Thursday, January 24, 2008

My First Appointment with a Fertility Expert

We made the trek to the fertility clinic on Tuesday for me to be seen this time instead of Delia going to the lab area to bank sperm.

For my first appointment we chatted, of course, and the doctor performed a transvaginal ultrasound (she slid a long, lubed-up, dildo-like transducer into my vag, rather than rolling one over my abdomen because of the placement of my non-pregnant uterus). The good news is that my uterus and ovaries look healthy and normal (though she did exclaim that my uterus is "tipped WAY back", but I already knew that and it isn't supposed to have any bearing on whether or not I'm fertile). She angled the transducer to one side to show me one ovary and then the other (with lots of black dots on each showing the competing egg sacs/follicles). I meant to ask for a picture (to scan and post here), but I forgot; the procedure didn't take long at all, but it was a relief to see that at least there's nothing obviously wrong with my ovaries or uterus. The doctor did a great job of gracefully inserting her tool into me, but no -- having a woman doctor penetrate me with her big long wand wasn't a sexy experience for me (though I could certainly concoct a fantasy based on the experience that COULD be sexy).

Of course she reassured us that trying for six months is not a very long time at all so not to worry; I'm still young (relative to the women she usually treats) but she understood that part of our hurry is that Delia's transition is on hold while she puts off starting hormones to maintain her own fertility so we can get pregnant. The doctor was really cool about that and asked (in a casual, personal, "I'm fascinated" way) to know more about when she decided to transition, expressing her admiration for the strength it must have taken to resolve to do that. This probably sounds like a cheesy after school special scene, but it wasn't.

She explained the steps they would usually take during my next cycle if we don't get pregnant this month; long story short, they'll test whether or not my tubes are blocked and depending on whether they are or they're not, they'll put me on hormones then we can also come back and get intrauterine insemination so that they inject the sperm right into my uterus. Apparently the chance of having twins is 5-8% with the hormones and 1% for triplets. Personally I think that is more of a risk than I want to take right now, but it's not quite as bad as I thought it would be.

We haven't really had time to decide whether or not (or when) we'll go that route, and my thoughts on that are grist for other blog entries when I'm not so pressed for time.

*****

I'm hopeful that this cycle will be THE ONE where we do it naturally; we've only been using the ovulation predictor test strips for two cycles, and may have been overdoing it with the fucking, reducing our chances of conception by screwing four of five days in a row and too early. This time we will wait until my LH surge happens and fuck the next day (there are a couple of reasons we weren't doing it this way before; again, grist for a different blog entry).

My LH levels seem to be picking up, so I won't be surprised if we get our chance tomorrow or within a few days. Delia hasn't shot a load since Monday so the sperm should be hearty and numerous.

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