Yesterday we had our first appointment with an RE. It took a lot to finally get here…emotionally. We sat in the office waiting and a mom and two little girls came in. Really? I know many RE offices have a no children policy, but this place was connected to other Dr offices. It wasn’t terrible, just a reminder of why we were there.
The nurse took us back to a room with a table and we sat and she asked us some basic health questions. I had filled out the intimate questions online, so thankfully she didn’t have to ask us those. Then Dr. B came in. He is an older man who is really casual and easy going. He looked at my charts from the past year, of which only about half did I really temp. It was funny too because when he got to the ones where I didn’t he goes, “Oh and here you gave up.” Yep, you got it! The ones he looked at he felt that my temps didn’t stay high enough after ovulation (during the luteal phase). I have actually felt that before and thought I need some progesterone. He wasn’t worried about it, saying based on my cycles he guess the majority of them were fine. But I think when we get to the treatment phase, I will ask for progesterone.
We didn’t have Matt’s analysis’ from the lab, so I just told him the numbers I knew. Which were basically all of them 🙂 So from there we talked about IUI. It was really great for Matt to hear what he had to say and to see the little diagram of how it works. When we got home, he said, “I didn’t realize sperm had so far to go!” Ha, yeah and with his slow ones, they obviously aren’t making it. I was so glad Matt was there and he was super involved asking his own questions. We asked if he had any estimate on what his post wash numbers would be based on the two SA’s already done. He didn’t give any numbers, which I understand. He said he only does 3 IUI’s before moving on to IVF. I knew this was probably the case, though it’s scary. He felt pretty confident that IUI would work, giving us a 60% chance. I then asked him what our chances were naturally right now. I had guessed before somewhere around 3%. He said 2%. The good news is I was close, huh?
He wants me to have an HSG, which I wanted anyway. That’s really the only test for me. Part of that is because I already had a few CD3 blood work done. Also, as suspected he thinks our only issue is male factor. I am glad for that. He even went as far as to say we will get pregnant, then was like “I don’t want to get your hopes up, but a healthy 24 year old will get pregnant. If IUI doesn’t work and you do IVF and we put embryos in, you will get pregnant.” Glad for his vote of confidence! The thing is, I do not want to entertain the thought of IVF anytime soon.
He also wants Matt to ice his balls. Yes. For real. If I hadn’t read about doing this in a book about holistic fertility methods, I’d be skeptical as I can’t find much about it online. Matt actually did it for about a week when I read about it last year. Now he has a Dr.’s order! After 60 days or so of that, he will have another SA to see what the results are. I believe he is going to have his sperm washed too so that we know what kind of numbers we would have to do an IUI. To be honest, I’m a little nervous about that. His last SA only had 2% rapid motility. That would put his post wash numbers much lower than the necessary 10 mil. The “ice therapy” as he called it, specifically doubles motility. Hopefully it does at least that. Matt has been back on vitamins and he’s been really faithful about it without me reminding him, which is great. Maybe the combination will work……
Overall I was fairly pleased. The thing I am a little concerned about is the lack of more testing. He didn’t do an exam or an ultrasound or anything. I wasn’t sure what to expect, but I thought at least that. He also only wants me to have an HSG. I kinda thought there would be more. Yes, I’ve had a couple blood tests, but there are many more we could do. I guess I’m not sure if I should be concerned about all that or not.
I’m glad that we are moving forward and also that it is slowly moving. We plan on doing IUI but it won’t be for a couple months after the next SA and after my HSG in a few weeks. IUIs at this place are way cheaper than others in the area (actually two buildings down is the big RE office, like the Walmart of RE’s or something). But we can’t do it right now because Matt still doesn’t have a job. We are praying that that will chance by the time we are ready to do an IUI so we can afford it! It’s funny, I wanted to go slow, but now that we’ve got this far, I want to do an IUI tomorrow….although I guess I would have to ovulating for that to work, but that’s beside the point. I’m just ready to not be waiting. Really, I’m so freakin ready to be pregnant.