Is there any point in another HSG? (child ment.)

[Daffodil]

History: child born by c-section 4 years ago.

I've had secondary infertility for 26 months now. I had an HSG performed at the 1 year mark, a little over a year ago. It was perfectly clear. I also had a sonohysterogram performed by my RE about 8 months ago. Also good results.

My RE says there is no point in another HSG because the test a year ago showed no blockages or uterine defects. I am mainly worried about fallopian blockage, we can't figure out any reason why I am not getting pregnant.

Is there any point in another HSG if my HSG a little over a year ago was clear? Can scar tissue from a c-section form years after the fact (i.e., not present a year ago but is now.)

[Scott Roseff MD]

Hi,
There's a low likelihood of a problem in a little over a year, but one never knows... What was DH's strict (Kruger) morphology on his sperm? Sperm DNA fragmentation test result? Your TSH? Cycle day 3 FSH/E2 and antral follicle counts? Prolactin?

Dr. Roseff in FL

[Daffodil]

I should also add that I had a chemical pregnancy about 5 months before the HSG. About a year and a half ago.

[Daffodil]

My day 3 labs were: FSH 6, LH 5, I don't remember prolactin but it was low, estradiol 30, AMH was 2, antral follie count 18. I don't remember my husband's semen analysis results but my RE said they were excellent, and they've been great for all of our IUIs too. (I've now done several Femara/IUI cycles, all failed.)

My TSH was 2.4 at last check, about 8 weeks ago.
I am 30 years old. My husband is 33.

[Scott Roseff MD]

So since you said you were on Femara, you must not ovulate by yourself without medication. If you DO ovulate without drugs (have regular, ovulatory cycles), then taking Femara can "throw a wrench into your works".

Since you have irregular cycles, necessitating Femara, what's your diagnosis as the underlying cause of your irregular ovulations?

Dr. Roseff