What could the problem be?

[Anonymous]

If I conceived easily on first try at 35, and husband was 35 as well and now we are having a harder time three years later.

I had one miscarriage.

I have normal cycles and due to BBT I can confirm
I’m ovulating.

Is it possible for this to be a sperm problem? I have an
Appt at Shady Grove but would like to hear from others.

[Anonymous]

Well, it's entirely possible to be ovulating but be producing poor quality eggs, for one. Significant changes can definitely occur in a woman's fertility over the course of three years in her mid-late 30s (ask me how I know, sigh). In my case I got pregnant while on birth control (!) at 34, and then starting three years later tried unsuccessfully for another three years before finally turning to IVF. Our diagnosis was "unexplained infertility" as both DH and I tested fine and I was making plenty of eggs still. But we were successful with IVF! My doctor suggested one possibility was that egg shells can get harder to penetrate as a woman gets older, and we did do ICSI (they inject the sperm directly into the egg) so that might've been it.

FWIW we did do our treatments at Shady Grove and I was very happy with the care I received. I know that's not the case for everyone and I did find it true that they're sort of a 'factory' and my conversations with staff there were pragmatic as opposed to particularly nurturing, but that worked well for me/my personality. We're just starting another round there with them, in fact. Good luck!!

[Anonymous]

For me it was DOR/POF which was not discovered until TTC #2. And I was only 32 when I was diagnosed.

[Anonymous]

You are 38. Very possible you’re DOR.

[Anonymous]

Anonymous wrote:For me it was DOR/POF which was not discovered until TTC #2. And I was only 32 when I was diagnosed.

Same story. Poor responder and worse egg quality. Never ended up having a second since we decided against donor eggs.

[Anonymous]

Anonymous wrote:For me it was DOR/POF which was not discovered until TTC #2. And I was only 32 when I was diagnosed.

I don’t think those are the causes since my ovarian reserve numbers were good

[Anonymous]

These were my numbers, this is OP

LH 5.3
FSH 6.7
AMH 2.04
Estradiol 46.2
Hemoglobin A1c 4.9

My doc said these were all normal. What additional tests will Shady Grove do?

[Anonymous]

You have old eggs. No tests for that. Go to IVF.

[Anonymous]

Anonymous wrote:You have old eggs. No tests for that. Go to IVF.

The levels look normal, IVF is jumping the gun

[Anonymous]

How long have you been trying, OP, counting the miscarriage? 6 months in total? 12? 18? Unexplained secondary infertility is not uncommon. With good hormone levels, those are USUALLY easy cases if you're willing to do IVF. It may be jumping the gun, but it can also get you a baby faster, which when it's your second can matter if you care about the age gap. Be prepared for leftover embryos. Also check for endometrITIS, which is a uterine inflammation/infection (not endometriosis). That's not uncommon in secondary infertility because bacteria can get in there after your first birth and cause a subclinical infection. Also do a semen analysis.

[Anonymous]

Anonymous wrote:How long have you been trying, OP, counting the miscarriage? 6 months in total? 12? 18? Unexplained secondary infertility is not uncommon. With good hormone levels, those are USUALLY easy cases if you're willing to do IVF. It may be jumping the gun, but it can also get you a baby faster, which when it's your second can matter if you care about the age gap. Be prepared for leftover embryos. Also check for endometrITIS, which is a uterine inflammation/infection (not endometriosis). That's not uncommon in secondary infertility because bacteria can get in there after your first birth and cause a subclinical infection. Also do a semen analysis.

Thanks that is a good point. I have been trying since March, but within that time frame did not try for three separate months. One was due to miscarriage.

In total I haven’t gotten pregnant five months after really trying each month. Should know next week of December worked.

[Anonymous]

Anonymous wrote:

Anonymous wrote:How long have you been trying, OP, counting the miscarriage? 6 months in total? 12? 18? Unexplained secondary infertility is not uncommon. With good hormone levels, those are USUALLY easy cases if you're willing to do IVF. It may be jumping the gun, but it can also get you a baby faster, which when it's your second can matter if you care about the age gap. Be prepared for leftover embryos. Also check for endometrITIS, which is a uterine inflammation/infection (not endometriosis). That's not uncommon in secondary infertility because bacteria can get in there after your first birth and cause a subclinical infection. Also do a semen analysis.

Thanks that is a good point. I have been trying since March, but within that time frame did not try for three separate months. One was due to miscarriage.

In total I haven’t gotten pregnant five months after really trying each month. Should know next week of December worked.

Okay. Kindly, you are on the infertility forum...5 months is not a "hard time." You don't even qualify to see an RE until you hit 6 months (12 months if you were under 35) - though technically the miscarriage would count, so you've passed that time already. BUT, many, many women take slightly longer in their mid-30's. And many of those easy secondary infertility cases that I described likely would have had success if they had kept trying longer. If you want to start interventions ASAP, then see an RE. But you're not having problems yet, you're just slightly older and taking a normal amount of time.

[Anonymous]

You probably have subfertility and if you kept trying you would get pregnant eventually. You need to weigh the risk of that approach and it not working vs. the expense of pulling the trigger on treatment.

If you had a c section you should get a saline sonohistogram to rule that out as a problem.

[Anonymous]

Anonymous wrote:How long have you been trying, OP, counting the miscarriage? 6 months in total? 12? 18? Unexplained secondary infertility is not uncommon. With good hormone levels, those are USUALLY easy cases if you're willing to do IVF. It may be jumping the gun, but it can also get you a baby faster, which when it's your second can matter if you care about the age gap. Be prepared for leftover embryos. Also check for endometrITIS, which is a uterine inflammation/infection (not endometriosis). That's not uncommon in secondary infertility because bacteria can get in there after your first birth and cause a subclinical infection. Also do a semen analysis.

+1 to semen analysis. Easy and cheap. We conceived after a year on gas fumes of sperm and experienced secondary infertility after i.e. the count tends to get worse

[Anonymous]

Anonymous wrote:You probably have subfertility and if you kept trying you would get pregnant eventually. You need to weigh the risk of that approach and it not working vs. the expense of pulling the trigger on treatment.

If you had a c section you should get a saline sonohistogram to rule that out as a problem.

What does a c section have to do with getting pregnant?