TTC after 35

Fertility testing

Hi all. I'm questioning my RE. What types of fertility testing have you had done? It doesn't appear that my RE has my best interests at heart, he seams eager to push me to do iui or ivf

Best Answers

  • on42on42 member
    Answer ✓
    You've already had five medicated cycles, right? And were those all timed intercourse? If so, s/he's probably recommending IUI or IVF because that's quite a few medicated cycles to end up with a BFN. And I think you're limited in how many clomid/femara cycles you can have, because those medications are hard on the ovaries.

    The RE should be testing you for at least the basics: thyroid issues, FSH levels, AMH levels, estrogen, prolactin, and HSG procedure to see if your tubes are blocked and your ute is normal shape/size, and then a follicle count to see how many follicles you're producing. I am sure some of the other women could add some of the testing I've forgotten (or not had); it's early here, I'm still waking up.

    Good luck!



    Sarah, 38 | Nathan, 40 | Maxine b. 11/2014 | TTC #2


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  • Mrs.McIrishMrs.McIrish member
    Answer ✓
    Honestly? 99% of REs want to do IUIs or IVF. They aren't in the business of doing anything else. I don't know your history as you don't have a signature but didn't you get a work up when you first went? Standard STD bloodwork, HSG, Cd3 FSH/e2, AMH, prolactin, thyroid, u/s of ovaries for AFC, SA for DH. This is standard. Maybe some genetic tests like CF and karotyping but these can be very expensive if not covered by insurance. Maybe a hysteroscopy or saline sono if the vaginal u/s shows something. You typically won't move into other things until there's a reason to investigate more deeply.

    TTC #1 since 8/1/10; Me:41 and BRCA1+, DH:46
    DOR (FSH 24.3)/ terrible egg quality ; homozygous MTHFR c677t
    5 IUI's: 2/11 to 6/11 and 1/12= BFN
    OE IVF#1-4 8/11-6/12= all BFN
    DE IVF#1 11/12 bad embryos= BFN
    DE IVF #2 2/13 BFP/Beta hell: m/c 5w6d
    CFNBC 7 months, not doing well; decided on guarantee program at RBA w/frozen DE
    DE IVF #3 1/14  ET 4BB; BFP;M/C 5w1d, incomplete m/c; MVA extraction in ER 7w1d

    DE FET#1 ET 3/1714; BFP, beta 1 3/27= 197, beta 2 3/31= 1586, beta 3 4/7= 13879!!
    First u/s= Twins with HBs at 6w2d! We are Team Pink x 2!!

    K & K born 11/21/14 at 38wks 4 days

    imageimage

    SAIF/PAIF Welcome


    http://waitingforraintostop.wordpress.com

Re: Fertility testing


  • What is AMH & AFC? I'm not sure if my prolactin & estrogen was checked. Yes DH had a SA. I had day 3 bloodwork done FSH level checked. I had an HSG done 2 years ago. Wondering how long the results are good for, because I'm clueless. My thyroud was checked j gad 3 small cysts on them thT was biopsied & the results was non cancerous. I asked my endocrinologist if my thyroid was a factor in not becoming pregnant & he said no. I never had a follicle count. Unfortunately I was the one that was taking clomid for 4 cycles unmonitored. I became very paranoid after reading side effects, so I stopped taking them. I don't want to call the RE office with medical recommendations as to what he should do for me, I don't want to appear crazy & or delusional. I was thinking about try acupuncture & the therapist ask what's the reason for my infertility, I looked stupid because I didn't have answer for her. I'm getting very frustrated because I feel clueless. Thank you ladies for your info & input.

  • The RE nurse said my FSH levels was fine
  • Looking out for yourself is not crazy or delusional. Asking questions about your meds, the Re reasoning and anything else about your health is what you should do. If the RE or office isn't willing to listen to your concerns and suggestions then find a new one.

    Only you can be your advocate.

    image
    My Ovulation Chart



    Me: 41 DH: 46. We are TTC our 1st, started July '11,
    3 cycles clomid with Ob,
    1 cycle Tamoxifen with Ob,
    Diagnosed PCOS 11/5/12
    clomid, trigger & timed bd 12/12 BFN
    1st clomid IUI 1/4/13 BFN.
    2nd clomid IUI 2/13 cancelled didn't respond to clomid.
    3/15/13 scheduled laparoscopy & on bcp.

    May 10 IUI from injectibles - BFN 

    May 22 done with interventions it will either happen or it won't. 

    February 2014 No longer actively trying, but not preventing. 

    SURPISE BFP 4/2/2015!!!!!!!!!!

    Miscarriage 4/23/15

     

  • Hi all I had 4 cycles of unmonitored clomid. For the first two months I used OPK's. I have recently purchased a clearblue monitor. I will be using it as soon as AF comes. About an hour ago I sent him a long email with specific and direct questions. If he's not willing to help then I will get another RE that's willing to help me, thx ladies
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