Finally ben reffered

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Loz123
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Posted: Sat Mar 16, 2013 8:52 pm 
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Hi Ladies

We have been TTC our 2nd for jut under 2 years and my doc has finally reffered us. The specialist has requested his own set of 21 and 5-7 day bloods and an ultrasound before he see's us but i just wondered if these come back ok does anyone know what the next step is after that? x
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nikki238
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Posted: Sun Mar 17, 2013 2:05 pm 
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Hi Loz! We've just been referred too. Our initial appointment with the consultant was him asking lots of questions. Then I had an internal scan and some swabs taken, just to check for any infections. Oh had to have a semen analysis. I've had cd 1-3 and cd21blood tests. And I've got to go back and have a hycosy, which is where they put dye into your tubes so they can see if there are any blockages. They're all the initial tests. Once they're all done then they know which treatment to give, should you need it. Just be prepared to be patient, as we dont know any of our test results yet. I think once ve had the hycosy we'll have a second appointment with the consultant, so he can explain the results. Also another thing you may not know is if you need any treatment, ie, ivf or iui also additonal consultantions. You have to pay for if you already have a child. I was really surprised. Did it take you long to get pregnant with your 1st?
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Loz123
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Posted: Sun Mar 17, 2013 6:44 pm 
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Hi Nikki thanks for the info. It took us 6 months first time round, can't believe it's taking this long second time round. Did u have a normal birth? I had a section and I wonder if that has anything to do with it like scar tissue etc although my doc says no but I'm keen to see what the consultant says x
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DL05
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Posted: Mon Mar 18, 2013 7:49 am 
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Loz having a c section can cause scarring and adhesions , and can be a factor in secondary infertility , which is one of the reasons for doing a Hycosy or HSG to check the tubes .
I'd have the cd5-7 bloods done as early as possible, not sure why they've told you cd5-7 as every doc I've ever seen has said they should be done cd1-5 as they give a baseline view of your hormones Question I had mine done cd5 and it was the latest day my cons was happy with Question
Also make sure you book the cd21 for 7 days after ovulation even if that's not cd21, as the whole cd21 is based on a 28 day cycle and ov on cd 14 ,if the bloods are done less than 7 days after ov then they will show low levels and perhaps give a false negative for ovulation .
As nikki said though some treatments won't be offered on the NHS if you already have a child, like IUI and IVF, everything else should be though and you should NOT be asked to pay for consultations .
The types of things they will do are offer clomid to help ovulation, a HSG/hycosy to check tubes, possibly a lap and dye if the HSG indicates a blockage, often they can remove any adhesions on the ovaries or tubes and get rid of any kinks in the tubes at the same time , tubal cannulation if there's an internal tubal blockage, hysteroscopy to check inside the uterus if the suspect endo or fibroids etc. Quite a lot really Smile I've had a few procedures and I already have children and i'm over 40 I never had to pay for anything , but they said if I wanted to progress to IVF (which was the only option left to me ) I would have to go private .
Secondary infertility is on the increase so the cons see a fair bit of it now , I think if the bloods are fine the next step would probably be a HSG/Hycosy . Good luck xx
Loz123
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Posted: Mon Mar 18, 2013 10:04 am 
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Thank you for that advice actually I'm supposed to have day 5/7 bloods this wed and I was gonna change it as it will only be day 4 but I won't now then and also I was day 20 not 21 but I ov about day 12 so glad I didn't go on day 21 now. Xx
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DL05
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Posted: Mon Mar 18, 2013 10:13 am 
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Day 20 should give you a good result as a day or two after the 7 days is fine Smile , its having it done too early that's the problem as then the levels won't have risen enough , I know a few women on here conceived the month they got told they hadn't ov'd based on a badly timed progesterone test Laughing
The way my cons explained the LH/FSH test (cd1-5) is that at the beginning of a cycle the levels are pretty constant for the first few days and its this early level they want because if your body is struggling to get an egg out these early levels rise in response to that as they have to work so much harder to get your ovaries to respond (think accelerating to get a car up a steep hill Laughing ) with this test its probably the only one where the lower the number the better Smile x
nikki238
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Posted: Mon Mar 18, 2013 3:06 pm 
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Hi Loz. Yes i did have a normal birth the first time round. But it took us 7 years to conceive!!! And Nat i was under the impression that we would have to pay for a second consultation with the consultant. Which i think is a bit off as we will need to go back and get our test results explained to us.
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Loz123
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Posted: Mon Mar 18, 2013 8:01 pm 
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Wow so much to think about then, in a way I'm pleased the ball is rolling now as if it is something like scar tissue adhesions etc then hopefully it can be fixed. I'm having an ultrasound on Friday then they will make the appointment with the con. Can these type of things show on ultrasound? Do u know of anyone having probs with scar tissue after a section and after treatment fell pg? X
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Loz123
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Posted: Mon Mar 18, 2013 8:14 pm 
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Sorry another question Very Happy what does a Hsg/ Hycrospy entail exactly? X
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nikki238
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Posted: Tue Mar 19, 2013 2:25 pm 
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As far as I know. A tube is inserted through your cervix into your womb. Then dye is injected into the tube. Then they scan you and the dye shows up on the ultra sound and they can see if there are any blockages in you tubes. I should have had mine last Wednesday. But when I went along for the appointment, I was told they couldn't do it as I was too near to ov and could have possibly already ov and it would be too risky. I knew I hadn't ov yet. Was really mad as they knew my cycle length and what point I would be at in my cycle. Now have to wait until April. Grrr. X
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DL05
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Posted: Tue Mar 19, 2013 4:22 pm 
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Nikki I've never heard of anyone being charged for any consultations under the NHS , only if they switch to private treatment Question x
Loz adhesions and scarring often won't show on an ultrasound , with the hycosy they use a high contrast liquid that shows up as they scan you and they can track its progress through the tubes, external adhesions or kinks will often show up as either narrowings or places were the dye can't get through, the HSG is the same , catheter through the cervix, iodine based contrast injected into the uterus and then they use real time x-rays to follow the dye through your tubes, it give s a clear picture of things like fibroids or abnormalities in the womb as well, but the best way to see if scarring is the problem is a lap and dye where they put the camera in through your belly button to have a proper look , they might suggest that if everything's not normal on the HSG/Hycosy , with the lap they can operate as well through a couple of tiny incisions lower down , one of the reversal ladies got pregnant after her surgeon did a follow up lap and found her tube was kinked, he unkinked it and a few months later she was pregnant Very Happy external adhesions on the tubes and ovaries are the easiest to remove so there's a good chance that if there is a problem surgery can correct it Smile x
nikki238
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Posted: Tue Mar 19, 2013 4:38 pm 
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Nat, maybe I've got it wrong then. Hope I have! ( about being charged)Just seemed like the consultant was keen to get the point across before handing us a list of procedures and costs. Should ring hospital and find out, that would help. Smile And good luck with your tests loz. Let us know how you get on? X
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DL05
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Posted: Wed Mar 20, 2013 8:14 am 
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I would ring Nikki , I've never had a list of procedures and costs either, I was just told certain things wouldn't be offered and I would need to go private for them Question
I know some do (both private and NHS treatments I meant to say)but I've never heard of anyone getting a NHS referral and then being expected to pay for anything Question
Are you seeing someone at an NHS hospital ? Maybe he also does private practise and the list was for that Question
I'd definitely ring and check and if they're saying you have to pay for a follow up I'd maybe look at switching to a different hospital as you should get everything on the NHS up to but not including IUI or IVF, in fact in some areas they will even do IUI on the NHS as one of the reversal ladies has just been offered it and she already has a child Question
It sounds very strange though as there are quite a few women on here with secondary infertility who've had allsorts done and never had to pay for any of it x


Last edited by DL05 on Wed Mar 20, 2013 9:57 am; edited 1 time in total
nikki238
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Posted: Wed Mar 20, 2013 9:29 am 
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I know does seem a bit odd?! Wkll ring today and find out. X
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MrsZargon
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Posted: Wed Mar 20, 2013 5:10 pm 
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Hi Loz glad to hear you have been referred. We are still TTC no. 2 it's been 17 months so far and nothing. We r off to the gp in the next couple of weeks as I think ive finally come to terms with the fact tht something might be wrong! I had a section 1st time too and have read that it ups your chances of 2ndary infertility. Was wondering if you ladies have tried any alternative therapy at all, I have been wondering if reflexology or acupuncture might help if there re psychological reasons as well. I had a v traumatic birth and first few weeks experience so I'm wondering if deep down my body is refusing to o it again lol. Either way all this trying and failing is stressing me out big time!

Good luck xxx
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