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Conception

When's the best time to get pregnant? Use our interactive ovulation calculator to work out when you're most fertile and most likely to conceive.

First Fertility Clinic Appointment Tomorrow

964 replies

dogmam · 04/01/2021 18:07

Me and my partner have our first appointment with our fertility clinic tomorrow!

We went to the GP after a year of TTC and after 21 day bloods and partners SA, we were referred straight away to the fertility clinic. GP tests were in October/November so it's moved along quite quickly so far.

Feeling slightly nervous but also excited to hopefully get some help! My partners SA showed low motility and morphology so I assume that will be discussed..
What else should i expect from this first appointment? Is there anything I should be asking?

Thanks in advance! I'll update this after the appointment tomorrow as I know there are a few others on here who are in a similar position and might find it useful.

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Juno231 · 21/04/2021 12:27

@dogmam how did OH take it? Some men get very upset knowing they're the reason for the infertility - it's like they don't even consider it to be an option whereas women immediately think it's them! Your AMH is a great level, you should be happy with that!

How do you feel about having to wait until the end of summer to start treatment btw?

Had my pre op assessment today but other than that I'm just twiddling my thumbs until the lap next Tuesday.

dogmam · 21/04/2021 12:17

@paintfairy very exciting and have everything crossed. I hope this is it for you.

Update from me.. we had out follow up appointment with the consultant and his student (first time we've spoken with the consultant, all tests/investigations so far have been done by nurses/specialists). The purpose was to go over the scan results, blood results and repeat SA results.
Scan fine, lots of follicles (32) but not concerned about PCOS.
Bloods all fine and normal, didn't go into detail of each result but I specifically asked about AMH which is 34.1 which he said is fine (?).
SA, sadly results weren't good, even less so than the first SA. 2% motility and 2% morphology.
IVF with ICSI is our treatment plan. Waiting for a letter to confirm everything was discussed and also a date for an appointment with the nurse to go over the treatment plan in more detail. This appointment should be in June or July with a view to start treatment at the end of the summer.

He said it's very unlikely that we concieve naturally but not impossible. (Feel like he has to say that). He said not to bother with any supplements other than a multi vitiman as nothing is proven to help sperm and they are very expensive.
I asked if there was anything we could do to try and improve the sperm analysis and he said other than not smoking then not really. I got the impression he just thinks cracking on with ICSI is our best best so not to stress about trying to improve anything as we are getting treatment anyway.

OP posts:
PurpleUnicorn01 · 21/04/2021 12:03

@paintfairy how exciting for you!

Plenty of rest and tlc from your OH i think! I hope it works out for you Smile

paintfairy · 21/04/2021 11:11

IUI was done this morning! It was pretty quick- like the hsg but less painful. And faster. Then you just have to lie there 10 minutes after. The nurse i saw yesterday did it (they come down, as its in a different place- where the sperm samples go).
So I have still not yet seen a consultant @Iloveoreos and clearly I never will. 🤣 I think the fertility nurses are all just trained to deal with it. Which is how they manage to have little wait time i guess? If everyone was trying to see one consultant it would take forever. Maybe most hospitals are like that? They've all been nice though who i have seen so far and friendly.

PurpleUnicorn01 · 20/04/2021 12:38

Yes @paintfairy. Thought it might be worth a shot!

paintfairy · 20/04/2021 12:34

@dogmam no you are awake. Its a bit like having a hsg? Should be ok. I'm working from home, so not too bad.
@PurpleUnicorn01 I've been having gonal-f injections which works in a similar way, only it gives you the hormone rather than clomid trying to make your body produce more. I'm hoping that alone gives me more of a chance!

PurpleUnicorn01 · 20/04/2021 12:28

@paintfairy i hope it goes well.

Has anyone tried a cycle if clomid? I saw it on another thread and was considering it before ivf.

dogmam · 20/04/2021 12:23

@paintfairy i think I'd be feeling the same, I bet you don't know what to do with yourself. Hope yoy can have a nice chilled day and you aren't at work! Do you get put to sleep tomorrow?

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paintfairy · 20/04/2021 12:03

@dogmam a bit bewildered! Obviously I was expecting it to be Friday or maybe Thursday. But not yet! Its a bit surreal.
@PurpleUnicorn01 I've always used ICs. But one month I did run the purple clear blue ones alongside them, to check if they said the same thing. They did. So I just used the ICs after that. Because they are cheap and I can pee on them as much as I like. 🤣 Usually the digital you use fmu bit the ICs you don't. And are best done in the afternoon. But you can do a few a day over peak days. One step are the ones I got, from ebay.

PurpleUnicorn01 · 20/04/2021 11:31

Hi All, can anyone recommend a good OPK.

I've seen these new digital thingys. Not sure if they are any good.

Thanks

dogmam · 20/04/2021 11:05

@flutterby8 wow huge congratulations! And what are the chances of finding out just when you're about to have a clinic appointment! You've waited long enough for this to happen so try to enjoy as best you can. It gives me hope that it will happen for the rest of us so thanks and congratulations again x

@paintfairy how are you feeling? Can't believe it's happening tomorrow!

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paintfairy · 20/04/2021 10:19

Update from me- cd9 and I've over stimulated and already have 2 dominant follicles the right size. So they've given me a trigger shot and I've got to go for the insemination tomorrow! 🙈 Only downside is- we dtd last night (they told us to) so the sperm won't even be 2 days old.

Kitekat81 · 19/04/2021 21:37

@paintfairy interesting! Glad you are finding it ok. Wishing you lots of luck for the rest of the week!

paintfairy · 19/04/2021 21:28

@Kitekat81 what they've given me is really easy. Its like a pen? You attach a new needle and turn the dial for the amount, and just press the end. The needle is short and thin and you just push it all the way in. So it's much easier than I thought it would be. I can put it in my leg or stomach. The first one I put in my leg but I could feel it all day. So the rest I've put in my stomach. I can feel it (not painful, just weird) but its less noticeable. Doing it isn't really an issue, remembering is the hard part! I did have a migraine Friday (not sure if it was related) and I've had bloating but no other side effects. I'm less looking forwards to the progesterone to be honest! That did make me feel crap as the time went on, when I tried it the other month.

Kitekat81 · 19/04/2021 21:19

@paintfairy how are you getting on with injecting yourself? I'm starting to get nervous about that 😬

PurpleUnicorn01 · 19/04/2021 17:29

Hopefully it goes well for you. Smile

paintfairy · 19/04/2021 17:24

@PurpleUnicorn01 I'm with the nhs. Yes they have given me gonal f injections. Which I've been injecting since Thursday. But they said not to do tomorrow until after I've been. As it'll depend on what's happening. I ovulate early and so I do wonder if my eggs are crap and that's the issue? So the medication might do the trick alone! Maybe.... 🤣 So IUI could work. We shall see!

PurpleUnicorn01 · 19/04/2021 15:42

@paintfairy did they given you extra medication to release extra eggs or no? You are with create right?

PurpleUnicorn01 · 19/04/2021 15:09

@paintfairy that's exciting. How are u feeling about it all? I might consider iui depending what the Dr says next week and how long my wait is to start.

paintfairy · 19/04/2021 14:33

@Flutterby8 congratulations! Brilliant news.
@PurpleUnicorn01 yeah I'm OK. I've got my second scan tomorrow (cd9) after starting injectables last Thursday. Would expect the IUI insemination to be by the end of this week, if everything looks OK? I usually ovulate day 12 (sometimes 11, very rarely, but occasionally 13) but I'm not sure if it'll differ this month.
@Iloveoreos I'm yet to see a consultant. And I'm not particularly expecting one to be there for the IUI either?

PurpleUnicorn01 · 19/04/2021 13:46

Also I don't know if this helps anyone but Maca Root is supposed to be great for sperm count and motility.

PurpleUnicorn01 · 19/04/2021 13:44

@Flutterby8 congratulations! Yes don't fe bad, we would all be equally as worried and scared.

@Kitekat81 not long to start if you're looking at May.

@dogmam @paintfairy how are you?

@Iloveoreos my first appointment was with the registrar rather than my actual consultant. I think my second is with the consultant

Kitekat81 · 18/04/2021 11:17

@Flutterby8 sorry you are feeling poorly. Try not to worry, it sounds like the fertility clinic don't think that there is reason to be concerned, so you should take comfort from that. Fingers crossed everything progresses successfully for you. Please don't feel bad about posting, we are all delighted for you!x

Flutterby8 · 17/04/2021 21:38

Thank you @kitekat81

I've only known a couple of weeks but to be honest, it hasn't hit home at all.
I feel very rotten and it's really difficult trying to hide it from people at the moment.
I'm absolutely terrified as having low progesterone could cause things not to progress. The fertility clinic did discuss this with me and basically said they wouldn't prescribe progesterone supplements at this stage anyway.
So it's a bit worrying and I'm keeping as much as possible crossed.
The only thing we did different was use the Conceive Plus lube. That was literally the only thing we changed.
No idea whether that has anything to do with it or not but I guess it's worth a try?

I feel terrible posting about it on this thread now as I know how much everyone here wants it so badly.
I honestly have every confidence that you all will get your BFP's soon 😊

This has also been such an amazing thread to read about everyone's experiences with referral and it really helped me to prepare for my appointment so I honestly cannot thank you all enough 😊

Kitekat81 · 17/04/2021 21:14

@Flutterby8 oh my goodness congratulations! That's wonderful news and gives hope to all of us on this thread. How long is it now since you got the bfp?

@dogmam I'm not sure where I was at when I last updated you ladies but I've had two consultations with two clinics in the last two weeks. Last week was with a 'normal IVF' clinic located just over an hour from me, they proposed a flare agonist protocol and can start in August/September as they have a 4/5 month waiting list. Then this week I had a scan and consultation with Create who are 4 hours from me. My scan did not go well - I was pretty gutted to only have 2 follicles this month (down from 6 in January and 7 in February). In the consultation they recommended 3 cycles of mild ivf, and can start at the end of May. Bearing in mind the rubbish afc scan we've decided that mild ivf is the best fit for us, and the fact that they can start next month is great. So we have 6 weeks left to get pregnant naturally 🤞🤞🤞 otherwise it looks like we'll be starting ivf with Create end of May x

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