questions for my doctor

submitted by Becky

I'm finally ready to meet with a Reproductive Endocrinologist, a week from today. I'm more nervous about this consult than I was visiting my OB last winter for the Clomid challenge and preconception screenings.

I've started a list of questions for the appointment, which may be too many or too few. For those of you who who have been through their first consultation, please let me know if I'm missing anything important:

1. Which is more appropriate for my situation - IUI or ICI?
2. Do you perform the insemination yourself?
3. How many vials per cycle should I order?
4. Does my donor need to be CMV neg?
5. Do I need to avoid certain blood types?
6. Will you work with my particular sperm bank? [editor's note: you should dictate choice of sperm bank, not the doctor]
7. How do you test sperm quality? Will you negotiate with the bank if the quality is sub-par?
8. How many treatment sessions should I anticipate, given my fertility "age"?
9. How many sessions of the suggested treatment do you recommend before moving on to more aggressive treatment options? What is our plan?
10. Will I be asked to see other doctors/staff members, or will the specialist I chose be the primary doctor?
11. If I ovulate during weekends and holidays, are you open?

That's all I could think of at the moment. Please send me any suggestions you have.

How I went from Thinker to Tryer

Hi, I’m Beth. I'm 30 (and racing toward 31), Caucasian, and somewhat overweight. I am close to most of my big, boisterous family. My mom raised me and my three siblings on her own for much of my life. I live with my sister and nephew, and our two cats. I have a BA in Political Science, an MA in Liberal Studies: Leadership, and I'm working on an AS in Graphic Design. I work full-time as an academic advisor and administrator at the local public university (with 53K students and counting), and I freelance for fun as a graphic designer. I attend a Unitarian Universalist Congregation, and enjoy reading and bike riding in my free time. I live in Florida, but hope to live someplace with seasons later in life. I’m actively trying to become a Choice Mom, here’s my story:

The closer I came to 30, the further I fell into a funk. I like men, I date them, but I haven't found one that I wanted to be with forever and always, and that's what I want out of marriage.

I'm not all that bothered by being single. I like my independence and don't miss the companionship as much as many of my girlfriends do. That's not to say that I don't wish the perfect guy had fallen into my lap and swept me off my overly realistic feet. To be honest, I'm not a romantic, and I'm not even sure I know exactly what it would take to be ready to spend one's life with another person. HOWEVER, I have always known that I wanted to be a mother, hence the deepening funk.

So, I looked around at my little world, and then at the bigger world beyond it, and realized that there are many paths to my goal, despite the cultural story I grew up with.

My aha moment happened one weekend while I was watching TLC just for a ‘good cry.’ I was sad because apparently the condom didn't break and I wasn't pregnant, just another of my famously late periods. I was watching an episode of 'A Baby Story.' (You may have seen it, girl decides to go it on her own, but magically a guy appears in her life and agrees to be the donor and then they get married and live happily ever after?)

Well, setting aside the happily ever after part, I decided that she'd had a fantastic idea! So once I got over the initial shock of 'What will people think?’ I started doing my research.

After this epiphany I made some appointments with my OB, and got on the waiting list for the fertility clinic nearest my home. I intended to get the information and hold onto it for a few years while I saved up a college fund and bought a home, but I didn't get great news. I didn't get awful news, but it was a little surprising to be having problems at 30. After all 40 is the new 30, right?

I was diagnosed with PCOS and borderline insulin resistance. I realize that it could be exactly the same situation in 5 years, or even 10, but it could also progress and make pregnancy very hard to accomplish. So I decided that 'why not now?' was the attitude I needed. And what I found out when I asked, "Why not now?" was that what I really wanted more than anything else right now was to start my journey to motherhood. I have a masters degree, and a stable job, and enough money, and savings, and a good home, and loving family... now is actually a great time.

Fast forward to today. We've learned that I ovulate ever so slowly, but at least I still do. Clomid doesn't work so well, so I am doing stim injections to speed things up a bit and to increase my odds. I will have my third IUI on Thursday, and as always I’m so hopeful and excited.

I'm also open to adoption if this path doesn't lead to pregnancy. I had a child when I was 15, young, stupid, and looking for attention. I entrusted his upbringing to two amazing wonderful people who have given him much more than I could have... so yeah, I'd be happy to be that loving parent for another child. But, I’d really like to experience a happy, welcome pregnancy, and there is just something that seems so unfair about the idea that I might not be able to have children now that I'm ready. There have been bumps in the road, but I believe in my heart I'll get there.

So that's my story.
What's yours?

What should I ask the doctor?

Posted on Choice Mom discussion board: "So, my question to all of you is: What did you find out that you wished you knew going in? What do I need to be asking?"

Kathy's response:
I wish I had known to ask all of these things, since each has provided me with pause at some point along the process.
1) Are you open on Saturdays and Sundays for monitoring and procedures (IUI)?
2) Who will be calling me with test results and how is this handled?
3) What sperm banks do you allow? (if ADI)
4) What is the process for ramping up? When do you consider that it is time to notch up the variables?
5) What else do you suggest to support this process? (supplements, aspirin, progesterone, yoga, acupuncture, etc.)
6) Can I exercise? What level of exercise?
7) What foods to avoid?
8) How do you handle holidays?
9) How early could you see me? (for monitoring and IUI)

What else should be on this list?