cooperlove: I hope this goes well! I was in your shoes about 2.5 years ago, and hopefully I can offer some suggestions that will help you get to the end of your TTC journey soon! I took a bunch of half-measures, and i wish I had scoped out a better plan at the start.
– Today: Look at your insurance, and see what it covers. See if you can visit a reproductive endocrinologist (RE) without referral. If you can, I recommend going straight to the RE.
– Research the fertility clinics where you live. fertilityauthority.com gives recommendations, or you can look at statistics online. I got the recommendation to my clinic through the fertilityauthority site which was pretty good. The reason I recommend looking into this up front is that switching clinics later is possible, but a hassle.
– Get an initial consult scheduled ASAP!
– After your initial consult, they’ll probably schedule a series of diagnostic tests. This is helpful to see if they can diagnose what is going on, which can help guide treatment.
– Treatment schedules can vary, but often go something like:
– 3 – 6 medicated cycles with timed intercourse and possible an HCG shot that will trigger ovulation. During these cycles, they may do ultrasounds to see how your egg development is progressing. Common drugs are clomid and letrozole. I personally prefer letrozole since it has fewer side effects and is inexpensive.
– 3 – 5 IUI cycles. These are often similar to the medicated cycles, except they rely on IUI component.
Often doctors may mention complementary treatments like diet, acupuncture, vitamins, etc. : these are good, but are a supplement rather than a replacement to the items I mentioned above.
I recommend reading “Navigating the Land of IF”. Infertility sucks because you don’t know how the journey will end. For years I did less-agressive treatment and kept thinking “oh, this next cycle will be the one”. This book will help you plot out a plan so you and your husband can make a plan up front. It also explains a lot of the treatment options.
Let me know if I can help in other ways! Here’s hoping you’ll get your BFP soon!