mayyoubeblessed
New member
TFAB fam-
I have been struggling with secondary infertility for about two years. My first pregnancy ended in live birth, and she is 3.5. She was conceived on our first attempt. My second pregnancy was conceived on our second attempt and ended in a miscarriage and D&C at 13 weeks. Since the D&C I didn’t get another positive test for 6 months and that ended in a chemical pregnancy. After a HSG and SIS, they found an adhesion and loose endometrial tissue caused by the D&C. They removed the adhesion in May 2023. Three months after that, I had another positive test ending in a chemical pregnancy. So in total, I’ve gotten pregnant 4 times with one live birth prior to starting IUI. When we try naturally, my luteal phases are between 7 and 9 days, however all my tests and my husbands have come back normal (besides the adhesion). Since the last chemical pregnancy, we have been using letrozole, trigger shot, and progesterone support and just finished our second failed IUI and will not be pursuing IVF. The progesterone does not seem to be lengthening my luteal phase enough and I usually get a period around 9dpo anyway.
Could there be anything else I should be tested for? Endometriosis? Clotting factor? Can adhesions regrow? I was told the luteal phase issue is due to hormonal imbalance, but all of my tests have come back normal. My husband’s sperm count is normal. Please see test results below.
Wife:
Anti-Mullerian Hormone – 4.17 ng/mL
Cytogenetics - Normal female karyotype (congenital blood)
Prolactin – 6.0 ng/mL
Vit D – 50.1 ng/mL
Thyroid Stimulating Hormone – 0.89 uIU/mL
Ferritin – 88.8 ng/mL
Thyroxine, Free – 1.12 ng/dL
Husband:
Days of abstinence – 3
Round cells 4.5 M/ml
Total Motility grades 1-3+ 60%
Progressive motility 3+ 43%
Total sperm in ejaculate – 814 million
Total progressive sperm in ejaculate – 352 million
Total motile 1-3+ sperm in ejaculate – 426 million
Any advice or ideas would be greatly appreciated. We are desperate for answers
I have been struggling with secondary infertility for about two years. My first pregnancy ended in live birth, and she is 3.5. She was conceived on our first attempt. My second pregnancy was conceived on our second attempt and ended in a miscarriage and D&C at 13 weeks. Since the D&C I didn’t get another positive test for 6 months and that ended in a chemical pregnancy. After a HSG and SIS, they found an adhesion and loose endometrial tissue caused by the D&C. They removed the adhesion in May 2023. Three months after that, I had another positive test ending in a chemical pregnancy. So in total, I’ve gotten pregnant 4 times with one live birth prior to starting IUI. When we try naturally, my luteal phases are between 7 and 9 days, however all my tests and my husbands have come back normal (besides the adhesion). Since the last chemical pregnancy, we have been using letrozole, trigger shot, and progesterone support and just finished our second failed IUI and will not be pursuing IVF. The progesterone does not seem to be lengthening my luteal phase enough and I usually get a period around 9dpo anyway.
Could there be anything else I should be tested for? Endometriosis? Clotting factor? Can adhesions regrow? I was told the luteal phase issue is due to hormonal imbalance, but all of my tests have come back normal. My husband’s sperm count is normal. Please see test results below.
Wife:
Anti-Mullerian Hormone – 4.17 ng/mL
Cytogenetics - Normal female karyotype (congenital blood)
Prolactin – 6.0 ng/mL
Vit D – 50.1 ng/mL
Thyroid Stimulating Hormone – 0.89 uIU/mL
Ferritin – 88.8 ng/mL
Thyroxine, Free – 1.12 ng/dL
Husband:
Days of abstinence – 3
Round cells 4.5 M/ml
Total Motility grades 1-3+ 60%
Progressive motility 3+ 43%
Total sperm in ejaculate – 814 million
Total progressive sperm in ejaculate – 352 million
Total motile 1-3+ sperm in ejaculate – 426 million
Any advice or ideas would be greatly appreciated. We are desperate for answers