Question:

OK so I have been refered to a fertility specialist....

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I have a 28 day cycle, always regular. My partners sperm count is a tad below normal but OK. I have put him on Zinc and Maca since we found out and he has cut down on the smoking ( to one a day ). I have never had PID or any STD's. Smear test came back fine, had cervix checked, that's fine. I chart every month and I have EWCM for five days and a very clear temperature rise that stays elevated until my period comes. I have a 10-12 day luteal phase.

My question is really for those who have been in my situ or know something about the process....what do you think she will check me for? Inhostile cervical mucus? I doubt I will have to have my tubes checked or will I? I just don't have a clue why I am not falling pregnant! Been TTC 9 months now :-(

Here is this months chart if you care to look -

http://i279.photobucket.com/albums/kk157/carolsmith61/carolchart.jpg

Many thanks in advance friends x*x

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  1. I don't know why there sending you to a fertility specialist when theres nothing really wrong with you don't worry you will fall pregnant some people take up to a year to get pregnant but it always happens for them don't worry  x


  2. DH and I were diagnosed with "unexplained infertilty" - like you, my cycle seemed normal DH was fine . . . but before he diagnosis, he still did blood tests on CD3 for FSH (follicle stimulating hormone) to check my ovarian reserve, TSH blood test to check thyroid function, CD21 blood test to check progesterone and to confirm that I was ovulating and the hsg to check the tubes . . . he wanted to get all the facts before coming up with a treatment plan.

    Even if there is nothing obviously wrong - many couples benefit from fertility treatments - kick starts the cycle, sometimes meds that produce more than one egg increases your chances and IUIs that get the swimmers closer to where they need to be.

    Good luck & baby dust!

  3. You sound a lot like me when I was TTC my first...the only major difference is that my hubby has above average sperm count so he was ruled out quickly as being the cause even though I had regular cycles that ranged about 28 days with a 9-10 day luteal phase, positive ovulation, and nothing overtly wrong.

    Your reproductive endocrinologist will probably start off with blood work for you on certain days of your cycle to check various hormone levels. They'll probably give you a transvaginal ultrasound to look at things as much as they can (check to see that your ovaries are producing follicles each month and to see if there are any obvious things going on inside), they'll probably give you an HSG to test your tubes as they could be blocked for unknown reasons and if they are it's a very "clear-cut" reason why you're not getting pregnant. They may check your mucus, although we tried for two years, one of which was filled with fertility tests and treatments, and my reproductive endocrinologist never checked my mucus, probably because if you're doing IUIs like we were by that point, there is no need as the IUI bypasses the mucus anyway so it wouldn't be an issue.

    Even if they don't find anything that they can point to that's causing you not to get pregnant, it's likely they'll prescribe clomid and IUIs for you, and hopefully, that will be enough for you to get pregnant.

    For us, even though I seemed perfectly fine, I ended up having some real issues that took a long time to find. I only tell you so you can follow up if you continue to be in the "unexplained infertility" category and aren't able to get pregnant even with treatments...

    As I said, we were doing tests and treatments and while I looked perfectly healthy, all my tests came back perfect, but after 6 rounds of clomid and IUI I still wan't pregnant. We were about to move onto the injectable drugs or IVF. However, my doctor's policy was to do an exploratory laparoscopy if I chose the injectable drugs as some infertility causes still interfere with that so if I had them we should do IVF instead. Both my hubby and doc thought I was crazy for opting for the surgery instead of just doing IVF, I had had tons of ultrasounds by this point and nothing looked weird on them. But, I was going crazy not knowing WHY I couldn't get pregnant. I just wanted to know, KWIM?

    Anyway, my 30-minute exploratory surgery turned into a 3-hour ordeal when my doctor found pretty bad endometriosis thoughout my abdomen and something called a dermoid cyct (basically a weird tumor) that had grown from my right ovary and destroyed it. Now, nothing indicated that any of this existed prior to surgery, not even all the ultrasounds, the HSG etc., because the cyst hid behind my uterus and endo can be hard to see on ultrasound. Lucky for me that I did the surgery as the cyst can twist your ovaries and tubes, rupture making you really sick etc.

    Soooo...long story short...trust your gut and if you still end up unexplained after all the tests, ask about endo as a cause. Two months after I had the surgery to remove it, I fell pregnany naturally. And, I got pregnant on the first try with my second child!

    All fingers crossed that you'll find out what's causing you not to get pregnant and that you do fall pregnant soon. Baby dust to you!

    ETA: Sorry this is sooo long!! :)

  4. I had an ultrasound and HSG (to test for blocked fallopian tubes) and both showed that I have a polyp (maybe more) in my uterus. My doc explained that the polyp(s) could be acting like an IUD and preventing implantation. One of my friends has a fibroid, which is a different mass (muscle tissue, not blood vessels) and different procedure but could be the same problem. These tests are pretty simple and can identify a lot of potential issues.

    The good news is that if the doctor does identify a problem, you will have a better idea of what is preventing pregnancy, and nearly everything is treatable. Good luck!

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