New patient questions to ask??


#1

Hi there,
I am new to this site, and all of this, really. My DH and I have been trying to get pregnant for over a year, naturally. My gyn finally decided to have my DH do a SA. We got the results back two days ago, and his count was very low, 3 mill. He referred us to a Urologist, which our first appt is tomorrow. I would like to know what questions we need to ask? What should we expect at this first appointment with the Urol.?

My gyn told us that we have a chance of getting pregnant thru IUI or IVF. If we decide to see a fertility specialist, we will need to go to Dallas (we live in Tyler). What questions do we need to ask the fertility doctor? We are feeling very overwhelmed, scared, and heartbroken, and want to make sure we ask all the right questions so we can make the right decision. This is all happening so fast!

Thank you very much for taking the time to read this, and God bless all of you on your journey’s! http://www.dfwareamoms.com/forums/images/smilies/smile.gif


#2

If you do go see a fertility specialist I would ask if they are going to do any basic tests on you (unless you’ve already had them) to make sure you don’t have any additional problems than just your husbands low counts. Typically an HSG to make sure your tubes are clear and blood work to look at your hormone levels would be done before treatments. This could mean the difference between trying an IUI and going straight to IVF.

As for other things I would ask, I’d want to know what the doctor thought was the best course of action to take (IUI, IVF) and what type of medication I’d be starting on if going the IUI route. (clomid, injectables, unmedicated etc.)
If IVF is the route they recommend I would ask if they would plan on doing ICSI with it, or not, as it was something I neglected to ask when undergoing my IVF and in retrospect wish we would’ve done.

I can’t really help out in the urology dept. but the best thing you can do is go in trying to get as much information on what options are there for you as possible. Best of luck!! :babydust:


#3

[FONT=Times New Roman][SIZE=3]Hey Jennkid, [/SIZE][/FONT]
[FONT=Times New Roman][SIZE=3]I was in the same situation few months ago. I miscarried last summer and because I wanted to make sure everything was okay, I went through hundreds of tests! I finally had to threaten my husband to go get tested and we found out that he had low motility sperm.[/SIZE][/FONT]
[FONT=Times New Roman][SIZE=3]He was sent to an urologist because his doctor thought he had a varicocelle. He did not![/SIZE][/FONT]
[FONT=Times New Roman][SIZE=3] [/SIZE][/FONT]
[FONT=Times New Roman][SIZE=3]When you see the urologist, they will probably recommend that you husband do a stomach CTscan (make sure it is covered by your insurance! And if you do not have fertility coverage, ask the doctor not to mention infertility on his report otherwise it will not be covered). The CTscan will let you know whether your husband has a varicocelle and whether he needs surgery. the surgery is very easy, so no worries but until you get the result from the scan, there’s not much you can ask, because the low count can come from many factors (from nutrition, to sport, to underwear!). tell your husband to start taking supplements and eat a very healthy diet. There’s also some medication for low sperm count that he can take.[/SIZE][/FONT]
[FONT=Times New Roman][SIZE=3] [/SIZE][/FONT]
[FONT=Times New Roman][SIZE=3]As far as the fertility doctor, you can take this route, but it is very expensive and emotionally wrecking. But I would ask if hubby can take medication, if you can take medication to make your chances higher, if you are in a hurry to get pregnant then you can go with IUI or IVF. [/SIZE][/FONT]
[FONT=Times New Roman][SIZE=3] [/SIZE][/FONT]
[FONT=Times New Roman][SIZE=3]Hope this help[/SIZE][/FONT]


#4

i can offer you some advice and support…DH and I have been students of the Infertility school for about 10 years…we were blesssed with DD 7 yrs ago, but now have dual factor.

As for the doc appt, here are some basics:

  1. Do YOU need a workup? while your DH is doing his stuff, you can also have some basic workup done. hate to have his stuff all solved and find out AFTER that you also need something done…
  2. what is his/her philosophy about TTC? some docs are too aggressive, some not enough so…
  3. how long will he wait to go from basic treatments (pills, IUI) to IVF?
  4. do they have a shared risk program that you may want to consider?
  5. can you have ALL bloodwork done: thyroid, FSH, LH, TSH, ultrasound, etc.
  6. how accessable is his/her nurse? nothing worse than trying to call all day only to be headed off by the secretary who won’t give you a voicemail!
  7. how many years has he/she done this, and what is their success rate?
  8. do they have a research department (you may find that if you go to IVF, this is your cheapest route READ: FREE in many cases)!
  9. what is his/her philosophy about selective reduction and how can they avoid going in that direction? will they respect your wishes also?
  10. do they accept your insurance and will they help you fight your case if coverage is denied?

for DH appt:

Mostly get info about the years of experience, what their thoughts are as far as success rates, surgical vs medical(drugs) options, what will the work-up involve, insurance coverage, timeframe.

we have been through just about everything you can think of…feel free to pm me if you wish. good luck and
:welcome: -a-


#5

Thank you all so much for your replies and information. We went to the urologist today and they wanna do two more SA’s, then bloodwork, then maybe a sonogram on DH scrotum, to rule out varicoces (sp?). His motility, morph, and count were all super low. Dr mentioned clomid for DH. Now the waiting game… SA on Mon., then another in two weeks. Then gotta wait for the results to come in the mail. Praying :pray: and keeping :cross: crossed!!


#6

hi there,

Acupuncture helps increase sperm counts. Alos get hubby to take Maca, Bee pollen, L- carnatine, L- arginie, zinc, and Coq1o.

Google them all and you will see. especially Coq10 it does wonders. It usually takes 3 months for viatamins and acupuncture to increase it. I would do this for 3 months, then do sperm test again. No briefs, no hot baths, no laptop on his legs, no cellphone in pocket.
good luck