When to talk to doctor about TTC concerns

[july]

I am spotting today so I figure I am out this cycle. I have an annual appointment in a few weeks. With D, I was pregnant the first cycle. I got off bcp a year ago to try for another one. We ntnp for a few months and then I started temping and using opks. I got pregnant the month the timing was good. I discovered I ovulate later in the cycle. I had early spotting and tested low for progesterone. When I went for an ultrasound the baby had stopped growing. We waited a cycle and started TTC again. Cycles returned to normal immediately. Clear ovulation signs. Good timing. Two cycles in and both have been a bust. Last cycle, I had a lot of pelvic pain and that worries me.
I will likely bring it up with my doctor but I don't when I should follow up with him if I am not pregnant again. 

[slcjess]

My ob said 6-12 months but I have friends who were told to try for at least a year on their own. As far as I know, the time 'resets' after a m/c but I could be wrong about that. I'm so sorry about your loss, and I hope you get answers soon.

[awick14]

I would mention it to your OB while you are there and see what they say.

My OB doesn't seem to care that I haven't been trying for a year since my last loss, he says that 2 1/2 yrs of this heartache is all he can see me suffer. (Lol) I am also not ovulating normally. (Only 3 cycles since August and one of them was provera induced.)

But most OBs do say 12 months if you are younger then 35 and 6 months of you are over 35.

[loira]

My consultant wasn't concerned that we previously had no trouble getting pregnant right away 4 separate times, but now seem to be in a 5 month slump after my most recent miscarriage. She quoted the usual stats about 6-12 months for healthy couples, but frankly those didn't reassure me. I often wonder how true those numbers would be if you only factored in couples who understood about ovulation and had good timing. We're running all the RPL tests over the next 6 weeks anyway (mainly to reassure me), so maybe they will give me additional answers. Like Awick, I've had a really tough couple of years though, so the doctors are willing to forgo the usual 'wait and see' approach they would normally prescribe.

I'd give it another few months if I were you. You say you've only been trying around 4 months with good timing, during which you got pregnant once, and you have a history of successfully carrying a pregnancy to term. Maybe our bodies just need some time to reset after a miscarriage (at least I'm hoping this is the case).

[jd15]

Apr 26, 2015 21:20:35 GMT -5 awick14 said:

But most OBs do say 12 months if you are younger then 35 and 6 months of you are over 35.

this does tend to be the standard, but if you are concerned I would definitely bring it up to your ob - then you can be ready to go with a plan if you do end up hitting the 6-12 month mark.  Good luck!

[Elsa]

I'm very sorry for your loss.


Honestly, it sounds like you've had good timing/tried sincerely for three cycles. If this is the case, it is too early to be concerned.

Definitely ask about the pelvic pain when you are at your OB, but I wouldn't expect them to push for further testing just yet. 6-12 months is the standard, and at least at my doc's office, ntnp doesn't really "count". Sorry :/

[mrsbunny]

You can always ask your doctor when you should follow up again, but most won't want to do any testing until 6-12 months, especially if you've had a child before. The only reason I was able to get DH in for any testing was because we knew he had a low testosterone issue which could potentially affect fertility. As for me, they didn't want to do testing for a while and we've now been trying a year. Especially if you're under 35, doctors like you to try for quite a while. And yes, a m/c "resets" that time (which is stupid.)

It's understandable to be worried, but it sounds like you've only been actively trying a couple of cycles. This is normal. Like I said, follow up with your doctor but I wouldn't expect them to do anything else just yet.

[calmcosmo]

I'm sorry for your loss.

I know it's hard, but don't count poorly timed cycles or cycles you know your timing was off when calculating TTC. That obviously isn't a fair assessment of your fertility to let months where you know you weren't having sex late enough give you anxiety. It's like mailing a postcard to the wrong address and being stressed when it doesn't arrive at the correct one.

I would maybe mention concerns off hand next time you see your OB, just so they have record of talking about it in case you do go 6-12 months with no BFP.

It sounds to me like when you got timing correct, things happened. Two cycles is nothing. Try not to put to much pressure on yourself.

I know this is easier said and done. I had two miscarriages and needed IVF w/ ICSI to have my first child. But I also know how much going down the rabbit hole of fertility testing sucks. It is stressful on so many levels. Don't jump to that until you are sure you've given your body a fair shot. Humans are imperfect baby makers and sometimes it takes time.

Good luck!

[july]

Thanks. I feel better now. I worry a lot sometimes.