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First appointment with fertility specialist. what to expect?

  • got my first appointment with the fertility nurse specialist tomorrow and im feeling a bit nervous. my partner has been checked out by a fertility specialist (urologist) and been given the all clear. im 29 years old, i have already had a blood test arranged by my local family doctor in december to check i was ovulating which i was. i have regular periods evey 28 days and no period pain ever atall really, period lasts around 3 days. i dont really know what to expect? waht will happen and what may happen at future appointments? also is it ok to see a fertility nurse specialist other than a consultant?. thankyou x

  • Answer:

    When you first meet with your doctor, she will want to discuss every single aspect of your past that relates to your current health, so make sure you bone up on your history! Topics that will be covered include your menstrual history (have you ever had irregular periods? How long do your periods last?); your surgical history; whether or not you’ve been pregnant before; what type of birth control you have used; if you have ever had a sexually transmitted infection (STI) or a pelvic infection; and your family health history. Of course, your doctor will also want to know all the juicy details about your sex life. Your doctor will also likely have some questions about your health; if there have been any significant health issues in the past. It may help to bring your medical records with you to the appointment if the doctor you’re seeing isn’t already familiar with your medical history. Don’t forget to mention any medications you are currently taking or have taken in the past. There will also be some inquiry into your occupational conditions and lifestyle – how much exercise you do, how healthy your diet is, whether you smoke or use recreational drugs or how much alcohol you consume. Next, there will be a physical exam during which your doctor will check your thyroid for any abnormalities, look for unusual or excessive hair growth as well as perform a breast exam. A pelvic exam will also be done to see if there is any evidence of an infection or abnormality. A sample of your cervical mucus may also be sent off for examination. Your doctor will likely want to order some blood tests to measure your hormonal levels among other things Depending on your doctor’s level of expertise, additional tests may be done at your initial visit or at a following appointment. While the majority of infertility problems can be diagnosed after the first visit, some doctors like to order more blood tests to compare hormone levels. If your doctor suspects a particular problem, like polycystic ovarian syndrome, she may want to perform a more involved test, like a vaginal ultrasound. This will allow your doctor to give you a more definitive diagnosis and suggest a better course of treatment for you.

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you will get va scan to check your ovaries are ok its like a can u get when ur pregnant but they put this thing in you its not sore then next step is to see if u have any blockages where they put dye in the tubes very unpleasant i must say if they cant find anything u will need a camera down ur bellybutton which u are knocked out for if no sucess then its ivf

COOKIE

I'm not sure what they will do on your first appointment. It really depends on the doctors office and your suspected cause. You can call today and ask them what to expect. If they want to do a physical exam etc. Its important information for you to know since if they want to take a swab, you shouldn't have had sex within 24 hours. You don't want to go expecting a sit-down discussion and have them tell you to disrobe. Often times they have you see a nurse first as a sort of triage. The nurse can't diagnose but may know some basic tests to order or which doctor to schedule you with depending on your circumstances since they may specialize in certain conditions. Since you are ovulating, they may want to do an ultrasound at a particular point in your cycle to check on the lining of your uterus - its possible it is too thin to support a pregnancy (they have medications to fix this). They may also want to check for a luteal phase defect. I'm not sure how they test for this. I know you can see this on a BBT chart, but the one person I know who had this only discovered it after 2 early miscarriages - I'm not sure if her situation was enough to diagnose or if they tested or if they just treated what they suspected the cause was - and the treatment worked. They may want to do a laproscopy to make sure your tubes are clear. Good luck, I hope its something simple that can be fixed with a round or two of medication.

B

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