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  1. #1
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    Default 1yr TTC going to see GP what tests should I ask for?

    Hi everyone,

    We've been TTC #2 for a year now. In that time we've had two pregnancies (1 partial molar and a chemical) so technically at least DH's swimmers are swimming and I'm ovulating so it may just be a matter of waiting for the right egg and sperm combo. It took us 4 cycles to conceive #1 then second month of trying was the partial molar which required a D&C in April then we had to stop trying for several months. First month (August) of TTC again I had a chemical pregnancy and since then another 5 cycles with no luck. I have shortish cycles of 25-27 days and a luteal phase of about 13 days. I've started OPK and temping so am sure I'm ovulating. I'm almost 35 and DH is 40. CD1 for me again today so I'm thinking I'll head to my GP to see what she suggests. Can anyone please advise what tests I should get done and when (in my cycle) they will need to be done? TIA

    I'm thinking these (any others???):

    DH-sperm morphology and motility and anything else they look for (would he need his own GP appointment or should he just come along to mine?)
    Me-Progesterone levels to check I'm ovulating (which I'm sure I am). Could I still be ovulating and have low progesterone? Would that prevent implantation or anything? Should I think about pessaries?
    -AMH (anti-mulerian (sp?) hormone) I've had a couple of friends have this done and got really low scores, one then got pregnant second month of trying and the other one took about 6 months so not sure if it's worth doing or not???

    Probably won't bother going to a FS as yet but for future reference what other tests would they do? Would I be offered clomid even if I'm ovulating and does that increase the chances of multiples even at a low dose?

    Any info would be handy. I can't help but think in the back of my mind that after the D&C something has gone wrong and now I can't get a bubbo to stick! More likely of course we're just a bit older and things take time.

    Thank you

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    Default 1yr TTC going to see GP what tests should I ask for?

    Hi

    My situation is not the same as I haven't had a pregnancy yet, but after our 1st IVF cycle the FS wanted to test for anything that would hinder implantation given we did produce a good embryo but it didn't stick. From memory it was tests of thyroid function, blood clotting and for NK cells and chromosomal issues. They also tested my DH for chromosomal problems such as translocation.

    We are eagerly awaiting results. Hopefully all clear as we know we have a Morphology issue and hopefully thats the only problem!

    Sounds like you are definitely ovulating and getting successful fertilization too....so it could be implantation that needs investigating rather than ovarian reserve etc. Maybe the same tests I had and/or checking that there is no uterus problem like fibroids in the uterine cavity or an issue with adhesions or something.

    Also, I found GP just doesn't know enough about these things and a FS was much better value for money.

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    Noty  (30-12-2012)

  4. #3
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    I'd go to the GP and get some preliminary tests done (like your dh getting his sperm count done) and then if you are still not pregnant at your follow up appt for the results then get a referral to a FS. I've read that after 6 months of TTC if you are over 35 then you should get investigated.

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    Noty  (30-12-2012)

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    Default 1yr TTC going to see GP what tests should I ask for?

    I'm getting:

    FSH/LH
    Glucose
    Insulin
    Testosterone
    Progesterone
    Oestrogen
    Cholesterol

    There's a whole load of others on my blood request but don't know what the letters stand for lol this is with my day 21 (or 7 days after OV) bloods but I also did cd8 bloods as well.

    You can also request an ultrasound to look for problems with ovaries etc

    These are all through my doctor - I have a referral to a specialist but we're getting all this first so we can take it with us and its bulk billed.

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    Noty  (30-12-2012)

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    To add to your list, might be a patency test - where they flush your tubes with dye to make sure they aren't blocked.

    AMH is a new test and apparently is quite unreliable. I've heard of levels increasing over time, which of course can't be right as we don't make more eggs

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    Noty  (30-12-2012)

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    Thanks, sounds like there are quite a few tests. And I hadn't thought to ask about a scan. I'm assuming my GP will give me a referral to a FS but figured it'd be cheaper and quicker if I just get as many tests done beforehand as I can. Is that correct? Are FS covered by medicare (with usual out of pocket gap fee)? I'm assuming most FS are private and there'd be a huge wait to see a public one? Is that how it works?

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    Default 1yr TTC going to see GP what tests should I ask for?

    From what we've seen most FS you have to pay for then you can claim small amounts back through Medicare. We are doing as much as we can through docs - cheaper, easier to get etc

    Be really insistent if you have to. I've seen 3 docs before finding one that was happy to order all the tests and also seemed to know what they were doing!

    If/when you want to see an FS ask your doc if you can find one yourself (unless you don't mind a wait!). We managed to get an app within 2 weeks of calling ourselves - doc referral would've been within 2 months+... We called around and found our own then got doc to just put their name on the form for us.

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    Noty  (30-12-2012)


 

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