Getting Pregnant <
Trying to conceive
15/10/2013 at 10:52
GP was a mixed result today. Firstly we discovered that H has a ridiculously high number of sperm (389 million) so he’s all pleased with himself and strutting about the place this morning!
However the GP I saw today decided to announce that the guidelines state you have to wait TWO years to be referred for fertility and that I can’t go any further than this until another year has passed.
The positive for me was that she’s accepted the referral for uro-gynea needs to happen (thanks to the strongly worded letters from physio and bladder clinic!!) and has actioned that this morning so I should be getting an appointment letter through in the post for that at some point. As part of that referral I should be getting the internal/external scans so hopefully that’ll flag up anything fertility wise too that could be causing a problem.
I'm pretty sure she's missed an entire stage in the process as it shouldn't go straight from where I am to having IVF/IUI but she was adamant that the next stage was the fertility clinic and that the criteria she was quoting was correct. She also said that if we decide we do want our own children at some point to come back before I'm 35yrs and she'll process it then as it'll of been 10yrs by then! WTF?! haha
15/10/2013 at 11:02
Hi Star. Great news about H sperm but WTF to the rest of it.... next step IVF? Thats insane. My understanding is GP can do a level of tests, you will then be referred to a gynae or straight to fertility. Fertility will repeat all the tests, then start you on whatever is needed. I'm confused why she is jumping to IVF for you when you don't seem to have had any tests other than blood? I'd ask to see another doctor for a second opinion?
PS - They can't refuse to refer you to a gynae at least (surely?!) - I'd go in with that argument failing direct to Fertility, i.e. that you just want to know why you have irregular cycles regardless of your fertility concerns. You have irregular cycles - thats a gynae issue, and they may give you more tests or prescribe you some medication to help (metformin perhaps?). They may even write back to your GP and tell them they have to refer you?
15/10/2013 at 11:20
Ps just a quickie did she say IVF/IUI becasue the fertility clinic also have alot of other steps before it gets to that? for instance clomid etc ?
15/10/2013 at 11:45
Good news about your hubby's sperm PS, sorry to hear that the GP isn't being very helpful referal wise though. Hopefully your next scans will give you some more info.
15/10/2013 at 13:01
The criteria she was reading from Monnie appeared to relate to IVF/IUI etc thus why I think she's misunderstood the referral criteria. We've no plans to ever go down that route but we would be open to clomid or something like that to help get my cycles working, from my googling it seems that in order to get that sort of thing you need to be through a fertility clinic?
I have been given my uro-gynea referral thankfully so I'm hoping to get some more answers from that and maybe they will be able to look at that side of things too but she seemed under the impression that they couldn't and it was full-blown fertility referral in 2yrs or nothing which confused me greatly!
I'm guaranteed to get scans internal/external and other tests as past of my bladder/bowel investigations and I *think* referral to a gynae would of been the interim step between where I am now and IVF referral so I'm hoping I'm getting to the right people but via a very indirect route haha.
15/10/2013 at 13:04
You need to get Clomid through fertility as far as I know. Gynaecologists (if investigating your irregular cycles?) can push your GP to refer you to fertility, who will then prescribe Clomid or whatever it is you need. I think IVF is a long way off for you yet!!
15/10/2013 at 13:09
We wouldn't be interested in attempting IVF or similar procedures so it's only the bits in the middle we'd be willing to try before we go down the adoption route.
Back to the waiting game for me for now and I just hope it isn't too long until my scan & uro-gynae appointments come through :)
15/10/2013 at 14:10
Good news about H's SA!
From what I read, you are entitled to blood tests and SA after 1 year of TTC (with no known issues). You are entitled to a fertility referral after 2 years TTC (with no known issues). It's from this referral where you would get clomid etc. I think a lot of Gp's will refer early, it sounds like you are unlucky and have got someone who wants to stick exactly to the rules.
Also, I had a gynae referral and they did all the PCOS blood tests, and a laparoscopy, so if there were any reasons for the fertility issues, they would have been flagged. Though I was there because of pain so they had to check for those things iykwim?
15/10/2013 at 14:17
OB - Would Star pass as 'known' issues though with her irregular cycles? I was told that unless your cycles were regularly between 24-35 days then they are irregular / there is an 'issue'. Agree RE gynae - its definitely a step in the right direction! Although I've been there, had the same thing flagged that my GP flagged, and still have to wait, although not 2 years.
15/10/2013 at 14:24
No idea tbh! I'm not sure if you have to have a diagnosed 'reason' for them, or if the fact the you have irregular cycles is enough on its own.
15/10/2013 at 14:26
I think PSs long/irregular are definitely a 'known cause' for early referral. We were discussing it earlier and agreed she should have been referred after just 6 month of trying - I.e. At her appointment just gone.
I think GPs get confused between eligibility criteria for level two treatment (clomid etc) and level three treatment (IVF).
Yes good point! I guess normally people with irregular cycles struggle to time their CD21 correctly so that test might push things through alongside the irregular cycles.
15/10/2013 at 14:28
Ducky - is there anywhere you can print off the guidelines to put them under GPs noses for them?! :-)
15/10/2013 at 14:29
Yes you can. I've sent PS all I can find for her area already! She is armed for next time ;-)
Could you go and see another GP? Or does it not work like that? (Can you tell I'm not an expert and just wittering on?? Ha!).
Either way, I hope they get you sorted soon PS, either through gynae or a more sensible GP!
15/10/2013 at 14:30
Awesome! Good luck Star! Ducky - would you mind sharing where you can find the info? I might go armed for my appointment at the end of month! I've been told 6 months, then 1 year, then 2 years, then 1 year... I have 'known' issues!
15/10/2013 at 14:42
I was told in January by my regular GP to come back at the end of September once it had been 1yr of trying and that I would be put forward for referral because of my abnormal cycles and my history of having them prior to the pill. My cycles since the pill have varied between 43 & 84 days so not one has been considered in the 'normal' bracket.
However since that first appointment my normal GP has gone on a 6 month break and I've had to see different ones. The first one I saw at end of September said he needed us to have sperm analysis and blood tests first and to not bother waiting until cd21 (or 7dpo depending on how you look at it) as my cycles were too long to matter. As it turns out my blood tests eventually happend on cd55 (11dpo) - I'm hoping that this hasn't given me a false 'correct' ovulation reading and today's GP has assumed they were done on CD21 and not CD55?
Tbh I've not really got a clue whats happening now - I've seen so many different people and each one tells me something different. I give up!!
Just gonna concentrate on the upcoming (who knows how far away though :/ ) uro-gynae appointment and see what happens from there. I think the next step even if they had listened properly would of been a scan at gynaecology so I'm going the rough right direction but through a squiffy route lol
15/10/2013 at 14:49
I had to wait 2 years ttcing before they even referred me for further test. Then 4 years of investigations and ops, before I was prescribed clomid by my gynae. Then a further year to be referred to a fertility clinic for IVF. So seven years of waiting in total. I kept getting fobbed of that I was young and should just keep trying!
15/10/2013 at 14:52
Star - Did they give you your results for your CD21 (timed wrongly!) then? It sounds like they have shown you did ovulate (I'm basing that on them thinking they were timed properly?), which is good news?
Vivixen - That is shocking. I am gob smacked.
15/10/2013 at 15:00
Honestly Pepperoni I've no idea. My results were never read out to me so I've no idea what any of my levels were and whether or not they were normal. I'm assuming they were but nobody asked at any point which day on my cycle they were taken or whether or not I should of ovulated at the point they were taken. I did attempt to tell her but she didn't seem interested so I didn't push the subject.
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