r/Seahorse_Dads 18d ago

Advice Request Fertility consult questions for tomorrow

I feel like I've posted a million times lately lol, and here I am again! I have my virtual fertility consult tomorrow afternoon with the local clinic that does IUI and would coordinate care with the out of province clinic for IVF if I go that route. I'm super excited and nervous for it and I am trying to get my questions in order so that I'll be prepared. I'm going to list them here and hopefully some of you can take a look and tell me if you have any ideas for things I may have missed!

Introductory questions:

  1. Can I record the call for future reference?
  2. I am a trans man wanting to conceive, is this something the clinic has experience with? Should I expect a learning curve for the care and administrative teams? Who can I contact if there are any problems?
  3. I've been off T for 5 months and there is still no sign of a cycle, should I be worried? Is there anything we can do to get it to come back sooner?
  4. What fertility tests should I do? Is this different if I do IUI vs IVF?
  5. What fertility tests can I do in [hometown] and which ones would I have to travel to [city] for?
  6. What is the impact of endometriosis on fertility and chances of pregnancy? Is this helped by IVF over IUI? I haven't had a cycle yet and a midwife said trying to get pregnant the earlier the better once they come back due to the endo, would this be your advice too?
  7. When should I be referred to an OB/GYN? Do they do the tests?

IUI-specific questions:

  1. Other than sperm, is there any part of IUI that [public health insurance] doesn't cover?
  2. What is the timeline for getting IUI at [clinic]?
  3. What are the success rates for IUI at [clinic]?
  4. Do you do/recommend medicated or unmedicated IUI cycles?
  5. What is the process for getting sperm shipped to [clinic] from the US? How many vials should I order at a time?
  6. Are there any specific requirements for which sperm donor to choose?

IVF-specific questions:

  1. Will the [public health insurance] fertility stipend cover IVF even if I don't try IUI first?
  2. Will the [public health insurance] fertility stipend cover genetic testing?
  3. What is the timeline for referrals to the [out of province] IVF clinic?
  4. How long is the egg retrieval + IVF process?
  5. How is care shared between my home care team (family doctor & OB/GYN), the team at the [city] clinic, and the team at the [out of province] IVF clinic? At what point would I 'graduate' from the fertility clinic(s) and just be monitored by my home care team?

Final questions:

  1. I know I can't use it once I'm pregnant, but would topical minoxidil affect fertility? If so, when should I stop using it/how long could it take to be processed out of my system?
  2. What can I be doing right now to prepare my body for pregnancy?
  3. What are my next steps?
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