What could the problem be?

[Anonymous]

Anonymous wrote:

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?

Scar tissue can cause issues with implantation.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

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?

Scar tissue can cause issues with implantation.

I had Asherman’s syndrome. Removed the scar tissue but never was able to stay pregnant again.

[Anonymous]

Anonymous wrote:

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.

+1

[Anonymous]

At 38, it’s probably egg quality. I’m 34, unexplained and my AMH is 4 but still needed IVF - quantity doesn’t equal quality. At SGF, they will probably do an HSG to see if there are any obstructions and with a recent miscarriage, there could be scarring or something left behind that impacts implantation (HSG wouldn’t catch everything though). Check sperm to rule that out. They will probably also have you do genetic carrier screening on both of you to rule out any genetic issue. But 6 months of infertility at your age usually means IVF is best course of action since time is no longer on your time.

[Anonymous]

Anonymous wrote:

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

The levels look normal, IVF is jumping the gun

Levels have nothing to do with quality. Editing my comment to say “you have *a lot* of old eggs.”

[Anonymous]

At 38 you have only a 10% chance of conceiving in any given cycle. So even after 6 months, your chances would only be about 50/50. Assuming anything is a “problem” at this point is premature. By all means, do IVF if you want because you may be running out of time and there certainly COULD be something wrong. But it also could be nothing.

[Anonymous]

Anonymous wrote:

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?

C sections are a common cause of secondary infertility.

[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.

+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

+2. Make him do this ASAP.

But know that Covid may not allow in-person sample collection.

That means he must first pick up a specimen cup. Then make a future appointment, then the sample has to be delivered less than one hour after he, um provided it.

[Anonymous]

Anonymous wrote:

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

It sounds like you've already seen a specialist. Can you share your numbers that were tested? We might have dinner better insight based on those.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

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

It sounds like you've already seen a specialist. Can you share your numbers that were tested? We might have dinner better insight based on those.

Had the test done at OB office. Seeing Shady Grove end of Jan.
My numbers are on the earlier page.

[Anonymous]

This is OP. Thanks for the mostly helpful and kind info.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

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

It sounds like you've already seen a specialist. Can you share your numbers that were tested? We might have dinner better insight based on those.

Had the test done at OB office. Seeing Shady Grove end of Jan.
My numbers are on the earlier page.

Has your husband been tested? WhT were his numbers?