Today was the day of my Doctor Appointment with the new Doctor. The office looked like every other Doctor’s Office but the sign by the door said Fertility Center. I already felt a little at ease because I was hoping it would only be women in the office in a similar position as us. It wasn’t like when I went to the previous Doctor where there was pregnant woman in there and baby pictures on the wall. There was none of that here which helped me while filling out all the new patient paper work. I wasn’t done with the paper work before I was called to the back by the nurse. She took my weight and brought me into the room. The nurse asked why I was there….we want to have a baby. Then I go into the details of Our Story. She then takes my blood pressure, which was good, then has me finish my paperwork and wait for the doctor.
The doctor came in rather quickly and we were only in the Patient room for a moment before she took me into her office. The Doctor was so adorable. She is probably in her 40’s but looks like she is in her 30’s. She is about 5’6, skinny minny, with chin length curly blackish brown hair that had some grey hairs through it as well. Those grey’s where the only thing that made her look any older. She had very smooth aged porcelain skin, beautiful long eyelashes and very little make up. Not that she needed any. The Doctor has a very natural beauty and a very big smile. I could tell that she was a serious doctor but one that could handle my humor that REALLY turns on when I am nervous. We discussed my problems with the previous doctor: Lack of communication, not on the same page, etc. The Doctor then grabbed a piece of paper and said, ” This is how you make a baby” She drew a stick figured woman but put a big circle to show the lady parts as well as an arrow from the head pointing at the lady parts. The Doctor said that “we need to figure out where the disconnect is in this process. First, the brain tells the body to ovulate, I don’t that there is a problem there because you have had Positive OPK. Then you produce the eggs, the eggs drop, the sperm attaches then that attaches to the wall. These are the parts where we don’t know why you haven’t got pregnant yet.” She said that she wants to do an ultra sound to see whats going on. I said OK and she asked if I was up for that today? I was surprised and then a little confused. I asked very naively, “through the belly ultrasound?” She smiled then shook her head back and forth. “I wasn’t prepared for that…I didn’t prepare for that.” She said that is fine and not to worry at all. She said that doing this will give her a better idea of what I have going on and what path she thinks we should take. I expressed my hesitation but agreed even though I was nervous. I was just expecting a chat, not an ultrasound.
She tells me to empty my bladder then go into the room and (as we have all heard numerous time) undress from the waste down. I get to it. Then nervously wait for her return. She comes into the room and starts a conversation to try to distract me from the lubricant she is applying to the wand she is about to use for the ultrasound. I was very very nervous at that point. I had never had an ultrasound like THAT before. I knew that with this journey, I needed to get used to it! After the initial…..you know….it wasn’t as bad as I thought. Then The Doctor said, ” Your Uterus looks GREAT!” I took that as a compliment but still curiously said Thank you! While she was checking my ovaries there was a little pressure but it wasn’t too bad. The HSG Appt. was much worse. She didn’t say much while looking at my ovaries and then turned the screen for me to look at. She said, ” The uterus looks great, here’s your left ovary full off all those little eggs which is great. It looks exactly like it should(to me it looked like and open Pomegranate). And we go to the right, see how it is all black?” I respond hesitantly, “Yes?” “Well, that is a good thing. That means that you should be ovulating within the next week, right?” and in fact I was supposed to. I was so relieved. I knew the OPK said Yes before but now I have seen it for myself. I was then told to get dressed and go back into her office so we could finish talking.
The Doctor had the ultrasounds printed out. I kind of wanted to take them. I know that there wasn’t a baby but I have always wanted an ultrasound photo with a baby. I didn’t ask, don’t worry. After that we finished out discussion on what the game plan was going to be. The Doctor asked if my previous doctor talked about my glucose level at all. I told her that the previous doctor did say that it was high and pre diabetic but that was it. She said that it was definitely too high. That if it gets any higher than a 6.0 she doesn’t like trying to get people pregnant because of the complications that can happen. That made me heart stop. I don’t know that my levels are at now and then she said she wanted to test my blood again to see where I was at. We will do the blood work today to test my glucose and my thyroid today. Crap! I ate a doughnut and drank Gatorade that morning. I KNOW I KNOW! Worst combination ever and such a horrible idea before a Doctor’s Appointment. Josh and I rarely buy doughnuts and of course I choose to have mine before the appointment. I was so mad at myself. We continued on:
1. Try for this cycle to get pregnant. After she saw were my ovulation was at for this month she really wants us to try again. I am fine with that, what’s one more month.
2.Josh has to get tested after this ovulation. She said that after this week he has to schedule an appointment. The Doctor also said that the VA should cover it and if they don’t do it there they should cover for Josh to have it done somewhere else. That was a relief.
3. No Surgery for Endo. The Doctor said that it truly looks like I have it but she is not 100% because the only way to check is through the surgery and because I am not having awful symptoms like some do she doesn’t want to do the surgery if she doesn’t have to, which I agree with. Plus, I don’t have the time off to do the surgery so, that works for me.
4. IF this month doesn’t work and Josh’s test come back normal then she thinks the next best step is Clomid with IUI next month. HOLY CRAP! I don’t know what I was expecting, It is the next best step. She said the same thing. The Doctor said that because we have been trying for so long that she thinks this combination is our best chance. She said that since we tried Clomid by itself and it didn’t work she didn’t want to risk just IUI. She obviously mentioned the much higher the odds are of twins which Josh and I are fine with. The next big question:Cost. It is a flat right(like UPS or something) of $482.00 for the wash of his sperm and the Insemination. That obviously doesn’t include the cost of the medications and the doctors appointments for ultrasounds or whatever else they might need from me. I was thinking it will cost around $700 after the bills finally come around.
I felt amazing after the Appointment. I am obviously a little hesitant about the blood results but other than that, cloud 9! We could potentially be pregnant NEXT MONTH! She said to contact her next month if I start my period or if we get pregnant on our own. From there ,if we are not pregnant: we will get the Clomid Prescription(100 mg), take that day 5-9, then people normally ovulate on CD12 (I ovulate late but I don’t think that will stay the same with Clomid) but once I get a positive on the OPK I call the Fertility Center to have the IUI don’t the next day, Josh goes in before me that morning to give his sample, it will be “washed” as in they will separate the good sperm from the bad sperm, and then they do the insemination and I sit on the table for 10 minutes(they are available 7 days a week for insemination). They said that there is a chance of cramping pain after as well as spotting are common. Two weeks later we test to see if we have a baby. This is happening we are finally in the process of having a baby. I am beyond excited and Josh is too! We bought a bunch of healthier food to try to get this glucose stuff under control as well as continuing going to the gym. We are doing this, we are going to get our family. I just know that we are going to get our baby!