Difficultly conceiving #2

Anonymous
We had no trouble at all conceiving our first child. We've been working on #2 for 7 cycles now without success. I don't want to run to my doctor too early, but I know that we're timing things properly (I'm charting and have regular, predictable patterns) and I am 37. What am I even asking the doctor to do at this point -- just to check things out and make sure that they're all working properly? Any advice from people who've been in this situation would be most appreciated! Thanks.
Anonymous
I had problems conceiveing #1 and ultimately had to do injections and IUI. The testing alone can take several cycles, plus, insurance usually covers testing (at least ours did), so it wouldn't hurt to go forward with the testing just to be on the safe side. They usually advise people over 35 to see a doctor after 6 unsuccessful cycles, women under 35, after 1 year. From what I understand, secondary infertility (infertility in people who have conceived in the past without problems) is quite common, especially after 35.

If you do end up needing a specialist, I highly recommend Shady Grove (Drs. Osborn and Wirda). Hopefully, once you go through the trouble of scheduling the testing, you'll find out you don't need it after all!
Anonymous
I don't think it is premature to contact your doctor. I have a very good friend who is experiencing secondary infertility. Got pregnant with #1 on the 2nd try when they were 30 and 31. That was six years ago. Turns out her husband has a low sperm count and it was just a fluke that they got pregnant so quickly. They have been trying for #2 for 3 years.
Anonymous
I'm in the same boat. It took me only 3 cycles to conceive my first child (I was 37). Now I'm 40 and trying since last October. My ob/gyn recommended me to see an infertility specialist if I was not pregnant in 3 cycles. I'm seeing Dr. Widra next week. Don't wait, go ahead and schedule an appointment, maybe by the time you get the appointment you will be pregnant!!!
Anonymous
same thing happened to us and we ended up going to a specialist. i would recomment doing that especially because of your age. if there is a problem it best to find out as soon as possible so you can work toward a remedy. there are a lot of basic initial bloodwork they can run as well as a sperm count on your husband to start with and rule out very common problems. good luck.
zumbamama
Site Admin Offline
try acupuncture. amazing results for many women.
Anonymous
I would make an appnt to see a fertility specialist. You will most likely start with a consultative appnt., the dr. will want to do a full work up on you (meaning a list
of bloodwork tests for you and hubbie), sonogram, internal exam to see if they can identify a problem.

The dr. will want to understand your history and menstrual cycles.
Once you have all the tests done, they may or may not be able to identify a problem. A lot of infertility is unexplained, especially # 2.

I wouldn't waste any time, there is no harm in making an appnt and getting some of the pre-work done with a fertility specialist.
Not sure where you live, but I recommend Dominion Fertility in Arlington VA. Dr. Gordon was my dr.
I've add 2 kids through IVF and I'm only 35 and am unexplained.
Anonymous
OP here. Thank you all for the kind, helpful advice. One followup question: do I call my regular OB/GYN about this or do I just make an appointment with a fertility specialist? I don't think that I necessarily need the referral for my insurance (don't need them to see other specialists, at least).
Anonymous
OP - first I agree with the specialist idea - I was told to go after 6 cycles if over 35 - otherwise after 1 full year). Since you do not have to get a referral from your primary OB you can make the decision of who to go to yourself. If you wnat their input on who they recommend I would call them. I think it helps for continuity of care when the physicians 'know' each other - but is not a necessity. You may also want to call them as they may be able to start the testing process (i.e. blood work, urinalysis) a little earlier. It can sometimes take time to get into the specialist of your choice. FYI - I went to Shady Grove in Annandale (Dr. Saffon) and loved them. Good luck!
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