Reply to IUI thread - natural cycle IUI and medicated IUI

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[quote=Anonymous][quote=Anonymous]Starting this process in the next month.  My husband and I have been trying for 2 years, sought help, found out he had an issue which we helped remedy with an operation.  Planning to try IUI first since the surgery has helped to improve his sperm problems (low count and poor morphology).  I still have to do an HSG to make sure there's no issue there.  We have an appointment with Dr. Kathryn Humm at GW.  Anyone here ever work with her? What should I expect? Any advice?  I am 32. [/quote]

I found Dr. Humm to be quite nice, straightforward, and easy to work with. The first appointment is generally intake, discussion of options, and setting up any remaining testing to be done. If you've had day 3 testing (AFC, AMH, FSH, E2) she'll probably discuss your options more concretely; in my case I needed to come back to discuss specifics after the HSG and sperm analysis and day 3 testing. There likely will be a resident or a nurse with her for the meetings. There is also a 3-hour orientation class where various staff (I found the embryologist part to be pretty fascinating, actually, even though I wasn't doing IVF) discuss the process of IVF and you get a giant packet of information and disclosures for all procedures they do that need to be signed by both you and your partner. They have to witness the signatures, so if your partner doesn't join you for the class you'll need them to drop by the clinic at some point to sign. I think two of the folks in my class brought their partners.

When you go in for monitoring for a cycle, it's kind of a factory. You have to arrive between 0700 and 0745; if you're just getting bloodwork, they'll hand you two sheets of paper and your sign in label and you queue up along the wall to wait for the blood draw. If you're getting bloodwork and a sono they will hand you one sheet of paper (testing to be done is usually highlighted at the top) and the label and you get your blood drawn and then you go wait back in the front for them to hand you another sheet of paper and tell you to go back for the sono. The sono room vestibule has two curtained off areas where you strip from the waist down, leave your clothes, and take a paper sheet for some modicum of modesty. (the sheet isn't long/wide enough to make a skirt over my generous butt.) There is a bathroom off the vestibule if you need to remove a tampon or just use the bathroom before or after the sono. All three of the doctors do monitoring sonos, so it just depends on the day when you go which one you will get. There will usually be a nurse or resident in the monitoring room to take your signing sheet and record the measurements. All of the doctors review the day's results, and then your nurse will call or email you with next steps in the afternoon. I personally wanted to know the exact measurements/levels, so generally I'd need to ask for that- especially if they left voicemail. Your nurse will have it, but by default will probably say something like "the numbers look fine, come back on X day for..."

The good news is that since all three of the doctors collaborate, you get the benefit of all of their experience without having to wait three months to see Dr. F. Most of your interaction is with your nurse; feel free to email them with questions.

Good luck. [/quote]

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