Unexplained infertility, bicornuate uterus

[ar12345]

Hello,

I have an appointment coming up with my Gyno this week. I currently have unexplained infertility. We have been trying for 18 months with no success.

Partners sperm are fine

I have a bicornuate uterus (which they have said shouldn't effect fertility but I am not sure how bad this is as you can not really see this on an ultrasound), but other than that I think ok. I had a blood test and a hycosy and they came back fine

Are there any other tests I can have to try and figure out why I am not getting pregnant? Can I have any tests to determine the health of my eggs and how many eggs I have?

Is there any medication that can help increase the chances of pregnancy that I can ask about?

Is there anything else I should be asking?

I'm sure a lot of people reading this will understand how frustrating this is and how much you just want some answers as to why it isn't happening for you.

Any help you can offer will be greatly appreciated.

My partners sperm results did say: clumping++ but I am unsure what this means I am asking this week.

Do not readily accept an unexplained subfertility diagnosis; all this means is that they have failed to find out what is wrong. Sometimes too it is a diagnosis given to couples when they have not been adequately investigated.

What tests have been done for both of you during the last six months?. What blood tests have you had done?. Both of you need up to date test results and a firm diagnosis of the underlying problem. One semen analysis for instance is not fully indicative of there being a male factor issue; these should be repeated.

The most common tests that tend to be omitted are:-

Adequate x-rays of the uterus which may show abnormalities not otherwise seen at laparoscopy.

Hysteroscopy - telescope inspection of the inside of the uterus which may occasionally show abnormalities not seen otherwise

Repeated sperm counts over several weeks and months to make sure there is no subtle abnormality

Testing the sperm in special media such as swim up tests/velocity testing. However, when they are done, they often uncover a hidden cause for the supposed unexplained problem

Thorough hormone tests to detect abnormalities of male hormone or early falls in progesterone

Scanning of the ovaries to see if follicles really are developing and there are no sign of polycystic ovaries

@AttilaTheMeerkat

Do not readily accept an unexplained subfertility diagnosis; all this means is that they have failed to find out what is wrong. Sometimes too it is a diagnosis given to couples when they have not been adequately investigated.

What tests have been done for both of you during the last six months?. What blood tests have you had done?. Both of you need up to date test results and a firm diagnosis of the underlying problem. One semen analysis for instance is not fully indicative of there being a male factor issue; these should be repeated.

The most common tests that tend to be omitted are:-

Adequate x-rays of the uterus which may show abnormalities not otherwise seen at laparoscopy.

Hysteroscopy - telescope inspection of the inside of the uterus which may occasionally show abnormalities not seen otherwise

Repeated sperm counts over several weeks and months to make sure there is no subtle abnormality

Testing the sperm in special media such as swim up tests/velocity testing. However, when they are done, they often uncover a hidden cause for the supposed unexplained problem

Thorough hormone tests to detect abnormalities of male hormone or early falls in progesterone

Scanning of the ovaries to see if follicles really are developing and there are no sign of polycystic ovaries

Thank you, this is all very helpful! Unfortunately because of covid I felt a bit fobbed off, I have never seen my gyno face to face only had a couple of 5 minute telephone appointments and I am not fully sure what investigations have been done. It's always been very brief and I've always left the call feeling like I have no clue what's going on. Last time I spoke to her a couple of months ago she just said it was unexplained infertility and she will see me in October when we have been trying for two years. But I decided over the last few weeks I was not happy as I just didn't feel like it was being taken seriously so kept calling until she agreed to see me face to face so I am now going in this week for a sit down so want to make sure I have as much information as possible so I don't just get fobbed off again! It's so frustrating when something is obviously wrong but they haven't properly tested everything and just say it's unexplained