Back from the Doctor

I had my long-awaited appointment with my OB/GYN today to talk about why I am not KU yet.
The appointment went okay, but it was kind of frustrating too.

My appointment was at 10:50, but I didn’t see the doctor until around 11:40. When she did come in, she seemed kind of rushed. She pulled up my file and said “it looks like the last time you were here, we talked about how you were thinking about starting to try to conceive”. I said no, the last time I was there was when I came in for my first prenatal appointment and instead found out I was having a miscarriage. Apparently she couldn’t find the note from my last visit, so I had to recap everything for her…not fun, especially since she is KU. We went over DH’s semen analysis and my HSG. She confirmed that my HSG looked great, but she said that there were a few abnormalities with the morphology of DH’s sperm (we had originally heard this was normal). Originally, she said that she didn’t think that it was a factor because his sample had so many sperm in it. She asked if DH had any health problems, and when I told her that DH is diabetic she said that could be an issue and pose problems with the sperm that maybe wouldn’t be seen on the analysis. I explained that DH hadn’t monitored his diabetes until recently, but has started making a lot of changes and lost a lot of weight. She thinks that may have contributed to our lack of pregnancy.

She recommended that we expand our FWP to every other day beginning on day 8 and ending on day 20 and to keep closely monitoring DH’s blood sugar and diabetes. I am supposed to call her if I am not pregnant in three more months. At that point, she said she would recommend trying Clomid and IUI.

I just felt frustrated because it seemed like the appointment was rushed and I didn’t get a chance to ask all of my questions. She didn’t seem concerned about the increased ovulation pain that I have had and she said that my mom’s chromosome translocation probably isn’t a factor. Going forward, I guess I have a plan for the next few months, but I just wish I had had more time during the appointment to ask questions. I also thought it seemed a little premature to talk about IUI when we have hardly done any other testing. Would IUI even work if there is some other problem going on? At this point, I am of course hoping that I get KU within the next three cycles, but after that...I don't know. Do I ask for a second opinion? Insist on more testing? It is all so confusing!