TTC since Sept 10 with no real luck, advice?

[nizlopi]

Me and my husband already have a son who is five in May. In September 2010 when he was three, we decided to have another child and stopped using contraception.

Since then I've had what I think was a chemical pregnancy (positive pregnancy test, all the symptoms, then a very heavy period) but that is all. I also think I had another one a few months ago, although I don't test now unless I am a week late, so it could ofc just been a latish period.

In September last year, I went to my GP and asked her for her advice. She said that it me losing weight could help, which I have been trying to do and I am a bit slimmer now, although I'd be happier if I lost another stone. She also said that she would contact the fertility department at our local hospital and call me back, but she never did. The month after she told me she would call me was when I had the chemical pregnancy and I suppose that put me off going back. I don't really know why. It just did.

ANYWAY. Sometimes I get really worried that I might not be able to have any more children, and that its not the fact that I'm overweight. When I had our son, I had a really long, difficult labor and ended up having an emergency c section. Because my womb had been weakened by being in labor for so long, when the surgeon did my section, my uterus tore down the left side, leaving me with a scar. The surgeon told me afterwards (I had a meeting with him a while after the delivery arranged my a therapist) that because of this scar, I would have an 80% risk of a rupture should I have a VBAC, so I would always have to have C Sections in the future.

What I worry about sometimes is this scar. Maybe its stopping eggs from implanting? I asked my GP about it, but she didn't understand what I was trying to ask her, and that's why she was going to contact the hospital about it.

My periods are REALLY regular, and I know that I am ovulating, so really I am just obsessed that its me not being able to keep hold of the embryo once its there. Does anyone have any experience in what I'm saying? Am I right to worry about this scar or could it be something else?

Sorry you're having such problems.

I would get back to the GP and request a referral to a fertility specialist. Sounds like you need an internal scan to see what is going on, if there is any scar tissue stopping you from getting pregnant.

Good luck.

How old are you both, could age be a factor? How do you know you're ovulating, are you charting or watching for fertile cervical fluid? Also, has your husband had a semen analysis?

A lot can change in 5 years, and though you could get pregnant then, there's no guarantee there isn't something wrong now. There are some simple tests your doctor can do to rule out easily treatable problems such as thyroid.

Once you've had the tests, you'll know where you stand and what the next step might be. You won't have to rush into any form of treatment - it's just two blood tests for you and a SA for your husband.

Good luck!

I'm 24, he's 28, so age isn't really a worry. He hasn't had his semen checked, I know he would have no problem doing it at all.

I use ovulation tests and other than that, I just know when I'm ovulating. I've always had Mittelschmerz at that part of the month, along with CM changes, and just general hornyness, lol.

I would ask, nay insist, to the GP that you are referred to a gynae consultant for further evaluation particularly given what happened at the birth.

Even normally fertile women have the occasional anovulatory cycle; do not assume you are always ovulating.

Both of you should be tested further and at the same time; its no point testing you solely only to discover further down the line that there are male factor problems.

Adhesions can often occur following any kind of abdominal surgery and such adhesions can tether organs together. This certainly warrants further investigation and from a specialist to boot. Do not let the GP much around in ignorance.

I'd insist on investigations. Yes, weight can affect your fetility to a certain degree but you need to know if there are any other, potentially resolvable issues. Can I ask what your Bmi is?
Feel free to join us up on the ^hut of gl/doom which is a thread for women who've been struggling with fertility issues :)

Absolutely agree that you should go back and see your GP and insist on a referral.
If your fears are correct and you have been suffering with chemical pregnancies that there is a great deal that can be done.
It's a torturous road but keep focused and you will get your answers :)

It took me and my partner nearly 4 years to get pregnant.