TTMA CD3 b/w & semen analysis

[thechickencoop]

Ooook SO! Midwife gave me a lab req for CD3 bloodwork and an order for a semen test for DH. This is all pending a BFN this cycle so fingers crossed we don't even need to go....

ANYWAY! Question, can my bloodwork vary, or is there pretty standard stuff that needs to be checked? The order is for FSH, LH, Progesterone, and TSH, but that's it. Also, the order for H is JUST for a sperm count, NOT an actual analysis? Is that normal?

So this is a total big if, but IF we need additional testing then they refer to Shady Grove. What I don't get is the hospital that my office is associated with has their own Fertility department, why the heck would they refer there then? I'm hoping it doesn't come to that but we'll see. I need to check with our insurance still to see what, if any, of my bw they would cover ::sigh::

Why do I have so many questions? I've only been hanging with you guys for over a year....?? Oy.

Thanks

[mugster]

Oct 22, 2015 10:13:17 GMT -5 thechickencoop said:

Ooook SO! Midwife gave me a lab req for CD3 bloodwork and an order for a semen test for DH. This is all pending a BFN this cycle so fingers crossed we don't even need to go....

ANYWAY! Question, can my bloodwork vary, or is there pretty standard stuff that needs to be checked? The order is for FSH, LH, Progesterone, and TSH, but that's it. Also, the order for H is JUST for a sperm count, NOT an actual analysis? Is that normal?

So this is a total big if, but IF we need additional testing then they refer to Shady Grove. What I don't get is the hospital that my office is associated with has their own Fertility department, why the heck would they refer there then? I'm hoping it doesn't come to that but we'll see. I need to check with our insurance still to see what, if any, of my bw they would cover ::sigh::

Why do I have so many questions? I've only been hanging with you guys for over a year....?? Oy.

Thanks

For your bloodwork, E2, FSH, LH,  and TSH are standard. I'm not sure why they would check your progesterone on cd3. If you go for fertility testing, you would likely also get an AMH, although not at all clinics, and it does not have to be cd3.

For your husband's testing, a sperm count without an analysis seems like a waste of time. Count is not everything.

[mustloveerica]

Sperm count only doesn't make any sense at all. My DH has an excellent count with very low morph. If they had only checked his count they would not have known that of his total only 1% of them are any good.

[doodler]

I have no answers but just wanted to say that my Bro and SIL used Shady Grove and loved them. I now have two amazing nieces to show for it

[thechickencoop]

Ok, thanks guys. I really can't imagine why they would just want the count. I didn't notice what was checked there until I got to work though! I'll make sure to get clarification next week if DH goes, no sense for him to have to awkwardly jerk off in a Dr's office twice.

[Ray]

Oct 22, 2015 10:13:17 GMT -5 thechickencoop said:

Ooook SO! Midwife gave me a lab req for CD3 bloodwork and an order for a semen test for DH. This is all pending a BFN this cycle so fingers crossed we don't even need to go....

ANYWAY! Question, can my bloodwork vary, or is there pretty standard stuff that needs to be checked? The order is for FSH, LH, Progesterone, and TSH, but that's it. Also, the order for H is JUST for a sperm count, NOT an actual analysis? Is that normal?

So this is a total big if, but IF we need additional testing then they refer to Shady Grove. What I don't get is the hospital that my office is associated with has their own Fertility department, why the heck would they refer there then? I'm hoping it doesn't come to that but we'll see. I need to check with our insurance still to see what, if any, of my bw they would cover ::sigh::

Why do I have so many questions? I've only been hanging with you guys for over a year....?? Oy.

Thanks

When I went for CD3 b/w it was for FSH, LH, TSH, and a CBC (if you have no iron issues they probably didn't bother). I wish they had tested my progesterone but they did not.

When I called the hospital to book DH's SA the hospital told me i'd be better off going to a different location because all they were able to do was a manual count. I think what they do is probably dependant on what the facility as equipment for?

HTH

[piccyami]

Yeah, I would push for a real SA if he's going to go at all. When MH went through the early testing, his count was fine, but we wouldn't have known that his motility was terrible. I wouldn't even bother with just the count. thechickencoop,

[Rama]

I'm seriously questioning why they aren't checking your estrogen levels (E2). That's something I'd bring up the next time you talk to them.

[ohinvrtedworld]

Oct 22, 2015 10:13:17 GMT -5 thechickencoop said:

Why do I have so many questions? I've only been hanging with you guys for over a year....?? Oy.

Thanks

I'm glad you're asking them because we're headed in this direction, too, and it's overwhelming to think through everything that you want tested and to know about. 

[joy]

Oct 22, 2015 10:23:27 GMT -5 mugster said:

I'm not sure why they would check your progesterone on cd3.

My RE does CD3 progesterone and 7DPO progesterone.  They compare the numbers.

[Daikoku]

I agree with others that a full SA is necessary. It just seems like a waste of time otherwise.

[emilie]

If I were you I would wait and then if necessary get the referral to the RE and just do testing there. You'll just have to redo it anyway.

[thechickencoop]

Oct 22, 2015 13:13:55 GMT -5 emilie said:

If I were you I would wait and then if necessary get the referral to the RE and just do testing there. You'll just have to redo it anyway.

This is what I always see here. So I think my plan is to call my ins tomorrow and see if they cover bw/semen analysis, see if the coding would matter for coverage from gyn vs Shady Grove and then see if I require a referral and go from there. I most definitely don't want to do anything twice and I gotta be on the ball because CD1 should come Monday. So I'm looking at Wednesday for a draw.

Heeeeeyyyyyy UNLESS I'm KU. So I'm pretty excited to POAS next week.

Thanks again everyone