TTC after 35

Advice for fertility treatments?

Hi there - I had my first baby at 37 (first miscarriage but then successfully pregnant within a year).  Now, I'm 39 and we've been trying for 6 months without success so we're seeing a fertility specialist in a few weeks.  

Could you guys get me up to speed about what they will probably recommend?  I'm just curious and want to read more about options.  I went before and I am already on thyroid medication (my TSH was not ideal) and progesterone for post ovulation until period/pregnant.  TIA! 

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Re: Advice for fertility treatments?

  • They will check your uterus, have your husband get a sperm analysis, and have you get an HSG test to see if your tubes are blocked, amongst other bloodwork. Then they will have you try IUIs at first and if that doesn't work or your tests come back with issues you go on to IVF. I had a wonderful experience and we are so grateful to science!! Best of luck!
  • They may also have you chart first, if you haven't been charting already. 

    Good luck!

    *********************************************************************************************

    "You have to do your own growing no matter how tall your grandfather was." 
            -- Abraham Lincoln
     

                               Me:39  MH:39 
    DD born 6/1/2013 after 15 months of TTC with one loss.    
    TTC #2: BFP 4/22 but stalled growth and no HB at 9w3d on 5/30        

    <a href="http://www.fertilityfriend.com/home/3a2798" style="font-size:smaller;" >
    <br /> My Ovulation Chart</a>

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  •  How long did it take you to get pregnant with #1?  Are you charting?

    I had my first at 34 (first try w/o charting) and I am now 37 TTC #2 and this our 6th cycle (charting).

    I have had AMH, CD3 blood work, progesterone and DH had a SA.  The next step will be an HSG but we have to wait b/c insurance doesn't pay for it.  My husband starts a new job in August and I will get it then if I'm not pregnant by then.

    Good Luck to you! 

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  • Yep, I chart (so I ovulate regularly).  The first time it took 4 months, then miscarriage, then after miscarriage and wait, it took only 1 month.  We are starting cycle 7.  Thanks for the info, everyone!
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  • At your age they might want to go straight to IVF...it really depends on all the test results.

    Best of luck!

    image
  • I just went to my first re appt last week.  To start I'm doing shg, hsg, karyotyping for me and dh, sa, rpl panel, cd 3 blood work next cycle.  Next cycle will be clomid.  We haven't discussed beyond that.  Good luck.
    TTC since Dec. 2010. Me: 37, DH: 38...unexplained RPL
    BFP #1 - missed m/c 4.18.11 found @8w3d, d&c @13w 
    BFP #2 blighted ovum found 8.2011 @8w, misoprostol
    BFP#3 - missed m/c 6.11.12 @ 9w3d, d&c revealed extra chromosome 15
    BFP#4 8.10.12, DD born 4/26/13
  • Dup
    TTC since Dec. 2010. Me: 37, DH: 38...unexplained RPL
    BFP #1 - missed m/c 4.18.11 found @8w3d, d&c @13w 
    BFP #2 blighted ovum found 8.2011 @8w, misoprostol
    BFP#3 - missed m/c 6.11.12 @ 9w3d, d&c revealed extra chromosome 15
    BFP#4 8.10.12, DD born 4/26/13
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