Post # 1
I’ve started this post several times throughout the last week but ultimately just deleted it.
Here we go again….
I’ve been posting on the TTC boards for the last six months or so. I recently posted that TTC isn’t that fun anymore. Well, after cycle 5 of trying I never got my period so I made an appointment with my gyno. I was concerned that my BBT only stay high for about 3 days (enough to confirm ovulation) but then they plummet back low again until I start my period. Well, after just a few minutes of talking to my gyno he got a concerned look on his face and I could tell he was searching for how to word what he was going to say.
He said I was infertile. And even though we’ve only been trying for 5 months he was referring me straight to the fertility clinic. I’m 30 years old and we’ve only been trying 5 months.
So I’ve already had my blood work done (mostly just STDs, prolactin, various titers for vaccination history and CBC along with blood type) and once I get my period–I’m on cycle day 56 which is very unusual–I will have an HSG performed on cycle day 4.
My husband has a SA ordered but I haven’t even told him yet. I’ll tell him after my HSG is performed if there are no abnormalities there. He is really saddened for me/us with this and I just don’t want to bother him with it just quite yet but he will happily do it as he really does want a baby.
Anyway. I’m not really sure why I’ve been fast tracked to the fertility clinic. I’m not even sure I quite believe it yet. I just keep thinking there will be an easy explanation about all of this. On a bit of a sidenote, I started acupuncture and the day after my first treatment my BBT shot up an entire degree and has stayed up since. (I’ve had two treatments, about to go in for my third.) I have not had high temps for more than 3 days in the last six months of my charting. And these temps have been high for just over a week now, so not sure if it’s placebo or if the acupuncture actually works.
Anyone else in a similar situation?
Post # 2
ambernicole22 : Honestly I think it’s great that your OB recognized something isn’t right and went ahead and referred you to a specialist. So many OBs susbcribe to the “you must try a full year” mentaltiy and once you hit 30 it’s a really scary thought to feel like you’re “wasting time” just trying with no luck.
DH and I are 31/33. I see a PA in my office, who did my bloodwork after I expressed concern that it had been over 6 months with no luck, and when that seemed to come back normal she handed me off to an OB in the office. Quite honestly I was not happy or impressed with the OB and her lack of urgency or empathy. I get that for them they see it everyday, and yes it can take a year…but there is also something to be said about really listening to your patients and their concerns. I had a gut feeling at about 6 months in that we were going to be on the unpexplained infertility track (considering we were not preventing for a full 2 years before actively ttc – but I was tracking my cycles the whole time), but the OB seemed unconcerned that it hadn’t been a full year. Here we are coming up on a year still with no luck.
My DH’s SA came back normal, so I would actually go ahead and have your DH get his done. It’s better to know get it out of the way and know! My OB did say that the next step for us is an HSG for me, and basically it’s up to me to decide when I’m ready for it.
Hang in there, hopefully you’ll get some answers soon!
Post # 3
Wtf? He can’t know you’re infertile based on anything you said.
It sounds like he doesn’t know WTF he’s talking about, so be happy that you’ll be in more capable hands.
Post # 4
In my experience it is ABSOLUTELY ESSENTIAL to feel total confidence in your medical personnel.
If you have questions as to why you’re being referred a specialist you have every right to know why that is.
If you can’t ask your present OB/gyn the questions you’re asking here, seek out a second opinion, then decide if you want to wait or proceed.
Post # 5
I don’t think he can diagnose you as “infertile” without either test results indicating something abnormal, or a much longer history of TTC with no results. Maybe what he means is that 6 months TTC with tracking, and the fact that you are concerned, is enough to warrant testing. Neither of you have any idea if you and/or your partner are infertile at this point. I would not panic unless they find something wrong. Even then, at least you will get a head start on dealing with whatever the issue may be. But it sounds like it is still entirely possible that you just havent happened to get pregnant yet.
Post # 6
I think it’s great that your doctor is giving you the resources needed to investigate any problems. But infertile is a strong word and I don’t think anything you’ve said is remotely strong enough to support that diagnosis. Your fertility clinic will be able to give you a better idea of your body’s function. I would toss out that word from your mind and relax that you are are now in the hands of specialists.
Post # 7
On one hand, I think it is nice that your OB is admitting that he has no idea how to help you.
On the other, as someone who saw an RE for two years and went through numerous treatments to finally get pregnant…..with no testing, no hsg, no confirmation of ovulation etc there is absolutely no medical diagnosis that he can deem you “infertile.” Even after an early MC, a year of trying and a normal HSG my OB would not throw around the term “infertile” – she said that we were likely suffering with subfertility and referred us to the RE.
I think that while it may have been difficult to hear those words, and while TTC for 5 months seems like an eternity, stressful, depressing (I do remember that time) – it can take a normal fertile coulple up to 12 months to conceive…..In my opinion, your OB has a terrible bedside manner or has absolutely no qualifications to diagnose you as infertile.
Honestly, I would not put much faith in what he has told you until you get adequate testing and see someone who (likely) knows what they are talking about.
Post # 8
Also commenting to add – your HSG should be scheduled later in your cycle. Day 4 is too close to the end of your period and potentially still bleeding/spotting. It is recommended to have the procedure once you have stopped bleeding and prior to ovulation (so generally CD 7-12 depending on how long your period lasts). Did your OB tell you when to scheudle this? If so, it solidifies my thoughts on him not really knowing how to even dx infertility. It’s great you had a general round of labs done, but he should also be testing you for estrogen, progesterone to confirm you even ovulate (if you don’t see a sustained temp shift for 3+ days you aren’t even ovulating), DHEA/testosterone, AMH, LH and hormones relating to actual fertility.
Post # 9
I guess I forgot to add that I’ve been doing the natural family planning thing for about 5 years. I just thought we were really good at it but it was after hearing that is he got a worried look on his face. He basically said he’s never had a patient not get pregnant at some point with natural family planning…especially it being my only method of BC for 5 years. I do feel *lucky* that he’s moving me along but I agree that maybe he used the word infertile quite lightly.
Post # 10
BeverlyGeese : Day four is what the Kaiser fertility clinic told me. I’m already out of my OB’s hands and in theirs.
Post # 11
ambernicole22 : But how long is your period? Actively bleeding and having dye + uterine lining/blood pushed through your tubes? I would make sure to schedule it after you are done bleeding, as the procedure will already be uncomfortable enough. I’ve never heard of it being done so early in a cycle.
Post # 12
Your gyn might not have handled things as well as he could have, and he may or may not know what’s going on, but the fertility specialists will certainly be able to test and find out for sure. At the very least, I would be glad to be in their hands. If they say there is nothing wrong, then you can be sure; if they say otherwise, then you will be getting help earlier, which is almost always better. But still and all, while I am no doctor, day 56 of a cycle is generally not a good thing, so I would be happy to be seeing a specialist.
Post # 13
Even with your update, I still don’t see how he can tell you you’re infertile. Please don’t let it get to you. If (and I still think it’s a big if) there is an issue, on the plus side you will be finding it way sooner than most, and be able to start treatment:)
Post # 14
Bees, I really appreciate each response.
I know something is off with my body so if anything I am relieved to not have to wait the standard year to be getting these valuable tests started. I’m not so much worried yet. I know there’s nothing to be worried about yet because there really hasn’t been anything done yet, diagnostic wise. And I want to clarify that these are his words, and I’d like to remain sensitive to those struggling with true infertility.
I guess I really just needed to get it off my chest as I don’t really have anyone to talk to about this. My husband is 100% supportive but it’s not the same as having a girlfriend to talk about it with.
Post # 15
- Wedding: June 2014 - Baby #2 due Sep 2017
If there is a problem it’s absolutely fanastic your doctor isn’t wasting any time. I hope everything works out xxx