Questions to ask, tests to request for 1st appointment w RE/fertility Dr +

posted 6 months ago in TTC
Post # 2
4470 posts
Honey bee
  • Wedding: September 2012

I would bring your recent lab work results, medical records from your OB-GYN (pap smear results, etc.), and your charts.

Other than that, I would bring an open mind. Don’t go in trying to control the process. Our first consult was mainly a conversation with the doctor about family history, what we had been doing, any prior medical issues, and how they like to approach infertility. They recommended first steps and tests (for both Darling Husband and I) and we went from there.

A competent RE will know what tests to start with based on your specific circumstances. If they don’t mention something you want to know about, go ahead and ask, but I would also trust them (not blindly, but as someone who knows more than I do about fertility).

Post # 3
2092 posts
Buzzing bee
  • Wedding: August 2014

The first round of tests will be pretty standard. Your dr. will likely do bloodwork to test your AMH and FSH, estrogen levels, TSH and other hormones and ultrasound to check antral follicle count, etc. Before we did any treatment, my dr. required an HSG to check that tubes are clear. You have a lot of information at your fingertips but I agree with the above poster. Your dr. will want to hear about your history of pregnancy, if any, and likely won’t do anything with your charts or any other ‘data’ you’ve collected. The first appointment is generally to get a sense of why you are seeing the doctor and talking about your options going forward. My husband did come to the first consultation, especially if he has already given a sample, the Dr. may review those results with you both.  Good luck!

Post # 4
7273 posts
Busy Beekeeper

highstrungmomtobe :  as PP said go with an open mind and be aware that the RE may want to repeat some of the tests themselves so don’t be frustrated by that. I would definitely bring your husband along – the first appointment is typically a meeting to talk about options and goals. My husband came to every meeting with the doctor to discuss our game plan – he only skipped my monitoring appointments once I was in cycle. 

Post # 5
7911 posts
Bumble Beekeeper

Your cycles sound a lot like mine. I too would typically ovulate around day 12, but had a normal luteal phase. My periods were also always very light, with typically only a day or two of actual red bleeding, and then maybe another day or two of spotting. We TTC’d for five cycles, during which time I had a MC and two early CP’s before finally getting pregnant with a sticky baby.

I have no idea if this is a total fluke or not, but the cycle I conceived my daughter, I introduced Ubiquinol (COQ10) and red raspberry leaf tea into my TTC regimen, and I randomly ovulated on CD15 that cycle instead of my usual CD12 (I was temping and using OPKs so I know when I ovulated). I also had the best ewcm I’ve ever had that cycle. I wonder if the later ovulation meant I dropped a better egg? Just throwing it out there if you’re looking for other things to try. I think a lot of RE’s recommend COQ10 to their patients too so it might be worth asking about. It is supposed to improve egg quality. Good luck!

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