What is the first visit like? — The Bump
Secondary IF

What is the first visit like?

My first appt with my fertility doctor is June 12th, to discuss IVF. I'm pretty nervous. I still cry when I talk about what all has happened and I have no idea what to expect. What do they typically do for the 'consultation' visit?

Sorry, dumb question(s)...just getting anxious. :(
DD 6/17/08, DD 6/9/10, DD 12/15/11
BFP 5/24/13 - Natural MC 6/7/13
BFP 8/13/13 - Natural MC 8/27/13
Ovarian Mass = removal of left ovary & tube 9/13
BFP 4/24/14 - Tubal Pregnancy 5/7/14
Removal of  ruptured right tube 5/8/14
IVF or adoption??

Re: What is the first visit like?

  • annibesannibes
    5000 Comments Sixth Anniversary 500 Love Its Photogenic
    member
    I've only been to the RE once to discuss options. Long story as to why we have been slow-going with getting treatments.

    Here's how it went: I went in and the RE called me back to his office. He went over all of my records from my OB with me, then asked me lots of questions. He went over DHs SA. Then he discussed options and asked what I felt about treatments and how aggressive I wanted to be.

    After the interview, he did an ultrasound to check out ovaries and uterus and then sent me back for bloodwork. The office hooked me up with an inexpensive genetic screener for me which was huge because it's one of the factors we have to consider if we decide to do treatments.

    I don't know if all are like that, but that's how mine went! One thing I didn't like is that he seemed absolutely sure that DS was a complete fluke and miracle. Morphology seems to be our only issue, so I don't know. No one else (doctors) seemed all that concerned. So either he really knows more than everyone else, or he's just very RE about babies and believes that no one can get KU without him.
  • annibesannibes
    5000 Comments Sixth Anniversary 500 Love Its Photogenic
    member
    I hope some of that text wall helped! Good luck with your appointment!
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  • Depending I what your OB testing indictated (male, female, or combo) they will go over those test results. For our situation we have severe mfi and I had all testing done through OB. We went over our options which happened to only be IVF w ICSI and I had a lot of questions bc I was hopin IUI was an option. They will answer your questions and let you know anything you need to know. We set up w financing and depending how fast you guys move and are ready they might set up a calendar with you. If you are able to ask to at least talk to a nurse about looking at a typical calendar so you can have it in your head what timeline you will look at wether or not you are ready to do financing or not. I think just understanding how long it takes despite being possibly ready to go helped me a lot. Also, most places will have you take an injectables class to go over all meds and that would be before you start taking them (but not necessarily scheduled on first visit admittidly). Anyway, mine was back in 2009(?) so things could be different now, but that is all I remember. Good luck!
    January 2007- Stop BCP! Let's DO this!
    June 2010- MFI. BS. IVF! Ectopic. BS. image

    November 2010- FAILED FET! BS!
    January 2011- BFP FET! TWINS!
    February 2011- lost twin. BS. image

    SEPTEMBER 2011- DD Born! Most awesome girl in the world!

    November 2013- FAILED FET! BS! (screw you November FETs)
    April Fresh Cycle, FAILED. Frozen embryos frozen for future FETs.

    FROZEN CYCLE JUNE! BFP
    BABY BOY VINCENT!
    image

    We can't wait to meet you!
    Conception:imageimageimage Potato Love!

    BabyFruit Ticker


  • MrsAtchMrsAtch
    2500 Comments Fourth Anniversary 100 Love Its Name Dropper
    member
    This is your first visit with this RE in general, not just for IVF right? They will likely go over your history, ask you a million questions, and talk to you about the specifics. I'm so sorry you're here. Any RE worth their salt will understand that it's emotional and not judge you for being upset. I haven't had specific IVF conversations (stupid uterus is the problem) but I know it's got to be incredibly hard. Thinking of you!
    After two losses, a rainbow arrived! DD born 11.5.11
    Dx with severe Asherman's syndrome after a botched PP D&C (pursuing med mal)
    Hysteroscopy Oct '13, not enough progress 
    Hysteroscopy Jan '14, given an end-of-the-road diagnosis
    Joined International Asherman's Association April '14 
    Not ready to give up yet.
    Hysteroscopy with Dr. Isaacson (an expert in the USA) 6.2.14: Good prognosis, at least 50% of cavity open.
    Repeat hysteroscopy scheduled with Dr. I on 6.16.14. Great progress. Unbenched!!!!
    Discussing actively TTC with DH after the heartache of the last year. We're both reeling.
     
    Please, please, please. 
  • Jodee37Jodee37
    Seventh Anniversary 1000 Comments 500 Love Its Photogenic
    member
    What they said. Lots of discussion about your histories. General plan. vag ultrasound to check out the organs. Labs ordered and go from there. It's totally normal to feel nervous, deep breaths. GL!
    Me: 36, DH: 36
    DH's SA = normal
    1 tube only wonder
    AFC 3-5, AMH 0.30

    BFP #1 3/29/11.  EDD 12/4/11... Missed m/c 5/9/11. Cytotec fail. D&C 5/17/11.
    BFP #2   7/5/11.  EDD 3/14/12... Our rainbow Kellen born 3/14/12 via c/s.
    BFP #3 5/30/13.  EDD 2/8/14...  6wk u/s HB 126. 8wk u/s lost HB. D&C 7/12/13.
    BFP #4 2/18/14.  EDD 10/30/14... Ruptured ectopic with L tube removed & D&C 3/7/14.
    BFP #5 7/27/14.  EDD 4/9/15...  m/c @ 5w4d.

    IVF #1    Oct 2014 - antagonist protocol: 9R, 7M, 5F. 3dt of 3 Grade 2 embies. BFN. 
    IVF #2    Jan 2015 cancelled due to dominant follicle.  Converted to IUI #1. BFFN
    IVF #2.1 March 2015 cancelled due to dominant follicle.

    BFP #6  (SUPRISE!) 3/19/15.  EDD 11/30/15...  CP at 4w2d.
    IUI #2:    Clomid + Follistim = 3 follies. BFN.
    IVF #2.2 May 2015 - horrible response to micro lupron flare protocol: 3R, 3M, 3F. 3dt of 2 Grade 3 embies. BFFN. 

    BFP #7 (beyond surprised again!) 4/26/16. EDD 1/5/17. beautiful betas!!!! and then near-fatal hemorrhagic corpus luteum. turns out baby was ectopic after all; another lap 5/6 (@24dpo).

    the universe can fuck off.


     "You are overly paranoid and delusional that every one is out to get you." -lastsliverofhope

    Baby Birthday Ticker Ticker
    all AL welcome. TTC #2 for 43 44 months.
    follow my infertility journey here at timestandsstillblog.com

  • My very first visit ever was just a lot of talking and then ordering blood work.  I didn't cry, but I think that may have been the first conversation I'd ever had about IF without crying.  There's something about the clinical atmosphere that helped me keep it together.  

    I have my first visit with a new RE this week and I'm nervous, too.  I'm not sure what it will entail since it's been a while since the last labs were done and it's a new Dr.  I don't know what will cary over and what will need to be redone.  

    When's your visit?  Let us know how it goes!
    Happily Mrs. C 
    image  image

    image Image and video hosting by TinyPicimage image
    Baby Birthday Ticker Ticker 
    start ttc #1 in Jan 2009
    dx PCOS in May 2010, begin metformin
    Two failed clomid cycles (made lining too thin)
    Started acupuncture while saving for IVF in Sept 2011
    Add herbal infusions to the mix in Dec 2011
    Hoping holistic approach works!!!

    BFP on April 2012 at 11dpo
    Meepy Man born on Jan 2013 - Hip Hip Hurray!

    Ready to start ttc #2 April 2013, but plan to be an extended BF'er
    Back on metformin Aug 2013
    Restart herbal infusions Sept 2013 - currently drinking nettle, oatstraw, and red raspberry leaf
    DS weaned in April 2014
    Taking a break from herbs and just riding the healthy train.  
    Planning medicated cycle end of summer.  FX I get KU before then!!!
    Momarazzi007
  • mbo109mbo109
    10 Comments 5 Love Its Name Dropper
    member
    southernbelle82 I was nervous too, but ended up being relieved by the time we left. Just as everyone has said, they ask a lot of questions, talk about options, make a plan, and take blood. They had me schedule a sono and a few basic tests (which they said would hurt...and did not at all) for the following week. I had a hard time with my OB because I always felt as though I was being annoying and too sensitive. It is amazing working with specialist because they understand your sense of urgency and frustration. Rather than feeling annoying, I now feel like I am being cheered on. Don't be nervous, be excited. Good luck! 


    TTC#1 since 2/2011

    m/c 8wks 5/2011

    9/2011-12/2012 Clomid (50, 100, and 150) with no response, Sent to RE Dx: Chronic anovulation

    BFP 2/2012; Sweet Baby Boy 10/25/2012

    BFP 7/22/2013… (Shock!)... m/c 9wks, D&C 8/13/2013

    TTC #2

    Cycle #1: 10/28/2013 100 mg Clomid (day 5-9) …poor response (sono day 10=12mm follicle, day 13=13 mm, day 17=18mm); Ovidrel day 20

    Cycle #2: 12/2/2013 5mg Letrozole (day 3-7) ... poor response (sono day 12=14mm follicle, day 15=15mm, day 17=16mm); Ovidrel day 19

    Cycle #3: 1/5/2014 10mg Letrozole (day 4-8) good response!!! (sono day 13=25mm and 20mm); Ovidrel day 13

    Cycle #4: 2/3/2014 Birth Control 

    Cycle #5 3/3/2014 Birth Control

    Cycle #6 4/3/2014 Natural

    Cycle # 7 5/11/2014 10mg Letrozole (day 3-7) good response (sono day 13=22mg and 2x 16mg); Ovidrel day 13 

    Cycle # 8

  • Thanks girls!!! There really isn't anything to diagnose so my OB never did any testing. The only reason I'm even considering IVF is because I have no tubes left...so our situation seems a little weird. I just found out today that insurance doesn't help at all with IVF. Deep down I knew this but I was trying to hold out some hope that they would cover even a tiny fraction. Without insurance help, our IVF journey will probably be very short and won't happen. 

    I always knew fertility 'stuff' was expensive...but never realized just how bad it was. Between IVF being at least $10,000 and adoption being at least $20,000...I'm afraid there will be no more children to add to our family and I'm so very heartbroken. 
    DD 6/17/08, DD 6/9/10, DD 12/15/11
    BFP 5/24/13 - Natural MC 6/7/13
    BFP 8/13/13 - Natural MC 8/27/13
    Ovarian Mass = removal of left ovary & tube 9/13
    BFP 4/24/14 - Tubal Pregnancy 5/7/14
    Removal of  ruptured right tube 5/8/14
    IVF or adoption??
  • mbo109mbo109
    10 Comments 5 Love Its Name Dropper
    member
    @southernbelle82 my heart aches for you. Don't loose hope, life works in funny ways.

    TTC#1 since 2/2011

    m/c 8wks 5/2011

    9/2011-12/2012 Clomid (50, 100, and 150) with no response, Sent to RE Dx: Chronic anovulation

    BFP 2/2012; Sweet Baby Boy 10/25/2012

    BFP 7/22/2013… (Shock!)... m/c 9wks, D&C 8/13/2013

    TTC #2

    Cycle #1: 10/28/2013 100 mg Clomid (day 5-9) …poor response (sono day 10=12mm follicle, day 13=13 mm, day 17=18mm); Ovidrel day 20

    Cycle #2: 12/2/2013 5mg Letrozole (day 3-7) ... poor response (sono day 12=14mm follicle, day 15=15mm, day 17=16mm); Ovidrel day 19

    Cycle #3: 1/5/2014 10mg Letrozole (day 4-8) good response!!! (sono day 13=25mm and 20mm); Ovidrel day 13

    Cycle #4: 2/3/2014 Birth Control 

    Cycle #5 3/3/2014 Birth Control

    Cycle #6 4/3/2014 Natural

    Cycle # 7 5/11/2014 10mg Letrozole (day 3-7) good response (sono day 13=22mg and 2x 16mg); Ovidrel day 13 

    Cycle # 8

    Momarazzi007
  • mbo109 said:

    @southernbelle82 my heart aches for you. Don't loose hope, life works in funny ways.

    Agreed and ((hugs)). I did a FET in Nov that failed and pretty much was spiraling down into depression. Then right after Christmas and woke up and was like- I have to do something. Within a week I emptied out my 401k (not an answer for everyone and stupid, but we still have dh's which was like 10x mine bc mine was only a couple years worth) and that covered almost all but meds. Now here we are cycling. I pray something comes up for you and you will get a chance still!!!
    January 2007- Stop BCP! Let's DO this!
    June 2010- MFI. BS. IVF! Ectopic. BS. image

    November 2010- FAILED FET! BS!
    January 2011- BFP FET! TWINS!
    February 2011- lost twin. BS. image

    SEPTEMBER 2011- DD Born! Most awesome girl in the world!

    November 2013- FAILED FET! BS! (screw you November FETs)
    April Fresh Cycle, FAILED. Frozen embryos frozen for future FETs.

    FROZEN CYCLE JUNE! BFP
    BABY BOY VINCENT!
    image

    We can't wait to meet you!
    Conception:imageimageimage Potato Love!

    BabyFruit Ticker


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