Getting Pregnant <
Trying to conceive
17/07/2013 at 08:38
Just a couple of questions if anyone knows the answers...
I occasionally use the ovulation POAS sticks, the cheapies off amazon. I havnt been using them everyday around what I think is ovulation - should I?
Will the line show the ovulation period or will the line just show on the day of ovulation itself?
Basically I get ovulation cramps, ecwm etc & then 14 days or so later my period arrives so Ive always thought Ive been ovulating, even if the stick hasn't shown it - with not doing it every day I thought maybe Ive just missed testing on the day itself.
Im being referred to gynae for infertility tests etc - hopefully within 3 months I'll get an app. Does anyone know where they will start with me?
Im in NI so the processes might not be exactly the same.
Im pretty convinced Ive either PCOS or Endo - acne, weight around middle, cramps regularly (not just certain times of cycles) etc.
I know this has probably been done to death but to be honest I never really took in threads like that hoping I would never have to know
OH is to go to his doc for a sperm sample test too.
The rollercoaster of TTC!
17/07/2013 at 09:09
I can't help you with the infertility test questions Im afraid but I do wish you all the luck in the world with them.
With opks you really do need to test everyday yes. Some ladies get a darkening line for a couple of days then a positive. Some just one day of a positive. Trouble is even a positive doesn't confirm ovulation plus they are notoriously difficult to interpret. The only way to do that is temping. Have you thought about that? It looks tricky but it's really so easy and even if you aren't totally accurate with it you should still be able to detect if you are ovulating.
17/07/2013 at 09:11
I second temping. It's fantastic, and quickly becomes second nature once you get used to it.
Lots of good luck vibes for your tests xx
17/07/2013 at 09:58
I'd recommend temping too. Have a look at fertility friend (web or phone app) - if I were you I'd start charting now so you've got some data to take with you. It *might* help them see what's going on & it *might* save you from some tests.
I have phone & thermometer beside the bed. Alarm goes off, stick thermometer in mouth, snooze, wait for the beeb, then pop temp in app. Simples.
I think you need to use the ovulation sticks at least every day. I've never managed to get a positive on the strip ones but have had some very strong lines. Temping is the only way of confirming you have definitely ovulated. The tests pick up on a surge in LH which triggers ovulation - the LH levels have to be above a certain amount to show a positive & the surges can last a couple to several hours so can easily be missed on the tests. You would normally get a positive result then expect to ovulate within the next day.
I imagine the first lot of tests would be a whole range of blood tests possibly on certain days in your cycle to see what your hormones are like. If they suspect PCOS you'll probably have an ultrasound & possibly an internal one too.
Don't be worried about asking questions - I think there are a few seasoned charters & tempers around these parts!
17/07/2013 at 11:31
Thanks for all your replies - I actually started temping this morning and downloaded the app on my ipad but cant remember my log in & my phone app doesn't seem to have temp chart? Must get a better look at it tonight.
Should have said I had a ovary & kidney scan in Nov 12 which showed no cysts & I asked my doc if I could have PCOS without the cysts & he basically said no. He told me just to give me body time after being on dianette so long (10/12 years). But im totally convinced. My skin is disgusting and my middle so so fat.
I remember going to gynae when I was 15/16 & he felt around my tummy just - I didn't want an internal examination. Basically they said if I did have PCOS they would keep me on dianette which I was already on due to roaccutane for my acne so I seen no point coming off it for testing purposes. At that age all I cared about was my skin!
How can they take my bloods though when my cycles are not always the same? Im a bit worried about that. Doc seems to think they will do a dye test to check my tubes.
17/07/2013 at 11:51
SaSaSi - is it your first appointment with a specialist or fertility clinic?
I am in a very similar position to you - problems when I was 15 that were left 'undiagnosed' and put on the pill to cover it up. Now trying to see if the problem is still there or not. I've had 3 bloods taken, all have shown low progesterone (as timed incorrectly) and unfortunately thats enough for them - they see it as they may never be able to time it right (they have done for me anyway). So, I presume they may do the same for you and take your bloods as they are and deal with those as thats what they always are (but keep in mind irregular cycles). If they suspect PCOS they will send you for an ovarian scan too. This was all done by the doctor for me, who then referred me to a specialist. The specialist just asked my cycle history, decided that I may of had PCOS when I was younger and that my weight loss has improved it (despite the specialist when I was younger saying I didn't have PCOS!), and put me on Metformin, with advice that if not pregnant by February I'd be referred to the fertility clinic.
17/07/2013 at 11:53
Oh and advised what would happen at fertility clinic - it would be 6 cycles of Clomid with tracking scans, then the tube test (to make sure they are not blocked). I think this is based on the fact I always had withdrawal bleeds whilst on the pill and have had 3 natural AFs in my life, so they take this as a good sign.
17/07/2013 at 12:56
Not sure about the POAS question but I can tell you a bit about the initial infertility tests.
So first was the initial app wth my GP, where they asked a few questions about your periods, how long you’d been trying just general stuff, and they checked our height and weight. H was sent off with details to arrange a semen analogy and I was sent for day 21 bloods.
Once you’ve had those carried out, you’ll have your initial consultation with Gyae, again a few questions will be asked and then you’ll do a swab for Chlamydia. The next route of action will be determined and then and an appointment will be made for whichever procedure is discussed. For me they sent me for a HSG which is the dye test you mentioned, after that I then had a scan which was transvaginal as they suspected tubal blockage from the dye test but to be fair I think in most cases both procedures will be carried. Then it’s just a case of waiting to see the findings and what next, you might have to have blood tests if PCOS is detected.
17/07/2013 at 12:59
The gynae will most likely ask your symptoms and about your cycles, probably exmine you too. They will arrange blood test and maybe scans in the vital areas.
The gynae won't be able to prescribe anything for fertility. You'll have to be passed onto fertility for that.
At fertility they will establish whether you are ovulating or not (if you have regularish cycles), perform a semen analysis on your partner and take it from there. This was the point we found out my H had duff swimmers so we were referred for IvF.
You may then be booked in to have a procedure to check your tubes are open (HSG). Or if they suspect endo, a laparoscopy where they can check your tubes as well as look and remove any endo.
If you are ovulating, tubes are open and his swimmers are fine, you'll be advised how to time intercourse best. You may be given clomid. You may be advised to have IUI where the sperm ate placed in the right place on the right day!
If anything comes back abnormal with you tubes, extensive endo or your H's swimmers, it will most likely be a referral for IVF.
My advice is to just take each step as it comes. Thinking too far ahead will make it seem like an enouous amount if appointments and questions and waiting and heartache. Focus on your next appointment, and get any questions you have ready. Then in the meantime try and relax until the next step. And finally, there is nothing you can do to make it move along faster, so don't worry about that either :-)
17/07/2013 at 19:54
Thanks for all the info & kind words ladies.
This will be my 2nd time at gynae but first was many many years ago. Never attended a fertility clinic.
I am really trying to lose weight- have just under 2stone to go. I exercise & eat healthy 90% of the time. I guess I need to concentrate on getting the healthiest I can be & just look forward to our turkey hol in sept.
I'm just such an organised person by nature & having no idea or say in this is really hard - I always thought we'd have a child by oh 30th in nov, then I said to myself maybe be pregnant for it , wouldn't that be the best birthday present for him ever. Hard to let o of he reigns :(
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