Ok got my results today. Everything normal apart from progesterone which indicated I didn't ovulate. Thyroid fine. All the other hormones fine. I normally get what I believe is ovulation pain and I must admit I didn't last month so I'm hoping its just an abnormal month for me. Obviously she wants me to repeat the day 21 tests this month and next month to check. If it happens that I'm not ovulating then what could it be? She doesn't suspect pcos as the other hormones were fine and I don't have any symptoms of that anyway. Dh gotta give a sample next but might take a couple of months for appointment to come through. So bit in limbo at the mo for a bit now. Still dtd. Trying to keep calm and keep shagging feeling a bit blue though.
What other hormone levels were tested and on which days?. You should also ahve had a day 2 test done to check and compare your LH level against that of your FSH level; these should be about the same. I say compared against as well as these two levels can actually look ok if only looked at separately; this is why comparison is necessary. These two levels are very important as they kickstart the ovulation process, if these two are awry then progesterone levels can be affected.
Who arranged for such tests to be done?. If you have been ttc for a year or more you'd be better off now having the referral to the subfertility unit made rather than the GP messing around with more tests (because they will be repeated there anyway) and/or in potential ignorance. This sort of issue is well outside a GPs general remit in any case.
Yes day 2 tests done and gp said the other hormones (I presume LH and fsh) were normal. Gp is sorting it out at the mo. also having a scan to check for endometriosis and as I said dh will have to give a sperm sample when appointment comes through.
It is not uncommon for women to have the odd cycle when you don't ovulate. As you age and get closer to the menopause, such cycles get more and more common. But even a younger woman could have one a year without it meaning anything is really wrong. How long is your menstrual cycle? The test should not necessarily be day 21. It needs to be 7 days post ovulation. If you have a longer than 28ish day cycle then the progesterone will not be high enough at day 21. If you have a 31 day cycle which is not uncommon for many women, you probably only ovulate on day 17/18 so there is potentially only 3 days between ovulation and the test. I would talk to your doctor about this if your periods are more than 28 days apart. Also test each month to find out when you might be ovulating. The cheapo ovulation predictor piss sticks are fine for this, but if you prefer digital, I can recommend the CB fertility monitor. If you get a peak on that, then the test should come 7 days after the second peak day.
Thanks katandkit my day 21 was done on day 24 because my cycle is normally 30/31 days and I ovulate about day 18. Had to be day 24 as day 25 was a sat. Am using opks this month to try and pinpoint a bit better and hopefully some ovulation pain will confirm it. Keeping my fingers crossed it was a one off.
It is so annoying that these bloods can't be done seven days a week. I had a similar thing when i was having investigations and had to have a so called day 3 test on day 5. Not my fault my periods happen on a Thursday and with a 27 day cycle I would have been waiting three months to get day 3 on a weekday!
This whole ttc malarkey has been a pain in the bum. If my body would just co operate and get pregnant I wouldn't have to worry about all this bollocks. Still positive mental thoughts and patience. I can do this.
I don't trust day 21 progesterone. Mine was 19 showing I hadn't ovulated however it transpired that not only had I ovulated but i was pregnant (and I didn't ovulate late as dates show that I must've conceived by then)
Don't want to necessarily raise hopes but I don't think day 21 progesterone means anything on its own.
Thanks cogitosum. I will bear that in mind with the next one. I think if nothing shows up on this or the scan then we'll be referred to a fertility specialist I hope. Maybe ill ask for the actual numbers next time and ask here if the gp is right. Thanks everyone.
re your comment:- "Yes day 2 tests done and gp said the other hormones (I presume LH and fsh) were normal. Gp is sorting it out at the mo. also having a scan to check for endometriosis and as I said dh will have to give a sperm sample when appointment comes through".
I would certainly ask for further clarification re the results of the day 2 test as you cannot assume anything when it comes to subfertility.
You will need to be persistant in order to get answers. DO not forget that!. Its all too easy to be fobbed off.
Why a scan for endo?. I have endometriosis and have also had more internal scans than I care to mention!. Its not picked up on any ultrasound scan or blood test; it is usually only diagnosed through a keyhole surgery op called a laparoscopy. Some GPs are truly ignorant when it comes to endo.
Ok when get results of next day21 test ill ask for the results from my day 2 test as well. and put them on mumsnet for some expert analysis Gp said a scan will pick up any large bits of endometriosis. She's not expecting it to be that at all but I asked for it to be checked as years and years ago when I had a laparoscopy it showed a small bit of endo and its always been in the back of my head so i asked for it to be checked out. Thanks Attila will try to put my assertive head on when we see gp again.
I've never heard of a scan picking up endo, other than endo cysts.
I agree with others that day 21 tests can be hit and miss. We don't all ovulate on day 21! I've had varying results from mine. But I ovulated enough to get pregnant once, even if it wasn't a sticky one
I would put my foot down and ask for a referral. If you have known fertility issues, you don't need to have been trying for ages first.
Worth asking for an AMH test. You may need to go private for it. That will tell you your egg supply, which is apparently a good indicator of overall fertility.
Thanks gin. Ill ask for a referral after the next day 21 test. Will also see about the amh test. We could possibly go private for some things so will look into it. We don't have known fertility issues but have been trying for quite a while with no success so went to gp to get ball rolling. We have one ds who is 3 and got pregnant really quickly with him and nothing is happening this time.
"Gp said a scan will pick up any large bits of endometriosis".
Smiled wryly at that comment of hers. A skilled sonographer may detect endometrioma aka "chocolate cysts" but won;t detect anything in the uterine cavity or other areas like for instance the bladder or pouch of douglas.
My endo fwiw was all over my uterine cavity like a lot of paint splats and that was not detected at all till I had the laparoscopic type surgery. Would also state that endo can recur so you are wise to be looking into this further. Would certainly mention to the gynae when you see such a person that you've previously had endometriosis diagnosed.
GP should refer you as of now to my mind. Secondary subfertility is not that uncommon I am sorry to say.
Oh this is shit. Must admit I lost my faith a bit when she told me that you always come on 14 days after you ovulate with out fail! I challenged her on that and she did say to me today that she had looked into it and I was correct in that it is not true. So shall I have the next day 21 and then when I get results ask if I can be referred onwards? She doesn't seem to think endo is a possibility as I'm not in horrific pain all the time. My periods are painful and always have been and ovulation is definitely giving me pain but doesn't hurt during sex or anything.
I would not bother with the amh test, it does not show fertility. A good number can indicate lots of eggs but that does not mean that they are good enough quality to get pregnant by, and conversely a bad number indicating few eggs left does not mean no pregnancy there still could be that one golden egg that leads to successful pregnancy.
The only real use for the amh test is in terms of ivf where they use it to indicate likely responsiveness to the treatment.
But agree that you should see if you cn get referral to fertility consultant.
My periods have always been painful as well QuietNinjaTardis both during and up to and including menses. You've previously been dx'd with endo as well via a previous lap op.
Any pain that is cylical in nature and gets worse up to and including menses should be checked out properly to see if endo is present.
Not too surprised at your GPs comments; some are truly ignorant when it comes to endo. I took one of them to task post diagnosis when he had the audacity to tell me that endo was not common; I replied that it was the second most common gynae problem seen in women after fibroids.
Hi QuietNinja - this happened to me and on my second set of tests I did then ovulate. Since then we've had problems with DH's SA and should now be referred to a fertility specialist. But when I asked the doctor after the first set of results, no lie, she just shrugged her shoulders at me and said to redo the test. She said, 'Could be anything'. So helpful. Bloody chocolate teapot. I found out more from Dr Google and from the lovely ladies on here than I did from my GP.
As others have said and you've experienced, I think some GPs are completely clueless and you need a specialist. Just thought I'd share my experience and to say you're not alone.
It could be that you just had an anovulatory cycle as another poster mentioned. Unfortunately I didn't realise this and GP didn't explain this might be the case so I went home thinking I couldn't have children and grieved for a few hours before DH arrived home with Dr Google. I hadn't even been able to bring myself to look as I was so upset. Maybe this makes me really dim and naive, but if only she'd said. Anyway, waiting for referral now so can get away from clueless GPs. Hope you get some answers soon.
Hi quietninja - I am in a similar position to you and feeling very frustrated!! I have a DS who is 4 in April and we have been trying for almost a year. I had the same tests as you towards the end of last year and was told that based on my day 21 test I wasn't ovulating however 3 weeks after the results I discovered that I was pregnant (I discovered very early on however I miscarried at 6 weeks ) but I must have ovulated late - surely?? When I asked the doctor for an explanation they just shrugged - helpful!!!
I have now been told that I won't have any further investigation for another year as I managed to fall pregnant however I will be going back in 6 months to push for some further tests or referral as I have discovered that you have to be forceful!!
I also have endometriosis but when I mentioned this to the GP they didn't really think it was an issue?!?
Good luck lovely - hope it works out for you and don't be worried about being forceful xx
Another one whose levels didn't indicate ovulation despite days being spot on for my cycle...first result was 16 the second month it was 12, I thought I was maybe late but the doc wouldn't test add she said there was no chance I could be pregnant...17 Weeks atm x
Everything crossed for you! We were starting to get despondent...referred for testing etc and ironically it was when if more or less given up that it happened. If there's no obvious cause it may be just luck. One thing I think is that we dtd much later in the cycle than usual...I think previous months I'd burnt dh out in the week I'd ov and then pretty much stop for the tww...as we weren't trying we were being much more random.
Ok just bumping to say I got a positive opk just now so if we dtd today, tomorrow and Saturday we should have it covered yes? We can't do Sunday as having friends over but if we dtd mon and possibly Tuesday then if I do ovulate we should have it pretty much covered do you think? I'm Determined this month will be it! I don't want loads of tests so I am gonna get pregnant this month. <positive mental thoughts> wish me luck ladies! And good luck to al those still trying too x
That's fab news!! So chuffed - that sounds like a good plan - I think following a positive OPK you should dtd for at least the next 3 days so tonight tomorrow and Saturday then have a little break when your friends are over and a cheeky dtd on Monday should have you covered - please report back as I need to hear some positive stories - I'm 27 days into my cycle and still no positive OPK.
We have been trying since may last year - I went to the doctors just before Christmas and they said I wasn't ovulating (based in day 21 test) but then got a positive pregnancy test on 13th Jan so I must have ovulated at some point!!
After my last post I did my OPK and got a second line but it is lighter than the control line so don't think it's a positive - going to dtd tonight anyway - hopefully ovulation is on the way - it's a month tomorrow since my miscarriage so ovulation would be a step in the right direction!! X
Weekend ok. Dh ill though so only dtd weds,thurs and fri nothing since then so I really hope I ovulated quickly after getting the positive opk. Got my next day 21 blood test on Thursday to check I did actually ovulate. Fingers crossed for you.
Thanks mummy. I've been getting one sided pains like I do before af comes so either I'm gonna come on really early or something's going wrong. So fed up with this all. If I get pregnant this month ds will be 4 when the baby's born. I don't want the gap bigger than that, I never wanted it as big as this anyway. I hate this. Sorry for doom and gloom but that's how af has started the last few months with pain on one side and then moves to the middle when I start spotting/bleeding so feeling a bit miserable again How's the tww going for you?
Hey ninja - we have such similar situations - my DS is 4 in April and I never wanted such a huge age gap - at this rate it looks like he will be 5 before another baby comes along.
I'm not too bad - I'm worried about getting AF too early too - one month it came 8 days after a positive OPK and I know that anything shorter than 10 isn't viable to sustain a pregnancy - that was a crazy cycle though (65 days and very hormonal) so hoping its a one off. I just want to get a positive pregnancy test (although a new set of worrying will start then!). Sometime I get frustrated as we fell within 3 months of ttc DS and I was so much more relaxed.
Oh god we conceived ds within 3 months too so its that much harder now its taking so bloody long. Hope your cycles have settled down a bit. I know what you mean about the positive test. I just want that too. Fx for us both xx
Hi ninja - when do you get your bloods back - hope they don't keep you waiting too long.
I have a horrible feeling I'm out for this cycle I have had back ache for the past 2 days. I'm getting worried about my luteal (not sure of spelling) phase as I'm only 7dpo - I don't need lengthen that on top of trying to regulate my cycles!! Xx
Hi mummy. Ill find out thurs I think. The nurse said to call in a week. I've had backache for several days and I've now got slight spotting and period type pain so I'm out. Not due on till thurs so starting earlier which is fab This is pants! Absolute pants.
[Grin] Not yet. Thought I'd wait til I'm due on before doing anything. Cramps are on and off but spotting very very slight. My back is really hurting though. I hope it's normal. Just hope its a sticky bean. Weird thing is a few days after ovulation ds said to me 'mummy got baby in her tummy' think ill hire him out as a psychic and make my fortune
Thanks ninja - I am feeling a bit better since this morning - AF is very strange - very light and only a bit of brown blood when I wipe. I still have backache but no other symtoms of AF that I normally get (stomach cramp, headache, rubbish skin) so not sure what is going on???
I don't want to get your hopes up but that's what I had sun and mon. Except I had what felt like period pain too. coulda done without that literally just light brown blood when I wiped. Never got heavier and didn't get any on the pad at all. It's gone completely now. Really hope it stays that way for you too. When are you due on? Do you normally get spotting beforehand?
I am not 100% sure when I would be due on as my cycles are so irregular and this is the frist since the miscarraige however they are generally around 45 days and since I got a postive OPK on 15th March I estimated that I might be due on at the weekend (that would be day 44). I dont normally have spotting before my period - what normally happens is a few days before I am a horrible hormonal mess (snappy etc) and I have lower tummy ache and then AF shows up bright red and heavy from the get go with really bad pains (I take mefenamic acid from the Drs just so I can function and go to work etc). I thought it might be a slightly different AF this time but this is the complete opposite to normal x
Aw shoot! At least you know you ovulated and fingers crossed next month is your month. I had some slight spotting and very mild period type pain today which panicked me a bit but seems to have gone now. Think it can happen and its if it gets heavy or really painful that you need to worry. So fingers crossed it is a sticky bean. Keep in touch, maybe pm would be easier? Xx