Infertility

Okay, tell me about lap...

Hi ladies,

 Assuming DH's 2nd SA does not come back horribly worse than the first one (which showed low motility but our RE seems to think that with his high numbers this shouldn't be a huge stumbling block) i'm not sure where we go next.  I have had bloodwork (dx low thyroid but all else okay), and an U/S which showed a cyst on my right ovary (which is the ovary from which i'll be releasing the egg this month) and my HSG was clear. 

Where do we go from here?  Do we move straight to lap, or is there something less invasive that comes first? 

I'm guessing IUI is less invasive than lap, but IUI may not be an option for us (checking) so i'm just kind of wondering what is next...

TTC since 2008
dx MFI March 2009, low motility and low morph
dx Stage I/II endometriosis September 2009.
Multiple failed clomid, injecitble and IUI cycles
IVF #1 Janaury 2011: 28 retrieved, 22 fert normally
5dt of two beautiful blasts (6 frozen)
BFP 2/10/2011 (holy cow!!!)
1st u/s 2/24: 2 gestational sacs, it's twins! Only 1 heartbeat, Baby A, 110 BPM
2nd u/s 2/28: 2 heartbeats! It's twins!
3rd u/s 3/7: Lost Baby B :-( Baby A looking good.
Pregnancy Ticker
We will always love you Baby B.

Re: Okay, tell me about lap...

  • I would assume they want that cyst taken care of so they'd check on your next CD3 to see if its gone...if its not and birth control pills don't fix it, you'll likely need that drained.  I don't see why they wouldn't do IUI right away if he has great counts and great morph.  I did IUI a lot before we did a lap (and then only when I started getting lots of pain that actually indicated endo along with my family history of it).
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  • I think Dr. would probably want to go straight to IUI, but I need to check if DH and I can do that...i think we'll probably go with some other diagnostics first since there is a question on whether IUI would be an option.

    May i ask what your endo symptoms were?

    TTC since 2008
    dx MFI March 2009, low motility and low morph
    dx Stage I/II endometriosis September 2009.
    Multiple failed clomid, injecitble and IUI cycles
    IVF #1 Janaury 2011: 28 retrieved, 22 fert normally
    5dt of two beautiful blasts (6 frozen)
    BFP 2/10/2011 (holy cow!!!)
    1st u/s 2/24: 2 gestational sacs, it's twins! Only 1 heartbeat, Baby A, 110 BPM
    2nd u/s 2/28: 2 heartbeats! It's twins!
    3rd u/s 3/7: Lost Baby B :-( Baby A looking good.
    Pregnancy Ticker
    We will always love you Baby B.
  • I was wondering the same thing. I am hoping to get into the RE soon, and I was wondering where we would be going from here..... all of our RPL testing and genetic testing all came back normal, and we know that I O on clomid and that dh's sperm is good. I am pretty sure I have endo, but I have been unable to get my ob to do the lap to fix and confirm that. I didn't know if my RE will want to go to IUI before doing a lap. I have bad periods, I have a lot of pressure when I have to go to the bathroom, it hurts to sit when I have af, and I get really bloated and bad cramps. Those are my endo sypmtoms.
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