RE Questions..

So my first RE appointment is Thursday - I am a bunch of different emotions..Happy, Excited, Nervous, Scared...


I know that i will be getting a internal ultrasound and have my new patient appointment but I want to make sure a make a list of questions to ask.  Sometimes I get so overwhelmed with information that I forget to ask some important things. 


Any advice from you girls who have been there would be appreciated! :)


 

Posted on June 6, 2011 at 7:07 am
ccia84
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(8) Comments

jess143
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I really didn't have to ask any questions. Our RE lead the appointment, took all of our medical history info, did the sonogram, and then told us what she thought we should do. We really clicked with her and iinstantly felt safe so stopped interviewing REs.

Posted on June 6, 2011 at 7:16 am
ccia84
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That is great to hear - I really hope I get that same feeling with mine on Thursday. 

Posted on June 6, 2011 at 11:22 am
G8R.Girl
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G8R.Girl

I totally get what you mean. I felt excited about my first appt and terrified to find out something terrible. In the end I didn't really come out of it with much more information than I already had but I felt reassured and like finally I was taking action and had an expert in my corner.
For the life of me I cannot remember what specifically I asked the RE on the first appt but I did make a point to take a pad of paper and a pen with me to write down everything he said. I usually remember everything I mean to ask a dr but I get "stuck" on one piece of information they tell me and I have almost no memory of talking about anything else!
I would say to listen for their attitude to testing you and DH versus just you. Testing for him is less invasive and should be done sooner rather than later. Find out what their protocol is for your age and health. i.e. Clomid then iui then iui with injectables then ivf etc...Basically how long do they recommend trying one thing before moving on to something else.
I also think it is important to feel comfortable with the RE. You will spend a lot of time talking with them and getting poked and prodded AND spend a lot of money on their recommendation so you want to feel secure with their knowledge and bedside manner and feel that they are looking out for you. It is always a gamble and they could be a terrible dr with a great bedside manner but, assuming they know their stuff, you want to feel safe in their hands.
Let us know how it goes! Good luck :)

Posted on June 7, 2011 at 7:18 am
beatie
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How did it go, Cat???  I'm anxious to hear what happened! :)

Posted on June 9, 2011 at 2:23 pm
Alliesauce
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Ditto Beatie, hope it went well!!! :)

Posted on June 10, 2011 at 5:25 am
ccia84
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Thanks for the follow up ladies -


I have debated on putting this on here, because my current treatment plan is different than most that I have heard. 


Before I start - I did A LOT of research on my RE before I went in.  Checked education, read his website cover to cover, and also looked at a lot of reviews of women who have had success with him.  Personally I really liked him.  My appointment started at 3:15 and we didn't get out of there until after 5:00.  He took the time to explain everything to us and went over all of our questions.


The meeting started as a consultation where I basically explained everything that we have been doing and what didn't work for us.  He was very up front with me and didn't feed me the whole "rosey sunglasses" routine (which I personally appreciate).  He said based on what he saw during the exam and ultrasound will be able to tell him how agressive the form of treatment might need to be (ex. size of my ovaries, what my cervix looks like etc.)  The good news is all of that went extremely well.  My ovaries are fine, my cervix is good and I don't have signs on endometerosis.


Based on everything I have gone through - His plan of attack is to put on birth control pills for 42 days and then immediately start a taking Clomid (100mg) for 10 days (starting on cycle day 2 - 11) then do an ultrasound about cycle day 13 - 15 and then have timed intercourse in hopes that it works.  He has had a lot of success with this method by "restarting" PCOS patients with the combo of also being on Metformin.


I have to be honest, the idea of getting started back on birth control pills shocked me.  I of course challenged it stating that I feel that is what has messed me up from the beginning, but he explained to me in detail on how that theory isn't true (but of course it is normal human response to blame it).  He wants to do three rounds of Clomid and if that doesn't work he recommends IVF.  I haven't fully bought into if we need to jump into IVF right after that - and I may want to explore other options, but right now I have just had to accept that he knows a lot more about this than I do and I am going to go along with it.  Of course I am open to IVF, but I know what a huge step that is and I want to make sure we have exhausted all of the other options first.


It seems like a long time on the pill, but I just have to think that on July 21st all of that will be over with and I can start trying again. 


Also, in the meantime, I have had a battery of new blood tests done this morning and will also be going in for a HSG test on Wednesday to make sure I don't have any blocked tubes.


Thanks for reading this - I really did worry about posting it, because I don't know if I could have made sense of it before yesterday.

Posted on June 10, 2011 at 10:05 am
Amy.0618
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Cat - You have a plan... from a doctor you like and feel comfortable with - that's the main thing! Actually, a friend of mine wasn't getting her regular periods after coming off the pill and her doc put her back on the pill and my mom was put on the pill to help stop her periods (she is going through menopause late) - totally not the same situations but it seems the pill does more then what we all think.


And hopefully this plans works and you won't even need to consider the IVF plan.

Posted on June 10, 2011 at 11:27 am
jess143
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jess143

I'm glad you liked him! Sounds like he really took his time with you, I personally hate being rushed!! It's always surprising to hear BCP as part of the protocol, but RE's do it with IVF, and it's not surprising to me that he's going to do it for you as well. It give him control over your ovaries. The BCP will suppress them, so they will be "resting".


Something to think about: what does your insurance cover? Does it cover IUI? IVF?


We were given the option of IUI before moving onto IVF, but the chances of a successful IUI was only slightly higher than a natural cycle. We wanted to do what would give us the best odds, and that was IVF. (If you have any questions about the process, feel free to pm me!)

Posted on June 10, 2011 at 1:52 pm

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