Question:

What should be the next step in taking charge of my fertility?

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I am so discouraged because I just turned 31 and I have never been pregnant. We have been married for four years and nothing. I have been sexually active for quite some time and nothing. It’s not that I necessarily wanted to get pregnant by a guy I was dating, but it just confirms that there is indeed something wrong with me. I was diagnosed with PCOS about 11 or 12 years ago. I had a laparoscopy done in 2004 and that confirmed that my tubes were scarred. They did an HSG and both tubes were open, although my left one is obstructed and was slow to respond. I also have a fibroid on my left ovary which causes extreme pain during my period. I had a HSG done in 2007 and it confirmed that both tubes were open, although the obstructed tube was still present. I started taking Clomid in March of this year, and took it for three months with no success.

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  1. Continue with getting DH tested.  In the mean time, search for a Board Certified Reproductive Endocrinologist (the true fertility specialists).

    Here's what I could quickly find that sounds like a good starting point based on an internet search for "Board Certified Reproductive Endocrinologist".

    http://www.dreamababy.com/finding-a-re-d...


  2. PCOS is rough.... I have it too and am also struggling to get pregnant.  Every woman is different, so I can't tell you what you should do, but I will tell you what we've been doing.  I've been on Clomid for 4 full cycles so far without success.  This last cycle we added Metformin and IUI to the mix.  I highly recommend asking your doctor about Metformin - it not only helps you conceive, but also reduces the risk of miscarriage in women with PCOS.

    We're going to try IUI for another couple of months, and if we're still not pregnant, we're going to seriously start considering IVF.  Nobody wants to go to those lengths to get pregnant, but if that's what it takes then that's what we'll do!

    BEST OF LUCK TO YOU!!

  3. You need to see a Reproductive Specialist. He/She will do a full work up on you and your husband. Just because your tubes are clear doesn't been that they are a happy environment. I have endometirosis. My tubes were toxic to anything that enter them, both eggs and sperm.

    After you see a specialist, you will be better informed about your fertility. Knowing your options makes the journey much easier.

  4. Take it easy. My husband and I started seeing an RE in May. You will need help from one, but your case isn't anywhere close to as complicated as the ones if heard in my RE office. There's a woman in the office who's pregnant, she only had one ovary with blocked tubes.  My husband and I where not prepared for how much patience this process was going to require. We have a surrogant waiting in the wings for our embryos.  I just have my IVF cycled cancelled last Monday. No response to meds. I had no eggs to give this month. I panic ed. I started think," OMG,!! we'll need a donor. I just got use to think about someone else carrying for us." My RE want to try a different drug on me. So, yes I'm still upset, but I've got to put it in GODS hands, and remember it's his will. I'm not religious, but sometime you have to think this way to get though the hard times. I wish you luck.

  5. you're next step is to head to a specialist because it's VERY difficult to conceive with pcos. i've heard of lots of couples who have to end up trying IVF. best wishes :-)

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