Hello all, first post here, though been lurking for a while.
A potted history: 33, TTC #1. Two years ago we conceived almost immediately after we started trying, but it turned out to be a molar pregnancy. Fortunately I didn’t need chemotherapy, but it took 9 months to be signed off to TTC again. Since then, no sign of a BFP in 18 months of trying, though several months I have felt what might have been implantation pains. I was diagnosed with slight hypothyroidism (TSH 3.7 but rising) and TPO antibodies 6 months ago (my mum has it too, so not a great surprise), which I suspect may have been a problem for about the last year – my luteal phase has fluctuated from 23-26 days for the last year when previously it was a steady 28, and AF has been much lighter/shorter. Since starting on levothyroxine things seem to have improved, luteal phase 26/27 days for the last 3 months (though with a bit of spotting for a couple of days first) and AF more like normal. TSH now back where it should be for TTC. I’m definitely ovulating on day 14/15 (feel it every month, plus +ve OPK) and day 3 FSH/LH normal. My day 21 progesterone was 38 which GP said was just about okay, though it was day 21 of a 25 day cycle. DH’s tests were all normal.
So, just sorting out referral to fertility services, but don’t know what to expect. My thinking is that my problem seems to be with implantation, perhaps related to a short luteal phase, or immune issues related to hypothyroidism. I’d really appreciate any thoughts on what I should be asking, or what might be the suggested plan of action. Are clinics willing to try other things first, or on the NHS is it likely to be straight to IVF (I’m really reluctant to do this until all other avenues have been exhausted)? Is it possible that trying progesterone support (for the cycle length issues) or steroids (for possible thyroid-related immune issues) might be suggested first? Or, should we be waiting for a few more months to give everything a chance to hopefully get back more to normal after starting thyroid treatment?
Sorry for the long post, thanks for reading! Any advice much appreciated x
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Infertility
Cycle+thyroid issues - anything to try before IVF?
4 replies
kettleson · 24/07/2015 09:24
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