TTC after 35

Low BBT after O - advice about going to fertility specialist please

edited July 2015 in TTC after 35
When i told my OBGYN about the low BBT after O she put me on daily progesterone (100mg) which i have been taking since May.  She also put me on 2 rounds of birth control pills and a round of clomid.  I was hopeful, but now I'm 3 DPO and my temps are still low.  Am I possibly not taking enough progesterone?  I don't want to give up, but my insurance only covers diagnosis and treatment with fertility specialists (which means no IVF, IUI, etc.)  Has anyone else dealt with something similar?  Do I have any nominal options through a fertility specialist (obviously nothing like IVF, IUI, etc.)? Just looking for some guidance before I throw in the towel.  Thanks ladies. 

Re: Low BBT after O - advice about going to fertility specialist please

  • I would definitely go to a fertility specialist.  They can do more testing and try to figure out what's going on. In addition, you can do monitored intercourse cycles with a fertility specialist.


    *** Child & current pregnancy mentioned ***
    Me - 41 (PCOS), Hubby - 43 (healthy)
    7/2013 - Sweet baby girl born (Clomid + TI)
    3/2014 - TTC #2, return to RE 7/2014
    12/2015: IVF #1 transferred two great looking embryos - BFP!
    First ultrasound: TWO beautiful little heartbeats!!
    Harmony: negative; level 2: babies look great and are boy/girl! :) 
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  • Are you taking the progesterone all month?  It could elevate your temps all the time, so it looks low after O, but it's really just constantly on the high end.  After all, that's what we're looking for when we temp, for the progesterone released from the corpus luteum after ovulation.  

    I hear that your temps were wonky before going on the progesterone, but as I understand it, taking progesterone will make temping a LOT less useful.

    If your insurance covers the initial testing with the RE, then go for it!  You'll learn about your body, and what obstacles you may be facing. There are some low(er) cost options beyond IVF and IUI, like timed intercourse with some fertility drugs (which will require some ultrasound monitoring, but less than what's needed with IUI/IVF).  I would also recommend seeing an RE if you're going to use clomid, which helps in some ways but could hurt in others (thinning your lining), so you want an expert helping you figure out if it's the right thing for you.

    But a diagnosis is INFORMATION, and you might be able to use that information to TTC naturally (with supplements, timing, etc.). If your insurance covers that, then go for it! 
    Me- 39 (turning 40 in April), TTC for the first time ever (since Jan 2015), low ovarian reserve
    Married 3/14/14 to my wonderful wife, but her sperm count is rather low
    TTC with frozen donor sperm and science

    7 IUIs, 7 BFNs.
    2 IVF attempts, both cancelled and converted to IUI, both BFNs.
    Decided that my tired old ovaries are ready to retire.
    Next step- reciprocal IVF, using my wife's eggs, my uterus!  
    fresh 5 day transfer (2 embryos) 4/17/17- BFP! 
    Identical twins "due" 1/2/17 (but anticipated arrival sometime December)

  • i agree, i would see an RE for an evaluation and diagnosis since your insurance covers it. Then you can make an informed decision on what you do and don't want to do. My insurance is the same, it covered consults, diagnosis, and u/s (but not treatments).
    Me (42) w/ partner for 16+ years
    TTC #1: 11/2012 - 9/2013; 6/2014 - present
    Follistim + TI (3x): All BFNs
    Follistim + IUI (1x): BFN 
    IVF #1: 17 retrieved,15 fertilized, Day 3: 15, Day 5/6: 3 biopsied
    Result; 1 frozen blast (inconclusive PGS results)
    IVF #2; ER: 6/22 16 retrieved, 6/25: 5 transferred (CP), 2 frozen
    FET 9/17: BFN
    Current FET -- Transferred 2 day-3 embryos - BFN

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