Wednesday, February 1, 2012

Our Consultation

First, iIf anyone ever reading this is in need of a fertility specialist in the Detroit area, I highly highly recommend RMA of Michigan.  Now, about our appointment...

Dr. Wolf came highly recommended to us by a friend.  We met with her first.  We talked about what happened at the end of last year.  We talked about my chances for a recurring ectopic.  We talked about what could have caused it, etc.  She had a couple of concerns. 
  • In 2007, I had a D&C due to irregular bleeding.  In that report, there was something found that could mean that I have an infection in my uterus.  Nothing life threatening for me, but it could make my uterus "hostile" for an embryo to implant causing our pregnancy to go back up my tube to find a "safer" place.  I should have been given antibiotics and wasn't.  Obviously, I was upset when I heard this. 
  • She's also concerned that I could have some type of blockage in my right tube.  She did say that a lot of women ovulate more out of their right tube (very interesting) but there is medicine to help the left tube along if the right one is no longer viable.
She was so helpful and so nice.  We talked about our next steps.  She's a no nonsense kind of doctor and gets that we've already had a shitty road and we don't want to mess around anymore.  I really appreciate that.

I have to take those antibiotics for 30 days.  During that time we can try on our own.  They won't hurt a pregnancy if we conceive on our own.  Also, I'll have an HSG run this month as well to check for blockages.  As long as everything goes well, we'll then move on to 100 mg of clomid in March. 

Dr. Wolf also did a brief exam just checking my heart and lungs.  When she finished up, she looked directly in my eyes, grabbed my hand, and asked me how I was really doing, asking if my stomach was healing ok, etc.  That was the first time other than the ER and OR staff that a doctor really seemed to care.  I know my OB/GYN has a rushed personality, I've figured that out over the years.  But it was nice to see that she really cared.  I have a lovey-dovey, I need attention type personality and it was nice to feel that from Dr. Wolf.

We then met with our nurse, Chris.  Each patient is assigned a nurse who seems them through all of their treatments.  She'll be the one calling with test results, getting me ready for my next treatment, etc.  How great to have someone so familiar with your case at all times?  She was also incredibly knowledgeable, nice, caring, and funny.  I can tell we'll really like her.  She went a little more in depth on everything.  She mentioned that with the clomid, we'll also receive a trigger shot which helps to release the egg.  We won't jump into IUI just yet.  Fingers crossed that we this all works.  Chris also kept stressing that they are open 365 days a year which is awesome.  Like she said, your cycles don't care what day of the year/week it is, so we want to make sure we give everyone the best chance of success.

Lastly, we met with the financial person who deals with the benefits.  She gave us a cost breakdown of everything before insurance.  Everything was right in line with what I thought it would cost so we are on track there (I'm a numbers person).

I left feeling 100% better.  The only two things hanging over my head now are these antibiotics and then the HSG test and results. 

Maybe we'll get lucky and be able to do this on our own this month...although I'm not counting on it, it still would be a very nice surprise.

We're finally moving forward and it feels great!

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