Post # 1
Yep, another TTC question….Sorry.
I know this is a sensitive topic to those who are currently seeking fertility treatments so I want to preface this by saying I am a worrier, I worry … A LOT. So if this is nothing please feel free to tell me to stop worrying and shut up, I won’t be offended in the least.
Darling Husband and I have been actively TTC (OPK’s/charting/intentional BDing) since the beginning of the year but we have been NTNT for much much longer.
I am one of those weird people who track everything. I have noted every time we have DTD for years and how it finished. (if you get what I am saying). I have no idea why I do this, but I do. Like I said, I track everything.
Ok, getting to my point, ever since actively TTC, I now know how long my luteal phase is. Because of this I can make a very educated guess as to the days I ovulated.
I (like the worrier dummy I am) went back 18 months and checked how many times we DTD in such a way that could/should have resulted in pregnancy. (meaning we DTD, finished unprotected, and it was within the 3 days leading up to and including ovulation) — Hope you understand what I am saying there.
In the last 18 months we could/should have gotten pregnant 11 of those months. Obviously we didn’t.
My question to you is should I go see a doctor sooner rather than waiting a full year of actively TTC. (OPK’s/charting/intentional BDing).
When/Why did you make a decision to see a fertility specialist?
Post # 3
Have you talked to your regular OB-GYN? I don’t think it hurts to ask his or her opinion. When I went in for my pre-baby appt my doctor told me, “If it doesn’t happen within 6 months, we can start to talk about next steps.” For me the number was lower than a year because of my age and some health issues.
Post # 4
Honestly check with your OBGYN and insurance to see if you need an actual referral first and to see if there is any testing your OB can do such as labs, HSG, ultrasound monitoring etc. I think I saw you on the infertility thread a few times so not sure if you remember my background but I was followed by my OB first for 3 mths after 6 mths of TTC but I had other issues. With her I did the HSG, labs and ultrasounds. With most OB this stuff is covered too; when you go to a RE alot of it is out of pocket and can get rather costly. So to start, I really would recommend you see your obgyn first and get a game plan from there. Ours was 3 mths then the RE. If you’ve already seen your OB and there was no plan set, than yes see a RE but they may want you to wait the full 12 mths of actively TTC if there are no other issues. I hope I made sense!
Post # 5
I opted to see a fertility specialist, because my cycles were so long that it wasn’t even funny, I am talking cycles of 109 days, and 229 days. After the initial long cycle, after I first got off of birth control, I asked if I should see one, but my family doctor would not refer me until the one year mark of trying had passed.
Post # 6
i echo pp. usually the timeline to start looking into going to a fertility specialist is 12 months from when you start trying.
Post # 7
I agree with previous posters. Also, if a doctor would see you, I say why not just get things checked. Even if you were NTNT, if you have it tracked that on 11 cycles you should have technically gotten pregnant, I’d tell the doc I’d been trying for 11 months and see if they’d take me sooner. Good luck, I’ve been following you for a long time (had a different name before) and I really hope you get pregnant soon.
Post # 8
Obviously 1 year is the standard timeline. But most of the sources I’ve read qualify that as 1 year of unprotected sex. Not requiring temping, opking, etc etc as what gets called actively “trying” on this board a lot. Just one year of getting it on without protection/abstinence. If you are concerned, and it’s been about a year where you have not taken any measures to actively prevent, I think you would be warranted in making an appt with an OB/RE.
Post # 9
- Wedding: June 2018 - Millenium Biltmore Hotel
I would suggest going in and talking to your OB-GYN first. Share your concerns, and see if there is anything they can do to help figure out what’s going on.
We have an appointment with a fertility specialist next week. It’s a long story, but we’ve been TTC for awhile. I recently had surgery for endometriosis, cysts, and polyps. Was told to get pregnant immediately. It is four months post-surgery, and I’m not pregnant. OB-GYN referred me to a reproductive endocrinologist for a second opinion. I’m really worried, but it helps to be proactive and have a plan.
Good luck! And feel free to PM if you want to discuss anything in detail.
Post # 10
You don’t need to see a fertility specialist as a first step. See your regular family doctor or OB-Gyn to start the conversation. There are many parts of your history and physical and labs that can be checked early. But yes, generally they don’t want to start this conversation until you’ve been trying for a year — make an appointment for next month.
Post # 11
My RE said if you are showing signs of normal healthy cycles then 9-12 months assuming you are under 35, but if you are not having normal cycles 3-6. He said I could have come and seen him after 2 months since it was pretty obvious, but my gyn made me wait 6 and even then he was on the fence due to my age. Sometimes though you have to go with your gut. I know right away and that is why I pushed my gyn for a RE and thank goodness I did since I am dealing with IF.
Post # 12
I never went to a specialist, but at 6months of trying, my obgyn wanted me to get a HSG and my SO to geta semen analysis. I chose to wait until the 1yr mark, but I got pregnant that month so I didn’t go. My Dr. wanted to be proactive since I was 29 at the time.
Post # 13
Have you asked your OB/GYN? I talked to mine at my last yearly visit and she told me that she was comfortable referring me to a specalist whenever I felt was needed. Even before the 1 year mark, she wasn’t much a stickler for that specific timeframe.
I think if you are turly worried and think it’s time then it does not hurt to ask your OB/GYN.
Post # 14
wow, thanks for all the responses, I am going to check with my OBGYN and insurance before attempting to go to a RE route.
I honestly had no idea my OBGYN could do so many of the labs prior to seeing a specialist. I am not going to lie, I am concerned, just based on the number of times we DTD and should have gotten pregnant and my age (I am 32). I just don’t want to waste unnecessary time. I still remain positive, I have very regular cycles and no known issues, I think for the most part I am being a worrier and impatient.
Thanks again for the responses, ya’ll are the best.
Post # 15
I’m seeing my regular OB (although a new one) right now. My office would see me anytime beyond 6 months of actively trying. I think it makes sense to wait at least that long, but not necessary longer. If you are timing it and it’s not working, check out why… I have no insurance coverage for infertility so that doesn’t effect the decision although I though (a month ago) that my coverage would have required a year. I might have started appts a few months earlier if I had known, but I basically started around 10 months. Now we’re at 11 and doing our testing. Then any intervention won’t really start until 12. It’s a slow process and there’s no reason not to get started if you are worried.
Regarding seeing an RE (reproductive endocrinologist – it took me forever to figure that one out!). My doctor will send me after we have gone through IUI without success. I think that’s what he said. So it will take 6 months to a year to get to that point. Also even though it’s my regular OB it is still billed as infertility so I still have to pay out of pocket…
Post # 16
After 30 the recommended actively trying time before seeing a specialist is 6 months. So you are definitely past that already. Sending positive baby thoughts your way!!