(In reference to the title: Are there any doctors out there? Do surgeons really say "scalpel" like they do in TV shows right before they are about to cut someone open? Sorry, I've just always wondered this.)
It was a long appointment, but here's the gist of it:
We met with the financial counselor first. It's the same drill as the last clinic: My insurance will cover everything but the meds and the procedures themselves. Then we met with the nurse. She took my vitals (good) and both of our medical histories (also good). My favorite interaction with the nurse:
Nurse: Did Dr. Quack [old RE] ever talk to you about endometriosis?
Me: No, because Dr. Quack doesn't believe that endo causes infertility.
Nurse: [smirking] Well, that's why we have all of his patients.
Then we went in to meet with the RE. Super friendly guy. He used to teach reproductive endocrinology at HARVARD. Sold. He will be the only doctor that touches me unless he's in surgery or something major when I need follicle scans. He went over the records and thinks we have a combo of male (low count, abnormal morphology) and female factor (annovulation, endometriosis). Joey has to get another SA next week. After that, he took us into an exam room. He did an ultrasound on me and pointed out large amounts of fluid. What is that a sign of? Endo. Big shocker.
He tried to break the "you need surgery" to me part gently, but I was so excited, I wanted to jump off of the table and hug him. But then I remembered I didn't have pants on, so I refrained. They want me to call them on CD 1 and they will try to do the LAP between CD 5 and 10. If they can't get me in then, they will put me on birth control until they can fit me in. But most likely we are looking at mid to late February. They also ran more b/w to test egg quality while I was there.
The best news I heard all day? He said that depending on the amount of endo and the SA results, we may be able to get pregnant only using meds. The only med he refuses to prescribe? Clomid.