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Testing for Infertility

My DH and I have been TTC for almost 2 years, to no avail.  So I'm guesing my next step is to see a doctor about fertility, which I saw a new dr and didn't like her at all.  She gave me a cup for DH to do his thing in, but have yet to convince him to get it done.  I want to see an OB/GYN, but not sure what to ask for and also concered about what insurance will cover.  What are the first steps in fertility testing??
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294043 tn?1354207946
OMG, I can't believe you have to wait for so long to see an RE!  I am glad you made that appointment.  My biggest regret is not seeking help sooner.

Good luck!  I hope you get that bfp and may not need that appt.
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Ok, I've come to terms that I can't do this on my own and have made an appointment with an RE.  To bad it isn't till Oct.
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For the most part my cycles are every 28 days.  Once in a while I go a week late, but I have chalked that up to stress.
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Since you are 32+, it is better to go to an RE. You can also start with an OB/GYN. Usually the first steps are to do your b/w for the hormones and then they move on to various other test. Based on the results, you will get treated. How normal are your cycles? PCOS is one main issue most of the ladies with infertility face.

Most of the insurance pay for the initial infertility diagnosis and it is always to better to call them ahead and confirm what they pay and what not.

S/A is one major thing and if ur clinic is away from your home, I recommend DH doing it at the lab. Otherwise it might change the S/A results.

Also find a doc/RE whom you are comfortable and confident with. All the best and SSBD to you.
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294043 tn?1354207946
I found ob/gyn who specializes in  infertility.  So, it's not a clinic.  Perhaps you can find someone in your area.
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Avatar universal
Thank you ladies for the input it sure does help.  FYI, I' m 32 years old.  The problem with my dh's s/a is that he is supposed to do it at home and then take it to the hospital.  The dr said we had about 30 mins and the hospital she wants us to drop it off at is 25 mins away (w/good traffic).  So even I am leary that it can be done in time.  I'm sure if I pushed him (i.e take a vacation day and drop the sample off myself) he would do it.  One other question though, do I have to go to a fertility clinic to see an RE?  I've been in contact w/our health insurance benefits coordinator and she has given me conflicting answers, so I'm trying to fly this under the rador.
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178239 tn?1277405491
Insurances differ as to what they cover. However, you are considered "infertile" at this point. So, some insurances do cover infertility testing if you meet the criteria. If you have a GOOD OB/Gyn, they can start with the basic testing. Bloodwork, u/s, etc. But, if the preliminary tests don't show anything, you will need to move to an RE. Your profile doesn't show your age. If you are in your 30's or older, I would go straight to an RE, time is very relevant.

My dh didn't want to do the s/a either. It's in their genes, I guess. I found a lab close to the house and he did his business at the house and I started a timer and went straight to the lab. Some will cooperate with you, others may not. Especially if the lab isn't mere minutes from the house. I was lucky, it only took 5 mins.

If you don't like your dr, definitely find another one. You should feel very comfortable talking to your dr. There is a lot of extremely personal questions to be discussed. Ease of conversation and confidence in their diagnosis is very important.
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342988 tn?1299782356
you need to see a specialist and they start with basic bloodwork and then do some testing on different days of your cycle.  they then go from there.  they usually do not ask for your husbands sample until all the other results come in.
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294043 tn?1354207946
If you are serious about fertility treatments, you should see an RE, reproductive endocrinilogist.  However, even ob/gyn can do a simple testing to make sure you ovulate and send you for HSG (to check if your tubes are open).  Your dh will have to test as well.  Good luck convincing him.   It took my dh 6 month "to do his thing".  
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