So…what’s the diagnosis?

In the world in my head, I imagine people sitting around discussing fertility diagnoses like they do on those medical shows, where there’s a rapid-fire discussion of symptoms and possible problems that fit. A round of testing, and suddenly, the mystery is solved. Unless of course you’re House, in which case it’s some brilliant bit of deduction (disclaimer: I have watched +/- 1 episode of House)

What’s Been Going On

So, after 12 cycles, almost all of those charting, we have some pretty good info on what’s going on with me.  The good news is that my cycles are fairly regular. The exact day I ovulate tends to differ depending on the month, but aside from that, it’s between 28 and 30 days. Even the three cycles that were longer followed the same pattern – during a time of stress, my body geared up to ovulate, stopped, waited just about ten days, and then ovulated. Which means, that in all 12 cycles, I ovulated. Big bonus.

DH and I have had some testing done, at around 6 months of trying deliberately. I had an HSG, which showed that my uterus is in fine shape, but there is potentially a blocked tube lurking. It’s hard to say without more investigation, but…that’s there. DH’s Semen Analysis came back normal, so as he says “I’m feeling potent!

Things I’m Pretty Sure it’s Not

  1. Male Factor Infertility (MFI) – Since DH’s SA came back normal, it’s unlikely to be Male Factor Infertility. This is important to rule out, since a lot more cases of infertility are caused by MFI than people realize – it’s seen as a “woman’s” problem.
  2. PCOS – This is a big deal, because I’m fairly sure this why my parents had trouble conceiving. Sometime soon, I’ll write a post talking about the family history of infertility, but for now, it’s nice to know that, whatever is going on, it’s not the same as theirs.
  3. Endometriosis – No symptoms, and no diagnosis. Obviously, this one can lurk in the background, but for now, I’m leaving it here.

Things it Could Be

  1. The most obvious – the potentially blocked tube is actually blocked and has just been messing with our timing, and either opening it or just riding it out for a little longer will get us where we want to be. If so, maybe this will be the shortest infertility blog ever.
  2. Some kind of hormone problem. This would most likely be progesterone, but there are other issues that could be there too.
  3. Premature Ovarian Failure – Meaning, my eggs are older than me and getting pregnant will be hard. Doubtful, as I have no symptoms of premature menopause, but it can also be asymptomatic.
  4. Hypothyroidism – My mother and my aunt (her sister) both have this, so I wonder sometimes if this could be it. I am hopeful that the RE will test for it, and if he or she doesn’t, I will likely ask for it.
  5. Something else that I don’t know about yet. And that’s really where this whole thing is going – what else are the doctor’s going to find out?
  6. Lastly – the hardest to understand – “unexplained” – meaning – we don’t know. And maybe we won’t know.

And that’s the thing of it. We’ve only just begun on this journey, and we don’t know what will happen next.

But we’ve started, and we have a direction to go. So that’s something.