appointed time · Infertility · trying to conceive · ttc

On an infertility consult: part 1

Yesterday we had our appointment at the infertility clinic. I’m breaking this into two posts because I want to process the appointment and my general emotions…but then my husband’s response and how that has played out for us needs it’s own space.

The appointment itself was mostly encouraging and helpful. She asked all the expected questions about our history (together and individual) and habits, looked over my color-coded cycle data (and remarked that [a] “you are very organized” and [b] “you guys really have been *trying* for a full year”); and then went on to explain the causes of infertility and her recommended plan for us.

Basically she ordered a bunch of tests (labs for both of us, semen analysis for him, an ultrasound and an HSG study for me. Thankfully I was only on day 4 so all of this was able to be started yesterday and the HSG is scheduled for Wednesday), explained some of the numbers she was looking for with the labs, and then went on to say that assuming everything came back unremarkable/negative the next logical step would be IUI (intrauterine insemination). After a few cycles of that, if still unsuccessful, then we’d move to IVF. Apparently we can plan for the first IUI in January if we want…I’m surprised she didn’t just go ahead schedule my delivery too.

A few things that are very encouraging so far:

  • She looked over my cycle data and believes that I am indeed ovulating; due to my average cycle length and the normalcy of my menstruation. That was a relief
  • She didn’t find anything glaring in either of our histories/habits that seemed to be a red flag that is impairing our fertility
  • My ultrasound showed a normal uterus and two normal ovaries; both with 8-10 developing follicles
  • My FSH and estradiol levels both appear to be in the normal range; along with my TSH. Still waiting on a few other labs.

I am grateful that she is moving so quickly with all the tests. Potentially we could have a fairly thorough analysis of our individual fertility within a few weeks.

I definitely didn’t expect her to lay out the whole course of infertility treatment on day one. I was not ready to be talking about IUI as an almost immediate option…I just wanted to start the process of getting worked up so that if there were any minor issues able to be ‘fixed’ we can get started.

Honestly, at this point, just knowing that everything is fine (if it is) would be a huge relief. I don’t mind (so much) waiting if I know that it is just a matter of it not being the right time. Obviously it always is God’s timing whether by IUI or IVF or none of this, but I also believe that sometimes there are steps we can take to remove some types of obstacles (i.e. a blocked tube, a failure to ovulate regularly, low hormones, poor sperm quality…etc) and that’s not necessarily walking outside of his plan.

More on how all this feels to my husband (and consequently how that has helped adjust my own attitude a little) in a later post.

 

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