My RE Appointment - long...UPDATED at bottom - spoke with finance & now the NURSE

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My RE Appointment - long...UPDATED at bottom - spoke with finance & now the NURSE - and learned something new!

Okay - first let me say - i'm sorry this is so long...but i'm a very detail oriented person and always enjoy more info...

We met with Dr. Boehrer at RMA of NJ... He's very low-key, very soft spoken... He asked some questions, based on the MOUNDS of paperwork i had to fill out and then asked some questions about my cycle. I had my charts to show him, which showed that i have been ovulating and that my cycle has been, in his word, 'weirdish'. I told him about the B6 and he kinda smirked...saying it helps, but not enough really. He told me all the stuff that I already knew (about testing, etc)....and said what to expect....i'd tell you here - but then it would be silly to just tell you again as it happened...

First thing was the ultrasound..... This is where the biggest OW EVER comes into play. He first checked my cervix...i guess to make sure it was kosher. End result - it's fine. Did this part hut? Not too much - just uncomfortable.

The ultrasound was pure, unadulterated H E L L... Most of you know I cramp when i'm ovulating, so i already had little cramps. The internal sonogram hurt a LOT!!!!!!!!!!!!!!!!!! He found my right ovary within minutes and that was pain on a 5'ish...which sucked, but deep breathing and focus helped with that. Then he noticed a fibroid. He was able to determine that i don't have PCOS because the numbers of follicles i have isn't immense (apparently, if you have PCOS, you tend to have last months' follicles still there, so your numbers would be HIGH - mine were about 6-7, which is within the norm). He then started to try to find my other ovary. This process went on for about 10 minutes of pushing and prodding on my stomach and internally. This HURT LIKE DEATH!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! He kept asking if i was okay and i said yes, because what on earth was i going to say???? It hurt a LOT. My left ovary was apparently higher up, because as he said nicely, in women who are a little overweight (God bless him), some ovaries like to ride up...he eventually found it. It didn't have as many follicles..

After I got dressed and got weighed by the nurse (if the sonogram didn't hurt, that sure as heck did)...and then went into the waiting room to wait for the nurse. She had to get some info together. We waited all of 10 minutes maybe and were whisked back into a room to have a consultation. The plan is that he is concerned about the QUALITY of the eggs that i'm producing, based on the sonogram...so he's doing something called a clomapine challenge.

So - here's the plan Stan...

Day 1 of my next period - i call them and make an appointment for day 3 blood work & an HSG (this is a procedure done at a radiologists office, they basically put die into you through a catheter and make sure your tubes are not blocked...among other things). This has to be done between day 6 & 10 of the cycle.

Day 5 - I start taking Clomid (which basically tricks your body into thinking you're menopausal)....this will be part of the testing.

Day 10 - i stop taking clomid and go back in for more bloodwork. If there is something wrong - my numbers will be HIGH, if everything is fine, my numbers will be low. They will call me with the results by the end of the day. One thing i LOVE is that they will NEVER EVER leave for the day until every single person who had blood work done gets a call...

Day 10 - i have to go back in for more blood work to be done to check on levels of stuff.

Day 21 - go back to the office for more blood work.

During all of this fun stuff - Dave has to go in ONCE. He has to have a Semen Analysis done (they have a whole room for the boys - movies, magazines, etc)...and have some blood work done as well.

The nurse told me that there is some concern about the fibroid. She said MANY women have them, and in some women they aren't an issue at all. BUT - for some, the fibroid keeps implantation from happening and in some cases, will ultimately cause a miscarriage..so once all the first cycle testing is done, that will decide what happens then.

The fact that I don't BLEED outwardly is a slight cause for concern as well. When I told the doc and the nurse that I could wear a light days pad for the entire time of my period and never have to change it seemed to make them twitch a little. The nurse said that could be normal for me, or it could be that i have a problem with my uterine lining... Nothing that more testing won't reveal...

Overall - i'm very happy with how it went. I'm in a LOT of pain - because I guess the sonogram combined with the cramps from ovulation.... I'm nervous about the Clomid - they told me that it really messes with you... They told me that charting/temping wasn't necessary anymore because they're on the case now. He appreciated my charts/temps that I showed him, because they showed him a clear pattern of a 'weirdish' cycle...

This got real long, real quick... :) I'm sure there's a lot more to share - but it's all still kinda sinking in. Tomorrow - i have a phone call with the financial office and then the RN calls me to see if i have any questions. She said most people, the day after find themselves with 800 questions, so they started calling their patients that day to answer any ?? they may have. I really like the people in the office - they are all wonderful!

I cannot wait to meet everyone at the GTG!!!!!!

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Message edited 9/17/2008 12:24:52 PM.

Posted 9/16/08 1:33 PM