Fertility testing…. what should come first?

posted 3 years ago in TTC
Post # 2
Member
7075 posts
Busy Beekeeper
  • Wedding: August 2012

I haven’t gone through this myself, but I would imagine the semen analysis would just be an easy way to rule out 50% of the possible problem before running a lot of expensive blood tests.

Post # 3
Member
9529 posts
Buzzing Beekeeper
  • Wedding: August 2013

I haven’t been through this, but I know the semen analysis is pretty easy and straightforward, so I would just assume that she was trying to rule out the easy stuff first, which is totally appropriate. He shouldn’t feel bad about getting semen tested, just as you shouldn’t feel bad about getting your blood tested. 

BTW, this totally makes me think of the Sex and the City episode where Charlotte tells Trey that she’s sure he has very strong, Scottish sperm. 

Post # 4
Member
613 posts
Busy bee
  • Wedding: May 2010

It is pretty typical to have the sperm analyzed first, it is usually easier to rule out the man, and then move on to the woman.

Post # 5
Member
176 posts
Blushing bee

Ya, SA is quick and easy. How long exactly are your cycles? Are they regular? Any other hormone related issues? Have you tried charting? Many times ob/gyns are not very proactive/aggressive about getting into fertility stuff because it isn’t really their specialty…

Post # 7
Member
2614 posts
Sugar bee
  • Wedding: March 2013

porcell14:  I agree with the others but I would get your bloods checked at the same time. It’s another very easy and cheap test. 

Opks in themselves don’t actuly tell you that you’ve Od, they are just a good indicator. Use opks to time bd and temping to confirm you are Oing. One month I got two surges of LH but temping confirmed that the second surge was when I Od.

Post # 8
Member
176 posts
Blushing bee

Well that is good. That doesn’t really seem abnormally long, (for your cycles). I probably would just do SA first and then bloodwork on you second, (or now if you are getting pretty anxious). 

Post # 9
Member
826 posts
Busy bee
  • Wedding: June 2012

porcell14:  I went to a fertility specialist after 6 months of TTC because of my age. They started all my bloodwork first and ordered my husband’s SA for a week later. I found out I was pregnant within a week of my initial appointment, so my husband never had the SA done. 2 things- my ob/gyn sent me to the fertility specialist without me having charted, she took the opk positives as a pretty sure sign I was ovulating. The fact that you wrote you haven’t been getting positives every month makes me think you should have bloodwork done to know for sure. It’s common to not ovulate every month, but without bloodwork you won’t know if you are. Secondly, my cycles were 29-30 days and the fertility doctor wanted to get my cycle to 28 days. Obviously I was able to get pregnant with a slightly longer cycle, but since you mentioned yours are 30-31 days that could be something a doctor might look into. Even if there is an issue, there are so many things they can do these days to help. Good luck!

Post # 10
Member
9137 posts
Buzzing Beekeeper
  • Wedding: November 2013 - St. Augustine Beach, FL

porcell14:  A semen analysis is typically cheaper and less invasive than blood work. I think it’s better when both partners are in it together and realize that one or both may have a fertility issue. It would be silly to totally focus on you if a simple test can show he has low motility or a low count. Our office always ordered a semen analysis first then blood work if the semen analysis was good.

Post # 11
Member
9137 posts
Buzzing Beekeeper
  • Wedding: November 2013 - St. Augustine Beach, FL

porcell14:  Definitely chart! OPKs never showed that I ovulated but my charts always showed that I did in fact ovulate.

Post # 12
Member
1015 posts
Bumble bee
  • Wedding: June 2012

Just reading the title of your thread, without reading your post or any comments, my thought was “the first test should be an SA on her DH, not tests on her.” For the same reasons that everyone above has already mentioned. My DH is also infertile (and the only way we knew that was with an SA), so I’m a big advocate for SAs before your get a bunch of blood drawn and your lady bits probed.

Even if he is “the problem,” its not the end of the world. There are still things they can do. My DH had a 0 count, and through the wonders of modern medicine, I’m now 14w pregnant. There are several ladies dealing with male factor issues on the 1+ TTC board, and a bunch dealing with female issues or unexplained– it’s a very supportive thread and how I kept my sanity when I was going through the tests and treatments.

Post # 13
Member
243 posts
Helper bee
  • Wedding: May 2013

I just went for my first appointment with the fertility specialist yesterday.  They interviewed us, asked a bunch of questions and then ordered some tests and prescriptions for me and a SA for my DH (two actually, at two different times but I haven’t read his forms yet to find out when and why).  The doc prescribed me metformin and Letrozole, some additional blood tests to take at different points in my cycle, and also ordered a hysterosalpingogram (HSG).  He explained to us that his approach is two-pronged.  He likes to start treatment based on the interview and preliminary tests but also continuing assessing as various tests and bloodwork are done. 

When I went to pick up my prescription, the very pregnant pharmacist knew exactly why I was getting the prescriptions and spent about 30 mins going over additional information and tips with me.  She really liked my doctor’s approach and made it sound like every doctor has their own way of doing things.  She had been going through it for the past 2.5 years and encouraged me to call her back if I had any additional questions.

The one thing she did mention is that, depending on your age, if they seem to be taking to much of a “wait and see” approach,talk to your doctor and have them start to look at things more agressively.

Good luck to you!

Post # 14
Member
6273 posts
Bee Keeper
  • Wedding: October 2013

i had progesterone levels checks at cycles 3 and 4.  DH was supposed to get a sperm analysis during cycle 6 but they did a vasectomy analysis on it instead so he went back for it during cycle 7.

we are seeing an RE next week to talk about next steps.

 

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