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  #1 (permalink)  
Old 10-23-2009, 11:16 AM
stefanieleigh81 stefanieleigh81 is offline
Junior Member
 
Join Date: Dec 2008
Posts: 15
Questions to ask Doctor

Hey guys,

I'm here seeking your advice once again...next week I am meeting with a new doctor in regards to IVF. I wasn't getting good "vibes" from my last doctor.

I want to do it right this time and get ALL the infomation I can. Do you have any suggestions for questions I should ask the new doctor? For example, once you got started on your IVF journey...was there questions you wished you would have asked in the beginning about the procedures, cost or medication?

I know the basics and have done my research but in a lot of the particulars, I still feel like im in the dark.

Thanks so much for ANY suggestions!!
__________________
Me: 28, tubal issues
DH: 31, slow swimmers
Blu (chi)
Manni (terrier mix)

TTC: 3 yrs

VERY much appreciate this blog...I don't know anyone else going through this...I value the online support.

Last edited by stefanieleigh81 : 10-23-2009 at 11:20 AM.
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  #2 (permalink)  
Old 10-23-2009, 12:46 PM
DRB's Avatar
DRB DRB is offline
Senior Member
 
Join Date: Mar 2009
Posts: 320
Quote:
Originally Posted by stefanieleigh81
Hey guys,

I'm here seeking your advice once again...next week I am meeting with a new doctor in regards to IVF. I wasn't getting good "vibes" from my last doctor.

I want to do it right this time and get ALL the infomation I can. Do you have any suggestions for questions I should ask the new doctor? For example, once you got started on your IVF journey...was there questions you wished you would have asked in the beginning about the procedures, cost or medication?

I know the basics and have done my research but in a lot of the particulars, I still feel like im in the dark.

Thanks so much for ANY suggestions!!

I had a list of questions when I went last week.
Some where:
1. What is their embryologist training?
2. How many follicles is your goal with me?
3. Do you do rescue ICSI?
4. Who can I call on the weekend if there is something wrong with me, or my meds, or both?
5. How can I prevent OHSS?
6. Facility questions: How long has it been an Arts center? Is there a clean air room?

and the rest were questions about me and my certain situation. There are no bad questions, as it is your money, your time, and your body!

Good Luck
__________________
Me-Denise- 39- fsh of 4.7-6.2, all clear. Tiny cervix may be the culprit or just old. I don't know.
DH-Jason-35 Perfect
3 cute Chihuahua babies. We live in Texas.
Jan 21, 2009 First RE appt
All test good. FSH, Clomid Challenge, HSG
Feb 2, 2009
IUI #1
February 15, 2009
March 2nd. 6wks Cramping. blood, Beta 500
IUI #2 May 2009
June 22nd Sonogram. Heartbeat. Measuring 6 days small though
June 29th #2 Devistated.
Work up and NEW RE: Batter of tests -Everything checks out fine. Only blip is IGM medium positive, which has nothing to do with anything. Bad luck? one more IUI then maybe IVF with PGD
IUI#3
10/8 POAS

IVF#1 and hopefully my last
10/28 Materal Fetal Medicine 2nd opinion on IGM positive on test that was found.
Nov 4th Start BCP for Antagonist IVF protocol
Nov 21st Start Stims 300 Gonal F and 150 Menopur
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  #3 (permalink)  
Old 10-23-2009, 01:37 PM
Ghost Ghost is offline
Senior Member
 
Join Date: Jun 2009
Posts: 235
Quote:
Originally Posted by DRB
I had a list of questions when I went last week.
Some where:
1. What is their embryologist training?
2. How many follicles is your goal with me?
3. Do you do rescue ICSI?
4. Who can I call on the weekend if there is something wrong with me, or my meds, or both?
5. How can I prevent OHSS?
6. Facility questions: How long has it been an Arts center? Is there a clean air room?

Great list. I'd change question 5 slightly to "How do you (the doctor) prevent OHSS, and how successful is that approach in high-risk patients?"

I'd also ask about live birth and implantation rates (ask for the SART and/or CDC numbers). The implantation rate is important because it reflects the ability to achieve pregnancy with fewer embryos transferred. A high birth rate is of little value if they have to transfer 3 embryos to achieve it.
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  #4 (permalink)  
Old 10-23-2009, 02:06 PM
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thunder thunder is offline
Senior Member
 
Join Date: Oct 2007
Posts: 1,381
Hi.
I would also add:

- How many embrio(s) do you put back in my situation/age group?

- When asking about cost, make sure they tell you if they bill the insurance first or if they charge you in advance. Also, most do not include the price of medication into their list. So if you are going to do multiple IVFs with one price, most do not tell you that there is medication cost for each try. They say, you pay $$$ and get three fresh IVFs and three FETs, but they don't tell you that on top of that you pay medication for each fresh/frozen cycle.

- I've done 2nd opinion and also just talked about my history and what he would have done differently, etc. his thoughts and all that.

- To me, it was important to have 24x7 line. They always have an RE on-call in case of an emergency. I liked that. Never used it, but a nice feeling that it is there. Also, I like the fact that they are open on weekends and all holidays. Granted only from 7-11am, but if your cycle falls on a weekend, they will see you regardless. I liked that.

I ended up going back to my original RE, but I needed to know I have asked for a 2nd opinion.

Good luck!!
__________________
------------------------------------------------
Unexplained Infertility
- Me: 32, HSG (Sept07), SIS (Nov07) -
All Normal
- DH: 34, decent count, good swimmers
- TTC: 5+ years
------------------------------------------------
-Feb-08 - DH's SPT and antibody test - Results were great!!!
Past: 5 failed IUIs (3 clomid, 2 injectibles)
------------------------------------------------
IVF Cycle:
09-18-09: AF CD1
09-20-09: Back on active BCPs
09-21-09: Repeat SIS - polyp confirmed.
10-05-09: Hysteroscopy/D&C
10-12-09: Post-op - All clear to proceed with IVF!
10-15-09: RE/RN consult (meds dosage and dates)
10-18-09: start Lupron
10-21-09: stop BCP
10-21-09: AF CD1
10-27-09: U/S & BW
10-30-09: Stims: Menopur and Lupron (morning) & GonalF (afternoon)
11-01-09: BW only - Added Gonal-F in the morning as well
11-03-09: U/S & BW
11-06-09: U/S & BW
11-08-09: U/S & BW
11-09-09: HCG at 12:30am
11-10-09: ER - 16 eggs (4 fertilized)
11-13-09: ET-3dt (2 x 8-cell), no frosties.
11-24-09: beta
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  #5 (permalink)  
Old 10-23-2009, 03:45 PM
Sarabela Sarabela is offline
Junior Member
 
Join Date: Oct 2009
Posts: 27
This is a great list of questons so far! I also wanted to know the following:

1. Will you (the doctor) be my Dr. performing ER and ET?

We switched REs after we found out that the Dr. who conducted our consult was NOT the same person that we would be dealing with for most of the proceedures. He deletgate that to other Drs in his practice which I wasn't crazy about.

2. Do they perfer to do 3 or 5 day transfers or is it based on each patients situations?

Some clinics will only do one or the other regardless of the patient's cirucumstances.

I hope your new Dr. gives you all the right vibes!
Good luck
__________________
Me: 30 - mild PCOS
DH: 34 - low count, morph, and motility

IVF/ICSI #1
Lupron, Follistim, Menopur, Ovidrel, PIO
ER 9/22/09 - 17 mature eggs, 5 fertilized
ET 9/25/09 - 4 embies (3 - grade 1 8 cells; 1- grade 2 6 cell) transferred 2 - 8 cells. None to freeze after day 5

HPT 10/5/09 -
Beta 10/6/09 : 229
Beta #2 10/8/09 :440
Beta #3 10/10/09: 1400

1st U/S 10/19/09 : 1 pea in my pod measuring 5w6d HB 77BPM
2nd U/S 10/26/09 : HB 128 and measuring right on track!
3rd U/S 11/3/09 : Everything perfect, released to OB!
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  #6 (permalink)  
Old 10-24-2009, 09:31 AM
bino's Avatar
bino bino is offline
Robin
 
Join Date: Mar 2009
Posts: 677
Quote:
Originally Posted by Sarabela
This is a great list of questons so far! I also wanted to know the following:

1. Will you (the doctor) be my Dr. performing ER and ET?

We switched REs after we found out that the Dr. who conducted our consult was NOT the same person that we would be dealing with for most of the proceedures. He deletgate that to other Drs in his practice which I wasn't crazy about.

2. Do they perfer to do 3 or 5 day transfers or is it based on each patients situations?

Some clinics will only do one or the other regardless of the patient's cirucumstances.

I hope your new Dr. gives you all the right vibes!
Good luck

I think that second question is a really good one.

Also ask about any potential tests they'd want to do. I switched RE's and felt like I had all the same tests re-done. And when those tests have to fall on cycle day x,y,z... then you might as well toss another month out the window.

And I just learned this lesson the hard way. When they prescribe your meds; question them on why they chose Each Med, why lupron, why menopur, follistim.... they are all different in some way.
__________________
me: Robin, 38 ttc 3yrs -severe pelvic adhesive disease
- left tube removed 1/23/09.
- PCOS 10/09, right tube blocked
- screening: fsh 9.6, AFC 5, amh 2.7, e2 39
dh: 41, 230M, 1% morph

IVF #1 MDL
-bcp 3/12/09
-4/1 baseline - 14 follies, e2= 51. MDL 20u 2x day
-4/3 gonal f 450 & dexamethasone 2mg
-4/8 Trigger! e2 3600, RT 5 (18,16,15,15,14) LT 8 (24,18,19,17,14,13,13,12) lining 7, 3 layer.
-ER 4/10. 19 follies, 17 eggs, 13 mature, 11 fert.
- 4/15 ET - 2 good/good blasts, 2 snowbabies
IVF #2 - Luteal Lupron
10/16 P4 11.0 - 19 follicles (5 left, 14 right)
10/17 Lupron 10
10/24 AF arrives
10/26 day 3 :supp check e2 under 25, 14mm cyst left ovary
10/28 cyst aspirated (AM) Lupron 5, Luveris 37.5 (PM) Gonal F 450
10/31 15 follies, e2= 132
10/31 (AM) Lupron 2.5, Luveris 75 (PM) Gonal F 450
11/2 e2= 291 (12,11,10x3,9x4,8)
11/5 e2 = 1191 L(11x2,12x5,13x4,15x2,14x2) Lining = 11.29
11/8 ER = 20follies, 12 ret, 5 mature, 5 fert
11/13 ET - (1) 3AB, (1) 1BB w/ AH
11/25 Beta
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