Great Expectations

Today we met with an OBGYN that specializes in the early rounds of fertility testing. I was pretty much right on the money as far as my speculation of our first round of tests. I will start with a blood test that requires me to fast, (boo) but it can be taken first thing in the morning (yeay). I'll have to get to the lab at 7:00am in order to be on time for work (boo), but that should still give me enough time to swing by Starbucks for my very limited indulgence of a pumpkin spice latte (yeay).

The blood test will be examined for glucose levels to make sure I'm not diabetic. FSH levels which is the Follicle Stimulating Hormone, this hormone is what stimulates follicles to grow which will trigger ovulation, its pretty important to have good levels. And lastly a screening for Cystic Fibrosis, this test is pretty standard for us white folks. About 3% of Caucasian people carry this gene and when both parents carry it there is a 25% chance that you could conceive a child that will have the disease. Since my grandfather is half Portuguese and Brian's grandfather was 100% Italian our chances of carrying the gene are greatly reduced, but not eliminated. This blood test will be taken on the third day of my cycle, or CD3. The first day of my cycle being the first day of my period.

Then on CD8, or cycle day 8, I will have an appointment with a radiologist for a hysterosalpingogram, or HSG. This is a procedure used to diagnose certain problems with the uterus and or fallopian tubes. Blockage in one or both fallopian tubes is responsible for almost 35% of infertility cases in women. A blocked tube can prevent fertilization of the egg or the passage of a fertilized egg to move to the uterus for implantation. Basically they will inject a dye into my cervix that will pass into my uterus and fallopian tubes. Then using an x-ray machine that will be placed over my abdomen, they will determine any blockages or abnormalities. Evidently its somewhat painful, especially because my uterus will begin expanding from the pressure of the dye, and then later it will contract to expel the dye. So I'll be having contractions. Great.

The good news is that the likeliness of pregnancy after an HSG is slightly increased. It's speculated that the force of the dye can help remove blockages or debris that have previously prevented the egg from moving along to the uterus to implant. Many also believe that the oil-based dyes have a therapeutic property that improves the environment inside the uterus.

The doctor we saw today was very encouraging, and has given me hope that our quest to begin a family isn't far from our grasp. I hope she's right.

Oh and Brian? He gets to do it in a cup.