(Closed) Infertility Questions/Advice – TTC

posted 4 years ago in TTC
Post # 2
Member
2141 posts
Buzzing bee
  • Wedding: July 2017

thats pretty much it + a sperm test and sexual swab (HIV, Chlamydia, HPV etc…) you might also get an ultrasound to check follical growth

the HSG is the ‘scariest’ some say it hurts but I didnt find it did (only seems to hurt if there is a problem) over all stuff is just awkward… dont pin your hopes on answers though, if you dont already have a diagnosis like PCOS or endametriosis then unless you have tubal problems or sperm issues then you will most likely be listed as ‘unexplained’ which is the worst one as there is no set treatment

Post # 3
Member
8990 posts
Buzzing Beekeeper

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mama2bee71 :  the testing is pretty easy (although the HSG can be a little uncomfortable so remember the motrin about 1 hr ahead of time). I did the blood work, I think a urine sample, and the HSG to start too. DH had a semen analysis to start and was then referred to a urologist for additional semen and post-ejaculate urine testing as well as a prostate ultrasound (yup..that one is unpleasant I’ve been told). After we got our results our doctor gave us the option of IUI or jumping straight to IVF. IVF still scared me at that point so we did one IUI round that failed. We started IVF injectables yesterday. I had to do an additional sonohysterogram prior to IVF to just confirm my uterus looked good. 

The best advice I have is to not freak out until the doctor’s tell you there is a reason too. There are a lot of options once they figure out what’s going on.

Post # 5
Member
1765 posts
Buzzing bee
  • Wedding: September 2012

Some of the most common tests are CD 3 blood work to check various hormone levels, a 7 DPO progesterone blood test (both of which look like have been ordered for you already), a semen analysis (often can be ordered through an OB/GYN), possibily an utlrasound to look at your uterine lining, ovaries and follicles. And an up to date pap smear and cervical culture. Usually after the initial tests, before proceeding to an IUI, you’d have an HSG (make sure your tubes are not blocked and can view the general shape of your uterus). It sounds like a scary test, but it really isn’t bad at all. The actual “test” only takes 30 seconds or so and then it’s overwith. I didn’t find it painful at all, just a slight crampy feeling that was overwith quickly. I was fine right affter the test as well!

If any issues are found in the semen analysis, your partner may see a urologist for some hormone blood work, a physical exam, an ultrasound of the testicles (super fun!), and possibly a repeat semen analysis. 

Don’t worry too much about all of the testing and don’t rush through having them all done if you are getting overwhelmed. Ask a lot of questions to your doctor or nurse if you find anything confusing and don’t be afraid to call them after an appointment to clairify anything you didn’t quite understand.

Post # 6
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8990 posts
Buzzing Beekeeper

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mama2bee71 :  You can go to work after the HSG most likely. My doc told me to take some Motrin before the test just to relieve any minor pain. I had some cramping but I also had complications so my experience was worse than average.  Progesterone is just a blood test. 

IUI is intrauterine insemination – basically the ol’ sperm in a turkey baster. IVF is in vitro fertilization where they actually take your eggs out, mix them with the sperm in the lab, and then place the embryos back into your uterus. 

Post # 8
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1451 posts
Bumble bee

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mama2bee71 :  We haven’t done a lot of blood tests yet but DH has had countless SAs (we are up to 5 now) as well as FSH and testosterone levels.  DH was found to have low testosterone.  He isn’t the main culprit though I am.  I’m seeing a RE at the end of November though for a second opinion.  I’m known to having longer cycles with a late O and low progesterone. 

Post # 9
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8990 posts
Buzzing Beekeeper

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mama2bee71 :  IUI is cheaper and less invasive so most women start there. Sadly, your insurance may have the final say but otherwise it will be a conversation with your doctor. Our doctor said we were candidates to jump right to IVF but I was nervous and he said the IUI was still worth a shot if I wasn’t ready to make the leap.

For my IUI I took oral medication for 5 days, had some monitoring ultrasounds, and then gave myself a shot to trigger ovulation before they put his sperm in my uterus. All super easy – doesn’t hurt at all.

For IVF I have weeks of injectable medications, I will be put under for them to extract my eggs from my ovaries, and then if the procedure is successful will have to do intramuscular injections in the butt for the first 10 weeks of pregnancy (although some clinics let you use suppositories instead, mine does not because they feel the shots are more precise and effective). 

Post # 10
Member
2141 posts
Buzzing bee
  • Wedding: July 2017

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mama2bee71 :  unfortunatly ‘unexplained’ is a common answer, we have been stuck in this limbo for 6 years

you can go into work after the HSG but it varys case to case as every feels different just like PMS, you may feel like your on a period with cramping and I would suggest you wear a panty liner (not tampon) as you will be leeking some blood and dye but it hopefully shouldnt be crippling pain or anything

 

I have bloods done every week for YEARS, I just go about normal life and ive never fasted or anything – food/drink should effect your hormones that they are testing (unless they are testing you for diabetes which isnt a common infertility test)

Post # 11
Member
1765 posts
Buzzing bee
  • Wedding: September 2012

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mama2bee71 :  You shouldn’t need to fast or anything for these blood tests. I always had mine done in the afternoon. For the HSG, you might get an Rx for some antibiotics (some doctors do this, others don’t) to take before and after the test. About an hour before the HSG, my RE had me take either ibuprofen or naproxen. This can help cut down on the crampy feeling you can get during or maybe even after the HSG. But other than that, there is no special prep needed. Just go for the test, and take a few deep breaths while they do it to be sure you stay calm. After having it done myself (along with 7 IUIs and 2 IVF cycles), I’m totally used to them performing tests on me internally, but I do remember being very nervous prior to my HSG! After it was over though, I laughed, because I was just so relieved the test itself was much simpler than I thought it would be. Good luck 🙂

Post # 12
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848 posts
Busy bee

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mama2bee71 :  if it helps, SOMETIMES if there is a tube blockage, the contrast that’s injected during HSG can open tubes up and then make pregnancy a possibility. Don’t rely on that. But it’s happened and I’ve heard of it happening before. Former xray Tech who would help perform them. Good luck and I hope that does it for you versus unexplained! :/ 

Post # 14
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848 posts
Busy bee

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mama2bee71 :  it’s been a couple years since I have done xray but I THINK they have a 2nd contrast that they would use in that case. They SHOULD ask you ahead of time but before they do it definitely let them know! And to answer your other questions, the tech won’t say anything but a radiologist should be who performs it. Or a physician assistant. That person who is actually injecting you usually will talk to you about it right afterward but I don’t know if I’ve ever heard them say “there was a blockage and this cleared it up”. It’s more like people who have been trying forever go and get it done after being unexplained and then get pregnant next cycle. That’s why I say that it opens it up. I don’t know that there’s scientific proof behind it. Just what I heard in the department (possibly from a radiologist I can’t remember!) So again, I am not promising anything but it’s a SLIGHT positive thought for you! 🙂

Post # 15
Member
1765 posts
Buzzing bee
  • Wedding: September 2012

I would tell them about your previous reaction to iodine. I know other’s have had the test done with allergies, but I just don’t remember what they had to do differently. Another option is they can view your uterus with an SHG, which is a saline ultrasound. Normally an HSG is the first choice to view the tubes more easily, but I believe some studies have shown an SHG is just as effective at showing blocked tubes. The SHG is very similar to the HSG, but uses a different liquid and uses ultrasound vs xray.

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