Wednesday, August 29, 2012

First Appointment with the RE

We just got back from our appointment with the RE - and I'm happy to say it went really well! I was so freaking nervous before the appointment, but the fertility clinic staff are all so lovely and the doctor is really nice too. I asked a ton of questions of course, and he was really helpful. After talking for a while he did a transvaginal ultrasound, and everything looked great. No cysts on my ovaries and my uterus looks good too. He also took some cultures from my cervix. He described my cycles as "irregularly regular" - meaning that I ovulate regularly but my cycle length varies quite a lot, which is true (27-37 days, quite a variation). He said he wants me to try Clomid for 3 cycles, starting next cycle (if I'm not pregnant this cycle). After my first Clomid cycle he'll do another ultrasound to make sure I don't have any cysts, then I can take the Clomid again and so on. I think we might end up doing timed intercourse if the first Clomid cycle doesn't work, although he did say that we're having plenty of sex - our issue's not a lack of trying!

If I'm not pregnant this cycle I have to go in next CD2 or CD3 for bloodwork - they'll check my ovarian reserve and egg quality. He said my gynecologist was very thorough with the testing she did back in May/June, so that's good. He's not expecting any issues with my CD2/3 bloodwork, and he said it's looking like we fall into the unexplained infertility category. We discussed my husband's semen analysis, which he said looked fine but it wouldn't hurt to have another one done at the fertility clinic. That's scheduled for Friday morning, so that's good. Our insurance will cover it so that's not a concern, and it'll be interesting to see if anything's changed in the last few months. The last one was done at home and then rushed to the lab 40 minutes away (the lab told us as long as it was there within an hour it'd be OK). Well, the fertility clinic staff said he could get the sample at home as long as he gets it to the clinic within 30 minutes, which is do-able, but he's just going to do it at the clinic anyway. It's better to get it to them as "fresh" as possible, I think.

If Clomid doesn't work, or if they find any issues with the new SA, then we might end up doing IUI. It looks as though that would cost around $1000 per cycle, including ultrasounds, so that's not too bad really. We could do that - it's IVF we couldn't afford to do. The doctor is very optimistic that the Clomid will work, though, so hopefully we won't end up having to do IUIs at all. His confidence is rubbing off on me: I feel like maybe I will actually be pregnant soon.

We talked a little about laparoscopy, and he said that it might be something we could look into at a later date. He gave me information about it, and showed me some surgery images on the computer. I hope I won't need to have a laparoscopy, but if I do then I will of course.

I asked him about charting BBT, and he said he's happy for his patients to do it if they want to. He said it's not good for predicting ovulation, which I know of course, but it doesn't do any harm to use it to confirm ovulation. I'll probably keep it up for a while then I guess, although I'm not sure if Clomid messes with your temperatures... I guess I'll find out!

I feel a lot better now that we've been to our first appointment - I was so tense and stressed this morning, even though I really tried to calm myself down. I don't know why I get that way, but I do - maybe I have white coat syndrome! Now that we've been once, I think I'll be fine going again. I was just really worried that the doctor would be condescending, rude or dismissive. He was really friendly and nice, but he obviously knows his stuff too. That's exactly what I wanted - a doctor who knows what he's doing, but is still human and personable.

I have a massive headache now, I think because of all the adrenaline racing around my body. I wish I didn't get so stressed out about seeing new doctors!

Oh and here's my chart for this cycle - I ovulated on CD14 for the first time ever  :)


  1. It's amazing what a good doctor can do for your mental well being. They are all just as invested in getting you pregnant as you are. It's a nice feeling.

    I remember being super nervous before our first appointment with my RE too- and now it feels like my 2nd home. I'm super close with my Dr and my nurses- and wouldn't trade them in for the world.

    1. You're so right, Tami. I was a nervous wreck before the appointment, but I loved all the staff and feel as though they're really on our side. They were all so helpful and explained everything really well, and I'm actually looking forward to my next appointment! :)

  2. That's good news, I'm glad that they are running the test necessary and getting you started on the way to becoming a mom!!! it's no fun going to the Dr's and to have such a good meet up, that's great! So glad it's covered, nothing I do it covered, it's about 50% out of pocket! But my IUI is only $235.00.... But I've heard that it can cost about $1,000 from other clinic...
    Clomid effected my pre-O temps a little higher then normal and then post O where a little higher then normal, but nothing to wonky. Good luck, maybe you will surprise them all and get prego before they start treatments, wouldn't that be wonderful!

    1. IUI for us is about $340, plus the cost of ultrasounds - between about $230 and $330 per scan, depending on which drugs you're taking (Clomid/Femara vs. injectables). That's where I got the $1000 figure from, and that's assuming you only have 2 or 3 scans. Of course if it was injectables then there'd be the added cost of the drugs (Clomid will cost us too, but from what I've read it's fairly cheap - I hope so!). Our doctor seemed hopeful that we won't need IUI anyway, but if we do at least it's much cheaper than IVF!
      And yeah, I really hope none of this will be needed at all - it would be amazing to get my BFP before even filling the Clomid prescription! :)
      Oh and thanks for the info on Clomid temps - it'll be interesting to see how that goes if I end up taking the Clomid!

  3. It sounds like you explored a lot of options and got a lot of information - that's great! I'm glad too that you feel better and more positive ... it's always good to feel good.

    1. Thanks, Elizabeth! It definitely is good to feel good. I've been feeling so low about it all recently, and our appointment yesterday gave me hope for the first time in a while. :)