What happens at the Gyno???

Hi All!

Thanks for taking the time to read my post :)

A bit of background on me, I haven't had AF for 6 months now after coming off BCP in Jan 08, and have been diagnosed with PCOS. So now I have a referal to the Gyno, and am just wondering what will happen at my first appointment :confused: :confused:

I had hormone and glucose bloodtests and internal and external ultrasounds and the GP has packaged all of this up for me to take to my appt.

Given I have had all the tests, is it likely that I will be put on Clomid (which is what the GP said I will need) straight away to get me ovulating???

Any insights would be greatly appreciated, thanks and :bluedust: to all.

with the diagnosis of PCOS, you'll likely be put on meds to make AF visit, then onto clomid

most times they will force a bleed for a clean out first though....

you'll be asked lots of q's about your history and stuff too

I agree with BG. Most likely get Provera first to bring on a bleed so you can start a fresh as such. Then you will most likely be given Clomid to get you ovulating. Good luck, hope you get your BFP really soon :pray:

Thanks for your responses Kt and BG!

Just another question then, will i get both Provera and Clomid prescriptions at the 1 appointment? And also, is it standard procedure to be monitored with bloods and ultrasounds whilst on clomid?

Sorry for asking so many questions, I'm just really nervous, and anxious for my BFP.

Thanks in advance :redface:

Melis - i got a script for both primulut (a different form of progesterone but similar to provera - just takes longer and is much gentler on your body rom my experience!) and clomid. i had to take the P for 10 days, then the clomid from days 5 to 9 of my cycle after the bleed. i had blood test on day 21 to see if i'd ovulated at all. unfortunately even on 3 tabs a day, i never ovulated, so had to move to more invasive procedures, but for some people, it works fantastically (there are a number of clomid bubs on BB!)

if you haven't o'd, you might be given more progesterone and dose of clomid increased. at least for a while, this is going to be a VERY experimental time, so as much as you need to hope it will work, be prepared that you might have to tweak things a bit

good luck

BG

Hi Melis - I just wanted to add that at my first appt with my gyno she asked me if I had a full bladder as she had wanted to do an US, I didn't. I have my second appt tomorrow so am going to go in with something in there and try not to head to the loo whilst I'm in the waiting room!

Don't appologise for asking questions. That is what we are here for ;)

When I was on clomid I was always monitored by ultrasound and blood tests. I also have PCOS and my body was very temperamental with clomid. Some cycles I would O and others I wouldn't even with a higher does :wall: My FS always did an ultrasound to make sure I hadn't had too many follicles and therefore increasing the risk of multiple birth (still had twins using IVF lol) but she used to always check in case I had like 4 follies or something (twins is ok... not sure how I would have coped with more than two!!)

Good luck hun and if you have any more questions just ask. There are many here who have been on clomid and can help you out.

BG - Thanks for sharing your experiences with me. Its funny you said to be prepared that it might not work out, cos at the moment i sort of am pinning all my hopes on it, thanks for bringing me back to earth. Hope your pregnanacy has been and will continue to be h&h.

MB - Thanks for the headsup, I will make sure I go with a full bladder so i can just pee if need be! Best of luck for your appointment tomorrow.

KT - I guess it is something to discuss with the dr, and how he wants to proceed, but sounds to me as if thats the norm. Your twins must be adorable, and quite a handful i'd imagine!

Ok, so I have 1 last question on this topic (I promise!). Will DH have to have any tests before we proceed with clomid? And do you usually go alone or with your partners?

Thanks again girls :grouphug:

I took my DH to my first appointment, and he came to others with me also. It really depended on where we were in the cycle to if he came or not. Our FS wanted to do all of our background at the first meeting so it would probably be wise to have your DH there with you for that one. I would think that your Dr will most likely want your DH to have a sperm analysis done just to make sure everything is fine there so they know what they are dealing with.

Keep us posted on how you go.

Thanks Kate.

I just made my appt (they only just reopened from xmas), its not til the middle of feb :wall: Oh well, at least that will give me some time to shed the extra kgs i've put on over the xmas break :redface: I also started temping again this morning (I temped previously, and gave up when it was apparent nothing was happening!) so I will have that info to take too.

I've spoken to DH about it, and he is happy to come along, and even give a specimen sample...lol, I'd hate to be in his shoes!

Thanks again for all your wisdom, and I will let you know how it goes :grouphug:

the sample thing isn't too much of a drama - if you have to go any further than clomid, your DP will have to become well acuainted with aiming for a cup! i figured if that's the most traumatic thing DH had to go through, well, he could just deal with it!

good luck - mid feb is fairly close - when i booked for gyno appt it took 3 months to get in, then i had to have surgery, which was another 3 months, and another 8 weeks before we started any meds, so 8 months til we got started.... it was a long and tortuous wait, but it eventually got us to where we are now...

That is great that you have made your appointment. Hope it doesn't take too long to come around for you but mid Feb isn't too far away.

Good luck.

Just thought i'd keep you gals updated. I'm not one for sitting around and waiting, so with my gyno appt over a month away, i thought i'd try some acupuncture. I have my first appt this saturday. A bit scared, have never tried it before, but hey, i figure it cant hurt to give it a go :crossfingers:

Hey thats great. It is always worth trying these things to see what happens. I have had acupuncture and it is not as scary as you think. The needles really don't hurt, they are so fine that when they go in you hardly feel it.

Ap really doesn't hurt at all - and if you go in with fertility as your aim, they should be able to focus on the right areas. you might feel like a bit of a goon laying there with needles all over you, but if it works...

i loved ap appts - only stopped going cos i was too damn sick with ms to make the trip each week!