me, with an Unexplained IF diagnosis, my RE didn't really believe it was worthwhile to do medicated cycles without IUI, based on the overall odds of each. So I was able to skip right to the questions about effectiveness of IUI w/our diagnosis, how many tries before moving on, types of meds, types of monitoring, cost, etc. 

    Also, while I had done all of my testing previously with my OB, my RE did do an internal u/s and did the infectious disease blood panel at my first appt. (5 vials or so). So just be prepared for that as well.  Also, bring any charts you have.  For me, it was helpful to have a years worth of charts showing that I ovulated and had good timing.

    HTH and GL to you! 


    ** After  2 1/2 years of Unexplained IF, 2 failed medicated cycles, and 4 failed IUI's - our baby girl came to us through the miracle of
     Mini IVF! **

     image
    image
  • clh4444clh4444 member
    I would ask about how they monitor and what their policy is on multiple follicles at ovulation and what their policy is if you have cysts present and cd3 ultrasound.

    image         image

    imageimage
    My Ovulation Chart
    **All AL Welcome**
    TTC since July 2012 Me(42): normal HSG low progesterone 2.5 and TSH 13.9 DH(41): normal SA
    • 10 cycles no meds, July 2012 -March 2013: BFN
    • Cycle 11 - Chlomid and IUI April 6, 2013 BFN
    • Cycle 12 Chlomid but canceled IUI so only TI BFN
    • Cycle 13 - On break from meds - suprise BFP - ended in CP June 11, 2013
    • Cycle 14 - TTA BFN
    • Cycle 15 - 17 - Break from meds and doctor, trying on own BFN
    • Cycle 18 Chlomid and TI BFN
    • Cycle 19 BFN ...  onto Cycle 20
    • .........
    • Cycle I have no fricken clue anymore but still BFN
  • GL!!! I felt so relieved after my first appt because I had a game plan! I hope it is a good visit for you and you get a game plan you and your DH are happy about!!
    Anniversary Image and video hosting by TinyPic
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    3TC March Siggy Challenge: Funny Internet Meme Image and video hosting by TinyPic
    Age: Me 26, DH 27, Married Oct. 10, 2009 ,TTC since March 2012
    Problem: Irregular menstruation, unexplained
    Nov&Dec-Provera because of no period after 35+ days
    First RE appt 1/10/2013
    Tests: TSH (normal), Prolactin (normal), SA (abnormal)
    Hysteroscopy (normal) and PCOS labs (negative/normal) 1/15/2013
    2/1/13- HPT BFP but Beta Hcg was negative
    Plan: Femara + Trigger + IUI in April if no real BFP before then Bloggy Blog!
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