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Intro/First RE appointment today

AnonymousNurseAnonymousNurse member
in Trouble TTC
Hi TTTC!  I am not brand new to The Bump, as I have been posting in TTGP on and off for a while now, but I am new here.  I had my first RE appointment today and am still trying to take in all of the information.  I was diagnosed with PCOS, which was kind of a surprise - it wasn't even really on my radar for some reason, but it makes sense.  I had a whole bunch of blood work drawn, and I also had an ultrasound that showed 30+ follicles on each ovary.  Awesome!

A little bit about me:  I am 28 years old, husband is 32, we have been married and TTC for a little over a year.  I'm an ICU nurse, and he is a chemist with a pharmaceutical company.  He is awesome and extremely supportive of whatever we need to do.

Next Friday I am having the HSG and SIS, and my husband is having his SA.  I'm excited to get this testing out of the way so we can start with treatment.  I have been given a prescription for Metformin to start after next week's appointment, and the doctor told me he is likely going to suggest either IUI or IVF right off the bat, depending on if we find any other issues.  This sounds a little aggressive to me, but I'm going to wait until we have our testing results before we go too far into that discussion.

This is all so new to me and a little overwhelming, to be honest.  I apologize in advance for the million questions I'm going to have for you all over the next few weeks and beyond!  I'm looking forward to getting to know all of you.



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Re: Intro/First RE appointment today

  • AnonymousNurseAnonymousNurse member
    Thanks @rainbowbridge14 !



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  • LindseyM2012LindseyM2012 member
    I'm sorry you find yourself here, but welcome. Another PCOSer here. I agree that it sounds quite aggressive to skip to IVF. Don't forget to be an advocate for yourself and give your input on the treatment options (although being a nurse, you may not have to be reminded of that).

    Hopefully we can help answer some of your questions over the next few weeks. The ladies here are so lovely and supportive. Good luck with the rest of your testing!

    Me: 28  MH:35

    Married September 2012. TTC since September 2013

    June 2014 - Dx w/ significant PCOS and referred to RE.

    July/August 2014 - Testing complete: Testosterone & AMH very high, FSH slightly high, Vitamin D low, tubes and lining all lovely. DH SA: A+

    Cycle 1 (Nov 2014): 2.5 mg Letrozole/Ovidrel/TI = BFN

    Cycle 2 (Dec 2014): 5 mg Letrozole/Ovidrel/TI - BFN

    Cycle 3 (Jan 2015): 5mg Letrozole/Ovidrel/TI - BFN

    WTF consult scheduled for 1/29

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  • ashtownyeahashtownyeah member
    Welcome! Sorry you find yourself here. I recognize you fro TTGP … I'm a constant lurker. :) 

    It's exciting to have some momentum after feeling like a standstill waiting through that first year! DH and I are unexplained, and we jumped into an IUIs right off the bat! But, you have to do what you feel comfortable with. I think it's totally fine if you want to pump the breaks a little. You need to be mentally prepared for the process … so take as much time as you need to get to a place where you feel "ready".

    Best of luck to you throughout the rest of the testing process, and whatever plan you choose!
    Babysizer Geeky Pregnancy Tracker
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  • AnonymousNurseAnonymousNurse member
    LindseyM2012 said:
    I'm sorry you find yourself here, but welcome. Another PCOSer here. I agree that it sounds quite aggressive to skip to IVF. Don't forget to be an advocate for yourself and give your input on the treatment options (although being a nurse, you may not have to be reminded of that). Hopefully we can help answer some of your questions over the next few weeks. The ladies here are so lovely and supportive. Good luck with the rest of your testing!
    As much as I'm used to advocating for my patients, I do have a hard time advocating for myself sometimes!  I am definitely on top of this, though.  Or trying to be at least.  I'm thinking maybe he is giving me a worst case scenario.  Either way, as impatient as I'm feeling these days I still want to start with less invasive options first.



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  • AnonymousNurseAnonymousNurse member
    ashtownyeah said:
    Welcome! Sorry you find yourself here. I recognize you fro TTGP … I'm a constant lurker. :) 

    It's exciting to have some momentum after feeling like a standstill waiting through that first year! DH and I are unexplained, and we jumped into an IUIs right off the bat! But, you have to do what you feel comfortable with. I think it's totally fine if you want to pump the breaks a little. You need to be mentally prepared for the process … so take as much time as you need to get to a place where you feel "ready".

    Best of luck to you throughout the rest of the testing process, and whatever plan you choose!
    Thanks for the encouragement : )



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  • DSculley1824DSculley1824 member
    edited September 2014
    Hi! Welcome to the group. I also have PCOS. I'm in the testing phase (had my CD3 blood work on Friday and my HSG on Monday). Waiting to get the final results and develop a plan. Hope your stay is short and sweet here :)

    ***SIGGY WARNING***

    Me (26) & DH (26)
    Dog Momma to 2 amazing furbabies
    Started dating: May 6, 2005 & Married: August 4, 2012
    Diagnosis: PCOS

    September 2013 - January 2014: Not trying but not preventing
    February 2014:     Officially TTC (BBT, OPKs, etc)
    February-August 2014: Irregular Cycles, U/S showed Fibroids/Cysts, Provera required to get AF, BFNs
    September & October 2014: Testing Months with Reproductive Endocrinologist!
    DH's SA: Normal (116.4 million sperm, 97% motility, 36% morphology) - WHO criteria
    DH's Repeat SA: Poss. Low Morph. (138 million sperm, 73% motility, 8% morphology) - Kruger criteria
    HSG and SIS: Normal (tubes clear)
    Medicated Cycle:     5mg Letrozole + Trigger Injection + TI = BFP!!

    ESTIMATED DUE DATE: AUGUST 13, 2015

    Beta #1: 12/8 - 1,040 Beta #2: 12/10 - 2,902 Beta #3: 12/16 - 19,321
    Ultrasound #1: 12/12 (5 weeks 1 day) - Gestational sac and yolk sac present
    Ultrasound #2: 12/18 (6 weeks 0 days) - Measuring good, heart rate 99
    Ultrasound #3: 12/26 (7 weeks 1 day) - Measuring good, heart rate 150




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  • jennym25jennym25 member
    Welcome to 3T! I'm also PCOS, but don't feel too discouraged. Do what you feel comfortable with and don't be afraid to tell the doctor you want to try this instead of that and see what he says. Good luck with your testing and hope you get answers soon.

    Me (29), DH (38)

    Oct 2009   - Married
    Aug 2011   - Started TTC
    Jan 2012   - OB Referred to RE
    Feb 2012   - RE Visit #1
    Apr 2012   - HSG (Normal), PCOS - DH SA (low count and low motility)  
    June 2012   - Provera, Clomid, TI - BFN
    July 2012   - IUI #1, Provera, Clomid 50mg, Trigger Injection - BFN
    Aug 12 - Feb 14 - Break
    Feb 2014   - New OB referred to new RE
    Mar 2014   - New RE visit #1
    Apr 2014    - TSH  level elevated, need to retest.
    May 2014   - TSH retested, higher than 1st test. Start on Synthroid. DH SA (Normal)
    June 2014   - Start on DHEA, CO-Q10, New brand of Prenatals
    July 2014   - Cycle came on its own, b/w on CD2, TSH (normal), Femara CD3-CD7, CD14 - u/s + Ovidrel + baby aspirin regimen. IUI #1 B2B on CD15/16 - BFN

    August 2014 - u/s on CD3 normal, Femara CD3-CD7, u/s CD12, Ovidrel on CD13. IUI #2 B2B on CD 14/CD15 - BFN.

    September  2014 - u/s on CD3 normal, Femara CD3-CD7, u/s scheduled for CD12

    *** September 3T Siggy Challenge: Favorite Fall Shows ***

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  • BunnyBerryBunnyBerry member
    Sorry you ended up having to make your way over to 3T, but I hope the testing yields some clear answers and a great plan that you feel comfortable with.
    January 3T Siggy Challenge - New Year's Resolutions
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    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 2009 | RE 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***
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  • moto611moto611 member
    Welcome!  When my RE suggested going straight to medicated IUIs I thought it was really aggressive, especially since it seemed like I was ovulating just fine on my own... but then he talked about how the medications would increase our chances so I caved on that part. We did decide to start with TI instead of IUIs, but I spent that entire cycle freaking out about CM. Honestly that right there was enough to make me want to switch to IUIs - it's easier for me to have less to worry about.  If that makes sense.  And I'm not pregnant yet, so maybe the plan wasn't as aggressive as I thought?  Anyway sorry for the rambling - my point is I think IUI is actually a common first step for some REs.  IVF does seem especially aggressive though.
    **************
    Married in 2011, NTNP until early 2012, TTC since early 2012

    My husband was diagnosed with state IV colon cancer in 2009. Surgery and six rounds of chemo left him in remission (yay!) but with low testosterone. He took Androgel for two years starting in Jan 2011.
    -SA in Jan 2013: big fat zero; stopped Androgel
    -varicocelectomy in June 2013
    -SA in Dec 2013: 23mil/ml, really low morph
    -SA in March 2014: Count doubled! Morphology apparently no longer an issue.

    Treatments:
    April 2014: hysteroscopy
    June 2014: TI (clomid/bravelle/ovidrel: 2 folliclces) = BFN
    July 2014: IUI#1 (clomid/bravelle/ovidrel; 1 follicle, 23mil post-wash) = BFN
    August 2014: IUI#2 (clomid/bravelle/ovidrel; 1 follicle, 43mil post-wash) = BFN
    September 2014: IUI#3 (clomid/bravelle/ovidrel; 2 follicles, 15mil post-wash) = BFN
    October 2014: IUI#4 (clomid/bravelle/ovidrel; 1-2 follicles, 12mil post-wash) = BFN
    November 2014: IUI#5 (clomid/bravelle/ovidrel: 1 follicle, 23mil post-wash) = BFN
    December 2014: IUI#6 (gonal-f/ovidrel): 2 follicles, 55mil post-wash) = ???

    *all are welcome!*

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  • ritacitaritacita member
    Welcome! Being blindsided by a dx has got to suck, but at least you can take steps in the right direction now! I want to echo what the others are saying about being an advocate for yourself, it is so hard to do when you are feeling overwhelmed, but hopefully the support that you'll find here will help with that :) having said that, IUI isn't necessarily as aggressive as it might seem, but if you feel uncomfortable with any part of IF treatment the whole process is going to suck, so just make sure you know your options. Good luck and I hope your stay here is short!
    ME 28, DH 28
    09/2007 Married
    11/2007 TTC
    03/2010 SA dx = low morphology
    03/2014 RE dx Unexplained Infertility DH numbers are all up and look wonderful.
    08/2014 IUI#1 Clomid +Gonal-F+Ovidrel = BFN
    09/2014 IUI #2 Clomid+Gonal-F+Ovidrel = BFN
    10/2014 WFT apt. moving to IVF in Feb. 2015 FX!
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  • dancersposedancerspose member

    Welcome and sorry you find yourself here.

    I can tell you that with my diagnosis of PCOS (assuming my HSG come back normal) our RE is starting us with medicated TI cycles first, unless we want to jump straight to the more agressive (expensive) option of IVF.  It's pretty unlikely we will.

    Good luck!

    Me: 31 (PCOS) possible right tube issues DH: 36 (SA normal) 
    Started dating in 2006, Married 2012 
    TTC since November 2013 
    First RE visit due to irregular periods: June 2014
    Lap/Hysto to remove polyps, cyst and tube blockage 11/6
    Cycle 1 (Dec. 2014) TI with Clomid, Trigger, & Progesterone CX due to no response
    Impatiently Waiting CD1 to try again with Fermara Back on the bench due to giant cyst,
    who know I'd ovulate on my own after a cancelled cycle and end up with a mega cyst :(
    All Welcome
     
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