What's the next step when "the old fashioned way" doesn't work?

posted 2 years ago in TTC
Post # 2
Member
3756 posts
Honey bee
  • Wedding: April 2014

As you’ve said, most docs won’t do any testing until you’ve been trying for a year. But if you really want it, advocate for yourself and make it happen.

Temping is definitely the best place to start, confirming whether or not your ovulating that way is a great first step and something you can bring to your doctor. Once you’ve done that for a few months, start with your regular ob/gyn and talk to her/him about what you’ve been doing so far and how you’d like to proceed. They can run blood tests to see if you’re ovulating, check for other things like thyroid dysfunction, signs of PCOS, endometriosis, fibroids, etc. Have an HSG done to see if there are any blockages in your tubes. You can have a semen analysis done for your FH. 

Like you said though, 4 cycles is a very short time. In a perfect cycle with ovulation and perfect timing there’s still only a 25% or so chance of successful conception. How often are you having sex during what you believe is your fertile window? Every other day is ideal, make sure he’s not taking care of business himself on off days and depleting his supplies! (this is a thing, trust me…) I know it’s hard, each month when AF arrives, but try to stay positive. And good luck!!

Post # 3
Member
2406 posts
Buzzing bee
  • Wedding: September 2012

You’re right about 4 months being a bit short for TTC but you have a gut feeling that something is wrong. Usually the pts that I work with seek help with fertility after 1 yr of no success.

Blood tests that you could ask your dr to get are FSH, TSH, Prolactin, Testosterone and DHEAS.

It would also be a good idea for your SO to get a semen analysis done to rule out anything else. 

If there is anything off with your hormones, you may have to take some medications to balance it out. Your SO may also have to take supplements if there is something with his sperm.

You may also ask for an ultrasound to check your uterus for any fibroids, cysts etc. Also tests can be done to see if your fallopian tubes are blocked therefore blocking the egg from meeting up with the sperm. 

Hope this helps and hope things work out for you two!

Post # 5
Member
1710 posts
Bumble bee
  • Wedding: March 2013

Pingwing:  I totally feel the same way as you do! I was blessed to get pregnant my first try with my son. Now, we are on cycle 5 ttc our second with no luck. It’s very discouraging. I also got pregnant unexpectedly 8 months before I conceived my son, which ended in MC. I was so naive. I thought that I would start trying and be successful in June. So wrong.

Like you, I feel like something is wrong with me. I went to my OB and broke down after three cycles. She did all the blood work, an ultrasound, etc. Everything came back okay except my progesterone which we are now supplementing after ovulation. I did have a cyst on my ovary but she said it was no biggie. Unless something is wrong with DH’s goods, it’s just nature taking its sweet time. However, I just feel like something isn’t right. Before my son, i had regular clock work cycles. Now its hit or miss. If I am not pregnant by January, we will go for an infertility check up and be referred out from there.

Big hugs to you. It’s such an emotional time.

Post # 6
Member
5525 posts
Bee Keeper
  • Wedding: December 2011

Average for healthy people is something like 9 months of trying to get pregnant so don’t worry too much yet! But if you’re at all like me and like to know what is going on, temping/tracking CM is the best way to know if you’re even ovulating which is a good first place. The book taking charge of your Fertility is highly suggested by many bees. I would start with your normal ob/gyn and go from there. 

Post # 7
Member
3195 posts
Sugar bee
  • Wedding: October 2010

Pingwing:  

You need to try for at least a year before doctors will start running tests. 

Age related fertility issues generally start at age 35 and worsen after age 40. 

Are you practicing fertility awareness? 

Post # 8
Member
225 posts
Helper bee
  • Wedding: July 2013

KeeKalena:  Where do men go to get their goods checked out?  My husband hasn’t had a physical in a LONG time…so I don’t know if that is something done at an RE or a regular doctor or OBGYN office …… no clue.  I think I want my SO to get checked out but no clue where that happens…..I’ve seen on various threads on the Bee the idea of getting the guy checked…but noone mentions where……

Post # 9
Member
668 posts
Busy bee
  • Wedding: June 2014

Pingwing:  we were NTNP for about 6mths or so but b’cos of my age (40) my doc referred us to a fertility clinic. We’ve had our initial consultation and next step is what’s called Day 3 testing which will be bloodwork and ultrasound on the 3rd day of my period. They’ll also do semen analysis at that point. 

Post # 10
Member
2406 posts
Buzzing bee
  • Wedding: September 2012

meadow_jersey:  He can ask his family dr for a requisition for a semen analysis. There should be labs around your area that do blood and semen analysis, the dr should be able to tell him where to go. The results will then be sent back to the dr and then they can discuss the results with him.

Post # 14
Member
3195 posts
Sugar bee
  • Wedding: October 2010

Pingwing:  

Temping, tracking CM and using ovulation predictors.

Fertility awareness is very tricky if you have an irregular period. 

That said, you have only been trying for FOUR MONTHS. Give yourself a year before you start worrying. 

Post # 15
Member
1710 posts
Bumble bee
  • Wedding: March 2013

I really don’t like some of these responses. I’m sorry you’re getting them. Just because you’ve been trying for “only” 4 months doesn’t mean your worries shouldn’t be validated. You are allowed to feel the way you do. You are allowed to worry.

Leave a comment


Sent weekly. You may unsubscribe at any time.

Find Amazing Vendors