Set up appointment with OB

[belle55]

It's just a first step. I'd like to do a SA but we'll talk about all the the options. It technically has been over a year of trying but not consecutively due to the MC. I don't know, I'm feeling weird and nervous about it like we're "giving up" too quickly or something?

Can any of you ladies who have been down this road with your doctors give me an idea of what to expect from here? Like I know we likely won't do an iui immediately but what else might be on the table? I'm nervous.

[boiler717]

Your OB will likely give you the option of working with him/her or a referral to a RE. I would take the referral. First steps are usually CD3 bloodwork, ultrasound to check for cystic ovaries, 7DPO bloodwork, SA, and a HSG. Depending on results and who you work with, you have some options. My RE was able to do IUI the next cycle.

I'm sorry for your loss. I don't think it's too quick though.

[konapoppy]

I don't think it is too fast.

I just had my one year appt with my OB on Friday. She gave me slightly different advice than others have recieved. We are both pretty sure I am not ovulating.

I am doing CD21 blood work today- checking AMH, TSH and progesterone. Depending on results, I will likely start clomid next cycle. She recommends 3 rounds of clomid, then SA and checking my tubes, then going from there. We have he order for the X-ray and the SA so we might do those earlier if I don't react to clomid.

It was honestly a relief to talk to her. I am glad I didn't put it off. Good luck!

[belle55]

Thanks for the responses. I'm nervous because as far as I can tell there's nothing "wrong" - I ovulate regularly and get positive opks, we have good timing, it's just not happening. I am scared we won't get any answers. I keep reassuring myself that we did conceive once naturally so it should happen again...but what if it never does? Ugh. Appointment is on Friday. I'm gonna be a wreck all week.

[ginkgoleaf]

I don't think it's too early to go for an appointment. You can find out your options and can always to choose to keep trying on your own for awhile if you're not ready to do treatments yet. First step would probably be Clomid with TI, then IUIs after that, maybe with injectable medications.

[EllenGriswold]

Don't be nervous - to you it feels like this huge step to see the doctor, but to the doctor, it's just a normal thing they see every day. I have a very similar experience, conceived naturally on our own after about 3-4 months TTC, but then mc and did not get pregnant again. We got started testing with the doctor and have found nothing "wrong" but a few places we can improve. Our numbers are all technically in the normal ranges but DHs SA showed some lower-normal levels and I'm on the lower-normal range for progesterone after O. I would just get started with the doctor, basic bloodwork for you and an SA for your H - if it shows everything is working, you can relax and wait on treatment for a few months, but if there is an issue, you can hopefully address it quickly.

[Mushe]

Don't be nervous! I hope the OB has some good advice for you. IMO, I'd get the tests out of the way before starting any treatment, because they're really not a big deal (CD3 bloodwork, HSG, SA), and then you know that at least those issues aren't a problem before starting something like Clomid.

[MrsMB]

Apr 6, 2015 11:16:50 GMT -5 Mushe said:

Don't be nervous! I hope the OB has some good advice for you. IMO, I'd get the tests out of the way before starting any treatment, because they're really not a big deal (CD3 bloodwork, HSG, SA), and then you know that at least those issues aren't a problem before starting something like Clomid.

This.

Good luck moving forward!

Sent from so-called "smart" phone. Please forgive any errors!

[HoneySpider]

Everyone else already had good advice but just want to say GL! The early testing is easy and hopefully it will give you some insight.

[mrsbunny]

Not sure how old you are, but I know that our age factored in with my hesitance to see a doctor (DH and I are 25) when we hadn't tried for a year since the MC. However, we knew DH had some issues with low T although that *shouldn't* have caused issues with TTC. I was resistant to see a fertility specialist because I felt we were too young and hadn't tried for "long enough." The doctor was VERY nice and answered all our questions. Although he hasn't prescribed anything different, he was super helpful with all our questions and we know that if we continue to struggle we can go back there.

Good luck. I know it's a scary step, but it could bring you peace of mind if nothing else.

[raangoli]

Good luck!

[sometimesrunner]

Good luck today, belle55 ! 

[daisy]

It's probably too late now but when I went in after 6 cycles my midwife started by ordering blood tests for me (progesterone, FSH, testosterone, thyroid, etc) and a SA for H. We haven't gone further than that (and H hasn't done the SA yet) but it made me feel better knowing I had the ball rolling to make a plan.

I hope you got some answers at your appointment.

[belle55]

Thanks everyone. My appt. went well. I felt a little bit like they thought I was there too soon since I have conceived naturally once and have only been trying for 6 months since then. But I know that I am ready to do the testing and they didn't tell me to wait. Unfortunately it was too late for me to do cd3 testing this cycle, so I opted to wait until my next cycle to start on that (just in case I get a bfp...I don't want to spend the money on cd21 testing if I don't need to) DH did schedule his SA so we will get those results this week.

I'm feeling pretty good knowing that there's a plan in place if we don't get a bfp this cycle. I hope we can get some answers.