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babyquestion
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Member since 11/07 4004 total posts
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Had my first appointment with my RE - Need some questions answered
So I FINALLY got to see an RE today. I met with Dr. Brenner, and I really like him. He was very thorough and seemed very knowledgeable. He took a detailed medical history and explained, in detail, his "plan of action". He did a vaginal sonogram (with the nurse AND intern in the room - fun!) and believes that I do have PCOS (cysts on the ovaries were there still). I am going on Saturday for my two hour glucose test, and on Monday to have blood work done to see if I am ovulating on my own. Here is the plan of action:
If my glucose test indicates an insulin problem (which he thinks it will), then I will start on metformin. He said I can stick with that for awhile and see how I respond with it, but being that we'd like to get pregnant sooner than later, he thinks putting me on clomid WITH metformin will yield better results.
After I get the results of the glucose test, I will start metformin. If I am not ovulating on my own, he will give me provera to bring on a period, and start clomid on CD3 or so. DH will be giving a SA sometime within the week. Initially, he wants to do a post coital test to see how DH's sperm interact with my CM. If I do not get pregnant this first cycle (with timed intercourse) with clomid and metformin, we can then discuss the possibility of IUI (if hostile CM is the problem).
So, I feel better that there is a plan of action, however, this is very overwhelming. I'm nervous about starting meds and the whole process.
What does everyone think about Dr. Brenner's take on all of this? Do you think taking the metformin with the clomid is the best way to go?
TIA
Message edited 1/17/2008 6:08:56 PM.
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Posted 1/17/08 6:07 PM  |
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Jen2999
Baby girls & beagles rock!
Member since 8/06 10356 total posts
Name:
Jen
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Re: Had my first appointment with my RE - Need some questions answered
I think it is a GREAT first step!
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| Posted 1/17/08 6:14 PM |
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MrsMessina
Thankful for our miracles!
Member since 2/07 7254 total posts
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Re: Had my first appointment with my RE - Need some questions answered
Posted by Jen2999
I think it is a GREAT first step!
Me too. i've taken provera, had an IUI and taken provera (besides injections). FM me w/ any questions. I was looking for you earlier on the board to see how you were....
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| Posted 1/17/08 6:37 PM |
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babyquestion
So Thankful!!
Member since 11/07 4004 total posts
Name:
Lots of Sticky Dust, Please!
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Re: Had my first appointment with my RE - Need some questions answered
Posted by MrsMessina
Posted by Jen2999
I think it is a GREAT first step!
Me too. i've taken provera, had an IUI and taken provera (besides injections). FM me w/ any questions. I was looking for you earlier on the board to see how you were....
Do you think trying a cycle without IUI and using timed intercourse is a "waste" if I am using the met/clomid meds?
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| Posted 1/17/08 6:42 PM |
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Jen2999
Baby girls & beagles rock!
Member since 8/06 10356 total posts
Name:
Jen
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Re: Had my first appointment with my RE - Need some questions answered
Posted by babyquestion
Posted by MrsMessina
Posted by Jen2999
I think it is a GREAT first step!
Me too. i've taken provera, had an IUI and taken provera (besides injections). FM me w/ any questions. I was looking for you earlier on the board to see how you were....
Do you think trying a cycle without IUI and using timed intercourse is a "waste" if I am using the met/clomid meds?
If there is nothing wrong with DH's sperm, you may as well try the "fun" way before getting the drs involved!!!!
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| Posted 1/17/08 6:45 PM |
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MrsMessina
Thankful for our miracles!
Member since 2/07 7254 total posts
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Re: Had my first appointment with my RE - Need some questions answered
I don't think so personally. If nothing else it will give your body a little more time to adjust to the metformin if you go on it. You don't want to shock your body and then end up pregnant. As much as I know you want to get pg right away, if it were me I would allow my body a month or so to get accustomed to the meds. They told us an IUI only gives you like a 20% chance of getting a BFP.
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| Posted 1/17/08 6:47 PM |
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babyquestion
So Thankful!!
Member since 11/07 4004 total posts
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Lots of Sticky Dust, Please!
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Re: Had my first appointment with my RE - Need some questions answered
Posted by MrsMessina
I don't think so personally. If nothing else it will give your body a little more time to adjust to the metformin if you go on it. You don't want to shock your body and then end up pregnant. As much as I know you want to get pg right away, if it were me I would allow my body a month or so to get accustomed to the meds. They told us an IUI only gives you like a 20% chance of getting a BFP.
You are right! I just wanted to make sure that it was possible (even if it's a slight chance) to get pregnant "on my own" with the met/clomid. I didn't want to waste a cycle using clomid when I know I'm limited with my usage.
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| Posted 1/17/08 6:55 PM |
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MrsMessina
Thankful for our miracles!
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Re: Had my first appointment with my RE - Need some questions answered
Posted by babyquestion
Posted by MrsMessina
I don't think so personally. If nothing else it will give your body a little more time to adjust to the metformin if you go on it. You don't want to shock your body and then end up pregnant. As much as I know you want to get pg right away, if it were me I would allow my body a month or so to get accustomed to the meds. They told us an IUI only gives you like a 20% chance of getting a BFP.
You are right! I just wanted to make sure that it was possible (even if it's a slight chance) to get pregnant "on my own" with the met/clomid. I didn't want to waste a cycle using clomid when I know I'm limited with my usage.
Absolutely!! There are different levels of PCOS. Some people don't have as drastic differences in levels as others. I would definitely try a month w/o an IUI and see what happens!!!  
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| Posted 1/17/08 7:16 PM |
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Carolyn
.....
Member since 5/07 5351 total posts
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Twin mommy
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Re: Had my first appointment with my RE - Need some questions answered
I wouldn't rule out IUI until you get the results of the SA. If there is no problem there, then I don't think it is a waste not to do it.
Good luck!
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| Posted 1/17/08 7:50 PM |
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SweetTooth
I'm a tired mommy!
Member since 12/05 20105 total posts
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Lauren
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Re: Had my first appointment with my RE - Need some questions answered
Posted by Carolyn
I wouldn't rule out IUI until you get the results of the SA. If there is no problem there, then I don't think it is a waste not to do it.
Good luck!
I agree I did two cycles with timed intercourse on met+clomid.
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| Posted 1/18/08 10:16 AM |
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LaurenExp
Waiting patiently for baby sis
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L-Diddy EDD 11/11/11 :)
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Re: Had my first appointment with my RE - Need some questions answered
Sounds great! Did he stick his finger up your butt? That was a "pleasant" surprise when I got my exam from him! 
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| Posted 1/18/08 10:19 AM |
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babyquestion
So Thankful!!
Member since 11/07 4004 total posts
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Lots of Sticky Dust, Please!
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Re: Had my first appointment with my RE - Need some questions answered
Posted by LaurenExp
Sounds great! Did he stick his finger up your butt? That was a "pleasant" surprise when I got my exam from him!
YES!!!!!!!!!!!!!!!!!!!!
He warned me that he was going to do it before he did it, but still - UGH! PLUS, the nurse AND intern were in the room, too. Lovely! 
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| Posted 1/18/08 11:54 AM |
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Bops
My 3 wishes
Member since 12/07 13625 total posts
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Re: Had my first appointment with my RE - Need some questions answered
Good for you- Sounds like your on the right track !!!!
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| Posted 1/18/08 5:16 PM |
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sweetpea0717
LIF Toddler
Member since 5/05 386 total posts
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Trish
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Re: Had my first appointment with my RE - Need some questions answered
Wow..sounds like my story exactly. Dr. Brenner is very thorough and had the same course of action for me. I would follow his recommendations if you feel comfortable :) Good Luck!
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| Posted 1/18/08 8:20 PM |
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babyquestion
So Thankful!!
Member since 11/07 4004 total posts
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Lots of Sticky Dust, Please!
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Re: Had my first appointment with my RE - Need some questions answered
Posted by bubbledweller
Wow..sounds like my story exactly. Dr. Brenner is very thorough and had the same course of action for me. I would follow his recommendations if you feel comfortable :) Good Luck!
FM!!
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| Posted 1/18/08 8:52 PM |
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MrsRivera
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Member since 2/07 9876 total posts
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Beth
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Re: Had my first appointment with my RE - Need some questions answered
Posted by babyquestion
Posted by LaurenExp
Sounds great! Did he stick his finger up your butt? That was a "pleasant" surprise when I got my exam from him!
YES!!!!!!!!!!!!!!!!!!!!
He warned me that he was going to do it before he did it, but still - UGH! PLUS, the nurse AND intern were in the room, too. Lovely!
WHAT??!!! How is THAT part of the exam???  
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| Posted 1/18/08 9:01 PM |
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