@courtneyjo21: Sometimes you can be ovulating, but just not with enough “pizzazz.” Follicles not mature enough when they are released, not enough fluid in the follicle, not a strong enough burst, etc. We think that is what is going on with me.
I have regular cycles too ( ish, here’s the link to my chart http://www.fertilityfriend.com/home/totesmahgoats ). It may not be “just” bad luck, but unexplained fertility issues is a very, very common cause of IF, and sometimes medications can really help those with unexplained issues.
My insurance allows me to see whoever I want when I want (PPO), so I did not need a referral. I personally think there are a lot of good OBGYN’s out there, and a lot that can help people with fertility issues, but if you want someone who REALLY understands the female reproductive system and how to work with it, consider going to an RE. I fell upon my RE in kind of an interesting way… It’s kind of a long story, but here goes.
Some lab tests and symptoms had pointed me in the direction of PCOS, as that is something I was casually diagnosed with a long time ago. I work at a large clinic with many, many specialists. One of them is, what I thought at the time, an OB/GYN, who specializes in hormones and is retired but is sooo good at what he does, he works one afternoon every two weeks just managing PCOS and menopause. All of my doctor friends yield to him for hormone advice, so I asked his nurse if I should try to get a referral to him, and she made me an appointment right there. It turns out, he is a reproductive endocrinologist and has been doing IVF/IUI/infertility for 30 some odd years. He was the leader of infertility of the northstate before he retired. He told me that I didn’t have PCOS.
It started with blood work during the middle of my cycle and halfway through my luteal phase. My LH was super low (6.7 when it should have been 7.8-70), which lead him to believe anovulation/weak ovulation. I then had a PCT (post coital test) where my husband and I had intercourse an hour before my appointment, and he took a swab of my CM and looked at under the microscope. That showed that I don’t have a “semen allergy” (not like a red, itchy vagina allergy, but one where the woman develops antibodies to the husband’s semen, inhibiting the semen to come up into the uterus) but that I don’t retain much sperm. We then got a semen analysis on my husband. I then had an endometrial biopsy during my LP, which showed that there was a 6 day variance in between my endometrium and my cycle. Anything >2 days is consider “out of phase.” It confirmed that I had a luteal phase defect.
I remember that feeling of “Wow, I really have an issue. A diagnosable issue.” And yes, it was painful, and I cried, and it was all sooo overwhelming…but we get through it! =) Consider joining the 6 month and up thread or the 1 year and up thread, they are a great source of support in times like these. =)
I was prescribed Clomid and had a mid-cycle ultrasound (to check follicle size/maturation), and then was to start Prometrium aftter O which is a type of Progesterone supplementation. We were told to have intercourse for the three days after my u/s. Unfortunately, that cycle was a bust. We are half TTC/half NTNT now, and I follow-up with him this week to see what out next step is.
For me personally, my RE thinks I will need IUI… so it’s no surpise. But that’s because of hubby’s semen more than me (very boderline morphology, high pH). Our issues combined lead him to think IUI is the best option for us, last I talked to him. I’m going to try to convince him to let me do another cycle or two of Clomid, though 😉
Anyway, I’m totally rambling. I hope that you were able to gain something out my insanely long ramble of a post. Don’t hesitate to PM me if you have more questions if you don’t want to ask them on here.
What kind of insurance do you have? Do you know if you have infertility coverage? I suppose that would be the way to get started.