How long would you wait?

LoriFalce · July 2009

We've been TTC #2 since January, with no results. Not a long time in the great scheme of things, but I'm 38 now. We just found out that I have fibromyalgia, and there are certain treatments I can't start while we're TTC.

Would you ask your OB about stepping up the trying, maybe going to Clomid? I'm thinking about it, but I'm hesitant. It just seems kind of now or never.

hollymichael · July 2009

There are quite a few of us on here who have been TTC snce about January and many of us have started testing and/or fertility treatments. I wouldn't recommend starting clomid without having testing done first. Ask your OB for cd3 bloodwork for you along with a P4 test. You should also have an HSG to check your tubes. Your H should have an SA to make sure all is good with him. I don't think you want to start clomid without knowing what the issue is first. Then, if you do start on clomid, you want to make sure the dr. is monitoring you.

They say if you are over 35, to see the dr. after 6 months of trying. You may want to skip your OB and go straight to the RE too.

Sorry about the fibromyalgia.

MDBeachbride · July 2009

I think now. I'm the same age and started TTC last December. I just went on clomid this month. Good luck. Sorry about the fibromyalgia.

NowDNAtoo · July 2009

At this point I would ask your OB for a referral to an RE unless your OB specializes in fertility as well. The RE will start you in on the appropriate tests and be able to help you out as well knowing you have fibromyalgia.

ToshaGirl · July 2009

Honest to God Lori - I was just thinking about you the other day and wondered if you'd be back around!

I'd be asking about it now for sure. GL!

MDBeachbride · July 2009

Just a follow up post regarding the pp'er. My OB prescribed me clomid this month. I was hesitant to take it based on all my nesting info but his reasons for telling me to go ahead without other testing (only had CD3 bloodwork) was because, we have a child, DH has not had any trauma to his manhood since our last child, etc. I think if you had an easy time getting pregnant before, I wouldn't jump to conclusions that there is anything wrong but some testing wouldn't be bad. I just think many women our age (me included) jump the gun because we are so worried about the time clock. Good luck.

melaniesc · July 2009

I wouldn't wait any longer either, like the other ladies said. When I started out I do remember my Ob/gyn giving me clomid prior to any tests and I was fine with that. I wanted to get a jump on things as soon as possible. That didn't work for us and I wound up doing all the usual tests through an RE. We did 2 IUIs and I got pg w/ the 2nd IUI but had a chemical pg. We could've continued on that route a while longer, but I wanted to be more aggressive and RE had no problem with that. We did IVF w/ ICSI and had DD 13 months ago. We're now TTC #2 and I went straight to IVF this time. Maybe I'm impatient but I know what worked so I'm sticking with that.

LoriFalce · July 2009

I don't think we really have any giant issues. We got pregnant the first time in less than a year of REAL trying. We kind of weren't actively careful for a while, then about 8-9 months of trying trying. I think that more than anything, I was expecting problems, and our biggest issue is timing. Just not hitting it out of the park at the right time because of some of my husband's medications getting in the way. Just because we know when I'm ovulating doesn't mean that we can backtrack and change when he took his blood pressure med so that it's not making things impossible to work around.

I am kind of being vehemently, deliberately obtuse. I'm thinking that if I take Clomid, I'm increasing the number of eggs, thereby increasing the number of targets since we're not really hitting the sheets as often as recommended during the window of opportunity. Is that what Clomid's for? HeII no, and realistically, I know that.

So why would I put on these blinders and consider it? Because my insurance will cover Clomid, but it won't cover IUI, which would in all likelihood be the best way to overcome the issue of taking his sperm and getting it to my egg at the right time.

Which is very much like taking chemotherapy instead of birth control pills because they are on your formulary and Yaz isn't.

sel*stella · July 2009

Well, I have been charting since Oct 2008, and a year before that, we were just "throwing caution to the wind" as I like to say, and still, no BFP. So, I am going to ask my primary care Dr (I don't currently go to an OB) about going right to an RE, since so many women have said to bypass the OB and go to an RE. So, I haven't done anything yet, but will in the next couple months: cd3 bloodwork, SA for DH, etc. I'm 38.

melaniesc · July 2009

Clomid does not give you more eggs. All it does it try to make sure that your egg is released. If you already ovulate on your own, this will do nothing to help.

Also, keep in mind just because you had no problems getting pg the first time around doesn't mean you're dealing w/ the same deck of cards for #2. There is such a thing as secondary infertility that many women deal with. Plus being over 35 is kinda playing with a ticking timebomb as your egg reserve starts to dwindle. Good luck with whatever you wind up doing.

LoriFalce · July 2009

melaniesc:

Clomid does not give you more eggs. All it does it try to make sure that your egg is released. If you already ovulate on your own, this will do nothing to help.

Also, keep in mind just because you had no problems getting pg the first time around doesn't mean you're dealing w/ the same deck of cards for #2. There is such a thing as secondary infertility that many women deal with. Plus being over 35 is kinda playing with a ticking timebomb as your egg reserve starts to dwindle. Good luck with whatever you wind up doing.

Like I said. Deliberately delusional.

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