Pregnant after IF

What to expect at the first ob appt.

cls78cls78 member
edited July 2014 in Pregnant after IF
I graduated from my RE today and I am really going to miss my weekly U/S's.  I am assuming I will not get one right away with the OB.  :(   What can I expect?  My appt is Tuesday.  Should I bring up a MFM or is this something the OB usually brings up?  I am 35 and pregnant with twins.  Thanks!  
TTC since May/June 2012 
Sept 2013 testing:
SA #1 Low motility (17%) 
SA #2 Lower sperm count, but much higher motility
CD 3 Bloodwork and ultrasound - Normal HSG - Clear tubes 
Oct/Nov 2013 Cycle 1 with RE 50 mg Clomid + Ovidrel + IUI BFN  
Nov/Dec 2013 Cycle 2 with RE 50 mg Clomid + Ovidrel + IUI BFN 
Jan/Feb 2014 Cycle 3 with RE 50 mg Clomid + Ovidrel + IUI BFN 
2/20/14 Follow up consult RE recommends IVF with ICSI 
3/10/14 New patient consult with RMA NJ 
3/11/14 AMH and other Bloodwork to prep for IVF with ICSI at RMA NJ
3/28/14 Saline Sonogram - All good
March/April 2014 IVF #1 Antagonist Protocol
BCP/Bravelle/Menopur/Ganirelix
4/16/14 ER 26 Retrieved!!!
4/17/14 Fert Report 22 Mature 21 Fertilized w/ ICSI
4/22/14 Report #2 15 BLASTS
5/24/14 FET!!!  (Transferring 2 snowflakes)
6/2/14 Beta #1 575!!! :)
6/4/14 Beta #2 2060!!! :)
6/11/14 1st Ultrasound...Saw 2 Gestational Sacs!!  Beta #3 34,312!!! 
6/18/14 2nd Ultrasound...Heartbeats!! Baby A 112bpm Baby B 117bmp <3 Beta #4 172,080!!!
6/25/14 3rd Ultrasound...Heartbeats!! Baby A 150bpm Baby B 158bpm <3 Beta #5 232,134!!! 
7/3/14 4th Ultrasound...Heartbeats!! Baby A 173bpm Baby B 162bpm <3 Beta #6 269,228!!!
Graduated from RMA!!  First appt with OB 7/8/14

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Re: What to expect at the first ob appt.

  • Seems like the u/s frequency varies from doctor to doctor.  I did get one at my first OB visit (10 weeks) - but she only does them at 10w, 22w, 34w I believe.  I don't have an MFM so don't know anything about it, but if you're thinking you're high-risk, you may as well bring it up if your doctor doesn't.  Nothing to lose by asking the question!  Congrats on graduating :)
    Me: 37 | DH: 38 | Married 9/2012, low AMH, high FSH
    First-ever BFP after IUI #4 (Follistim) - Baby Girl born (36w2d) 8/8/2014!
    TTC #2 since Feb 2015
    BFP 5/4/15
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  • dp21dp21 member
    With my OB, had US at 10.5 weeks, NT scan at 12 weeks, and another US at 13 weeks....so pretty much weekly.  We found an OB that understands anxiety with IF and is willing to do US every 2 weeks starting out.  I told her I am ready for regular OB schedule but said I can call anytime and make extra appointments if I need to.  She made us comfortable getting through this first trimester. 

    My first appt was with nurse, gave me a pregnancy book, helpful paperwork with tips/list of safe meds etc, information about screening tests.

    Second appt (with OB), she wanted to do pap, exam, US, and bunch of stuff.  Told her RE did most of that stuff, so we did an US and discussed infertility and expectations.

    Love my OB, she gets it!

    Good luck!!! And soo happy for you!! :) 


    image

    Me:
    30, DH: 32
    My hx:  uterus/hormones normal Dx: low AMH 0.5 = poor ovarian reserve
    hubby hx: low sperm count, poor motility, started on clomid, retest in May showed no improvement, will be on clomid another 3 months, another retest scheduled for August

    Started IVF #1:  ~BFP Mentioned~
    • ER (Thursday April 17th, 3 precious eggs).
    • April 18th: Received news 2 out of 3 eggs fertilized!
    •  Planned 3dt: Easter day, transferred two 8B embryos and received pictures :)
    • BFP starting 8dp3dt 5/1 Beta #1: 87, 5/3 Beta #2 206 
    • 5/19 Heartbeat 123bpm
    • EDD 1/8/15


  • I went to OB/GYN at about 10 weeks or so, and I got an U/S right away. I got another one for the NT Scan at 12 weeks. I am currently 19 weeks and haven't had one since then, though i am due for one next week for the Anatomy Scan.

    I would ask for MFM. Advocate for yourself and insist if you feel you are high risk. 
    ===siggy warning====
    Me: 40, DH: 42
    Diagnosis: PCOS
    TTC: May 2013
    TX: IUI #1 with Follistim. Canceled due to too many follicles (10 + that were large); BENCHED
    IVF #1 March 6. 14 eggs retrieved, 10 fertilized. 
    March 11, 4 eggs transferred.
    March 21 BFP  :) Beta #1 457, Beta #2 1350, Beta #3 9619. 
    Due Date November 27, 2014
    TEAM BLUE

  • xc1148xc1148 member
    It's a tough transition, be ready to be "normal" ie there are millions of pregnancies and unless something is wrong with you, you're not going to get special treatment. You're going from one of 10% of people that experience a problem to one of 97% of women who deliver healthy babies if that makes sense.

    If you are worried, talk to your doctor. Mine was happy to see me more frequently in the beginning but somehow I made it 4 weeks without a visit, and it gradually became more normal. You'll be fine!! Just keep telling yourself that if your doctor isn't worried, you shouldn't worry.
    TTC since June 2011
    DH: perfect SA
    Me: 30, moderate endo, unexplained infertility
    IUI or IVF in December



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  • Our dr office always does u/s with twins each appointment.

    First appointment was pretty quick, do's and do not's of pregnancy. General advice that if your on the bump message boards (and especially if you are PAIF, you already know). It's an opportunity for you to ask questions, though.

    I would ask about policies on vaginal birth/c-section with twins. You can ask about an MFM. I didn't because my OB sees a lot of high risk patients and I'm absolutely lowest risk for a twin pregnancy (di/di, 29 years old, no medical problems or previous losses) so I feel comfortable with his care unless something changes.

    N14 Nov. Siggy: CELEBRATION!

    image image
    TTC since 2011
    Aug. - Sept. 2013 - dIUIs = BFNs
    January 2014 - IVF = 3 freezer babies
    March 2014 - FET of AA and AB blast = BFP! Twins! 
    Nov. 7, 2014 - Wilhelmina "Willa" Suzanne (4lb 14oz) and Ari Jose (6lb 4oz) were born via CS
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    Lilypie Premature Baby tickers
  • Can I ask what MFM is?

    Three ectopic preganacies in left tube in 1999, 2003 and 2004. HSG in 2010 concluded left tube blockage. IUI with femara in 2012 BFN. IVF #1 June 2013, 20 retreived, 14 mature, 12 fertilized via ICSI, one transferred, four frozen, BFN.  FET in September 2013 - BFN:( FET #2 April 2014 - BFP!!!!

    Whoever watches the wind will not plant; whoever looks at the clouds will not reap. As you do not know the path of the wind, or how the body is formed in a mother’s womb, so you cannot understand the work of God,the Maker of all things. <?xml:namespace prefix = o />

    Ecclesiastes 11 4:5  

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  • cls78cls78 member
    edited July 2014
    Just wanted to update you guys! My first OB appt was yesterday at 9 weeks 1 day. My OB was nice enough to give me a quick peek of the babies and everything looked good. ( I was really spoiled with my weekly detailed U/S's with the RE). I am considered high risk due to my age (35) and being pregnant with twins, so I will also see a MFM. (My OB brought up the MFM before me!) I go to the MFM for my next U/S (NT Scan) at 12 weeks . I go back to my OB Aug 5th. It is going to be weird not going to the Dr so frequently.
    TTC since May/June 2012 
    Sept 2013 testing:
    SA #1 Low motility (17%) 
    SA #2 Lower sperm count, but much higher motility
    CD 3 Bloodwork and ultrasound - Normal HSG - Clear tubes 
    Oct/Nov 2013 Cycle 1 with RE 50 mg Clomid + Ovidrel + IUI BFN  
    Nov/Dec 2013 Cycle 2 with RE 50 mg Clomid + Ovidrel + IUI BFN 
    Jan/Feb 2014 Cycle 3 with RE 50 mg Clomid + Ovidrel + IUI BFN 
    2/20/14 Follow up consult RE recommends IVF with ICSI 
    3/10/14 New patient consult with RMA NJ 
    3/11/14 AMH and other Bloodwork to prep for IVF with ICSI at RMA NJ
    3/28/14 Saline Sonogram - All good
    March/April 2014 IVF #1 Antagonist Protocol
    BCP/Bravelle/Menopur/Ganirelix
    4/16/14 ER 26 Retrieved!!!
    4/17/14 Fert Report 22 Mature 21 Fertilized w/ ICSI
    4/22/14 Report #2 15 BLASTS
    5/24/14 FET!!!  (Transferring 2 snowflakes)
    6/2/14 Beta #1 575!!! :)
    6/4/14 Beta #2 2060!!! :)
    6/11/14 1st Ultrasound...Saw 2 Gestational Sacs!!  Beta #3 34,312!!! 
    6/18/14 2nd Ultrasound...Heartbeats!! Baby A 112bpm Baby B 117bmp <3 Beta #4 172,080!!!
    6/25/14 3rd Ultrasound...Heartbeats!! Baby A 150bpm Baby B 158bpm <3 Beta #5 232,134!!! 
    7/3/14 4th Ultrasound...Heartbeats!! Baby A 173bpm Baby B 162bpm <3 Beta #6 269,228!!!
    Graduated from RMA!!  First appt with OB 7/8/14

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  • cls78cls78 member

    Can I ask what MFM is?

    Maternal Fetal Medicine.
    TTC since May/June 2012 
    Sept 2013 testing:
    SA #1 Low motility (17%) 
    SA #2 Lower sperm count, but much higher motility
    CD 3 Bloodwork and ultrasound - Normal HSG - Clear tubes 
    Oct/Nov 2013 Cycle 1 with RE 50 mg Clomid + Ovidrel + IUI BFN  
    Nov/Dec 2013 Cycle 2 with RE 50 mg Clomid + Ovidrel + IUI BFN 
    Jan/Feb 2014 Cycle 3 with RE 50 mg Clomid + Ovidrel + IUI BFN 
    2/20/14 Follow up consult RE recommends IVF with ICSI 
    3/10/14 New patient consult with RMA NJ 
    3/11/14 AMH and other Bloodwork to prep for IVF with ICSI at RMA NJ
    3/28/14 Saline Sonogram - All good
    March/April 2014 IVF #1 Antagonist Protocol
    BCP/Bravelle/Menopur/Ganirelix
    4/16/14 ER 26 Retrieved!!!
    4/17/14 Fert Report 22 Mature 21 Fertilized w/ ICSI
    4/22/14 Report #2 15 BLASTS
    5/24/14 FET!!!  (Transferring 2 snowflakes)
    6/2/14 Beta #1 575!!! :)
    6/4/14 Beta #2 2060!!! :)
    6/11/14 1st Ultrasound...Saw 2 Gestational Sacs!!  Beta #3 34,312!!! 
    6/18/14 2nd Ultrasound...Heartbeats!! Baby A 112bpm Baby B 117bmp <3 Beta #4 172,080!!!
    6/25/14 3rd Ultrasound...Heartbeats!! Baby A 150bpm Baby B 158bpm <3 Beta #5 232,134!!! 
    7/3/14 4th Ultrasound...Heartbeats!! Baby A 173bpm Baby B 162bpm <3 Beta #6 269,228!!!
    Graduated from RMA!!  First appt with OB 7/8/14

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    image image
    BabyFruit Ticker

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  • Thanks for this thread.  I graduated from my RE a couple weeks ago, and then met with the nurse-midwife.  I have my first actual OB appointment today and have been wondering what she will do.  Already know her as she is my gyn - but DH is coming so he can meet her too.

    ***signature/ticker warning***
    Me:37 DH:39
    TTC#1 since 3/2012

    Diagnosis : Unexplained Infertility

    3 BFN rounds Clomid + IUI
    IVF 1 - BFN, 1 Frozen
    IVF 2 - BFN, 5 Frozen
    FET 1 - BFP!!! EDD 1/24/15 Beta 1: 700, Beta 2: 2,156; 1st U/S 6w3d: HB 118bpm, 2nd U/S 9w3d: HB 171bpm

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    Pregnancy Ticker
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