Our first vist

Today was our first visit to the RE.
I was so nervous this morning as we headed out for our hour and a half drive. We meet up with a cousin of mine in Chattanooga and had a late breakfast with him and his beautiful almost 2 year old daughter. We had decided to see them before the appointment because I knew without a doubt I wouldn't be in the right frame of mind afterwards. No less than three people mis-identified me as her mommy at the restaurant. So much so in fact that even after being told twice what meal went on what ticket somehow my husband's got separated from mine and my meal wound up on my cousin's tab. So very glad I had the foresight to do our little meet up before instead of after, as those are the little things that sting. However it was still nice seeing them, I haven't visited in almost a year. The wee little one is growing up beautifully and is so smart and advanced in comparison to my niece. She can count to 5, sing Old McDonald and the Itsy Bitsy spider, identify her colors and shapes, and sing the first part of her ABC's. Just a brilliant little girl.
After breakfast and our little visit we headed down to the clinic and waited for them to open back up, because it was apparently lunch time. The clinic wasn't quite what I expected but the ladies at the front desk were really nice. I thought it was pretty cool when they took our pictures to put on the charts. After a little paperwork the nurse got my weight and blood pressure which was apparently perfect. Surprising considering I had sweaty clammy palms. Dh kept trying to make jokes and be chipper. I just wanted him to be quiet while we waited for the Dr.
After a little while they ushered us back to Dr. Murray's office. He seems friendly, very personable, not at all rigid or stiff. He went over the testing we'd already had done and said that it seemed like everything was okay with me so far. Little sigh of relief there. But of course he wants to redo some of the testing and add in a few more of his own, which I understand since all those tests are already over a year old now. We talked very in depth about DH's issues and his hormone levels and his previous SA's and about how the male body works. He explained how IUI works and IVF which honestly yeah I didn't need that little refresher course. He very briefly glossed over the costs for a Natural Cycle IVF and for a Conventional IVF. I mean briefly. NCIVF would be 4,500 a cycle. IVF we're looking at 15k. Ugh. A little higher than I originally anticipated. But before he would go into any kind of depth with me about their IVF programs he wants to rule out retrograde ejaculation as the cause of our MFI. Retrograde ejaculation is where all or a portion of the ejaculate goes into the bladder instead of out into the world like its supposed to. He said that all the hormones are there and he should be at peak sperm making capacity right now. And that, ooo something I didn't have a clue about!, if they found alot of semen in his urine that it could be washed and used for an IUI. Also that retrograde ejaculation is highly treatable.
The plan as of this moment.... Dh will be taking sodium bicarbonate tablets (isn't that just baking soda?) to alkalize his urine to get it the correct ph for sperm to live. Then using test strips (I find it mildly funny that DH gets a turn at peeing in a cup, lol) he'll check to see when it gets there. Then he'll schedule an SA. Travel down to the clinic. And give them two samples, one of semen and the other of urine. They will wash them both and get the results. As for me I'm supposed to call in at CD1 and schedule my next slew of blood testing. FSH, Estradiol, and AMH and an ultrasound for antral follicle count. We've also decided to do the Counsyl genetic testing on both of us at this time.
If Dh does have retrograde ejaculation we'll start treatment for that in hopes of 'getting pregnant at home' as the doctor said several times. If he doesn't, the Dr. recommended we do karyotyping on DH to rule out a chromosomal defect which would be hereditary and untreatable. Not sure if we'd go that route or not.     
But at any rate that was it. We were there for about 2 hours. I was surprised and little disappointed that we didn't get to cover all my questions but oddly enough at the same time a little bit relieved that Dr. Murray didn't push IVF immediately. He did say that if we choose that route we could cycle in as little as two weeks, after the decision depending on the arrival of Cd1. So there's that.