in october we met with a top NYC (in)fertility specialist, dr. peter chang. here’s how it went down:
- arrived and filled out pages of paperwork
- RV (random vent): why can’t docs email you the paperwork in advance?
- waited nervously
- we were swept back to dr. chang’s office where he charted out the 25% chance of conceiving each month and explained that at the end of any given year, only 85% of couples are expected to have conceived.
- he also quickly walked us through a graphic to explain how conception happens.
- then he briefly explained the series of tests that we need to have completed before he can make a diagnosis:
- progesterone screening to confirm ovulation
- FSH/Estradiol, LH, BhCG to confirm ovarian function
- Ultrasound to check for fibroids and cysts
- Hysterosalpingogram (HSG) to evaluate tubes and uterus
- Semen Analysis (SA) to evaluate count and motility
- then he asked, “do you have any questions?”
i felt stunned. he spent 5 minutes with us, talking a million miles a minute, basically saying that we need to have some tests done before he can tell us anything. i totally get this. he needs all the evidence to make a medical diagnosis. but no, i had no questions. but believe me, i have a list now!
RV: why the consultation? doesn’t it make more sense to require that patients have all of these basic tests done before visiting a specialist? your GYN can call all of these tests for you.
so far, i’ve only gone in for the progesterone screening. i don’t have the results yet, but i am confident i ovulate (at least based on the little sticks you pee on). AF shows up exactly 2 weeks after i get a positive OPT. i tried to go in for the ovarian function tests, but my luck was AF shows up right before the thanksgiving holiday and the clinic is closed. argh.
for december, we’ve decided to get the HSG done and hold off all the other tests until next month (if AF shows up). sound fascinating, right? inject dye into your uterus while watching on a TV monitor? i’ll need to get a video so i can upload to vimeo! seriously, i’m hopeful the HSG will clear things out and make for a nice baby making environment this month. in some cases, pregancy rates increase following the HSG. maybe not proven, but like i said, hope is key.