Fertility Appointment, Will I have to redo all my tests?

[Pcossufferer]

I'm almost 28 and have been TTC for over 7 years with PCOS. About 6 years ago I had an HSG to check my tubes (all clear) and OH had a semen analysis (All ok) I was prescribed 50mg of clomid to take on days 2-6 for 3 months.

My blood work and ultra sound showed I produced follicles roughly around 19mm and my progesterone increased each month from 52(the second round) - 96 (on my last round).
OH and I gave up. We had a death in the family and decided we wanted to be more stable financially so put TTC on the back burner. However we were NTNP and never used contraception. We have sexual intercourse about 4/5 times a week and have never fallen pregnant in all these years.

We decided last summer we would go through fertility treatment again and after blood work my doctor has referred me to a fertility specialist. My appointment is on the 14th of May.

I was wondering if I will be made to do all those tests again before receiving clomid? Should I ask for Metformin aswell as clomid? When are IUI's mentioned? Or trigger shots?

Please can someone give me as much info as to what I should suggest when my appointment comes around? 7 years is along time not to fall pregnant and we are at the age now where we would do anything for this time to work as we are finally settled in life and ready to start a family.

Thanks in advance x

 

[Cewsbaby]

When I went in for my appt I had already done all the tests years before. All they wanted me to redo was the hysterosalpingogram.

Just be up front and tell them all you have had done. They may not make you redo any of them except that one. It checks to make sure your tubes are not blocked if I remember correctly.

 

[LoraLoo]

Things can change in 7 years, personally id want the testing to give yourself the best possible chance of conceiving. Good luck.

 

[CanadianMoose]

I would talk to them about skipping all the drugs to try and make you ovulate normally and start looking at IVF if you can. In the long run you might save more money on doing it now then instead of later down the road in 4 more years of drug inducing. Alot of the women on the LTTTC have said they wish they skipped or decided to after 2 years trying, with breaks of naturally TTC. Anyways, GL with your appointment.

 

[Pcossufferer]

Thanks for the replies. I guess as a PP said I'd probably be better off getting re-tested but the process is so slow and the closer I get to 30 the more I'm panicking. I know women tend to have children later in life but I'd love to have more than one. I would be over joyed to even fall pregnant but I know how long its taken me so far so i'm concerned.

I did read somewhere that the recommended amount of clomid is only 6 rounds. Is that in a life time or just in one go? As I mentioned previously i've already done 3 so where does that leave me?

Would it be worth mentioning metformin to take along side clomid? I just don't know what order things are done? Do they try you on clomid then add the IUI and trigger shots or do they move you straight from clomid to IVF?

I'm unsure as to whether or not they will offer me IVF straight away. The whole TTC journey requires such patience...it's such a long draining journey which i'm dreading re-living.

Thanks again for the replies x

 

[Holly ttc]

When I first started with my fertility doctor I already knew Clomid didn't work for me so we skipped it completely and used a different drug to try to get me to ovulate. I can't for the life of me remember what it was now though! When that still didn't work (ovulated 5 of the 6 tries but no pregnancy) we had a very candid talk and the next step was up to me on how aggressive I wanted to be so ivf or iui. They may ask you to try another round of meds but you should always be able to ask just to be able to jump into something since you already know what hasn't worked for you.

 

[Desire2Mom]

I would suggest doing all the testing again since there can be changes over time, including the HSG. If you have PCOS, stick to metformin through the whole process since we have insulin resistance. I did femara for 6 months when I was with an OB and when I switched to an RE, he tired one last time with Femara and Clomid then we skipped straight to IUI since those medications weren't doing anything for me. I have heard of some people trying oral meds with triggers and IUI but it wasn't an option for me. I did injectables with IUI for 2 cycles (with canceled cycles in between) before we finally decided to move onto IVF. Our RE gave us the option to continue with IUI because one cycle was successful but ended in a CP. I trusted my RE with his opinions when it was time to move, but he was also accepting of my choices too. I think that is important when you choose a clinic.