When we decided In Vitro Fertilization was what we needed to do our first step was to find a doctor to go to. We visited with the first fertility doctor we ever used as well as one that was recommended to us by a close family member. We essentially interviewed both doctors and got all the information we could from both of them. My husband and I then weeded through what we wanted out of a doctor and what we didn't. Eventually we just felt better about the doctor that was recommended to us. The next step will differ from doctor to doctor. In our case the next step was to get some tests done that our doctor required so that he could give us the best options on what to do.
Our first "test" in the IVF process was to figure out my OAR (Ovarian Assessment Report). This test, in essence, is a blood test that allows doctors to assess how the woman's body would react to fertility treatments. At least that is how I understand it. It uses a number of factors about a woman's body in a specific equation to tell doctors about how many eggs you have left as well as the quality of the eggs and how well you would react to the medications they will use to stimulate egg production. Some of these factors include age as well as a number or different hormones in your body.
Along with the OAR blood test they also did an ultrasound. In this ultrasound they will look at your ovaries and count the number of antral follicles you have. Antral follicles basically look like little holes in your ovaries in the ultrasound. The number of follicles you have can help give them a good estimate of how many eggs you have left. Crazy huh?
At this point you have made some big decisions and your doctor has put you on birth control which seems counterproductive but its all a part of the process and you are anxious to get into the meat and potatoes of the process. At this point you are exactly where we are in our process. Awaiting the day when you can start doing whatever the doctor tells you to in order to make your dreams of having a baby a reality. I am still in awe that modern medicine has made it possible for people to have children. People with certain health issues that would have rendered a woman infertile in the olden days.
I will continue to add as the process unravels.