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Conception

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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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thislittlebird · 24/03/2021 13:07

Yeah I think I’m saving any possible counselling for further into all this @PurpleUnicorn01. I have general anxiety and it’s just cranked right up by all of this, my body is not playing ball!

PurpleUnicorn01 · 24/03/2021 12:27

Yes that sounds stressful. I know a lot of people find counselling useful through this anxious time.

thislittlebird · 24/03/2021 12:11

I think that’s why I’m going to get a hycosy done anyway. Because it will put my mind at ease I’m functioning properly I suppose, or should be able to, even if they don’t think I need one when I get there.

@PurpleUnicorn01 yeah, the time passes so slowly, it’s frustrating. And my 38th birthday will be right after the appointment, it’s stressing me out a bit.

I started taking an anti-anxiety medication today that the dermatologist gave to me. My ovulation looks like it’s going back to being late again after a month off from acupuncture and it made me very anxious this morning when I realised. Hoping the drug will help me be less stressed about it all after a couple of weeks.

dogmam · 24/03/2021 12:10

Also.. I have rang the clinic this morning to ask what the IVF wait time is.. it's currently 5 month from the date of follow up appointment after initial investigations to starting ivf. Then in between the two is implications counselling sessions and consent forms.

So potentially if on my follow up appointment in April I get the go ahead for ivf, we would be starting in September.

I think 5 month is reasonable and gives time to get your head around stuff and prepare/get a little holiday in!

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dogmam · 24/03/2021 12:04

Yeah that makes sense @paintfairy only getting the HSG if the first tests are fine, which our SA is not so that explains it. Think I would still feel better having it though just for peace of mind, it feels like a big thing still not to know if there's a problem with tubes even if IVF was to work.
My scan results were pretty much given to me whilst I was getting it done, that's where she mentioned the number of follicles and lining was as it should be etc, but it was just chat as she was scanning rather than a proper conversation about it.
@juno231 the clinic did take bloods at my last appointment but it wasn't day 3 bloods, she said it was to check thyroid etc, I did mention that the GP didn't do them so do I need them and she said no as the bloods they were taking now would give them everything they need to know and overrules the day 3 bloods anyway(?!) Something along those lines.

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PurpleUnicorn01 · 24/03/2021 11:57

@thislittlebird everything seems far away when you go through this process. We understand. Yes get them to put them on for you. Smile. Ive tried to plan little things in between to look forward to, or else it drags

thislittlebird · 24/03/2021 11:27

My understanding is they don’t worry about checking tubes with hycosy or hsg if you’re having IVF. I guess it must work without it, not heard of it being an issue anyway.

My appointment still feels so long away, it’s getting me down. I can’t try this month, next month I’m not sure yet, and then it’s still ages until mid May. I guess I’ll call them with the request to put documents and scans on file.

Juno231 · 24/03/2021 10:46

Yeah fair point @dogmam - I sort of assumed everything else had come out fine for you but if there's MFI or similar then they'd skip HSG as there's little point.

It's a bit flawed though cause if you have blockages I'm pretty the embryo can get stuck in the wrong place even with IVF - but I suppose the risk is much smaller then.

PurpleUnicorn01 · 23/03/2021 19:04

Also @dogmam don't worry i haven't had a HSG either just the same tests as you.

PurpleUnicorn01 · 23/03/2021 19:02

@dogmam how are you?

Yes apparently there's an 8-12 week wait on the scans and SA so I've booked them privately to avoid any lengthy delays it was much less stressful, maybe that might be an idea? My second appointment is also end of April so can't afford to miss that due to the delay. Also call your drs secretary weekly and try getting cancellation slots.

@juno231 oh gosh that is really disappointing, i hope your next appointment goes well.

paintfairy · 23/03/2021 18:51

@dogmam with mine, they only do HSG if the internal scan (and SA) is OK. They don't need to do a HSG if you are going straight to IVF. I've got that next, because our other stuff is fine. But had it not been, they wouldn't have bothered. Its annoying you have to wait for results though- they just told me on the day of my scan (I had an appointment straight after to speak about it). I've found the nhs OK so far with no delays. So we'll see how it continues. I honestly expected them to be useless but I cannot fault anything so far......

Juno231 · 23/03/2021 16:47

@dogmam that would stress me out as well, especially if it's something that could be sorted without IVF. Did they not even do any day 3 tests this time around? Sounds odd as that's where they'd spot PCOS/thyroid concerns etc. Any chance you can email the consultant via their secretary and say you haven't had an HSG or day 3 bloods booked and express your concerns? Perhaps they could set something up for you without having to wait another month to see them first.

@PurpleUnicorn01 I've had my AMH done twice online before but the numbers did fluctuate a fair bit so I don't trust the accuracy of it tbh. The thought of sending a blood sample via post and expecting accurate results don't add up to me in hindsight. From what I gather I'd have to wait until the 2 year mark and then apply for funding and THEN go on an IVF waiting list. So could potentially be a year away still if I wait for the NHS.

dogmam · 23/03/2021 16:32

@juno231 I wouldn't have thought they'll fob you off on Thursday, don't think they would waste an appointment slot on not giving you some sort of plan. Hopefully that's the case anyway.

@purpleunicorn01 any luck chasing your appointments up?

@kay00 welcome! Yeah think it's different everywhere, you could maybe even ring the fertility clinic and ask the question as they probably get asked all the time.

I am really not coping with having to wait until the 20th April for our follow up appointment! I understand there's waiting lists etc to start treatment but feel like nearly 2 month is a lot to wait for SA and ultrasound results. I am so tempted to ring and ask for them and just say I need a copy as I'm getting tests in the meantime done privately (I'm not).
The other thing I'm stressing about is not having a HSG done, it seems odd to me that I will potentially be put forward for IVF after only a SA and ultrasound, never knowing if I actually have blocked tubes. Same with the day 3 bloods, my GP before I was referred only done day 21 bloods and when I asked at the clinic when I was getting my ultrasound, they said they don't need to do them. It just feels like lots of investigations are being skipped and instead going straight for IVF.

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PurpleUnicorn01 · 23/03/2021 12:01

@Juno231 i share your anxiety, im not far behind you. I got my AMH test via superdrug online, its really simple, the hospital accepted the results too, its not too expensive either just to put your mind at rest u could get that done. I think they will recommended ivf or icsi i think as the last SA showed a low overall count. But let's see. It's unfair they make u wait the 2 year mark. Will they apply for your funding etc now so you're actually ready to start in July?

Juno231 · 23/03/2021 11:28

@PurpleUnicorn01 results and treatment options. I've just got anxiety as they booked it in for July so I'm worried they'll fob me off somehow. Ultimately I just want to know what the results are so I know what steps to take next as I don't want to wait until the 2 year mark just to apply for funding and then go onto a long waiting list after that. I'll ask if we'd be good candidates for private IUI and I'd want to know what my AMH and TSH is etc.

What are you hoping/thinking your appointment will result in treatment wise?

PurpleUnicorn01 · 23/03/2021 10:21

@Juno231 what's your next appointment for? I have a pelvic scan next week then my second appointment in a couple weeks to discuss results and treatment options.

Juno231 · 23/03/2021 10:15

@PurpleUnicorn01 yeah it's only one round on the NHS here too. Well, one round of egg retrieval and then one FET - not sure how that counts.

Got my follow up on Thursday ladies so will update you then. Anyone else got anything happening soon?

PurpleUnicorn01 · 23/03/2021 09:33

That's useful to know, I think Birmingham are stricter. Sometimes they are only offering 1 round on the nhs.

Juno231 · 23/03/2021 09:31

@kay00 @PurpleUnicorn01 it will say in your local CCG policy. My one states that I can do two rounds of IVF privately before I forfeit the NHS one.

paintfairy · 23/03/2021 08:40

@Kay00 you need to check the rules for your CCG as they all differ.
The GP cannot refuse to refer you though if you fit the criteria. So you need to badger them.

PurpleUnicorn01 · 23/03/2021 08:13

As far as i know if you've had private ivf then you can't have the nhs ivf. But you can have private tests as that's what i am doing. I hope that helps.

Kay00 · 22/03/2021 22:53

Hi ladies :-) I'm thinking of paying for private fertility appointment and tests etc. as I am keen to get the ball rolling. I have been off the pill since beginning of June 2020, I ovulated 5 times then stopped ovulating (last ovulation on 1st Dec). Im 35, 36 in July and worried time is slipping away. I will chat with my GP one last time but if I'm not referred then I'll pay to go private. My question is (if you know) if I pay to go privately does that exclude me from accessing ivf on NHS if that is needed? Is it worth trying to get the NHS referral whilst paying for private assessments in the meantime?

PurpleUnicorn01 · 22/03/2021 21:51

Yes that's what the secretary of my Dr said, she said email them over and that way they are ready for the second appointment.

thislittlebird · 22/03/2021 21:40

I’m going to book a hycosy soon. I don’t want to pay for it but I can’t wait months, might as well get it down and show the consultant.

@PurpleUnicorn01 they’ll scan them onto the file? That’s interesting. Maybe I should call them and ask to put my results so far on.

PurpleUnicorn01 · 22/03/2021 17:02

Hi Guys, I wasn't sure if you are all aware but u can have your tests done privately anywhere as there are 3 month waits with nhs at the moment. If you contact the secretary of your consultant they will scan them on to your file for you when you have your results.