Trouble TTC

Got my OB appt. scheduled (siggy warning)

Since we've hit the year mark without any BFPs I need to get in to see the Dr.  I just changed insurances, so this will be my first appt. with this OB (who will then hopefully refer me to an RE right?)  Unfortunately, the soonest they could get me in isn't until June 12th, so by then it will have been 14 months.  I'm really hoping that it'll just turn into a 1st prenatal appt... but I'm not too hopeful at this point.  What should I expect to happen at the appt?  Any specific questions that I should ask?
image
Baby Birthday Ticker Ticker
Me: 30   DH: 32   
TFAS since May 2013
8/14 - Bloodwork showed heterozygous MTHFR gene mutation and elevated AMH (but no cysts)
9/14 - HSG, Hysteroscopy and laparoscopy showed tubes clear, but found and removed Endometriosis, scar tissue and 2 small benign masses on my tubes.
11/14 - Daily ultrasounds confirmed that my follicles are not releasing the egg and every other day blood draws showed very low progesterone... DH's SA was near perfect
12/14 - moving onto meds!!! Hold up!!!  Surprise BFP after only taking the progesterone!  Now what do I do with all of the other meds we already paid for?!  Due at the end of August 2015 Beta#1- 4434 @ 22DPO  Beta#2 - 7335 @ 25DPO Beta #3 - 14429  @ 28DPO

Re: Got my OB appt. scheduled (siggy warning)

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  • I would ask to start testing. Sometimes an RE will repeat them, but I'd ask. It might take a bit to get in with an RE and having the testing complete will speed along the process once you're there. At a minimum, you'll need an HSG, semen analysis, AMH, and CD3 testing and t/v ultrasound.
    Me: 34 | He: 40
    TTC since 08/2012
    DX: DOR




  • ChristieH917ChristieH917 member
    edited May 2014
    Due to my OB changing the insurance group, I was able to get a referral to the RE from my family practice doctor. Also, I didn't have to see him. I just called the doctor's office and asked for the referral. Since the OB can't get you in very quickly, it would be worth a shot.
    I am 37 and DH is 40
    10/2012 Start TTC
    09/2013 Finally got to see the RE 12/2013 HSG-both tubes clear
    01/2014 Large Cyst Removed along with right ovary and tube
    04/2014 2nd HSG-Remaining tube damaged/blocked
    05/2014 Testing cycle and BCP to prep for IVF
    06/2014 IVF cycle #1 is scheduled cancelled due to low estrogen
    07/2014 Started Estrace to help with my estrogen issues
    08/2014 IVF cycle #2 is scheduled delayed
    09/2014 IVF cycle #2 is scheduled failed- 6 follicles, 1 retrieved, 0 fertilized
    10/2014 WTF scheduled for 10/22 and second opinion scheduled for 10/10
    11/2014 Moving on to the new RE!  
    01/2015 IVF cycle #3 is scheduled delayed
    02/2015 IVF cycle #3 is scheduled

    image
  • I agree with PPs - if you're waiting until June to see an OB just to get a referral, it might be worth it to look into whether you could make an RE appointment without a referral, or just get a referral by phone. Since you've TTC for over a year and fit the definition of infertility, I would think even your primary care doctor should be able to make that referral. Speaking from the position of just starting testing this month - it can't be done with soon enough! :)
    January 3T Siggy Challenge - New Year's Resolutions
    image
    imageimage

    Me (29), DH (30) TTC actively 54 55+ cycles | All BFNs
    MFI (low everything) | Endo Stage 1 & Stenotic Cervix (treated) | PCO
    Married - July 2008 | Started TTC - Jan 2009RE Visit #1 - Mar 2014 
    IUI #1 ICI #1 - June | IUI #1.1 Laparoscopy - Aug
    IUIs #1.2, 2, 3 - Sept, Oct, Nov (Letrozole) - BFNs 
    IUI #4 - Dec (Bravelle) | IUI #5 - Dec/Jan (Bravelle) - 5 follies + TI - BFNs
    IUI #5.1 - Jan (Bravelle) Cancelled 
    Planning to start IVF in March!
    ***All Welcome***
  • You might want to check your insurance and see if you even need a referral. I know my insurance doesn't require one. That might save you a few months of waiting and possibly unnecessary testing. I'd probably skip testing with the OB/GYN as they often mess up and do them on the wrong day or miss things, which will just cost more to re-do. Good luck! I hope you get in more quickly than you think you will.
    I've got an HMO, so I have to get referrals to see any sort of specialist :(  I guess that I could see a different OB that could get me in sooner just to get the referral though...
    image
    Baby Birthday Ticker Ticker
    Me: 30   DH: 32   
    TFAS since May 2013
    8/14 - Bloodwork showed heterozygous MTHFR gene mutation and elevated AMH (but no cysts)
    9/14 - HSG, Hysteroscopy and laparoscopy showed tubes clear, but found and removed Endometriosis, scar tissue and 2 small benign masses on my tubes.
    11/14 - Daily ultrasounds confirmed that my follicles are not releasing the egg and every other day blood draws showed very low progesterone... DH's SA was near perfect
    12/14 - moving onto meds!!! Hold up!!!  Surprise BFP after only taking the progesterone!  Now what do I do with all of the other meds we already paid for?!  Due at the end of August 2015 Beta#1- 4434 @ 22DPO  Beta#2 - 7335 @ 25DPO Beta #3 - 14429  @ 28DPO
  • Thanks ladies :)  I don't have an Primary right now either since I just switched insurance plans.  I guess I know what I need to do tomorrow!
    image
    Baby Birthday Ticker Ticker
    Me: 30   DH: 32   
    TFAS since May 2013
    8/14 - Bloodwork showed heterozygous MTHFR gene mutation and elevated AMH (but no cysts)
    9/14 - HSG, Hysteroscopy and laparoscopy showed tubes clear, but found and removed Endometriosis, scar tissue and 2 small benign masses on my tubes.
    11/14 - Daily ultrasounds confirmed that my follicles are not releasing the egg and every other day blood draws showed very low progesterone... DH's SA was near perfect
    12/14 - moving onto meds!!! Hold up!!!  Surprise BFP after only taking the progesterone!  Now what do I do with all of the other meds we already paid for?!  Due at the end of August 2015 Beta#1- 4434 @ 22DPO  Beta#2 - 7335 @ 25DPO Beta #3 - 14429  @ 28DPO
  • @megastar007 I also have an HMO.  I have to get referrals for everything. Go for a primary care and see if they can get you in sooner than the OB.
    I am 37 and DH is 40
    10/2012 Start TTC
    09/2013 Finally got to see the RE 12/2013 HSG-both tubes clear
    01/2014 Large Cyst Removed along with right ovary and tube
    04/2014 2nd HSG-Remaining tube damaged/blocked
    05/2014 Testing cycle and BCP to prep for IVF
    06/2014 IVF cycle #1 is scheduled cancelled due to low estrogen
    07/2014 Started Estrace to help with my estrogen issues
    08/2014 IVF cycle #2 is scheduled delayed
    09/2014 IVF cycle #2 is scheduled failed- 6 follicles, 1 retrieved, 0 fertilized
    10/2014 WTF scheduled for 10/22 and second opinion scheduled for 10/10
    11/2014 Moving on to the new RE!  
    01/2015 IVF cycle #3 is scheduled delayed
    02/2015 IVF cycle #3 is scheduled

    image
  • @ChristieH917  I will definitely try to do that.  We were so fortunate with our first that this is all new territory so I really don't know how to navigate it all.  Thanks!!
    image
    Baby Birthday Ticker Ticker
    Me: 30   DH: 32   
    TFAS since May 2013
    8/14 - Bloodwork showed heterozygous MTHFR gene mutation and elevated AMH (but no cysts)
    9/14 - HSG, Hysteroscopy and laparoscopy showed tubes clear, but found and removed Endometriosis, scar tissue and 2 small benign masses on my tubes.
    11/14 - Daily ultrasounds confirmed that my follicles are not releasing the egg and every other day blood draws showed very low progesterone... DH's SA was near perfect
    12/14 - moving onto meds!!! Hold up!!!  Surprise BFP after only taking the progesterone!  Now what do I do with all of the other meds we already paid for?!  Due at the end of August 2015 Beta#1- 4434 @ 22DPO  Beta#2 - 7335 @ 25DPO Beta #3 - 14429  @ 28DPO
  • @NariaDreaming Thanks so much! 
    image
    Baby Birthday Ticker Ticker
    Me: 30   DH: 32   
    TFAS since May 2013
    8/14 - Bloodwork showed heterozygous MTHFR gene mutation and elevated AMH (but no cysts)
    9/14 - HSG, Hysteroscopy and laparoscopy showed tubes clear, but found and removed Endometriosis, scar tissue and 2 small benign masses on my tubes.
    11/14 - Daily ultrasounds confirmed that my follicles are not releasing the egg and every other day blood draws showed very low progesterone... DH's SA was near perfect
    12/14 - moving onto meds!!! Hold up!!!  Surprise BFP after only taking the progesterone!  Now what do I do with all of the other meds we already paid for?!  Due at the end of August 2015 Beta#1- 4434 @ 22DPO  Beta#2 - 7335 @ 25DPO Beta #3 - 14429  @ 28DPO
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