Appointment: Epic Fail

My appointment today was such an epic fail, it's hard to believe.

If you remember from this post, I was worried about rescheduling my appointment because Dr. B said he wanted to see me 33-35 days into my cycle (read: at the end of my cycle.) I realized that the date of my appointment (a.k.a. today,) would be at the beginning of my next cycle, so I called to reschedule. The nurse that I talked to said that Dr. B just wanted to do an ultrasound 33-35 days after the start of my last period, so even if I was in the start of my next cycle, it would be ok. Today, when I was called back by the nurse, I expected to go straight to the ultrasound room like I normally do. However, she said that Dr. B didn't want to do an ultrasound anymore, he just wanted to talk to us. Confused, I agreed and walked into the room.

Now, my husband works 12-16 hours a day. For him to be able to come to my appointment is rare, but I begged asked him to come today because I was expecting to receive the results of his SA and I wanted him to be able to ask Dr. B questions (you know, since it's his body and all.) With that said, I totally understand that he was frustrated when we had to wait over an hour to be seen by Dr. B. I've never gone to an appointment at this clinic where I had to wait more than 15 minutes. Usually, they're right on time and on their game. I don't know what the problem was today, but the whole clinic was horrible.

Dr. B walks in, shakes our hands, and starts talking about this past cycle and what we're going to do in the future. He then says, "When you get the SA done we'll look over the results...." I quickly cut him off and say, "Wait. We got the SA done over two weeks ago. You don't have the results yet?!" Confused, Dr. B quickly paged his nurse and told her to get the results ASAP. (Note: I just heard back from her and she said that Keegan's results are fine. No numbers, just "fine.")

Anyways, after that annoyance, Dr. B started talking about our next steps. He said that assuming everything with Keegan is fine (which we just found out is true,) our next step would be to do an HSG (Hysterosalpingogram.) He said that he didn't want to put me on Clomid because the Metformin is making my  body ovulate on its own and adding on Clomid would just make me ovulate "more" which increases the risk of multiples.

I asked how much the HSG would be, and Dr. B said that since most insurances don't cover the procedure, it would be "a couple thousand dollars." He couldn't give us an exact amount, because it would not be done though his clinic, but through the radiology department in the hospital. Dr. B then went on to say that if we don't decide to do the HSG, or we do decide to do it and it comes back normal, then we'd just wait three more months to see if I get pregnant naturally.

Then he left. We waited over an hour for 5 minutes of conversation in which we were told that they dropped the ball on Keegan's SA and that our next step would be to either drop "a couple thousand dollars" or wait three more months.

I've read blogs of girls who say that they feel like their doctors reads their charts just before walking in and doesn't really know what's going on with their cycle. I've never felt that way with Dr. B before today. Usually he's a great listener, is proactive, and leaves me feeling like I have a game plan. I don't know if he was over booked, or what, but today I felt like he just wanted to get in, say that everything looks good from their point, and get out. I was close to tears while we were walking back to our cars.

I just feel so guilty.

Guilty that we're having to go through all of this because of me.
Guilty that Keegan had to miss 2.5 hours of work for all of 5 minutes of the doctor's time.
Guilty that we may have to spend thousands of dollars just for a chance (not a guarantee, a chance!) of getting pregnant.
Guilty that I don't know how to make this right.

I'm not sure what we're going to do regarding the HSG. On one hand, it's thousands of dollars that we don't really have lying around right now. I just can't imagine dropping that much cash, just to be told that everything is fine. However, I can't imagine not spending the money and finding out later down the line (perhaps after spending even more money on IUIs and IVF?!) that my tubes were blocked or I there's something in my uterus.

So, we're kind of in limbo right now. Dr. B wants to do the HSG around CD10, which would be next Thursday if we were to do it this cycle. Since we don't really have "a couple thousand dollars" lying around, it'll probably be next cycle, if we chose to do it at all. If we don't do the HSG, I'm not sure what our next steps are. Dr. B didn't have me make another appointment, so I guess I'd call his nurse, tell her that we're declining the procedure, and see if I need to make an appointment. If not, then I guess we're on our own for the next three or so months.

So ladies, I need some advice. I'm so confused regarding the HSG. Before I heard the price, I was totally for doing the procedure, simply for the piece of mind. Now, I'm not sure if we can just drop "a couple thousand dollars" just to be told that everything is ok. However, what if it's not, and that's what's preventing us from becoming pregnant? For you who have had an HSG and everything was fine, do you regret spending the money? I'm just so lost right now and I don't know what to do.