Getting Pregnant <
Trying to conceive
23/06/2014 at 08:42
Apologies for the long thread title!
This one was my suggestion and it was to understand what happens if/when you have been TTC'ing for a long time - where do the docs start? What sort of tests do they do and where to next? By long time, I mean > 6 months - I think I read in Toni Weschler's book that if you have been charting for 6 months and no BFP, that's the time to go to the docs however I'm pretty sure I've seen it as a year here?
23/06/2014 at 09:11
23/06/2014 at 09:27
I think most GP's are given the guideline of 12 months TTC before referral, although if you are over 35 (IIRC) its 6 months. It really depends on your circumstances, what comes back as an issue (if anything at all) as to which path you go down once a referral has been made.
In my experience, I went to the GP's just before 12 months TTC as I had irregular cycles (from 29-98 days!) and no BFP. The doctors did some day 3/21 bloods (although as I was doing OPK's/temping I went in for my 'day 21' bloods 7 days after ovulation) which confirmed I was ovulating, albeit later than 'normal'. Clomid was mentioned but they wouldn't prescribe it - I had to be referred. They referred me for an ultrasound to check my ovaries which came back showing several suspected cysts in my right ovary. My H did a SA which came back normal. After all that we were around the 1 year mark so we were referred. That took a couple of months to come through then when I saw the consultant he said they thought I had PCOS, but wanted to do a hycosy to check my tubes first, plus another SA for H. So I had that done a couple of months later which showed my tubes were clear. H's SA came back normal. Then I had to book another consultant appointment which took another couple of months and he finally prescribed me clomid. I also, after that appointment, had some blood tests done, I wasn't sure what they were checking for but one was my ovarian reserve. I had a follow-up after three months, and those three months on clomid were unsuccessful. They brought my cycles right down to within normal, although not the same length each time. At the appointment I was told my blood results came back normal, my ovarian reserve was 10.6, which now I know to be on the low side but he seemed to think it wasn't an issue. I was told to carry on with clomid, and on the fourth cycle I got a BFP; a twin pregnancy that unfortunately we lost. I then fell pregnant on the next cycle on clomid, following a natural cycle after my ERPC, almost 2 years from starting TTC. I'm now 30 weeks pregnant and so far so good.
I think my experience is the norm for when you have unexplained infertility or PCOS. Although a friend has PCOS and she was given metamorfin (sp?) first, which regulated her cycles and she didn't need clomid for her BFP.
23/06/2014 at 09:30
I forgot, after my first consultant appointment I had the day 3/21 bloods done twice, once showed ovulation, one showed no ovulation, even though I had positive OPK's and my temps rose. I also had to do that again when they prescribed me clomid, which showed I ovulated both times.
23/06/2014 at 09:36
23/06/2014 at 09:53
I know MrsB I think if some trusts have long waiting lists they have been told to up the length of time a couple has been trying. It's so frustrating that it differs from place to place. She could try going back, seeing a different doctor and/or pleading for them to do the day 3/21 bloods? Otherwise unfortunately her option is either pay privately or wait. It really is unfair :(
23/06/2014 at 09:57
Thanks for starting this topic Tayto, it's good timing as I'm sadly at the testing stage now :-(
Thanks for sharing Brownie and congratulations on your pregnancy, it is nice to hear positive stories and it's great your doctors got you tested at the 12 month mark.
Mrs B - 2 years is far too long I can't imagine having to wait another year to even find out if there is a problem, do you think it might be because they are both still young? No excuse though everyone should have the right to at least find out if there is a problem.
So my H and I stopped preventing this time last year but have only been trying properly for 12 cycles which for me is under a year. H went to the docs about something not relating to ttc but mentioned that we had been trying as well and the doc was happy to send H for his SA which he has booked for this week. Once the results are in I'm hoping to be sent for my tests as well.
I will be reading this thread with interest!
23/06/2014 at 10:06
We had been trying for 2 years before we made the first appointment with our GP, there and then we filled out all the forms incase we needed to be referred, which we didn't expect to do there and then. Shortly after I had day 21 bloods which check all of your hormone levels, and H had an appointment made for a SA. All results came back ok, and I had my referral appointment with the clinic come through which was about 3 months after the bloods and SA. We discussed fertility options, broached the subject of IVF, IUI, Clomid and then it was arranged for me to have a HSG which is an internal scan to check your tubes for potential blockages, it was then where it was confirmed I had Bilateral Hydrosalpinx which is fluid in both tubes, the only option was to have my tubes clipped, and it was straight to IVF for us.
23/06/2014 at 12:10
I'd been off the pill for roughly 3 or 4 months when I first visited my usual GP as my cycles weren't playing ball and I'd only had 1 period in that time. It was then discovered they were aware of a problem with my cycles and that's why they had originally put me on the pill at 14 to try and regulate them (I was oblivious as to the reasons why until then). She told me then that because of my history if I came back after a year if we still hadn't concieved that she would refer me.
After 1 year of trying we went back to the doctors and unfortunately my GP was on a 6 month leave so I couldn't see her. The new GP I saw told me that it was a strict 2yr wait regardless and that there was nothing she could do until we'd been trying a year. I was pretty hysterical at that point as I'd still only had roughly 6 cycles in that time and had been told something different previously. Luckily my husband had come with me to the 2nd one and was able to put our point across more succesfully. She then agreed to do the basic fertility tests under the understanding we wouldn't be allowed to go any further regardless of the results.
My husband had a sperm test (came back that he had super sperm with 389 million in the sample when the average is 39 million - he was strutting around like a peacock for weeks afterwards!!) and they did an internal scan for me to check on my ovaries. My results came back that my ovaries had an extra thick coating on them and that was probably the cause of my erratic ovulation but that wouldn't investigate any further until another year had passed.
Luckily we managed to time it right despite my crazy cycles and 3 months after the tests we concieved and I am now pregnant. I'm not sure what the situation would be if/when we try for any future children as my problem with my ovaries and lack of regular ovulation will still be there. It's something we'd have to look into further down the line I guess!
23/06/2014 at 13:34
We had been trying for just over a year before we first went to the GP. Initially I had bloods done on day 21 and day 3, and H was sent for a SA. The results of those didn’t highlight any causes for concern, so we were then referred to the fertility clinic. Once our first appointment there came through, we had about 4 months of loads more tests, including a couple of internal ultrasounds and a HSG for me, and the results of these tests put us in the “unexplained” category. As this was the case, we were then told that we couldn’t be referred for treatment until we’d been TTC for 3 years, so we were sent on our merry way for just over 12 months. The consultant we saw didn’t seem to take our concerns seriously and said she’d be very surprised to see us back, but obviously we didn’t conceive and we were back 12 months later, so at that point she arranged for us to be transferred across for treatment.
23/06/2014 at 14:00
Hello ladies, we're in the early stages of getting tests done. We went to the Doctors after we'd been trying just over 12 months, he gave me a blood test on cd21 and my H went for a sperm analysis. My blood test came back normal but H's SA was low. The doctor said before he'd refer us we'd have to have a repeat SA in 3 months time as SA can vary if someone is poorly or stressed when it's taken, so we'll be retested next month. The nurse also took a chlamidya (not sure how to spell that) swab from me and something else which I can't remember when she did my smear recently, she said I'd need them so she may as well while she was in there!! They were clear though. The doctor also advised me to get my weight down to help things which I am focusing my energies on, the policy says you must have a BMI of below 30 to qualify for IVF. In our region if you have unexplained infertility you have to continue to try for 3 years before they'll offer treatment, and if it is explained they'll offer 2 cycles of IVF.
23/06/2014 at 14:03
23/06/2014 at 18:42
We had been trying for over a year when we went to docs. I was 33, H, 40. They referred me for blood tests to check cycle and an SA for H. It took a few months for all these results to come back but they showed H's SA as low. The doctor wouldn't do anything until H had another SA three months later. That one showed his SA was fine, and actually really high. As it was over 18 months of trying by this point the doctor said she'd take it further if we wanted but as the second results showed there was nothing wrong we might wish to keep trying naturally for a bit longer. We went home to think about it and agreed to give it a few more months. We were both pretty scared of taking it further I think. A few months later we decided to go back to the doctors and two days after that I got my BFP. Currently 31weeks.
24/06/2014 at 20:47
We were TTC for about 8 months when I mentioned it to the doctor, although I was there for an unrelated issue. They made an appointment there and then for my 21 day bloods, which they performed twice to be sure. As soon as they came back clear H was referred for a SA, so by the year mark we had already been through all of the non-invasive tests.
I was referred to the gynecology department at a local hospital a few months later,who performed an internal ultrasound to rule out fibroids, cysts, etc. When that was all clear I was referred on for a. HyCoSy. I fell pregnant immediately after the HyCoSy (same cycle, HyCoSy on CD10, ovulation on CD14) and all has been well so far. The HyCoSy detected a blockage in my right tube, which they were able to clear by forcing through more dye and water...I have no doubt that we would still be TTC without the HyCoSy being performed.
All in all, from day 1 of TTC to HyCoSy it was 21 months. I credit this to a great doctor who pushed for referrals, and I am stunned at hearing of people TTC for two years or more with no support. Blood and semen tests cost pennies so it really is ridiculous that so many people are made to wait for these.
When we started TTC I was 24 and H was 33, so both still young with no known problems. We are in Glasgow, just for reference of waiting times in different areas.
25/06/2014 at 09:22
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