On Wednesday morning, we had our first appointment with the REI (Reproductive Endocrinology and Infertility) specialist. We spent more time sitting around waiting than we did actually talking with the doctor, but things went well and we're now on the path to IF testing.
Before we met the doctor, we met one of the fellows who works with him (the clinic is at a hospital) and she took both of our histories, including details about my cycles. She took that information to the doctor, they reviewed it together, then both came back to discuss with DH and me. I was expecting to get a pelvic exam or ultrasound as well but they didn't ask. I don't know if it was because they already had that information from when I had them done in Feb/March (they did make reference to the u/s results at one point), or the timing, or if they just don't do that during consults at all.
The doctor told us the same thing I'd read in one of my TTC books: after trying unsuccessfully for one year, 40% of the time, it's a male issue and 40% of the time, it's a female issue. He said that based on my history over the past year, he suspects PCOS, but won't say for sure until after all of the testing is done. I had thought that the fact that I'm still ovulating each cycle would be significant but it didn't seem to be. I got the impression that egg quality could be an issue given the delayed ovulation in most cycles, though the doctor didn't explicitly say that. He did say that based on all of the information he has so far, the goal will be to get me ovulating properly. I'm totally onboard with that!
As I had suspected going into the appointment, the timing wasn't ideal for any testing this cycle. The plan is to wait until next the next cycle begins, then go in for CD3 bloodwork, an HSG somewhere around CD7-10, and 7dpo bloodwork. The DH also got a requisition for a semen analysis, which is all the lucky bugger needs to do and he was able to schedule that for next week. Once all of the results are back, the doctor will bring us back in and we'll discuss where to go from there. I'm hoping, though, that I'll be able to call and get the results of the individual tests before that meeting. It would be nice to have a rough idea of where we're at without having to wait that long! The semen analysis results alone could eleminate 40% of the worry.
We both came away from the appointment feeling good about it. We both liked the doctor, Dr. P, who was very friendly and very empathetic to our situation. One of the things I'd been concerned about was what happens if we were to conceive again before we were actually getting treatment. The family doctor doesn't typically see people very early and they don't do anything beyond a urine test, but I'd like to know what's going on given what happened last time. Before I could even ask about this, Dr. P said that if I should happen to get pregnant again before we made it to the testing, to call and ask for a beta draw so that they could monitor it. When I told him that this was the exact thing I'd been wondering, his response was, "Of course we'll look after it. You're a part of the family now." I don't think we could have asked for better than that.