TTC after 35

1st RE appointment tomorrow

I have my initial consult tomorrow afternoon with the RE.  I am excited and  nervous at the same time.  Hubby is coming along.  What should I expect from the appointment?  Do they usually do an exam?
Photobucket Me:36 DH: 34 TTC since 02/2012, not preventing since 2010. Me: testing came back good. DH: dx: MIF low count/motility. RE recommends IVF with ICSI. Update: DH just diagnosed with severe Crohn's disease, so any IF treatment is on hold :(

Re: 1st RE appointment tomorrow

  • My first & second appointments were just to get orders for blood work and then to go over the options that my insurance would cover.  But I didn't have the best experience with my RE so I started all the way over with a new OBGYN and I'm so glad I did.  Best of luck and let us know how it goes.
    Me 39 & suspected PCOS, DH 42. Went off BCP when we got married in 11/11, seriously TTC since 3/12.  Six cycles of clomid = BFNs.  Suspected endometriosis & HSG showed both tubes blocked.  Sept 2013 IVF 5D transfer of two perfect embryos = BFN.  Started acupuncture and taking time off to drop some pounds & get healthier before FET in April 2014.
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  • Like the poster above, my first meeting did not go well, and ended up with me in tears. Apparently he was offended by me asking questions-- he thought I was questioning his authority or something. Anyway, the nurse was great and I met the other Doc, who was also great, so we stuck around. He basically just layed out the facts of how challenging it will be for me to get pregnant. At the end of the meeting I was given a blood work sheet. I guess it really helps your sanity to get a good first impression of the RE. I wish you the best of luck and hope your appt goes well!

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    My BLOG: www.ivfbabyquest.wordpress.com -Update - old blog.

    PAIF/SAIF Welcome!
    Me: 42, Hubby: 35, TTC since Jan 2010. Dx: DOR due to advanced maternal age. Also: Hypothyroidism (100mcg Levothyroxin). Positive for MTHFR (hetero-C677T), Factor V Leiden, and Fragile X (on DH side). Taking pre-natal vitamins
    .
    First natural PG 9/27/11; mc: 1/20/12

    First RE visit: 8/8/12, Saline Sonogram: 8/28/12, IVF injection class: 10/11/12, add FaBB Tab for FVL, +Vitamin D.
    IVF #1: 10/17/12 Baseline: FSH- 9.4, E2- 24, LH- 3.7, Prog- 0.3 The u/s showed 6 follicles in my right  & 9 in my left. Rx: 150 Bravelle & 150 Menopur SQ nightly. 10/21/12: Add Ganirelix SQ every morning.
    ER 10/28/12: 13 Retreived. 7 Mature. 6 Fertilized. 5 Made it to PGS. ET 11/2/12: CANCELED. All 5 came back from PGS as having "severe abnormalities."
    IVF #2: 1/7/13 Baseline: FSH- 8.8, 4 follicles in my right & 6 in my left. Rx: 150 Bravelle & 150 Menopur SQ nightly. 1/11/13: Add Ganirelix SQ every morning. hCG Trigger 1/16/13

    ER 1/18/13: 9 Retrieved. 5 Mature. 5 Fertilized. 2 Made it to PGS. ET 1/23/13: CANCELED. All embryos (he even sent the ones not growing) came back from PGS as having "multiple severe abnormalities."
    IVF #3:
    NEW RE! 3/1/13 Baseline: FSH- 9.6, E2- 61, Prog- 0.94, 3 follicles in my right & 4 in my left. Rx: 150 Bravelle& 150 Menopur SQ in PM. 3/7/13: Add Ganirelix SQ in AM. hCG Trigger 3/9/13 SQ.
    ER 3/11/13: 6R, 2M, 2F. Day 3: one 8 cell, grade 0.  Five day ET 3/16/13: one early blast, grade Fair. 3/24/13 AF came a day before beta. BFN

    IVF #4: 
    (Added acupuncture to this cycle.) 3/25/13 WTF & Baseline: FSH-11.8, E2- 56, Prog- 0.84 3/26/13 Start stims. 3/30/13 u/s: 5 follicles in my right & 4 in my left. Rx: 225 Bravelle& 225 Menopur SQ in PM. 3/31/13 Add Ganirelix SQ in AM.hCG Trigger 4/3/13 SQ.
    ER 4/5/13: 5R, 3M, 3F naturally. Day 3: two 8 cell, grade 0, one 8 cell, grade 2 (Scale 0-best to 3-worst). Five day ET 4/10/13: two blastocysts (the 3rd stopped growing.) Beta 4/18/13: 2.5 BFFN. RE recommends we stop trying and focus on living childless, due to the extremely poor quality of my eggs.
    ***Decided to stop trying and live CFNBC. I couldn't adjust. So, six months later...

    IVF #5: Changed RE. Going to one of the big name clinics now. OWDU: 10/29/13. Update: HORRIBLE experience. Disgusted and distraught at their complete unprofessionalism and how much money and precious time they cost us. Sickening. Have now changed RE again. New Patient appt. 1/30/14.
    BFP! Out of nowhere, I got KU the old fashioned way! POAS 1/26/14 - Positive! FDLM 12/30/13. Beta #1 16dpo= 373. Beta #2 18dpo= 801. EDD 10/6/14
    2/4/14 1st U/S revealed a 5wk2day sac but no fetal pole. Started 200mgs of progesterone suppositories daily
    2/11/14 2nd U/S revealed a perfect 6wk1day "diamond ring" embryo with a beating heart! 138bpm! Add 1mg folic acid and 40mg Lovenox
    2/25/14 3rd U/S: perfect 8w1d embryo, 178bpm. 3/6 start spotting. 3/11 10w1d U/S shows no heartbeat. Scheduling D&C. The Stork has forsaken me again.
    IVF #5.2: New in-state RE. Supplement priming for 1.5 cycles prior to start of cycle, including DHEA 50mg (stopped 5/15), CoQ10 200mg 2x/day, L-Arginine- 1000mg 2x/day (stopped 6/5 due to cold sore!), myo-inositol- 2g 2x/day, melatonin- 3mg, and Neevo (prenatal for MTHFR).
    5/16/14 Day 2 bw cycle prior: FSH- 12.22, E2- 38.37, Prog- 1.35, LH- 9.46. 6/2/14 Day 19 bw: Prog- 23
    6/12/14 Baseline: E2- 122.7, Prog- 0.4. 5 follicles in left, 4 follicles in right. Start stims: 375IU Follistim & 150IU Menopur. 6/19 Increase Follistim to 425IU, Menopur still 150IU. 6/18 add Ganirelix. 6/23 Ovidrel trigger SQ. 6/25 ER: 8R, 8M, 5F naturally. Start Medrol & Doxy. 6/26 Start Endometrin. 7/2 Start Lovenox.
    7/8/14 Beta= 137.4 BFP!!! (My first from IVF!) E2- 1109, Prog- >60. Stop CoQ10, myo-inositol, and melatonin. 7/9 2nd Beta= 281.4. TSH- 2.70. Increasing Synthroid to 100mcg daily. 7/24 6w3d u/s measured 6w3d, hb: 121bmp! 8/5 8w1d u/s measured 8w3d, hb: 164bpm! Graduated from RE to OB. Now I just need to find an OB!
    EDD 3/18/15!

  • At my first appointment, I had bloodwork, spent about 20 minutes talking to my RE, had an internal ultrasound/pelvic exam and scheduled lap surgery and some additional tests.

    Good luck tomorrow!

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    My Age - 41, DH's Age - 42

    TTC #1 since November 2011
    Dx: Endometriosis, Stenosis of the Cervix, Uterine Polyp, Hostile CM and Borderline PCOS
    Stage 1 Endo and Uterine Polyp removed and Cervix widened on July 9, 2012.
    IUI #1 Clomid 50 mg - 3/6/13 BFN
    IUI #2 Clomid 50 mg - 4/3/13 BFN
    IUI #3 Clomid 50 mg - 10/4/13 BFN
    IUI #4 Clomid 100 mg + HCG trigger - 11/2/13 BFN
    Cycle #28 - Clomid 100 mg + HCG trigger + TI (IUI #5 cancelled) - 2/5/14 BFN
    IUI #5 Clomid 100 mg + HCG trigger - 3/5/14 BFN

  • I had my consult a few weeks ago.  Before our meeting, I had bloodwork (AMH testing) and MH had a semen analysis, so my RE had those results.  He talked to us about our results and our next steps.  At the end he did do an exam and additional blood work.  The exam was an ultrasound to check my follicles, etc and he also did a cervix culture.   I also scheduled my HSG for the following week.

    Depending on what tests you've done - expect to spent time reviewing results and perhaps getting more plus an exam. However, I think every RE is different and you can certainly call the office in advance and ask. 

    Me: 37 DH: 37 TTC since Jan 2012. RE consult and initial testing done in Aug 2012: SA fine, AMH 1.1 & HSG clear - on way to IUI but got BFP on 9/10/2012. m/c 10/3/2012 at 6w5d. BFP next cycle which was a c/p. IUI #1: Clomid 100mg 12/6= BFN. IUI#2 (unmedicated) Jan 2013 = BFN. Hysteroscopy 1/25/13. IUI#3 Clomid 100mg 2/23 = BFN IUI# 4: BFN. IVF #1 April 2013, BFP!  EDD 1/12/14 with Boy!
  • My RE just looked over my paperwork and told me what tests he wanted me to get.  There were no tests or anything that day.  It was really just a meeting - no big deal.
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