Post # 1
OK, so DH and I have only been trying since February. Currently on third cycle. No biggie – right? They say try for six months before heading to the doc if you’re “older.” I’m 36. Here’s the thing – I tried OPKs last month and never got a positive. Have one more left for this month – no positive. Started charting this month. On CD15 of a typical 25/26 day cycle and no temp increase. Starting to worry I’m not ovulating. So, wait the six months and go in July/Aug, or just be the one who goes after three cycles?
Post # 3
My doctor said that they wouldn’t do any interventions until a year of trying because statistically it takes an average couple 8 months to conceive for those under 35. You’re over 35, so you might be able to get help sooner than 6 months.
Post # 4
If you are concerned that you are not ovulating, talk to your OBGyn and see what they think. Maybe you can schedule this as a pre-conception appointment, if you haven’t had one?
I’m 33, going on 34. TTC since September. I’m supposed to wait 12 months. I mentioned during my annual that we’re not expecting yet. My doc asked if I wanted to see an RE. I wasn’t sure, because I thought I might just be overly impatient and worried, but she said at 33, there was no benefit in waiting a year to find out if something is wrong.
Post # 5
I’d go. The worst they can say is come back in 3 more months. They might be able to give you additional advice on giving yourself the best chance of conceiving.
Post # 6
Some women can skip a month or more of ovulating as they get older. I would keep monitoring but would also wait before seeing a doctor. They won’t intevene until more time has passed & it would be better to go once you have more info & several months data so keep track of everything!
Also, don’t let the hype get to you, you are still well within the typical fertile years…enjoy the process!
Post # 7
@bluewolverine: It depends on your insurance. Everyone assumes that they don’t have fertility coverage, and most don’t, but CD3 bloodwork and 7DPO bloodwork (to confirm ovulation) is generally covered by insurance as diagnostic. Therefore, you may be able to go anytime you want.
My husband works offshore and was gone a month at a time. Obviously, timing was even MORE critical for us while TTC because every month we weren’t pregnant, we took a chance of him being gone when I ovulated the next month. Just for piece of mind, since the whole situation was so stressful to me, when we had been actively trying for about 4 months (meaning 4 months that he was home for ovulation), we went ahead and got checked out by an RE. It made me feel a lot better that nothing was wrong with him or me. I am 31. So I say, you should seek at least the fertility “workup” and if you contact an RE’s office and give them your insurance card info, they will call and find out if your bloodwork/visit/etc is covered. My visit and full workup of testing cost me $40. My husband’s SA was $50. For $90, to know we’re “good” was totally worth it to me. TTC is stressful enough! Knowing that everything was okay was reassuring.
And FWIW, it still took us 9 months to get pregnant with this baby, with 2 chemical pregnancies on months 7 and 8. And we are totally healthy, so I am a big proponent for getting checked out as soon as you start to worry about it, especially if your age is a concern, and you’re not sure you’re ovulating. Why waste time? It’s simple to just get a little bloodwork done:) Good luck!
Post # 8
PS: Don’t go to an OB. They are the ones that don’t want to do anything and like to “wait and see.” They are not trained in how to get your pregnant, or in addressing things that are preventing pregnancy. They are to care for your general vaginal/uterine health, and also to monitor you once pregnant. I have read some ridiculous things on here – like OBs not knowing what day to test your progesterone to confirm ovulation/doing it too late or too soon when any RE does it on 7DPO. An RE’s job is to get you pregnant. He doesn’t care about your last pap or what your sexual history is. He only cares about getting you knocked up, and figuring out if there’s anything getting in the way of that. OBs are nice people, but clueless in that department because they’re just not trained in it.
And finally – being over 35, they will label you as AMA (Advanced Maternal Age) – do not be offended. They can use that to code your visits/ultrasounds/whatever as “diagnostic” since they have a reason for you to be there. So use it to your advantage and call an RE!
Post # 9
I agree that if things are covered, start getting tests whenever possible. At the beginning it’s just blood tests and semen analysis.
BUT at the same time, it definitely takes a little time to regulate off of BC…not sure if you were on it until trying or not…
Post # 10
If it were me, I’d probably chart really carefully for one more month (while still trying of course) and then go in to the doctor. I think it would help if you have a month or two of solid charts to look at plus the OPKs (never tried them, but don’t some people always have a hard time getting them to show that you O, even if you know you did?)
Post # 11
Thanks, everyone! First, it’s so great to have my fellow bees to go to for questions like these! It seems like a lot of my friends went the “first time without protection and we were pregnant!” route. I know that three cycles isn’t much, and if I had postive signs of ovulation, I might not be worried, but I haven’t really seen any.
I’ve been off BC since December, and hit regular 25/26 day cycle immediately (normal meaning cramps from HELL and an attitude that could take Mary Poppins down). No idea if I was actually ovulating during any of those. I just assumed I was.
@jholler25: That’s really helpful. Thanks! I thought you had to go to the OB first to get a referral. I followed you on the other boards and your trials, tribulations and joy with your pregnancy (and losses). Congrats!
Post # 12
@bluewolverine: Glad I could help! And Thank you! A lot of times you don’t need a referral, it just depends on insurance. OBs are a roadblock though due to their “wait a little longer and see” attitude, so hopefully you don’t have to bother with that. Let us know if you call an RE and what they say! I don’t even think they asked me how long we’d been trying during my initial phone consult. I think I just told them our situation and they were like, Okay, just need your insurance info. I think if you call and say you’re AMA (this is so harsh sounding but I’m just trying to get a “spin” to get you in no problems!) and don’t think you’re ovulating, that’ll be all they need to know before running your insurance:)
Post # 13
I am not older, but wanted to chime in and say that I was using ovulation strips and never saw a perfect ‘dark’ and figured I wasn’t ovulating either – but am now 9 weeks pregnant 🙂 I have read that it can peak at odd times, so unless you’re checking 4 times a day you could easily miss it.
But if I were you I’d get in, no reason to get more worried if time progresses and nature doesn’t take its course!
Post # 14
Even if you decide to try another month or two and I wouldn’t go beyond that, start researching your local RE’s and try to get an appointment booked with one. Appointments can sometimes take weeks to get.
Post # 15
If you don’t have signs of ovulation, I would definitely go see a doctor. The posters above are right about OPKs, though. Some people don’t see a positive — the LH surge can be really short and it’s easy to miss it!
Post # 16
Here are some tips on conceiving:
Have you both tried taking zinc tablets from a high quality brand, such as whole foods market? This improves the sperm and egg quality.
Also, have you increased your GOOD saturated and polyunsaturated fats, such as organic free-range eggs, coconuts, avocados, RAW cashews, RAW walnuts, goats cheese, etc? Increasing good fats increases fertility.
Aim for 5 servings of vegetables per day. I’m not taking about iceburg lettuce. More so, organic swiss chard, kale, collard greens, spinach, etc.
Aim for 2-3 servings of fresh fruit per day.
Raw cocoa (truly raw from bean) has been known to improve fertility! You can put it in a blender w/ bananas and make a dark chocolate banana smoothie.
Also, weight is of improtance when trying to conceive.
Make sure to keep track of your fertile dates!!