Originally Posted by maxK
AFM- Day 24, My new RE has told me that I have a lot of egg reserves by ultra sound but still wants me to get a whole bunch of tests done. I am skeptical of her request for five STD tests, rubella, hemoglobin, varicella, and several more. Are these really necessary? I have no plans to do IUI or IVF with this office for the time being. To me, this seems excessive and it makes me want to look for a new RE. Am I being too sensitive, are these normal protocol?
Totally normal. I've had this same work up from three REs, my family doc in advance of when I first started trying (these tests are required to access donor sperm in Canada), and my OBGYN when I started trying again in the US, so...five times? I did save the records from each round of testing, so whatever they didn't have to repeat, I could just give them. Some tests have to be repeated annually as long as you're in treatment, others are one-time only, others are as indicated, i.e. it's smart to repeat STD testing when switching KDs or partners or every year or so.
One piece of advice: life under the care of an RE is so much simpler if you just let it all go and just do what they say. I'm not saying don't advocate for yourself, like if you feel they're just wasting time trying to move you to IVF or if you feel that they're not being aggressive enough (i.e. the RE who wanted me to do three months of Clomid, no monitoring, at home, even though I'd already done two months with full monitoring and no results).
As for the tests - some if it is to cover their asses. If you show up with an STD in six months, they don't want you to claim you caught it from a treatment they did.
Also, many STDs can result in infertility if left untreated. Last, some can cause birth defects.
Rubella and Variccella (chicken pox) is the titre, they want to make sure you're immune, either you've had it or your vaccination is up to date because it can be dangerous in pregnancy. If you aren't immune, you'd be well-advised to get vaccinated or consider the risks carefully.
A basic CBC (complete blood count) is well-advised, because anemia is common in pregnancy - I'm guessing that's the hemoglobin. Also, if you have excessive hemoglobin, it could lead to clotting issues and an early miscarriage.
You might also want titres drawn for other things, I can't remember everything I had, but toxoplasmosis because I'm single and have cats (and I tested positive, so I didn't have to worry about it anymore, since it's only the initial exposure during pregnancy which is harmful). Another one is CMV status, if you're +, you're out of the woods, but if you're negative, it can influence your choice of donors because the initial exposure during conception/pregnancy is thought to be potentially harmful.
Other tests you can expect to have recommended include testing for Rh (blood type, i.e. A+ or O- or whatever), Tay-Sachs (only certain ethnic groups, I'm Acadian, so I get all the Ashkenazi Jewish tests), sickle cell carrier (only if you're black), cystic-fibrosis carrier (everyone). These tests only need to be done once, ever, in your lifetime, because your genes don't change.
Compared to the actual process of cycle monitoring and near-daily blood work for medicated IUIs or IVF, giving a few tubes of blood is not a big deal. And you might find out something very important.
Has your doc recommended an HSG? That one is not fun, but very helpful.
I'm confused about why you're going to the RE if you're not looking for treatment...maybe you're not ready for the intensity of treatment with a fertility clinic. It's not for everyone, it is a LOT of work.