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2. Our first appointment at the Texas Fertility Center

Updated: Jul 19, 2020


My very messy attempt at taking notes during our appointment

We prepared for our first appointment with a whole list of questions. Some of which were...

  1. What does this whole fertility process look like?

  2. When can we start?

  3. What will insurance cover? Does Kara need to be considered "infertile"?

  4. Should Kara be taking the medication she's on?

  5. Where do we find a sperm donor?

We walked into the Texas Fertility Center with giant nervous smiles. "Is this actually happening??" After just a few minutes in the waiting room, we were directed to an office where we sat together at on a small comfortable couch waiting for the doctor.


I remember taking in the artwork on the walls and looking closely at the uterus-ovary anatomical model sitting on a table across from us. What a complex little bugger... It hit me right then that for two women, there is a lot we don't know about the female anatomy! I found out later these models were in every exam room so we'd have lots of time to get up close and personal.


The ever present uterus - ovary anatomical model

In walks the doctor. We'll call her Dr. B. She's very kind and soft spoken and she sure knows her stuff!


Since Kara is going first, the conversation focused on sharing her medical history and the next steps needed to assess her reproductive system. We want to make sure things look good and identify anything that might require attention as we begin this process. Dr. B clarified for us the definitions and sequence of procedures involved.


We learned that many people equate artificial insemination with in vitro fertilization (IVF) which is the process of extracting eggs from the female, manually combining it with a sperm sample then transferring the embryo into the uterus. Sound invasive? Because it is! IVF is a type of artificial insemination BUT there are other types as well. When starting the fertility process, most folks start with a much less invasive procedure called Intrauterine Insemination (IUI). This is a fertility treatment that involves placing sperm inside a woman's uterus to facilitate fertilization.


Dr. B confirmed for us that we would start with IUI.


She touched on the success rate of the procedure which is about 15%. We briefly discussed what would happen if IUI didn't work for Kara and determined that it would likely depend on our insurance coverage and number of vials of sperm we have available. We would need to decide if Kara proceeds with IVF or if I would try IUI. We didn't make any definitive decisions at this point but it was good to talk about things we may need to consider down the line.


What did we need to prepare Kara for IUI?

  1. Blood work (Infectious Disease Screening)

  2. Ultrasound of her uterus

  3. Ultrasound of her fallopian tubes

The results of the items above will give the doctor a picture of what we're working with and allow us to discuss a plan.


In addition to getting blood work and ultrasounds, we need to have a counselor screening and start looking at sperm donors!


Let's get this party started!




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