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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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Kitekat81 · 07/04/2021 12:55

@dogmam the ferti-lily didn't work for me last cycle! I honestly didn't really feel like it was doing much. I could understand it might help if you want to get up right away after dtd and start walking around etc, but I'm usually quite happy to lie there for 15-30 minutes anyway! 😄

Kitekat81 · 07/04/2021 12:52

@thislittlebird sorry you are feeling down today. I feel like my life is in limbo as well, so I can imagine how it must be to be putting off such a major decision as moving to a different part of the country. @PurpleUnicorn01 might have a point though - maybe moving might be to your benefit if the area you move to offers more free nhs cycles? It does seem to vary so much by area as to whether you get 0, 1 or 3 free cycles. On the other hand I think you are in London now though (is that right?) so I would understand your hesitancy at moving away as you do have the biggest choice of clinics there, and also presumably much easier to jump on a plane to overseas clinics as well, which is much more difficult if you are out in the sticks!

PurpleUnicorn01 · 07/04/2021 12:27

They usually as for SA, FSH and pelvic scan results on your first appointment.

PurpleUnicorn01 · 07/04/2021 12:25

Yes you can always get you're test results etc transferred. Also it might work out better as if you're in different areas you could have one treatment round in your current area and one in the new, for example if you are moving from Manchester to London. That's 2 free rounds of treatment. Also have you had any tests done privately? They aren't that expensive some of them.

thislittlebird · 07/04/2021 12:20

It’s so frustrating @PurpleUnicorn01 and I know lots of you here understand the frustration. I’m just sat here month after month waiting for this nhs referral so I can establish if there’s anything that can be done (including clomid etc) before moving into private ivf.

Part of me wants to just do it, move, worry about it later but I’m not very good at not worrying.

Still over another month to go to our referral.

PurpleUnicorn01 · 07/04/2021 12:14

Has anyone tried clomid?

PurpleUnicorn01 · 07/04/2021 11:57

@thislittlebird, im sorry to hear that, i can imagine the uncertainty must be awful, and moving to a new place would add to the anxiety. The waiting is definitely hard. We are all here with you if you need to vent. I know what you mean in terms of your whole life revolves around this treatment etc.
@dogmam I'm good thanks just waiting for my next appointment to see the next steps. 3 weeks to go.

@Kitekat81 I also tried it this month but literally once as I think i ovulated early so I may have missed the window anyway.

dogmam · 07/04/2021 11:46

Hi @purpleunicorn01 just waiting for AF which is due any time. How are you?

@kitekat81 how did the fertililly do for you this cycle?!

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thislittlebird · 07/04/2021 11:45

I’m having a low day today @PurpleUnicorn01, how are you?

Just feels like it will never happen/there’s no end to this limbo/I can’t move forward with anything in life right now.

We keep talking about moving down to DH’s parents neck of the woods but I don’t feel like I can commit to it because I think I’m going to be needing help conceiving and I’m worried it’s really out of the way.

I’ve got three weeks left on antibiotics and can’t try yet but I’m not ovulating anyway right now as far as I can tell. I’m tired.

We still don’t have his second SA results either.

PurpleUnicorn01 · 07/04/2021 10:57

How are you all?

PurpleUnicorn01 · 03/04/2021 21:40

@dogmam that's reassuring thank you. My follow up is in just over 3 weeks so i share your wait! Seems like forever

dogmam · 03/04/2021 17:30

@juno231 ah that's great that they've got you booked in so soon!

@purpleunicorn01 I'm with the nhs and they also counted my follicles, I 20 on one side and 12 on the other (I think I might have wrote 8 earlier), she mentioned possible PCOS but then didn't seem concerned as I have 'kept lean' and have no other symptoms.

I'm still waiting for my follow up appointment, For official results of scan, the 2nd SA results and then plan for going forward. It's Been 5 weeks so far, another few weeks to go but the wait is killing me!

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thislittlebird · 03/04/2021 14:29

There’s some info on here and averages www.verywellfamily.com/follicle-female-reproductive-system-1960072

But it seems super variable from chatting to people on here so far @PurpleUnicorn01. I had 28 they could see and the nurse wasn’t worried either way when she told me, I was expecting a much lower number so I was relieved to be told there and then I guess. But that was a private clinic, not sure what nhs do.

Kitekat81 · 03/04/2021 14:12

I think if they don't tell you your follicle count that must be a good sign, it must be neither too low (low ovarian reserve) nor too high (possible PCOS), somewhere in between is where you want to be. Mine was too low. I think even if I was offered a laparoscopy now I'd still be moving forward with plans for IVF, because of low ovarian reserve I don't really have time to wait.

PurpleUnicorn01 · 03/04/2021 13:52

Thanks guys will try the link. I had it privately they counted the follicles and size no idea why. They said everything was okay.

What's next for you all?

Kitekat81 · 03/04/2021 11:57

@Juno231 interesting, there has been zero mention of me needing to get that! It's amazing how much the tests they give you vary according to where you are located.

Kitekat81 · 03/04/2021 11:51

@PurpleUnicorn01 how many follicles did you have? I've found this website quite useful: theduff.co.uk/antral-follicle-count-ivf/

Juno231 · 03/04/2021 11:51

@PurpleUnicorn01 I've never been told a follicle count. Did you have a lot? Maybe they'd be concerned about OHSS?

@Kitekat81 it's the only way to diagnose endometriosis and it's more effective in spotting scarring I think! It's basically done on an exploratory basis for women with unexplained infertility.

paintfairy · 03/04/2021 11:31

@PurpleUnicorn01 I find the scans ok. I'm glad it went well.
No idea on follicles!?

PurpleUnicorn01 · 02/04/2021 22:27

Hi Guys, had my pelvic scan, wasn't too bad actually! How many follicles etc are u supposed to have normally?

How are you all?

PurpleUnicorn01 · 01/04/2021 17:38

@Juno231 that's great news!

Kitekat81 · 01/04/2021 11:50

@Juno231 good news! What does the laparoscopy do that doesn't show up in the hsg/hycosy? Is that because I remember you said you'd had some cervical cell issues identified at a previous smear? Just wondering whether I need one of those!

Juno231 · 01/04/2021 10:37

Just got a call from the doctor's office and they've had a cancellation so I've been scheduled in for a laparoscopy on the 27th of April already! It means I can't TTC next cycle as unfortunately the lap would be done in my TWW and you're not allowed to BD beforehand. But I'm glad there's another productive/proactive thing to break up the TTC slog until I'm due IVF.

PurpleUnicorn01 · 31/03/2021 22:21

@paintfairy no it was there and then at private clinic. It is very odd

@dogmam total motility was 27%

@thislittlebird i never realised there were so many factors to sperm until we had to go through all this.

dogmam · 31/03/2021 21:09

When it comes to SA, contrary to the WHO guidelines, what should be calculated to determine if there is MFI is Total Motile Count and this is apparently the single most important figure that should be used to say if the quality of the sperm is 'normal' or not, rather than looking at each individual reading i.e count, motility etc.

It is calculated by multiplying the volume by the concentration (million sperm/ml) by the motility (% moving), it's apparently the best predictor for male fertility.

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