TTC after 35
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TTC advice - almost 38

Hi,

I'm new to this so was looking for more educated opinions.  We have ben TTC for several months and found out that I'm not ovulating by blood tests (last 2 cycles) so my ob/gyn is putting me on Clomid next cycle.  She wants to do this for 3 months without sonograms, etc. to see what's happening if anything. Then, after 3 months, start looking. I'm not sure if this is a good plan or if I should consult another OB who will be more aggressive as far as sonograms right away to see what's happening.  I will be 38 on Jan. 4.  Just wondering your thoughts.  TIA!

Re: TTC advice - almost 38

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    Sounds like a friend of mine (she's 35, DH is 29). She wasn't ovulating (long history of being amnoreic - sp?) and went on Clomid without u/s, b/w etc. Once she finished her clomid, and no bfp, she had testing done and found out that clomid would never have worked for her. She ended up having to take injections and was monitored, her DH's SA was good and as luck would have it, they got pg on their first cycle of injections. She found out at wk 6 u/s  that she's having twins no less. She was actually having her 7wk u/s today, they are looking for the heartbeats, if found she was told that her risk of m/c was less that 5%.

    If I were you, I'd press for testing.

    Good luck!

    TTC since July 2007 a year on our own, 7 IUIs spread out over 2 years, all BFN IVF attempt #1 - September - antagonist protocol, called off CD8 due too poor response IVF attempt #2 - November - called off on CD11 due to low estrogen IVF attempt #3 - started stims Jan 25th...converted/cancelled Jan 31st...SWITCHED BACK TO IVF Feb 3rd! ER Feb 7th...lets DO this! ET Feb 12th, Beta #1 141, Beta #2 356, u/s #1 hb 141 bpm, u/s at 7 weeks 1 day no hb, missed m/c. So sad. IVF #4 scheduled for June 2011, last chance, this is it
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    I would highly suggest making an appt w an RE.  If you take Clomid, you need to first be tested, (bldwrk, HSG, SA, etc) and then while on the drug, you need to be monitored (u/s, bldwrk).  See an RE!!  

    Good luck~

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    All meds should be closely monitored for cysts and Oing. I would see an RE. I began my TTC journey 20 months ago with my OB and then went to RE, there is NO better monitoring. Good luck
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    Ditto ^

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    I don't have advice for your direct question but I wanted to let you know I'm 40 and PG with #2.  Hopefully, you'll get some good advice here.  I just wanted you to know 38 is still young in my eyes:)
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    In my personal opinion, it's a BAD idea to start Clomid with no monitoring and no testing of your DH and an HSG for you. Even if you aren't ovulating, you may have tubal issues and/or your DH may have sperm problems, and it pays to rule those out before starting the Clomid route.

    A lot of people aren't monitored on Clomid and are fine, but you don't want to be in the minority who end up with OHSS, cysts, thinned lining, etc. that could have been caught early with monitoring.

    Find an RE, not an ob/gyn. They're specialists in this sort of thing..

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     I would get into an RE asap!!!!!!!!!!!!  Don't mess around with an ob/gyn.   I'd also be monitored on clomid.   If you were 20, it would be different but I seriously would get all checked out with a RE!
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    Thanks for all the response!  I just realized I failed to mention I had my DD at age 35 not TTC (happy surprise!) so I think they are not terribly concerned, however, obviously something's not quite right or I'd be ovulating. I'm looking into what our insurance covers with RE and getting references in our area - definitely sounds like the consensus of those more educated than me.  I really appreciate your advice and am so glad I asked!  
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    Lisa, I had my DS at 35..well I was pregnant at 35 and delivered at 36.  It only took me 4 cycles with no problems.  Now I'm 37 and I'm being very aggressive with getting pregnant.  Ever since I had my son, my periods have been kinda irregular 25-35 days.  They were always 29 days like clockwork before him so I knew something wasn't quite right!  My RE thinks I'm not having good, strong ovulations.  After 35, fertility starts a sharp decline and so the quicker you can figure things out, the better!

     Good Luck!!

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    I would never do clomid without monitoring.  I did clomid with monitoring and ended up with a huge cyst that had to be surgically removed.  At this point, I would say it is probably time to see an RE if you are open to that.
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    Congrats on your first child. It is definately a good sign and you might conceive without issue, but  be aware that your first pg can have no relationship to your journey TTC your second-- you are older now, and your body changes significantly after pregancy.  Don't be lulled into a false sense of security and let them waste this important time, especially if you know you aren't ovulating.  In my experience OBs are generally "not concerned" where maybe they should be more proactive and an expert in this area is really the best way to go.  Also, Clomid is not for everyone, in some cases it can actually hinder fertility and monitoring is important.  It sounds like you plan to head to the RE and I think that is a great choice.  Good Luck!

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    I agree with all the others that stated to see an infertility specialist.  I am guessing that RE stands for Reproductive Endocrinology?  Please correct me if I am wrong.

    Anyway, I am 37 and my husband is 30, we are TTC for our first.  My ob/gyn in Oct. had me get on prenatals and omega 3's.  From Oct-Dec I monitored my ovulation with sticks at home and TTC.  In December she spoke with me and my husband and I had my first blood test for FSH and she started me on Clomid that day, because I was on day 3.  My FSH came back a bit high, only 2 pts higher.  Tomorrow I take another blood test to verify that I ovulated this month.  If I did then Clomid again next cycle and if not pg off to the specialists.  If I didn't ovulate then they scan my tubes and if all is good, clomid then next month to the specialists.

    My ob/gyn said since I am 37 and never been preg.  that she doesn't want to waste any more precious time.

    My concern is that I haven't heard of many people liking Clomid?  I read up on it, but I didn't realize all the issues that women on this board don't seem to like.  My ob/gyn stated that it was safe.  Please inform me.   Thanks

     

     

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