Monday, May 10, 2010

The First RE Visit

My first RE visit on Wednesday went fine. In fact, I found very little, but gave out lots of info on The Hubs and I. We met with the RE's PA (lots of letters, lol) to do a work up of our history so the RE can review it and make his recommendations and set out our plan. The appointment lasted approximately an hour and the PA was very nice. I really liked her and she seemed honestly interested in us and our situation (I know, I know....that's her job). The things I did learn the RE would be looking at or the things that were strongly hinted he would be looking at were:

  • HSG - I haven't had an HSG done and, after finding out the news of the removal of my right fallopian tube, I'm pretty sure the RE will want to determine the other tube is open and that there is no damage to the uterus. This one is pretty much a given.

  • SA for The Hubs - While The Hubs did have an SA done in November 2008 (with excellent numbers I might add), it is also pretty much a given that the RE will want another SA done to confirm there are still no problems with the little swimmers.

  • Pituitary Adenoma - I suffer from chronic headaches and serious fatigue, as well as infertility and difficulty losing weight. I have also been previously treated for Hyperprolactinemia, which is a common symptom of a pituitary adenoma. Based on the questions I was asked by the PA and these factors, I feel the RE will probably order an MRI of the brain.

  • Sleep Apnea - Based again on my constant fatigue and lack of energy, my inability to sleep through the night and the fact that I rarely sleep deep enough to not know everything that happens during the night, the PA thinks it likely I have sleep apnea. I think it's likely as well seeing as my dad and all three of my siblings have it, I'm overweight and The Hubs has actually woken me up before because I hold my breath in my sleep.

  • IBS - The PA also thought it may be possible that I suffer from Irritable Bowel Syndrome because of the stomach problems I have. I've always thought it was probably down to the Met.formin, but I have been on it for nearly two years and had these problems before and have seen no improvement.

So that's what I'm expecting from our visit this Wednesday, in addition to the normal bloodwork and the directive to lose weight. We were also told this cycle would be a completely natural cycle, so no Fe.mara, no Clo.mid, no soy. Just good ole' me. I know there will be a baseline u/s Wednesday so we can determine if I developed any cysts on the ill-fated Fe.mara cycle. Hopefully, there will be none to speak of!

I'm excited to learn what our plan of action will be. I feel like we're really getting down to the nitty gritty now and getting started for real. I talked to my insurance company before the first visit and was surprised to learn that all our fertility testing would be covered! That's great news! The bad (but expected) news is that none of the treatment will be covered. But that's okay. We were expecting that and I'm just overjoyed to know I won't have to come up with the money for the HSG and probable MRI out of pocket!

In other news, the May Secret Pal assignments have gone out and I have received a lovely award that I need to follow through on! Hopefully, I'll get to that in the next day or so. Love to you all!


lowfatlady said...

Sounds like a lot of information, but good info. I have ibs. It's no fun, but it's good to possibly get it diagnosed.

AKD said...

What a productive appointment!! I hope that the next appointment is soon (dates?), and that you will receive lots of good info at that time.

The HSG is pretty painless - a little cramping/pressure, but it's not bad at all. It's more messy than anything else!

Niki said...

I've gone through the HSG its not the worse thing, just like AKD said a little cramping, and i didn't leak to bad afterwards so that was nice.

Wishing 4 One said...

very good appt girl. good info and lots of fun testing ahead. how cool is it that insurance will cover some testing, awesome. looking forward to some great news soon. oh a natural cycle, what is that? kidding. you are lucky. xoxo

Heather said...

Good for you! Sounds super positive...although, now you have lots to do! Deep breaths and just trudge through it day by day! You've got all us cheering you on!

Kelli said...

Sounds like things are looking good! So glad that you and the PA clicked...hope the same can be said for the RE. I think having doc that you like and who relates and listens to you makes a ton of difference.

And my take on the HSG is similar to the other ladies, I guess. I was pretty uncomfortable but I have a pretty low tolerance for pain, too, soo..?? A friend told me to take a couple of ibuprofen before the appointment and that helped a lot. Oh, and it was pretty messy for me, too, afterward. But it's a small thing to do, you know? Well worth it all to find out what's going on in there!

I'll be praying that you get lots of good news and that the doc has the perfect plan for you guys. Hugs!

Suzy said...

Hope you get logs of good news and a good plan!

Kristin said...

From your description, I can almost guarantee you will be diagnosed with sleep apnea. Happily, that is easily treated with a c-pap machine. My hubby has had a c-pap for years now and it is truly amazing what a difference it can make. If you are diagnosed and get treated, you will be amazed at how much more energy you have and how quickly that happens.

One word of warning, many people who aren't educated about sleep apnea assume that you got sleep apnea because you are overweight. In reality, people who have sleep apnea often gain a lot of weight because it (sleep apnea) totally screws with their metabolism.

BTW, if you need any info about this, feel free to email me.

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