Normal tests, no BFP?

[phillylauren]

Hi everyone,

I am 31 and my husband is 36. We have had all of the testing possible except for an HSG (I will get this done in June as we are living in London until then and are not covered for fertility). I have an appointment with an RE next week at home in the States, but have been seeing an Ob/Gyn in the UK.

I guess my question is...what would you do? Would you go ahead and start clomid? I ovulate each month and my progesterone for 7 dpo was 15.8 which I thought was pretty strong. I am concerned about multiples, and wanted to do this as naturally as possible. However, after ttc for 13 cycles with no good news other than the test results, I am up in the air as to what to do.

My cycles are regular, my period seems healthy. My only concern is that I spot sometimes from 9-10 dpo and the day before my period.

Any advice, opinions, experiences are appreciated!

Thank you!

[phillylauren]

Thanks, girls! My husband has been tested. So I think the next step is to get my HSG. I am home for a visit for two weeks on Monday, but it will be post ovulation, so no HSG then. We are home permanently in June and I will hopefully be monitored that month and get the HSG. I am assuming he will offer clomid? My ob in London and back home offered it, but I was hesitant to take it. Even though I am ovulating, they thought it would give me more of a chance. My progesterone levels have been fairly high when tested, but I can't figure out why I'm spotting then? I thought spotting was a sign of a weak ovulation and low progesterone-both of which my blood work negated.

Do you think if I waited until June for clomid to be monitored it could potentially help if I just took something for progesterone? But yeah, I think considering my hesitations, I should only take clomid if monitored. Oh I hate waiting!!! : ( But I'm kind of relaxing now since I know there is nothing I can do until June.

Thank you so much for your replies!!! : ) Lauren

[Tarobinc]

Hmm...if you are ov, then you wouldn't need clomid, right?  

Could you wait until you see the RE and get the HSG done? I was told an RE will do a monitored cycle as where an GYN will not. Meaning no labs or sonograms done will on clomid at the GYN. That is the reason I opted to wait to start clomid under the care of an RE.  

With the sonograms you can see how many follies are ready to "pop" an egg out. I was also told more than 5 follies ready to go increases your odds of mulitple pg. My RE would halt a cycle if I had 5 or more. I have only had at the most 3 follies while on clomid plus injectables.

And the old wise tale or perhaps a fact, depending on who you talk to, is that you are more fertile after an HSG since it flushes out your tubes.

Of course you need to do what you are ready for and i can understand not wanting to wait. My advice would be to see if you have any structural issues after you get your HSG and then go from there.

Good luck!!!!!!

[texasangel343]

Has your husband been tested?  Dont be too fearful about multiples.  The chances are very slim with the ovulation inducing pills...but it does give you another opportunity to conceive ... if you have more than one follicle.  

What does your doctor say about the spotting?  I spotted a little - but I found out that my progesterone was too low to carry a baby, so I was on progesterone suppositories starting 2 days after ovulation.  Both times I took them I ended up pregnant.  

I would start with your husband and go from there.  There are lots of natural things you could do...but those could take longer to work than the "fertility drugs" currently used.