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Conception

When's the best time to get pregnant? Use our interactive ovulation calculator to work out when you're most fertile and most likely to conceive.

Going to GP for tests?

28 replies

katiegd · 13/06/2017 08:23

Hi all, hoping for a bit of your expertise.

I'm nearly 33. We've been TTC#1 for about 18 months, but due to OH health issues and then operation last year (all now fine) the number of cycles we've been trying is probably about 10, maybe a few more.

We'd talked about going to GP in Sept if nothing before then but am now thinking perhaps we should go sooner. I've convinced myself that our issues are due to OH sperm quality as he drinks and smokes a lot. I think that if it is low quality, having confirmation of this would encourage him to start planning behaviour change (so much easier said than done!).

Of course, it might be nothing to do with that and might be related to me, or unexplained, but I suppose I'd rather just know.

So my question is, how do you go about getting tests through your GP? Do you book an appointment together to talk about it? Or do you go separately? What do you ask for?

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reallyreallyreallytired · 21/07/2017 09:24

physicskate

I would be assuming the GP was suggesting to you that you came back "saying" you had another miscarriage before getting referred....maybe that's why he wouldn't look you in the eye...if you see what I mean...Flowers

TurquoiseDress · 21/07/2017 09:17

@katiegd

I'd suggest going along to your GP now, it's been 18 months which is a decent length of time TTC

Roughly, I think the guidelines are that if you're under 35 it's TTC for over 12 months or over 35 TTC for 6 months.

This should be a threshold where GPs start to initiate tests/investigations.

I'm 38, well practically 39 now, and I went to my GP after almost 6 months of TTC after my MMC last summer.
She sent me for all the bloods- thyroid, progesterone, FSH & LH etc

The last time I saw the GP in March she advised that my OH should get tested too. After much reminding & nagging he's finally going to get his sperm tested now.

At this rate I'll be going through the menopause before we get any further!

It's not a quick process- and that's just commenting from this side i.e. where me & my OH are asking for tests etc let alone waiting for a referral.

I'd get on with seeing your GP now if I was you.

My background is 2 previous pregnancies- have a 3 year old born when I was 35, then a MMC last year aged 37.

Both times I got pregnant first cycle after stopping the pill. TTC over the past year has been a difficult journey.

katiegd · 21/07/2017 08:29

Hi all, thought I'd update you that we went to GP last week. I booked an appointment for myself but DP came along for moral support. Glad he did as he ended up with tests to do as well.

Doctor was lovely and very empathetic. She gave me chlamydia test to do, referred me for a scan (so just waiting for that letter), told me to book blood tests at cd1-4 and cd19-20 and gave DP referral for sperm analysis.

Unfortunately it may be tricky to do blood tests at cd19-20 due to holidays this month so I will probably have to wait until next cycle to do the bloods.

Anyway, just wanted to update you. Thanks for all your advice on this thread previously!

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wickerlampshade · 16/06/2017 20:45

florafoxtrot difficult to say. Yes, usually normal results would be discuss on the phone, but every practice does things differently. Plus there are shades of bad. Normal count with poor motility is very common and sometimes normalises on a repeat test. No sperm at all, or very few, is much rarer. Good luck Flowers

florafoxtrot · 16/06/2017 11:59

Sorry to hijack but since I know you are here @wickerlampshade

My DH had his SA test 3 weeks ago, he phoned the GP this morning and they confirmed that his results are in and that he needs to make an appointment - that's bad news isn't it?

FallenSkies · 16/06/2017 08:14

Thanks wickerlampshade, that's good to know. I'm so pleased you came on this thread Smile, and thank you for starting it katiegd.

wickerlampshade · 15/06/2017 22:19

It's tricky as technically speaking you are conceiving. But I'd probably, if you wanted me to, ignore the chemical pregnancies and get going.

fallenskies I'm not sure my reply before was right - I probably would do the initial tests for secondary subfertility and have done in the past. I was thinking more of things like HSG done at secondary care level, which I wouldn't be able to refer to. I'd probably offer lots of sympathy, do the bloods/scan/swab/semen, ask if you'd considered ovulation monitoring and anything more than that would be private.

physicskate · 15/06/2017 21:38

Wicker - I was hoping for day 3 and 21 tests, as I suspect I have low progesterone after ov (I spot a lot)...

He said I could get blood tests, not rmu, after another 12 months. He suggested have a miscarriage to get tested for recurrent miscarriage, and looked as though that was the referral he would be more likely to refer me to - not simple tests and maybe a scan. This was all while I was so nauseous and dizzy during my chemical I couldn't walk in a straight line. I've since learned to temper my expectations.

The other GP tried to prescribe me anti-depresseants a month before, as I was worried that the stress of ttc was affecting my mental health.

Yeah, my surgery is full of winners.

katiegd · 15/06/2017 15:53

Thanks wickerlampshade - very useful to get your expertise. I looked into IVF criteria in our area a while ago and it's pretty much that - no kids already, non smokers, BMI under a certain number.

Physicskate what a horrible experience. Regardless of having to explain criteria for accessing certain services, there are ways that care professionals should speak to people (especially those who've had a traumatic experience).

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wickerlampshade · 15/06/2017 06:48

To be fair physicskate a recurrent miscarriage clinic would have bounced that referral.

physicskate · 14/06/2017 22:30

I'd been ttc for a year at that point and had had two chemical pregnancies, which clearly weren't viable conceptions...

He said he'd refer me after another 12 months in the breath after tell me to mc again.

wickerlampshade · 14/06/2017 22:15

Generally not, I'd suggest that you seek a private referral. HFEA website is a good place to start researching clinics

FallenSkies · 14/06/2017 21:49

Will a gp still do fertility tests if you aren't eligible for ivf on the NHS? We have been trying for 10 months and we're thinking of going to the gp to ask for tests, but we have one child already

wickerlampshade · 14/06/2017 21:27

if you google "NHS IVF criteria (your borough)" you can check if you meet the local criteria for referral. You will usually need to have a BMI of under 30, both be non-smokers, have no children together and have been trying for at least 1y, though there can be subtle differences between different areas.

wickerlampshade · 14/06/2017 21:26

My gp wouldn't look me in the eye and told me to have another miscarriage so I could get test

clearly he has the communication skills of a stuffed aubergine, but if you've had two miscarriages (for which Flowers) he may have been trying to tell you that NHS recurrent miscarriages will only accept women who have had three.

wickerlampshade · 14/06/2017 21:25

I'm a GP and I would refer you - before referring I'd want to do a semen analysis for your husband and a load of blood tests/swabs/scan on you first. So easiest is if you book two consecutive appointments (one each) then we have plenty of time and can get it all sorted. I'm also happy to see you at separate times if that is easier with work etc. If he's registered at a different GP I'd ask him to sort out a semen analysis via his own GP and give me a copy of the result. Referral is usually in both names (but via the woman's GP if registered at different practices) unless any specific semen related problems in which case occasionally refer the man seperately to urology but that's uncommon.

JoJoSM2 · 14/06/2017 21:21

For the first year, I didn't track my ovulation and didn't even know what opks and tww were... Clearly didn't experience any stress whatsoever but clearly didn't get pregnant...

I do think there's some truth in it as stress does affect hormone levels and stressed out people are more likely to be less healthy or even get ill more often. But de-stressing isn't an infertility cure Grin

katiegd · 14/06/2017 19:30

Thanks all!

@physicskate wtf?!! That's awful. He should not be allowed near women struggling with fertility.

To all - slightly off my initial topic but is stress really a factor that affects fertility? Feel like it's bandied around a lot by medical professionals and non-medical professionals alike (e.g. The infuriating 'it won't happen if you're stressed', 'just relax and stop worrying', 'don't track ovulation as it'll make you stressed' etc etc), but is there evidence for that? Feel like it's possibly just another way to make women (and men, but mainly women) struggling with TTC feel responsible for it.

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physicskate · 14/06/2017 18:09

My gp wouldn't look me in the eye and told me to have another miscarriage so I could get tests.

I hope he sleeps well at night.

florafoxtrot · 14/06/2017 15:04

Our GP practice has a website so I went on there, checked what they specialized in and then targeted the GP we saw....

.... yeah I'm getting pretty desperate with it all

JoJoSM2 · 14/06/2017 11:25

You could do. Hopefully, the prize idiot of a GP I saw initially is a bit of a rarity. The other one has been knowledgeable and supportive. You could also make sure you get copies of tests and see what you got tested for and cross check the results. E.g. with the muppet GP, it turned out that tested my liver, kidneys, tested for anaemia etc but I only found out that he had never done any relevant tests when I got a copy of results to go private...

katiegd · 14/06/2017 07:59

Ah yes, good point re shitty GPs. Is it worth asking reception if there are any with special interest in fertility issues?

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BabyMoonPie · 13/06/2017 21:46

I went to the GP on my own and explained that we were struggling to conceive and the NHS website said I should see my GP. The GP said they test separately in our area and it's the woman first. I had a swab and blood taken on day 21 of my next cycle and an abdominal scan. Nothing showed up so DH then had to provide a sperm sample. Good luck to you

JoJoSM2 · 13/06/2017 21:17

And beware of utterly shitty GPs. Ours refused to refer repeatedly so needed to change GPs to achieve anything on the NHS.

katiegd · 13/06/2017 17:50

Thanks all.

Flora and Sunshine - sounds like you are both in very similar positions to me. Thanks for advice re going together and booking double appointment. It's so helpful knowing other people's experiences and what to expect. Big FX to both of you on your journeys.

Herat - I'm already tracking ovulation and think I'm now pretty clued up on my cycle. I had no idea about all of this a couple of years ago and now feel I have more knowledge of female fertility than I do about most things! Smile10 cycles is the number where I'm pretty certain we've HS at the right time.

I'm in my fw now and it's looking like we should be able to give it a good go! So if no BFP this cycle then I think I will suggest to OH that we take the plunge and book a joint appointment with GP.

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