First experiences when you take the next steps from obgyn.

[Anonymous]

We are moving to other strategies/options after trying for over a year without any success with unexplained secondary infertility. Bloodwork has already been done and everything is normal.

So now I'm being referred and I have no idea what to expect.

What are first steps? Will they do all my bloodwork again? I have already tried clomid for 3 months when based on opks I was not ovulating every cycle. Sperm Analysis was also done and normal.

[Anonymous]

You will meet and talk about the general process of what to expect. They will talk options - based on age, prelim testing from OB, ultimate goals. They explain how the statistics come to be and then ask you to do more testing. From there you pick a path (timed intercourse, IUI, IVF). If you were doing meds with an OB, I doubt you were doing timing ultrasounds, which help a ton to determine when to time / trigger. They will also have you do some genetic testing to see if you and or partner are carriers for anything.

[Anonymous]

Anonymous wrote:You will meet and talk about the general process of what to expect. They will talk options - based on age, prelim testing from OB, ultimate goals. They explain how the statistics come to be and then ask you to do more testing. From there you pick a path (timed intercourse, IUI, IVF). If you were doing meds with an OB, I doubt you were doing timing ultrasounds, which help a ton to determine when to time / trigger. They will also have you do some genetic testing to see if you and or partner are carriers for anything.

+1. Clomid without monitoring is basically useless, so you’ll most likely do a few monitored cycles. They will probably get some new bloodwork and do a transvaginal ultrasound to check out your ovaries. Don’t be surprised if they don’t do a sperm analysis right away, but also advocate for one if you have any concerns.

[Anonymous]

Bloodwork, ultrasound to look at your ovaries and get a follicle count, and probably an HSG as well (to look at your uterus and tubes).

[Anonymous]

You'll do the standard testing, which is more than your OB does. On your DH's side, the one other test that isn't routine is a DNA fragmentation test, but you usually have to ask for it and if you come up with some answers on your testing (water sonogram and HSG, and possibly additional blood work), it may not be needed. REs like to have STD test results (for both) within the past year, so if you have those already, you can save time by bringing them with you. But, keep in mind that they use 1 year as a marker b/c a significant majority of people within the particular age range they use get pregnant in that 1 year, but there are outliers where it just takes longer for no reason other than crap luck. There's no shortage of statistics when it comes to fertility/infertility, but stats are trends only.