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  1. HRC Anonymous User
  2. Infertility Discussion
  3. Friday, 01 March 2013
  4.  Subscribe via email
Hello - I'm going to see my OB/GYN for an infertility consultation, what can I expect?

Thanks!
Responses (14)
DrWilcox Accepted Answer Pending Moderation
You should receive an antral follicle count and a day 3 fsh and estradiol level to measure your egg reserve. A semen analysis and hysterosalpingram will be ordered if you have regular menses. As long as your situation is uncomplicated, your ob/gyn will likely offer you clomid with timed intercourse or better, insemination for 3 months. If you fail to conceive you should see a specialist to help you.

Sincerely,
John G. Wilcox, M.D., Pasadena, Ca.
  1. more than a month ago
  2. Infertility Discussion
  3. # 1
HRC Anonymous User Accepted Answer Pending Moderation
My husband and I have been trying to get pregnant for a year ( I am 31 yrs old). I am having regular periods and seem to be ovulating (according to a digital ovulation monitor). He rescently had a semen analysis and several issues were identified. Low sperm count and low motility. We know several people who have gone to HRC and highly recommend it. What tests/ assessments are recommended to be completed with the OB/GYN in our medical group? and when should we consider contacting HRC for a consult? My current OB/GYN has declined to give me clomid because of the regular ovulation. He is also waiting for the infertility OB/GYN that they are referring me to, to order the hysterosalpingram.

SarahP
  1. more than a month ago
  2. Infertility Discussion
  3. # 2
DrNelson Accepted Answer Pending Moderation
After attempting for one year to conceive on your own, it is appropriate to initiate an infertility evaluation. This evaluation should be comprehensive including an assessment of male factor, uterine factor, tubal factor and ovulatory dysfunction. It sounds like your are ovulating consistently based on the regularity of your menstrual cycles and a consistent ovulation predictor kit. There does seem to be an issue of male factor based on the description of your husbands semen analysis. The reason for low semen parameters should be looked at in detail which would include a physical exam, some hormonal studies, and a possible scrotal ultrasound. These are usually done by a urologist. Uterine and tubal factor issues are screened for by the HSG you are planning to have done. Follow through with the HSG and consider a urology consult. Now is also a good time to talk with one of us at HRC. If there is no clear evidence of ovulatory dysfunction than I would also not recommend Clomid as an empiric treatment. There would be better treatments to offer.
  1. more than a month ago
  2. Infertility Discussion
  3. # 3
HRC Anonymous User Accepted Answer Pending Moderation
Period got strange after getting off bc pill, i have what i call the fake period and real period. unusual spotting (sometimes rust color) occurs for about a week THEN the real period arrives (week long too)
ovulation occurs around 18th day if going by fake, 12-14 if going by real.
2 doctors say cycle begins with fake, 1 doctor (ucla) says go by real.
which is correct?
if fake cycle is correct then luteal phase is about 10 days.
if adenomyosis is correct, will conceiving ever be possible without iui or ivf?
are there other options other than iui or ivf?

never been pregnant, want to be/ hsg showed one tube closed but opened up after coughing/ hx of polyp, supposedly removed/ hx of fibroids, 2 left alone outside, 1 was removed inside uterus/ endometrial red spots removed, no taffy-like substances, but debilitating pain still there/ prolactin levels in the 20s before cabergoline, in the 10 range after/ tried clomid x3mo/ one md said progesterone levels are ok/ have yet to miss a period, like clockwork/ husband is 'healthy'.
  1. more than a month ago
  2. Infertility Discussion
  3. # 4
HRC Anonymous User Accepted Answer Pending Moderation
Hi, I am 32 and have a 7 year old little girl. Four months before conceiving my daughter I had an ectopic pregnancy which ruptured and as a result I lost my left fallopian tube. Over the last 3 years my husband and I have been trying to conceive our second child. During that time I have had 2 miscarriages and a suspected ectopic (treated with Methotrexate). Shortly after the ectopic my ob/gyn ordered a HSG which showed no existing issues / complications with the remaining tube. Since the start of the year my cycles have become increasingly longer averaging 41 to 47 days. Also during this time I have diagnosed with Osteopenia. I'm starting to wonder if all of this is related and if I would benefit from seeing a fertility specialist. Any advice would we appreciated.

Kviray73
  1. more than a month ago
  2. Infertility Discussion
  3. # 5
DrFeinman Accepted Answer Pending Moderation
Dear Kivray 73:

These issues are probably not related, but with all the things you mentioned, it is probably time to see a specialist. 50% of women with a histroy of ectopic never conceive natrually again, and 25% of subsequent pregnancies are ectopic. So, as you can see the "noramal" HSG does not tell the whole story. If you are develping osteopenia, you should have a ababy befroe that problem gets worse. You can use this website to make an appointment with the HRC docotor that is most convenient for you. Good luck!
  1. more than a month ago
  2. Infertility Discussion
  3. # 6
HRC Anonymous User Accepted Answer Pending Moderation
Hi I am 37 y.o. I was trying to conceive with no luck for more than a year. Just diagnosed with annovulation. What is the first available treatment for this decease and what is the success rate of aramatose inhibitors? My thyroid is within norm. Thank you.

Bilushka
  1. more than a month ago
  2. Infertility Discussion
  3. # 7
DrCoffler Accepted Answer Pending Moderation
Dear Bilushka,

The first step is to investigate for the reasons for anovulation. If none is identified, Clomid may be all you need.
The success rate is age dependent and is also related to the reason for anovulation.
I don't use aromatase inhibitors in my practice, but others have reported successful outcomes with this class of medications.

Dr Coffler
  1. more than a month ago
  2. Infertility Discussion
  3. # 8
HRC Anonymous User Accepted Answer Pending Moderation
I am a 34 years old and my husband I have been trying since June of this year. I started having LLQ pain so my OB-GYN ordered a pelvic u/s and a HSG. My husbands semen test was normal. I have doen ovulation tests which shows ovulation. I do have a history of left ovarian cyst since age 20 and have been getting u/s annually to monitor the size of the cyst. The U/S shows two left ovarian endometriomas/hemorrhagic cysts largest about 3.2 cm and now a right 2.5 cm lesion on the right side. The HSG shows patent right tube but a dilated left tube with no spillage. My OB gave me the option to wait keep trying and repeat u/s in 2-3 months, or to do another test to see if the tube is really blocked under anesthesia and if its blocked to remove the tube and drain the cyst on the ovaries laproscopically or go see a fertility specialist. What does this all mean in regards to me getting pregnant. What is my next step?

Mommy101
  1. more than a month ago
  2. Infertility Discussion
  3. # 9
DrFrederick Accepted Answer Pending Moderation
I would seek out the specialist right away due to your history of a dilated tube and abdominal pain. If you need surgery, you would benefit from having the doctor with the most expertise to operate on you. This would give you the best chance of a successful future conception.
I hope this helps.

Jane Frederick, M.D.
  1. more than a month ago
  2. Infertility Discussion
  3. # 10
HRC Anonymous User Accepted Answer Pending Moderation
Thank you so much! I have an appt with Dr Coffler tomorrow. =)
  1. more than a month ago
  2. Infertility Discussion
  3. # 11
HRC Anonymous User Accepted Answer Pending Moderation
My husband and I have been TTC for almost 2 years now. About 9 months ago I was finally seen at the Camp Pendleton Naval Hospital where they ran a bunch of tests and finally put me on Clomid. I am on by 5th round of Clomid, and even though it is helping me ovulate, I feel like it will not help us get pregnant. I was interested in trying IUI and was wondering if this facility takes TriCare?

RFlowers
  1. more than a month ago
  2. Infertility Discussion
  3. # 12
HRC Anonymous User Accepted Answer Pending Moderation
I am 35 years old, I have a 10 year old daughter. In the last 3 years I have had 1 eptopic, 2 d&c surgeries and 1 misscarriage. Before I lost the last pregnancy I saw a blood specialist and I was diagnosed with Antiphouspholipid syndrome. With the last pregnancy I was given heparin and was seeing my ob/gyn and a perinotologist and I still lost the pregnancy. I don't know what additional test to do. I can get pregnant but I keep them. Please tell me what other tests I can do to figure out why this keeps happening?
  1. more than a month ago
  2. Infertility Discussion
  3. # 13
DrCoffler Accepted Answer Pending Moderation
Dear Mommy101,

Looks like you may have endometriosis with bilateral ovarian and tubal damage on the affected side. I would not waste anymore time waiting. My advise is that you see an infertility specialist as soon as possible. Endometriomas and aging negatively affect ovarian reserve and waiting will just make things more difficult to treat.

Dr. Coffler
760-758-2034
  1. more than a month ago
  2. Infertility Discussion
  3. # 14
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