Trouble TTC

Lost Newbie.. looking for answers

After ttc for a year.. my OBGYN decided it was time for a SA. I got the test results back yesterday and it turns out that count (17mil) and mobility are both a little low, but not terrible. 

Since I have been seeing a definite temp shift each month and getting positive opks, my OB suggested an unmedicated, unmonitored IUI for our next cycle. I have been going back and forth whether we should do it because I have read a lot of different things saying it really does not increase chances.

It also is the last month my husband and I may be able to ttc due to him leaving for 6 months to attend a police academy. I will see him only on weekends.

I figured why not ask if any of you have been in or know of someone who has had success with this situation.

Help a newbie out :)

Re: Lost Newbie.. looking for answers

  • No experience here, but I wanted to say good luck!

    TTC since Jan 2013      Me=25   DH=26


     Me: PCOS; I do not ovulate on my own...like ever. All other tests came back good. 

    Hubby: SA came back in the normal range.


    Medicated Cycle #1: Letrozole 5mgs days 3-7, trigger when eggs are ready: total bust...u/s 12/23-lots of little follies. u/s 12/26 follies grew 1mm 1 in each ovary. u/s 12/28 no growth. OPKs for hopeful ovulation, if not progesterone on CD35 to induce next cycle w/5mg letrozole CD 3-7, add follistim CD 8. UPDATE: Positive OPK 1/1 and 1/2, very unexpected and unlikely that I'd ovulate this cycle! :)

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  • BunnyBerryBunnyBerry member
    edited December 2014
    No reason to do an unmedicated, unmonitored IUI - you have a diagnosed fertility issue, 1 year without success and low sperm count. YH needs a repeat SA and an appointment with a urologist to see if anything can be done to help his counts, and you need testing with an RE to rule out female infertility.

    I had 6 years of perfect temps shifts + OPKs with regular cycles - and MH had diagnosed low count, motility, and morph which could explain our issues - but I still had polycystic ovaries and hormone issues interfering with quality of ovulation. Plus a blocked up cervix, adhesions, and endometriosis which all required surgery.

    Why do OBs feel the need to do half-assed treatment and just hope for the best? 

    ETA: Anything below 20mil/mL count greatly reduces the chance of ever getting pregnant naturally, even more so when combined with any motility issues. 
    January 3T Siggy Challenge - New Year's Resolutions
    image
    imageimage

    Me (29), DH (30) TTC actively 54 55+ cycles | All BFNs
    MFI (low everything) | Endo Stage 1 & Stenotic Cervix (treated) | PCO
    Married - July 2008 | Started TTC - Jan 2009RE Visit #1 - Mar 2014 
    IUI #1 ICI #1 - June | IUI #1.1 Laparoscopy - Aug
    IUIs #1.2, 2, 3 - Sept, Oct, Nov (Letrozole) - BFNs 
    IUI #4 - Dec (Bravelle) | IUI #5 - Dec/Jan (Bravelle) - 5 follies + TI - BFNs
    IUI #5.1 - Jan (Bravelle) Cancelled 
    Planning to start IVF in March!
    ***All Welcome***
  • HI and welcome! DH was starting the Fire Academy about 8 months into us trying and waiting to see if it happened on its own. I was charting at the time and after 3 months w/ doctors DH was pulled in too many directions and asked if we could wait until after Fire Academy because he was so mentally and physically exhausted from rigorous training that adding TTC too much on his plate.

    What I did during that time was find a RE, get my HSG, cd3 bloodwork, lose those extra 10 lbs. The SA we did before he started the academy since we knew he wasn't able to make it during the day to give his sample. Most of the ladies will recommend not doing any more cycles with your OB if you are not monitored. Someone once said and this stuck was RE are the experts in getting you pregnant, OB are experts in keeping you pregnant - who you want on your team? RE go through much longer training/studies than OBs.

    It's completely your choice what you want to do, just giving you my 2 cents. Good luck!   
    image
    3T January Siggy Challenge: New Years Resolutions 
    TTC since 10/2010 (Rhythm method since 2007)

    Me (33) Sept 2012 - DX Low ovulation/progesterone, Luteal Phase Defect. HSG 5/2012: both tubes are open, cervix and lining look good;
    September 2014 DX Hashimoto's; November 2014: PCOS IR

    ***
    DH (37) Sept 2012 SA Normal; October 2014 Mild MFI count 42 Million, Motility 36%, Morphology 2%. Clomid 50mg,
    ***
    2004 Cyrosurgery, LEEP
    May 2012 - HSG Clear; June 2012 - Appointment with RE
    July 2012 - October 2012 - Clomid 50mg W/ TI & Progesterone 3 mature follicles- BFN
    January 2013 IUI #1 (900,000 post wash) Clomid 50mg, TI & Progesterone 2 mature follicles - BFN
    February 2013 IUI #2 (1.3 Mil post wash) Clomid 50mg, TI & Progesterone 4 mature follicles - BFN
    March 2013 IUI #1-3 (2.5 mil post wash) Clomid 50mg, Baby Aspirin (lining thinned) TI & Progesterone - 2 mature follicles BFN
    April 2013 Benched due to cyst, May 2013 WTF appointment
    June 2013 DH SA mild MFI break for 2 months to re-test; August 2013 - DH SA 36 Mil count, 36% Motility, Morp 2%
    September - December 2013 - Mental sanity Break
    January 2014 - IUI #4 switches to natural due to scheduling conflict Femara TI & Progesterone - 1 mature follicle - BFN
    May 2014-June 2014 - DH Appointment w/ Urologist to check Bi-lateral Varicocele; 2nd opinion w/ another urologist - bi-lateral varicocele dx is slight no surgery
    July 2014 DH starts clomid 25mg daily SA 53.8 Mil count, Motility 37%, Morph 3%;
    September 2014 DH Repeat SA after being on clomid for 3 months 42 Mil Count, Motility 36%, Morph 2%
    October 2014 Me: Hashimoto's DX, DH taken off clomid;
    November 2014 Me: new RE PCOS IR Diagnosis
    December 2014: IUI #4 Follitism 75iu 7 days, TI, IUI & Progesterone, BFMFN

    January 2015: IUI #5
    Gonal-F 75iu 7 days, TI, IUI & Progesterone, Another BFMFN onto IUI #6
       image

  • Welcome, though sorry you have to be here. I don't have anything to add since PP have covered everything I would say. Good luck! Definitely consider going to a RE!
    Married: 12/15/2012    TTC: 08/2014
    Husband: 26 SA: normal
    Me: 23 Low AMH and damaged ovaries due to chemotherapy.
    No AF or O in 3 years. HSG showed a slight T shaped uterus.

    High Risk OB 9/29- got the ok to get pregnant.
    RE Appt:  10/28/ U/S showed follicles, but also small damaged ovaries.
    B/W results CD0: all normal except low AMH at 1.3
    Cycle 1-November (TI)- Femera 2.5mg, 2mg Estradoil, and Trigger=BFN
    Cycle 2-December (TI)- Femera 2.5 mg ,4mg Estradoil, and Trigger= No O
    Cycle 3-January (TI)- Femera 5 mg, 2mg Estra
    doil, and Trigger=


  • Welcome! It sounds like you've gotten good advice from everyone, and I hope it is helpful. Having to wait to move forward is the worst feeling, whether its because you are waiting for tests, waiting for your husband to not be away doing something awesome like police academy, or waiting for a big stupid a-hole cyst to go away. Nothing about IF is quick. That being said, I think getting all your testing done and possibly trying a few IUIs if they fall on the weekend (or freezing sperm) are all good ways to deal with the waiting time. Best of luck!
    ****SIGGY WARNING****

    image





    TTC since May 2013

    Me: 31, blocked tube
    DH: 35, azoospermia :(
    IUI #1 (50 mg Clomid, Ovidrel) on 9/7/2014: BFN
    IUI #2 (100 mg Clomid, Ovidrel) on 10/3/2014:
    BFN
    IUI #3 (100 mg Clomid, Ovidrel, Estradiol) on 11/1/2014: BFN
    First RE appt. on 11/11/2014
    November 2014: Benched due to cyst :(
    IUI #4 (5 mg Letrozole, Follistim, Ovidrel, Crinone) on 12/26/2014: BFP!!!
    Beta 1 (1/9/2015): 292     Beta 2 (1/12/2015): 843


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