Infertility

Define "trying"

hi everyone! So have a question I hope will start a discussion. My husband and I disagree over the word trying. As in, how long have you been trying to conceive? I also can't seem to get a definition online. Our doctor takes my stance...
i got off BC three years ago, the first year being separated from the DH living on separate coasts but visiting about every month. We thought things might happen naturally just doing what we do without prevention. We then started trying to do the BD more often but never really charted. Now I am using Glow to track things. To me we began trying once I was off BC. To my DH we haven't started yet because I just started tracking things and we need to time the BD better. The doc says regardless of timing or tracking after three years of no BC there should have been at least one pregnancy. 

Thoughts? How do you define trying when asked that question? 

Re: Define "trying"

  • My personal standpoint is that you are trying once you are routinely having well timed intercourse. For that you need to be at least trying to confirm ovulation. With well timed intercourse you still only have a 20% of getting pregnant. Its very possible that you're just missing your fertile window entirely. I think you should try opks or temping for at least a few months before you throw in the towel and start any treatment. 

    However, if you are already aware that you have a condition then it makes sense to go ahead and get started with an RE. They can give you more insight on when/if you are ovulating. 
    Me: 31 Husby: 36
    Married May 2014
    TTC # 2  Since December 2021
    Baby girl W born 2/2021
    Our journey so far...
    (tw loss & infertility)
    Diagnosis: Poor Egg Quality 
    Working with an RE since March 2016
    2 failed TI cycles
    3 failed IUI cycles

    IVF Feb - April 2017
    23 eggs collected, 20 mature, 14 fertilized with ICSI, 4 day 3 blasts, 3 day 5 blasts, 1 PGS normal
    Transferred 1 PGS normal embryo 4.12.17
    BFP 4.21.17
    MMC due to small gestational sac 6.8.17

    Our adoption journey:
    12.25.18 Agency picked and apps submitted!
    5.1.19 Adoption on hold so we can buy a house! 
    1.1.20 Homestudy process started
    3.14.20 First social worker visit
    5.25.20 Homestudy Approved & Submitted to Agency

    6.1.20 Surprise! Positive pregnancy test!
    Healthy baby girl born 2/10/2021


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  • I agree with @tamalahoops - I don't think going off BC pills can be considered trying since timing is everything and there really is a smaller window than ppl think each month to conceive in. 

    For me "trying" was when we started tracking ovulation (temping/opks) so we knew we were in my fertile range when bd'ing. 

    That being said, some people "pull the goalie" and hope for the best, knowing ovulation happens in the middle of the cycle, so for those people if they were consciously hoping to get pregnant, sure, I'd consider that trying too. Depends on the individual and their circumstance etc. 

    I would personally agree with your husband, but I understand what your doc is saying too. However if you constantly have intercourse away from your fertile window (I know this is often the case with me because I experience ovulation pain and am often not naturally in the mood around that time), then it's irrelevant that there's no BC pills because you're essentially using timing as bc. 
    ---
    Started TTC April 2011
    Me: 32, DH: 32
    Diagnosis: Endometriosis

    • 2012 - 3 Rounds clomid - all BFN
    • 2013 - 1 Fresh IVF with 2 day 3 embryos - BFN
    • 2014 - 1 Frozen IVF with 2 day 5 embryos - BFN
    • Took a long break, continuing trying naturally
    • Feb 2016 - Biopsy = Endo, DH sperm improved from 1% to 6% morphology
    • March 2016 - Fresh IVF cycle with acupuncture & intralipids: 20 eggs retrieved (17 mature), 7 ICSI'd fertilized, 9 naturally fertilized. 16 total embryos!
    • April 8th - 2 embryos (1ICSI and 1 Natural) transferred. (7 blastocysts frozen), April 18th - Beta = BFN
    • Sept 23rd - Lupron Depot Injection for Endo control
    • Nov 15th 2016 - Started daily Lupron Injections for upcoming FET
    • Nov 22 - Baseline US/BW - Intralipid Infusion - Start Meds for FET with immune protocol
    • Dec 16th FET transfer of 3 embryos (1 - AA, 2 - BB)
    • TW below
    • Dec 22nd - first ever bfp (very faint lines FRER & cheapie)
    • Dec 27th Beta = 192, Dec 29th Beta = 379
    • EDD - Sept 5th 2017

    - - -
    I'm a YouTube vlogger who talks about Infertility, IVF and Endometriosis. Check it out here!
    Follow along at http://liv4today.blog
    Instagram @liv4todayvlog 


  • I consider me and DH trying from the time we got married.  I stopped birth control 2 months before our wedding. We used no contraception b/c we wanted to start trying immediately due to my endo. I didn't start using OPKs until about 6 months later. Which were a bust for me. My OB-GYN considered us trying from the time I stopped BCP. My RE didn't consider us trying until we started using OPK and charting. DH doesn't really have an opinion on the matter, he just knows we haven't gotten pregnant in the 9 years we've been "trying"! 

    TTC for 8 years.
    Started in 2008 with timed intercourse, ovulation testing, no official monitoring.
    OB-GYN recommended Clomid and timed intercourse, attempted for 6 straight months.
    First surgery June 2009 (OB-GYN): diagnosed with stage 4 endometriosis and large hydrosalpinx on right tube.
    Second surgery (July 2009, RE performed this): Right tube had to be removed, lots of adhesions removed.
    Attempted "trying on our own" as per RE recommendations, unsuccessful 5-6 months.
    HSG performed December 2009: left tube open.
    February 2010: started Femara and timed intercourse, attempted 6 months, no BFPs.
    Took a break for a while.
    January 2011: started IUI process, ovaries never properly responded to medications, 6 failed attempts, never actually completed an IUI.
    Took 2012-2014 off due to depression and frustration (side note: did complete grad school to become a nurse practitioner- great distraction).
    2015: started seeing RE again, went through tons of testing and HSG, left tube now blocked, only option is IVF.
    September 2015: Started first official IVF cycle, cancelled in October due to large cyst on left ovary.
    October 2015: started on birth control for 2 months.
    December 2015: attempted to start another IVF cycle, cysts on both ovaries on initial ultrasound, left was huge, cancelled to aspirated cyst.
    January 2016: Cyst back, surgery for ex-lap, cyst and adhesions removed.
    March 2016: Attempted second IVF cycle, estrogen way too high, cyst back, cancelled again.
    April 2016: Third attempted IVF cycle, 7 eggs retrieved, 2 mature (but not great) embryos made to fresh transfer, neither implanted.
    May-Sept 2016: Break to regain sanity.
    Sept-Oct 2016: Attempted fourth IVF cycle, very successful, cyst still on left but we ignored. 7 mature "great looking" eggs retrieved, 4 mature embryos made it to day 5 transfer. Transfer aborted due to large amount of endometriosis fluid in uterus.
    FET of 2 embryos completed on 12/12/16.
    12/22/16 1st Beta 179 BFP!!!
    12/24/16 2nd Beta 449!!
    EDD 8/30/17 with two girls!!!!!

    Audrey (4lb 8oz) and Olivia (6lb 6oz) born 8/10/17!!

  • We consider "trying" from the moment we discussed our plans for growing our family, and both agreed that we were ready to become parents (2012). Due to his work travel schedule, selling/buying/moving homes, and a lot of other factors, we weren't always able to "try" every single month. But if we didn't have timed intercourse it was always because of an external factor. We believe that our TTC journey started with the mutual agreement to grow our family. 
    Me: 32 | DH: 40 | Dx: MFI, PCOS, Anovulation
    HSG Dec 2016 - all clear :)
    TTC since 2012
    May 2016 - IF diagnosis
    Nov 2016 - first RE consult
    Dec 2016 - IUI #1 - TBD
  • Not trying, not preventing is kinda what you started with; going off birth control, having unprotected sex, letting nature take its course kinda thing. 
    Now your trying to conceive by actively tracking your cycle for fertile window, timing and having frequent intercourse, using OPKs that kinda thing. 
    The first year I would count as trying to make a baby because a choice was made and hopes built up, but I wouldn't stress over the first year so much because it's hard to make a baby without the vital fertile window being covered. 
    Once you see a doctor, use pee sticks, and track cycles and intercourse is when the trying starts for those of us who are infertile..... So I guess it depends on the audience. I think you and your mister are both right lol.
     

    Me 35, Him 40
    TTC June 2013
    Lap, HSG, Hysteroscopy
    High FSH/ Low AMH
    Endo Mild/ Moderate
    History w/Clomid/Femera/Progesterone
    IVF #1 cancelled poor responder
    IVF #2 two good eggs/ froze both on day 3 rather then lose before blast
    Awaiting sonohystogram to determine if minor surgery needed before FET


  • I considered us "trying" when we got off of birth control, which was a week before our wedding.  We were having intercourse often enough where we didn't need to track ovulation. 
    Me: 35  DH: 36
    Me: 1, possibly 2, blocked tubes
    DH: severe MFI
    Married and TTC since 2/15
    Started stims 7/21/16, ER  8/2 --> 17 eggs, 5 blasts after PGS testing.
    Fresh transfer 8/8/16: Chemical Pregnancy
    FET #1 9/13: PGS tested 5AA, BFN
    Endometrial biopsy 10/18/16: normal result
    ERA test 10/18/16: "receptive" result
    FET #2  1/3/17: natural cycle, BFP!!! TWINS!!  EDD: 9/21 (8/31 with twin adjustment)

  • We defined trying as being off the pill abd having timed intercourse after tracking my cycles
  • Timed intercourse while off of BC. With my daughter I was off BC but for various reasons we blatantly missed my fertile window for a good 6 months, I considered us trying when we started BDing during that window. Say you had sex 2-3x a week all the time, even without knowing your ovulation day exactly you should have SOME kind of luck.

    all that being said, the most frustrating thing for me in this process was how long testing took.. we started tests in Feb 2016 and will just now be doing IVF this Jan. Appts take months to see docs (around here) and every test is incredibly specific for when they can do it. So if you want to get the ball rolling and start tests if your doc would agree with your timing stance, I'd start. It doesn't hurt, and you can really track ovulation even while starting tests.

  • Thanks everyone. We are already past the testing point with infertility diagnosis for both me and DH (his was unexpected). I think he might be in denial so tries to explain away not getting pregnant because we "never really tried" which to him is charting and BD every other day. I tried to explain two to theee times a week should have gotten somewhere over three years. We are now game planning for our next testing follow up appointment... as in what would we want to do given certain results. He thinks no matter what we should give it a year of "for-real trying" when I think it will just be a waste of time with PCOS, hormone imbalances, and sperm issues when, to me, we have "tried" over the last three years. 
  • @MariaBend25 I hate to be blunt but on the other board you posted that he has really low counts, morphology and motility. This is definitely why you haven't conceived. It's doubtful with low counts that you will naturally and trying for years won't help. We spent 6 months trying to get our numbers up and even with IUI were unable to even get a BFP. Speak with a urologist. PCOS Is in theory not the issue because you should be ovulating at some point, you just get less times in the year.
  • Personally I say when you are having sex without preventing pregnancy you are "trying". 

    I get that its not as intense as charting and OPK's etc. but I still say if you aren't actively preventing pregnancy you are trying.

    Together Let Us Seek the Heights


  • @kangastein. Blunt is ok. His numbers were surprising as it was tests just to rule him out and focus on my issues, but ruled him in too. So we are waiting on second round of tests to see if there was something off. I doubt things will be much different. But it was yet another blow after my work up already showed a number of issues. I think it was also a blow to him and there might be a bit of denial/pride going on as a coping mechanism, even though that is being denied. I don't want to push the "trying" issue too hard right now because of that and was hoping there is some type of accepted consensus to convince him we don't need more time to "really try". More will be decided when we hear results and going forward options. 
  • @mariabend25 I had to deal with the pride too and unfortunately it did just take time and acceptance of seeing failed cycles. Maybe try to convince him to take supplements and get his numbers up and try timed intercourse or IUI for a few months, but asking for a year after 3 is outrageous. If you have been having unprotected sex, you've been trying. A lot of girls with MFI see pregnancies first round of IVF, it really is a miracle and it's the most straightforward way to a healthy pregancy with male factor. I learnt this over the course of now 3 years trying. I was hesistant to IVF mostly for the price and honestly should have saved my money doing anything else and done it first.
  • I think he might be in denial so tries to explain away not getting pregnant because we "never really tried" which to him is charting and BD every other day. 
    Totally would not surprise me. My DH has great numbers, and still acts like he's in denial. I have pretty good numbers too - like when they give me ultrasounds and look at my lining/follicles, or my AMH, whatever. I think because our numbers are good, my DH thinks it's just going to take us a couple more tries just ourselves, without assistance. To which I say: "You're in denial. There's a problem, we just don't have an actionable diagnosis."

    But give it time - I imagine that was a hell of a diagnosis to receive. Might be worth spending a couple of weeks to digest the news before regrouping.

    One of the weirdest things about IF is how much you have to think about "trying" vs. "not trying". Like, you have to think about it way more than other people. I cannot tell you how many women I know who got pregnant so much faster than they thought they would, right when they went of BC. And me? We went off BC and were having timed intercourse, and when I didn't get KUd at first, I was like: "Maybe I'm not timing enough - maybe my ovulation estimates are wrong, maybe my OPK was wrong." At some points, I even was like: "Are we having sex like other people are having sex? Am I doing something wrong? Are we in the wrong position, or is this the wrong hole, or do I have a secret, working vagina that I don't know about?" I kept second guessing myself. And that's even before DH started "really trying" himself, like learning about the cervical mucus and checking my OPKs himself, marking my fertile window in his calendar, etc. Sometimes, after my FW now, DH looks like he's going to puke. Like, on the like 5th day of our BD, he approaches the bed like it's a prison sentence, he's so tired.

    If there's something wrong, it really doesn't matter how hard you try by yourself, your odds are just so low - you're like sisyphus, and having spent $1000 on OPKs. But coming to terms with that has been a journey unto itself, at least for us.
  • For what it's worth, I don't think you need to get a consensus.  If you're not ready to pay for and undergo medical interventions, you get to choose to wait.

    Yeah, based on how long you've not been using protection, and his tests, I think you have challenges and it may be a long shot to hope to get pregnant without help.  If I were you, I would seek medical intervention.

    But I'm not you.  If you want to wait, you have the right to wait.
    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)

  • Lurking from TTGP
    @MariaBend25 FWIW the glow app is junk if you want any information about your cycle. I would recommend using fertility friend, the first few cycles some of the information (ie fertile week is general) but once it learns your bodies trends it is far more accurate. I am with the other ladies if you have been having unprotected sex you have at least been NTNP for 3 years and something should have happened. 
    *TW*
    TTC 1/2012
    Diagnosed : unexplained infertility
    6 rounds of IUI and a MC 2/2014, rainbow twins 4/2015
    TTC #3 5/2016
    Restarted Fertility tx
    IUI 2 rounds, baby girl 12/17

  • Thanks everyone the support means a lot and it truly is helpful to know I am not alone on this boat. I hope more can be done and might take some time to digest everything now with two IF diagnosis. I have felt like some of you mentioned, is this even how to have sex, are we doing something wrong? Lol. The last thing I want though is for this stressful time to hurt our marriage because that comes first to me and I know he has my back no matter what so I gotta be there for him to go through his process too. 
  • @MariaBend25 You've received lots of good advice and opinions but I'd like to share  story because when I first found these boards I was scouring for someone like me to make me feel "normal". I have almost your same story, at least the factors you're dealing with (PCOS and low count with low motility). however, my DH wasn't trying to convince me to try longer, he was convinced nothing would work and IVF was the only thing that would work. that was very isolating and not helpful in our very new marriage. but after 9 medicated cycles ,  3 with IUI we found out in fact, it was him too and damn, if he wasn't right !
    After our decision to proceed with IVF after not  a single BFP over 2 years "trying"  our marriage got way better. We don't dread BDing, I don't nag about his supplements and we both contributed our part. 
    It wasn't an easy pill to swallow, but I totally trust my doctor and feel confident I'm getting pregnant with FET of one of our 12 frozen embryos. 

    Best of luck working things out and keep reaching out for support ! 

    Married: October 2014

    Me: 35 DH: 39

    TTC since November 2014

    Diagnosis: Anovulation from PCOSish without syndrome, Male factors - low motility and morphology issues

    April-Sept. 2015 - Clomid and TI - BFN

    Dec. 2015- HSG - Clear tubes

    Jan., Feb., March 2016 - Letrozole 7.5mg and TI with HCG trigger= BFN

    April, May, June 2016 - Letrozole 7.5mg and IUI with HCG trigger= BFN

    September 2016 - IVF round #1;ER 9/26 with ICSI on 14 eggs - developed mild OHSS. 

    Sept 2016 - 12 non-PGS embryos frozen (5 5AAs)

    FET #1 Jan 16, 2017 - BFP!- MC at 6W5d

    FET #2 May 8, 2017 - BFP! EDD 1-24-2018

  • @JESSABER0414. Thank you so much for sharing your story. That does take a bit of a load off, I'm sure you know what I mean. I am personally fearful that IVF is our only option because I don't think I can do it, even though my husband might be willing we also have the reality that we cannot afford it. Makes the options look a little glim but we will get wherever we are going. I wish you and your hubster the best and hope that IVF will work a little miracle for you! 
  • I say we have been "trying" since I began temping, using opks etc from October 2015. My RE however counts the time way before then (so now 3 years) since I was not on birth control and we were only using the "pull and pray" method- 
    DH: 34 | Me: 35
    DS1 9/24/13
    DX Diminished Ovarian Reserve, Factor V Leiden Mutation, Secondary Infertility
    MFI (SA #1
    Count 11mill, Motility: 18%, Morphology: 1%)
    MFI (SA #2Count 7 mill, Motility: 18%, Morphology: 1%)
    AMH .328 
    | FSH 13.2 
    Oct. 2016: Clomid + TI
    IVF: ER 3/1/17; 5 retrieved, 3 mature & fertilized
    Results: 2 PGS normal embryos
    Planned on August 2017 transfer
    **TW**
    Natural BFP 4/3/17,Expecting baby boy via RCS 12/7/17

  • I would consider any time that you were having regular unprotected sex to be trying. I don't think you need to be temping or using opks to be considered trying. Yes, they will help you time sex better, but if you were having sex a few times a week you were likely hitting your FW and would have a chance of pregnancy.
  • liljoy-2liljoy-2 member
    edited December 2016
    For us trying was only the months I used OPK and TI (once or twice during that 3 day window), 8 months total...:( BDing became unpleasant for DH because of the pressure and because I tend to get UTIs. After he found out he had low count he became defensive and sensitive (men's pride) still not acknowledging he may be contributing to the issue (he mostly thinks I have 80% of the "issue") and wants to go IVF/IUI. He doesn't even want to BD anymore in the 'fertile" window, he says it's pointless.
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