My first RE appt and some questions

Danielle0311 · May 2014

Hi ladies,

Thank you so much for welcoming me here and calming my nerves about my RE appointment! I just got home from it and it was a lot to take in!

First off, my insurance sucks. No treatments are covered and only some of the testing. It's confusing to me but they said we will go over it as it comes. The first cycle which should start in about a week will be a monitoring cycle with cd3 and 7dpo Bloodwork, ultrasound motoring and an hsg all in between there. DH will also get a more extensive SA done too. The RE told me if my remaining tube and my numbers look good we can either try on our own or go straight for a medicated cycle or medicated IUI which he recommends. He said something about 5 days only of clomid but from what I read jumping straight to clomid isn't great, right?

Does all this sound about right to start off? He made it seem like with one tube it will take much longer so he wants to jump into medicated cycles. Any advice ? I would be monitored through every step of the process and he really seems knowledgeable and very caring which made me feel at ease. All in all, it was a lot to absorb but I'm feeling a little better and feeling like I have something to look forward to.

Any advice or comments are appreciated. Thanks for reading ladies and I hope everyone is having a great night !

jencity9 · May 2014

Sounds like you have a good plan! Clomid is usually the first med they use and since you'll be monitored it sounds good to me! I would definitely do medicated since we can't control which side the follicles grow on and that'll give you a better chance if having at least one on the side you need. I personally went straight to IUI though I was offered to just do TI. I wanted the best chances possible!

Danielle0311 · May 2014

Thank you ladies!

@apresmoi , I think that's why I was very overwhelmed. My obgyn made it sound like no big deal that I had one tube (probably cause she's the one who took my other one lol) and the RE kind of set the stage that it could take a lot longer because of it. Jumping into medicated cycles makes sense I guess I just wasn't expecting it but then again who would expect any of this right ? Thank you for your advice, it definitely helps to hear from people in my situation.

jjgrl55 · May 2014

I think one tube can be "not a big deal" for some people and a huge deal for other people if you have other IF issues that go along with it. For example, my father lost one of his testicles as a child, but my parents had absolutely no issues conceiving when they wanted. If he had been having trouble though, the missing testicle would be more of a concern.

So that's probably why your doctor though it was no biggie, but your RE is more concerned about what only one tube means in conjunction with IF treatment.

Danielle0311 · May 2014

jjgrl55 said:

I think one tube can be "not a big deal" for some people and a huge deal for other people if you have other IF issues that go along with it. For example, my father lost one of his testicles as a child, but my parents had absolutely no issues conceiving when they wanted. If he had been having trouble though, the missing testicle would be more of a concern.

So that's probably why your doctor though it was no biggie, but your RE is more concerned about what only one tube means in conjunction with IF treatment.

That is well said and makes a lot of sense. Thank you !!

almostamissus · May 2014

*** prev bfp/mc mentioned****

Sounds like my appointment as well! I only have one tube as well (the right one is hydro and I'm having it removed soon) My re didn't feel that the hsg was necessary, as I had been been pregnant and mc twice. So she agreed to let me skip out of it. But I did opt to go on clomid as I wanted to increase the likelyhood of having an egg on my left side each month.
All the doctors I have spoke with were not overly concerned about one tube (a couple said it might take a little longer) but if I understand correctly your body starts to compensate a little bit for the missing tube. Not completely, but a little. Mother Nature is cool that way.

BunnyBerry · May 2014

Sounds like a great plan! Sorry that your insurance coverage isn't what you hoped. Hopefully everything will go well and you won't end up needed a ton of OOP treatments!!

rella22 · May 2014

Your plan sounds great and a very typical first step! Hopefully you only have to do it for one cycle!!

Danielle0311 · May 2014

Thank you so much for your comments and sharing your experiences with me! This can get so overwhelming it's nice to be able to run things by other people who unfortunately understand all about this IF journey.

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