Post # 1
Finally decided it was time to set up an RE visit (have been actively TTC for almost 20 cycles). I’ve looked up lists of what to ask, but anything that you’ve learnt that might not be obvious? What should they do during visit #1 (already filled out my medical history and sent over pre-TTC medical files) — like will they do an ultrasound, semen analysis? I want to do all the things ASAP!
Medically, DH and I are mid-30s, very uneventful personal & family histories (no large illnesses, nothign that we can think of causing infertility).
Post # 2
My RE consultation consisted of a vaginal ultrasound and lab work. He checked my vitamin d levels, for diabetes, and did another thyroid check. All of my levels were fine but the ultrasound did find PCOS, which I hadn’t known.
I would ask for any and all tests that you haven’t done to be done. HSG, semen analysis, karotyping..
Post # 3
Thanks! I’m glad that they started with work right off the bat! I’m really ready to take all the actions haha
Post # 4
my consult was back in 2019 and basically it was very comprehensive medical history. I was 34, we were unexplained (having had fsh, LH, prolactin, estrogen, progesterone checked, as well as hsg and semen analysis before referral). My RE recommended iui, but we had decided we wanted to go to ivf right away (personal note – I ovulate regularly, we had done 8 cycles of letrozole while waiting the long wait list to get into the clinic and ideally we wanted more than one child).
We were sent for blood work for both of us, my husband had to do a detailed semen analysis at the RE clinic. I was booked for a “mock transfer” which is a pelvic ultrasound and catheterization (to make sure no difficulty catheterizinf my cervix for future embryo transfers). Once all that was done, we started ivf.
my clinic required the hsg to be done prior to referral, as welll as recent Pap and breast exam. Also, you needed to have protective titer for MMR and varicella prior to treatment. Now they are recommending the covid vaccine prior to treatment as well.
Post # 5
Wow that’s a lot more than I thought! Good to know!
Post # 6
My first consult I think was just talking about mine and my husband’s medical history and our ttc history. Pretty soon after I did an ultrasound to look at ovaries and uterus and blood work for hormones. Next came hsg for me and semen analysis for my husband and after that testing we had another consult to go over results and make a plan.
Post # 7
We didn’t do any testing our first visit. We sat with the doctor and he asked us questions about how long we’d been trying (9 months at that point) and if my cycles were regular. I also had previously had surgery so he looked over my records. The first test was the semen analysis since that was cheaper and easier than my tests. That was done a week or two after the initial consult and we got the results immediately since there was an issue. However, before we could start treatment, I had to do a day 3 ultrasound, day 3 bloodwork and an HSG prior to ovulation.
Post # 8
My first consult was just a in-depth conversation about our family history and learning more about fertility treatments. We also got scheduled for extensive bloodwork and genetic testing. We didn’t do any actual medical procedures, but they were scheduled once our test results came back.
I actually preferred it that way. We got to know our doctor through that consult and get a sense of how the clinic worked before diving in.
Post # 9
Thanks all for your feedback! I had my first RE visit and I loved my doctor. Very patient, clear, and didn’t push on anything (though we’re going to do anything he says )
Nothing was flagged as a problem on my ultrasound or bloodwork. It seems like I have lots of eggs, and I found it amazing he could show me which egg was in the process of ovulating! I had one very small polyp that they will not remove as it shouldn’t impact anything, and likely wouldn’t explain 1.5 years of infertility. Next steps will be an HSG for me and semen analysis for dh.
I have to say I was kind of upset that there was nothing “obviously” wrong. I was expecting a diagnosis like pcos or endometriosis and then I’d say “ohhh that’s why! let’s fix that!” We’re just going to plod along and see if anything happens!
Early treatment discussions suggested clomid + insemination at the doctor (the latter part being my preference) to get the timing perfect.
Post # 10
Been following your posts! Did they do an AMH test as well?
Post # 11
Aw thanks — sometimes I feel they’re boring, but at least help me remember details (sorry i just saw this – was out this weekend!). Yes, they did do an AMH test. I don’t remember the value, but the RE noted it was indicative of “lots” of eggs.
The RE put me on 50 mg of clomid CD 3-7, and the first month I had 3 large follicles put no pregnancy. I’m doing the same protocol this month, but if it doesn’t work, I’ll remove a small polyp (~4 mm) just in case it’s causing issues, though I thought the RE said it was unlikely to cause issues.