Tweet
I'm 35 and my husband and I have been unsuccessfully trying to conceive for 18 months. We recently starting seeing an RE and have gone through the initial testing (sperm analysis good, HSG shows open tubes, cycle monitored through ultrasound and blood tests - ovulation around Day 17 - 2.1 cm follicle day of LH surge (Day 16) and ovulation confirmed via ultrasound 2 days after Lh Surge - showed follicle released, other blood tests normal).
The problems found are:
1. (via sonohysterogram) that I have 2 uterine polyps - 1 is 2.1 cm (0.8 inches) and another much smaller that will be removed via operative hysteroscopy.
2. I have very low progesterone 7 days post ovulation (5.68 ng/ML or 18.06 nmol/L) and a shortish luteal phase (10 - 11 days) with spotting for several days
3. Very concerning is FSH of 12.9 on Day 3 as well as an Antral Follicle count of 6. I will soon have an AMH and fragile x blood test.
Also through these procedures I found I have a very, very tight cervix that made inserting the catheter extremely difficult (near impossible) and painful, although the RE said this makes it difficult for the doctor, however would not cause my infertility problems.
Based on FSH and AFC, I understand that it may be more difficult for me to become pregnant after my problems with the polyps and low progesterone are treated.
Is there any point in trying IUI for a couple cycles or would it be best to jump right into IVF?
My doctor also wants me to have a Lupron Depot shot 1 month before the hysteroscopy and I think the reason is to thin my lining (I have a lot of spotting from the polyps and/or low progesterone - lining was 1.3 cm mid-cycle). Reading up on this, I really don't want this shot and will discuss this at my next appointment. Is there another drug I could take if the doctor insists on something (I suggested the birth control pill, but was told that would make the problem worse).
Thank you for your input.
The problems found are:
1. (via sonohysterogram) that I have 2 uterine polyps - 1 is 2.1 cm (0.8 inches) and another much smaller that will be removed via operative hysteroscopy.
2. I have very low progesterone 7 days post ovulation (5.68 ng/ML or 18.06 nmol/L) and a shortish luteal phase (10 - 11 days) with spotting for several days
3. Very concerning is FSH of 12.9 on Day 3 as well as an Antral Follicle count of 6. I will soon have an AMH and fragile x blood test.
Also through these procedures I found I have a very, very tight cervix that made inserting the catheter extremely difficult (near impossible) and painful, although the RE said this makes it difficult for the doctor, however would not cause my infertility problems.
Based on FSH and AFC, I understand that it may be more difficult for me to become pregnant after my problems with the polyps and low progesterone are treated.
Is there any point in trying IUI for a couple cycles or would it be best to jump right into IVF?
My doctor also wants me to have a Lupron Depot shot 1 month before the hysteroscopy and I think the reason is to thin my lining (I have a lot of spotting from the polyps and/or low progesterone - lining was 1.3 cm mid-cycle). Reading up on this, I really don't want this shot and will discuss this at my next appointment. Is there another drug I could take if the doctor insists on something (I suggested the birth control pill, but was told that would make the problem worse).
Thank you for your input.
Comment