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Infertility

Our Infertility Support forum is a space to connect with others in the same position, discuss causes, treatment and IVF, and share infertility stories of hope and success.

First fertility clinic appointment- what happens?

35 replies

daisyrosie · 24/01/2016 16:06

Hi everyone. I've recently been referred to my local NHS fertility clinic by my GP and my first appointment in at the end of February. I just wondered what usually happens at the first appointment, is it just a review and a chance to talk about further tests and fertility treatments or will I have tests done on the day?

For background, I came off the pill nearly 4 yrs ago and I have PCOS which was diagnosed 9 yrs ago. I've had a smear test and 21 day bloods and hormone/infertility screening blood tests done. All results have come back normal and GP said I ovulated last cycle as progesterone level was 45. My DH had a SA done and he is normal too, so the issues are to do with me. Are there any questions I need to be asking when I go to my hospital appointment?

Thanks in advance, would really appreciate any help.

OP posts:
daisyrosie · 27/02/2016 10:46

Just a quick update for anyone who may be interested. I had my first appointment yesterday. It was pretty similar to what others have said upthread really - they took a history of mine and husbands general health, do we drink/smoke etc, weight check for my BMI, any previous surgery which could have affected fertility, any previous known STI's. Also checked the results of my blood test GP did. I had to have a swab done as although all my tests for chlamydia have been negative they need an up to date test before HSG otherwise any infections there could be moved further up into your reproductive organs which they obviously don't want!

They said as I am producing eggs and ovulating the fact I have pcos is irrelevant as it mainly causes ovulation to not happen if it is a problem for fertility. So I have to have day 21 bloods taken again for comparison (although I've never had a day 3 blood test, not sure why unless they aren't worried about that if the first day 21 showed I ovulated) and book in for a HSG when my next period starts to check my tubes are ok. Then have a review after that to discuss the results of blood test and HSG and treatment options. But basically I was told if tubes ok I can start clomid, if not it would be IVF. So really hoping tubes are all good!

Hope everyone else is doing well x

OP posts:
tatatetelle · 15/08/2016 14:41

Hello, I'm hoping this threat is still active, I'm 28yo, ttc since January '16 but I've known I have PCOS since I was 19 so always knew it might be a bit more difficult to get pregnant. Hubby did SA and all is good for him so our GP has agreed to refer us to a fertility clinic, although I'm a bit worried about waiting time now!
Because of PCOS I haven't had a cycle in 5 months so can be..challenging to keep trying while we get the referral appt (for me more than for him I think!), so if anyone's still there it would be great to have people going through something similar to chat to from time to time :)

ScottishLady7 · 19/08/2016 21:28

Hi tata
I'm 27 and been ttc #1 since October 2015 with no luck.

We have our first fc appt in 10 days. DH's SA was rubbish the first time but I think he let it get too cold on the way there. The second sample I took to the lab and transported it in my bra- it was much better! Unfortunately the consistency was abnormal in both- too viscous and small volume. GP didn't know what impact this might have so referred us on.

I then had to have day 21 bloods done- progesterone low but repeated a week later as cbafm told me I had ovulated on day 21 - progesterone ~39. Had day 2 hormones done- all fine.

Feeling mixed about the appointment- glad to be proactive but sad that we have to go- I had hoped we would be successful and not need the appointment!

I'd love to keep each other company and to hear from anyone else with any relevant experience or advice?

squirrelnutkins1 · 24/09/2018 19:35

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Lisaian · 05/01/2019 20:13

Hi can anyone tell me would you get refused nhs ivf treatment if you use a vape pen with nicotine In it got our first appointment soon and I no you can’t smoke but not sure if they class vapeing as smoking

donnas146 · 10/01/2019 13:58

I would also like to know that too Lisaian !

GG2233 · 15/01/2019 01:26

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Abc1122 · 24/10/2019 11:27

hi everyone..we have been going through this..i have not got any period for 5 mths..not pregnant..dont know what to do

Abiv123 · 05/02/2020 21:00

Any update I know it’s a few years on but I’m in same sitch at the moment x

Mrsmch123 · 06/02/2020 20:40

Hi ladies I think it varries greatly from area to area.we were first referred in January 19, gp done progesterone blood test and thyroid which came back fine. OH had to have a sperm analysis, which showed low count.(3 mill). We had our first appointment in Feb 19 were they went over the results and done a internal scan for me look at ovaries and womb. they also checked weight bmi and co2 levels.They recommend condysil for OH and to repeat test with in 3 months. We then went back in September as the July appt got cancelled. OH sperm had increased to 8 mill so they said we would need icsi. So they put us on the waiting list and had an appointment in November which they done swabs on me took blood for AMH and gave us our consent letters to read over. We went back in January to sign consent forms and to be given our protocol. They told us to phone at next period to get started. Unfortunately there was no space so having to wait till March. Hope this helps somewhat

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