Trouble TTC

Question about 1st RE apt:

Hi Ladies! So my first RE apt is on monday... I was wondering from your experience what is the chances that RE will wait to come up with a plan until after DH gets a SA? I'm already diagnosed with PCOS but he has yet to be tested. Just curious if your RE's held off on further treatment on you until DH's SA results came back or not. 

Thank you in advance Ladies :) 

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Re: Question about 1st RE apt:

  • I had my first RE appt yesterday. We basically just talked about my history and the tests he wants to have done. Next month they are going to run tests on me including hsg and ultrasound and do a SA on DH.
    Started TTC since October 2009. Provera + 50 mg Clomid= did not respond , no O Provera + 100 mg Clomid= did not respond, no O Provera + 150 mg Clomid =did not respond, no O Diagnosed with PCOS in Aug 2010 Sept: Gonal F +TI= cancelled cycle did not respond to Gonal F Nov : Menopour (300iui) +IUI= cancelled cycle did not respond to meds again Taking a break to save money (100%OPP) and lose weight
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  • Mine let me start...I did the 50mg of clomid without the SA done yet.  As soon as my period starts (unless by a miracle is doesn't) he will be going in for it that way if for some reason we need this next cycle to be IUI based on the results we will have enough time.

    Mine said she would wait 2 clomid cycles since I clearly have an ovulation problem we have to deal with but I did not tell DH that.  I think it is lame he has put it off this long.

    TTC since 07/2009
    Me: PCOS, Blood/Immune Issues DH: Low all 3
    Jun.- Sep. 2010 IUI#1-#3 = BFN
    Oct. 2010 = IVF #1 = B/G Twins (passed away Feb. 2011)
    May 2011 = Myomectomy and trans-abdominal cerclage (TAC)
    Sep. 2011 = Surprise BFP = C/P
    Feb. 2012 = sFET #1 = BFN
    Feb.2012 = Hail Mary IUI #4 = BFN
    April/May 2012 = FET #2 w/our last two embies = BFP (Please let this be it!)
    Beta #1 8dp5/6dt = 234 Beta #2 10dp5/6dt = 695 Beta #3 12dp5/6dt = 1796 Beta #4 17dp5/6dt = 17,888 U/S #1 May 17, 2012 = Twins
    Baby B's heart stop beating at 9 weeks 5 days
    Our little miracle baby is a boy. :)

    Baby Boy Owen and Baby Girl Avery were born too early on Feb. 13, 2011 due to a pedunculated fibroid, incompetent cervix and suspected placental abruption.
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  • Hey Pocket! I'm so excited for you! Did you end up going with IGO.. or you have Kaiser, right?

    Anyways, we actually did the SA before most of my own testing. I don't think I would have been comfortable starting any treatments until that was done first. You don't want to shell out the $ on treatments for something, only to find out there's an issue with your H.. and hopefully there's not! :)

    Every treatment comes with s/e's, some sort of risk, and a lot of poking and prodding on your part.. so you'll feel much better holding off on all that until he gets checked out. :) Good luck Pocket!!

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  • Our RE wouldn't do any treatment until I had a diagnostic cycle and DH had a SA. Which is good- my diagnostics indicated that clomid was a good fit. DH's SA meant that we're probably doing IVF.

    No point in spending money on the low tech stuff if there's MFI.

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    Friends for 15 years. Married 8. TTC since January 2009
    2010 Diagnosis: Anovulation and Severe MFI
    2011 Treatment:
    IVF w/ICSI #1 Antagonist: 2 blasts - c/p - BFN 04.22
    FET #1: 1 blast/1 early blast - BFP 06.22 - m/c 06.30 @6w0d
    07-11 RPL: MTHFR C677T Heterozygous & Slightly elevated ACLA IgM
    FET #2: 1 morula - BFN: 9.02

    January '12: IVF #2
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    ?SAIF/PAIF/PgAL/PAL always welcome?
  • imageloloindiego:

    Hey Pocket! I'm so excited for you! Did you end up going with IGO.. or you have Kaiser, right?

    Anyways, we actually did the SA before most of my own testing. I don't think I would have been comfortable starting any treatments until that was done first. You don't want to shell out the $ on treatments for something, only to find out there's an issue with your H.. and hopefully there's not! :)

    Every treatment comes with s/e's, some sort of risk, and a lot of poking and prodding on your part.. so you'll feel much better holding off on all that until he gets checked out. :) Good luck Pocket!!

    Ditto on all this! We actually had the SA results at our first RE appt. If we hadn't, I don't think that they would have held up any testing for me, but probably would have waited to come up with a treatment plan until after the SA results came back. I'm curious to see how your experience is if you do have Kaiser. We're contemplating switching to Kaiser through my work b/c the current insurance we have through DH's work doesn't have any IF coverage...

  • imageloloindiego:

    Hey Pocket! I'm so excited for you! Did you end up going with IGO.. or you have Kaiser, right?

    Anyways, we actually did the SA before most of my own testing. I don't think I would have been comfortable starting any treatments until that was done first. You don't want to shell out the $ on treatments for something, only to find out there's an issue with your H.. and hopefully there's not! :)

    Every treatment comes with s/e's, some sort of risk, and a lot of poking and prodding on your part.. so you'll feel much better holding off on all that until he gets checked out. :) Good luck Pocket!!

    Hi LOLO!! :) We ended up going with Kaiser because I have very good coverage with them. I'm covered for at least 3 IUI's plus any other tests they plan to do on me. 

     I appreciate all your ladies input and experience! I'm really looking forward to FINALLY taking that next step with an RE instead of the pain in the neck OB/gyn I've been dealing with.

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  • STL34STL34 member

    I may be in the minority, but my RE is going to have my DH get an SA through their lab (apparently it is higher resolution and they also do a DNA fragmentation test) before he gives us a treatment plan even though his SA through Quest came back fine.  I guess part of that may be that he thinks we should do IVF because of my tests.  Good luck at your RE appointment!

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    ~SAIF/PAIF/Everyone Welcome~ 

    Me= 37 and DH = 41 

    Dx: DOR, Endo, APA+ (really high beta 2 glycoprotein antibody and high everything else tested), heterozygous MTHFR mutation, positive for lupus anticoagulant, high FSH, low AMH and both tubes blocked (per HSG on 3/8/11)

    IVF #1 - long lupron (with HGH, intralipids, lovenox and BA); 4 retrieved, 3 fertilized; ET 2 blasts and 1 frozen = BFN

    IVF #2 - a version of antagonist with EPP (with HGH, intralipids, lovenox and BA); 6 retrieved, 4 mature, 3 fertilized, 2 blasts and 1 frozen blast transferred on day 5 = BFN.

    IVF #3 April was postponed to May, May was canceled. June/July was canceled. Had a cyst aspiration and then began IVF #3 in August. ER on 8/22; ET on 8/24 with AH. +HPT on 9/5. Beta #1 (11dpo) = 3; Beta #2 (15dpo) = 29; Beta #3 (17dpo) = 60; Beta #4 (19 dpo) = 118. Heartbeat at 6 weeks 6 days =132.  Lil is here!

    TTC#2:  Trigger + TI = BFN; Clomid + Trigger + IUI = BFN.

    IVF #4:  BCP + MDLF + Lovenox = 7R, 1F = Transferred 1 6-cell embryo on day 3 = BFN

    IVF #5:  MDLF + Lovenox = 4R, 1F = Transferred 1 10-cell compacting embryo on day 3 = BFN

    IVF #6:  (New RE):  Long Antagonist November 2014 (transferred two 8 cell grade 1 embryos and froze one blast) = BFN

    FET#1:  BFN

  • My RE absolutely would not help us without an S/A. She said there was no point in wasting our money if we didn't have any sperm. In our case, it was a good call because DH had a lot of problems initially. They also need it to come up with a good plan. If the problem is with YH, the plan of action would be completely different than if it was PCOS alone.

     

    Edit: Noticed PCOS diagnosis 

    Me (32) DH (30)

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  • My RE asked us how agressive we wanted to be and how much testing we wanted to do ahead of time.  I was clear I didn't want to put chemicals in my body unless we knew everything going so I wasn't exposing myself to something strong for nothing.  He then offered to have DH do the SA right then and there, which he did.  It really depends on the doctor and what you want and what you are comfortable with.  A lot of people do stuff like a couple of cycles of clomid without any tests just to see if it will work and it does work for a lot of people.  I'm super cautious and I had an RE who would listen so we tested a lot first.  It should be update you no matter what.  Good luck!
  • I'm probably not the best to answer this because we had nearly all our testing done prior to going to the RE, but I would think they wouldn't put a plan together until they have all the facts since they may not know what the best way to proceed is.  Good luck though!!  I hope his results come back perfect :)
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  • We had my HSG and DHs S/A done the month before out RE visit so we'd be able to get a plan going.  Because they also wanted CD3 b/w & u/s to figure out my "ovarian age" this and next is just a diagnositic cycle.  **we're on vaca when I will be 7dpo for that b/w & u/s so that's next month.  ALSO since our Dx is MFI we're giving DH a few cycles for vitamin's RE suggested to help get his numbers up.  That way if come August we're moving to IUI we'll be as ready as possible.

    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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