Is it time to get help?

[Anonymous]

Three months is not a long time but it doesn’t hurt to book a consult with an RE. It will likely take several weeks to get booked and more time to do the baseline testing. And keep trying in the interim.
If/when you’re mentally ready to do something, that delay is going to feel like forever. If the appt comes and you’re not ready (or already pregnant), you can always cancel.
Skip the ob and go straight to a fertility clinic, unless you need a referral for insurance reasons.

[Anonymous]

It's not time yet. You're in your late 30s, so you should give it 6 months. You've got the month you got pregnant and had a miscarriage, and then three more months. That's only four. Try two more months, then go see someone. If it would make you feel better, you can make the appointment after five months if you're still not pregnant, scheduling it at least a month out, and then if month number six is the winner, you can always cancel.

You're still WAY within the bounds of normal. Average is 3 months to get pregnant. If you get pregnant within the next two months, you're still well within the normal range. And don't freak out too much about being over 35 - 37/38 is actually where fertility starts to decline. I know it's stressful (truly! My first took 7 months and I was biting my nails the whole time!) but chances are, it's going to be okay.

When you are ready to make an appointment, go right to a Reproductive Endocrinologist (essentially a fertility clinic). Don't waste your time with your GP/OB/GYN.

[Anonymous]

Anonymous wrote:The elephant in the room is that a majority of women do experience a “cliff” at 35. It’s not your DH, you’re just not as fertile. It’s going to take longer.

This is factually inaccurate. The cliff is 37/38 (and then again and much worst at 40).

https://expectingscience.com/2015/03/06/the-mythical-fertility-cliff-at-age-35/

[Anonymous]

It takes several months to speak to the RE and do the fertility testing, so I'd pull the trigger on it now. If you get PG while you're waiting, good for you!

[Anonymous]

Anonymous wrote:

Anonymous wrote:How old are you now, OP?

Thanks everyone. I'm 36 now, will be 37 before the end of this year.

I don't want the first easy conception/pregnancy to mislead me. Seems like it's not uncommon for secondary infertility to happen to people who had no issues conceiving the first.

Follow-up question: what kind of appointment would I be asking for, and from whom? PCP? OB? I can no longer go to my previous OB due to a move, so I don't have a current OB. I remember at my last practice you either schedule for the GYN side to get your annual, or the OB side once you have a home positive test. If I just want to discuss fertility and ask for next steps, who do I go to?

Semen analysis for your DH

Salpingogram and antral follicle count ultrasound
FSH, AMH, TSH blood tests

A family doctor can order these for you

Apply to be a patient with a fertility clinic and lie and say you've been trying 6mo

[Anonymous]

Anonymous wrote:

Anonymous wrote:3 months of trying and not first pregnancy? No, stop stressing. You are very likely fine. You got very lucky the first time but it is very normal for it to take a while post 35.

there was also the miscarriage which I don't know if it's indicative of fertility troubles / egg quality drop off?

Usually a single miscarriage doesn't mean anything. Yes your egg quality is diminishing but as others have said, it's not a cliff

[Anonymous]

You've tried only five separate cycles, and gotten pregnant on two of them. You almost certainly do not have a fertility issue.

I am sorry about your miscarriage, and I know that it's easy to catastrophize. But I don't think you need to be getting tests run at this stage.

[Anonymous]

Anonymous wrote:I got pregnant very easily (first try) at 34 and had a healthy pregnancy at 35. We decided we would like to have a second child and resumed this fall. Got pregnant again on first attempt this September but resulted in miscarriage around 8 weeks.

Since then I have tried three more times - I mean tracking cycle, ovulation, and having sex multiple times leading up to ovulation and day of / after. But nothing. Is it time to get help? I am already 36 and do have thyroid issues after my first pregnancy (Hashimotos) but it’s well monitored and my levels are good. We are anxious to not push it too late because a close family member had to deal with the tragedy of severe genetic disorders.

I’m taken aback by how “easy” it was when I didn’t even try very seriously the two times I did get pregnant - just had sex once both times - and now even though I’m more informed about TTC and doing the right things, it’s not happening.

How many more times would you try before seeking professional advice/assessment?

Go immediately to IVF. You will not regret it. Immediately.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:How old are you now, OP?

Thanks everyone. I'm 36 now, will be 37 before the end of this year.

I don't want the first easy conception/pregnancy to mislead me. Seems like it's not uncommon for secondary infertility to happen to people who had no issues conceiving the first.

Follow-up question: what kind of appointment would I be asking for, and from whom? PCP? OB? I can no longer go to my previous OB due to a move, so I don't have a current OB. I remember at my last practice you either schedule for the GYN side to get your annual, or the OB side once you have a home positive test. If I just want to discuss fertility and ask for next steps, who do I go to?

Semen analysis for your DH

Salpingogram and antral follicle count ultrasound
FSH, AMH, TSH blood tests

A family doctor can order these for you

Apply to be a patient with a fertility clinic and lie and say you've been trying 6mo

+1 on the SA for your DH.

And do not try the cheap “at home” kit; they are worthless.

Any fertility clinic will do a proper SA.