sooo...my RE appt was today!
first things first: I ended up only having to pay $155; the visit wasn't as expensive as they told me. that was good news.
I actually liked the doctor, I was afraid he would be intimidating and wouldn't listen. He answered all of our questions really well. Here are the options he gave us:
DH is going to have a semen analysis done first of all. This way, if he does have any issues, he will get those fixed
before I start any fertility medicine so we are both "ready to go" at the same time. DH was very happy to here that he can produce his "sample" at home and take it over to their office...although the doctor did tell him they have 3-D entertainment in their special rooms.

I told DH he should have asked if he got 3-D glasses to wear.
They offered to test my tubes to check for any blockages. They inject a dye in and look at my tubes. He said this test is uncomfortable but simple. I decided to hold off on this because it appears my tubes are open since I did get pregnant earlier this year. If I don't get a BFP after 3 months on fertility meds, they will do this test before continuing with the meds.
As I suspected they would, they brought up PCOS. Pretty much the only symptom I have of PCOS is irregular periods/ovulation. I don't have excess hair growth, acne, and I'm not overweight. They are doing a PCOS test anyway that checks lots of different hormone levels, adrenal glands, and other stuff I can't remember. A lady I know who has gone through a few years of fertility treatments said I should expect them to take about 1/3 of my blood volume for the tests they will do. I'm not sure if she was exaggerating. I'm also having them test me for Celiac's Disease and thyroid problems.
so, fertility medication:
They gave me two options to start with. First, Clomid, as I expected. This medicine induces ovulation, but he did say it can be harder to predict ovulation because Clomid can give false positives or false negatives on OPKs. That's okay. It just means lots of BD'ing.

He said that this is the cheaper, more hands off approach. It also might take a little longer than the next option.
The next option was injectible fertility medicine. With this, they would teach me how to give myself a shot so that I could perfectly time when I want to ovulate. They do ultrasounds, I forget how often, and I inject the medicine depending on when I want to ovulate. So if I want to BD on Tuseday night at 10:00, I time my injection accordingly. He called this the more "scientific" option.
Of course we'll wait to see how the test results come back, but most likely I am going to go with the Clomid for a few reasons. Since my insurance isn't covering any of this, cheaper is better. We are young and really do have plenty of time. Even though we want a baby NOW, at 21 and 23 I don't think we need to jump hard-core into fertility treatments. Also, the scientific way isn't how I want to have a baby. I really want to be as natural as possible. I was hoping to avoid medication if possible, but it looks like it will be the best way to induce ovulation.
Oh, one more thing I forgot to mention. The doctor was talking about infertility rates and how often it takes couples to get pregnant. He said that most couples take 1 year to get pregnant, and really I haven't been actually trying for a year. DH said I looked like I was going to punch him at this point.

Finally he explained that I haven't had a year's worth of eggs to work with - most people have 12 months, 12 eggs, but I've had 15 months and maybe 3 or 4 eggs. (I had just finished telling him how I never got a positive on OPKs.)
He did tell me that if I take Clomid not to bother with BBT. He said they're useless. I don't know if the Clomid interferes with temps, or if he thinks they are useless because they don't show ovulation until afterwards, or if it is just because he is a doctor and temp charting isn't scientific enough for him.

In any case, I'm planning to keep up with it. It's worth it to me to know what is going on with my cycle. Especially since OPKs can give false readings with Clomid, I'll want to know for sure when I ovulated.
I am finally feeling like I might get a baby soon!
Sorry for the crazy long message.
Thanks for the support and prayers girls. You're the best.
