Thanks LuluSS, trgirl308 and Katikins612!
LuluSS, I'm sorry to hear about your diagnosis as well! Are you on Metformin or Clomid? I hope you get good news next month!
trgirl308, excited for you to test! How long are your cycles? FX-ed for you!
Katikins612, I'm Hyperthyroid, but no longer on Methimisol since my TSH has been normal for a long time. However, I go in for bloodwork to my endocrinologist every six months. I realized something may be off with that in December so I went in to get that checked. My doctor said my test looked fine, but with the short cycles, she was concerned. Meanwhile DH got his SA done at the RE and found out his count, motility and morphology were all low (morph was lowest at 1%).
So we had our consultation with the RE. He said that he wanted me to get another thyroid test and also send my results from December, because while the regular endo might say my TSH is normal, the RE needs it to be even more exact.
On day 3 of that cycle I did an u/s and blood test at the RE's office to test my hormone levels. The RE said my ovaries were small and the follicles looked as though they should on day 6, not day 3 (I just saw someone on another diminished ovarian reserve thread said that this can happen.)
On day 9, I had a hysteroscopy and endometrial biopsy, which was fairly quick, but painful. They told me to take a double dose of Ibuprofen for this. The hysteroscopy is inserting a camera in the uterus and the endometrial biopsy was removing a tiny portion of the uterine lining. It hurt but only for a few minutes, and then I just felt like I had mild menstrual cramps for the rest of the day. I wore a pad for spotting.
On day 10, I had the HSG, in which they injected dye into my uterus. It is supposed to flow through the fallopian tubes, which it did, so I didn't have any blockages! It felt like bad cramps for two minutes, but I felt fine later. Also took a double dose of Ibuprofen before and wore a pad after for spotting and dye leakage. (BTW, women tend to be super fertile after HSGs, it seems to flush everything out and a lot get BFPs after them. I have a few friends who did).
On day 11 (BTW, you do those three tests on days 6-11, which is why I had to do them in one week), I had the sonohysterogram, which is the easiest. The RE injected a saline solution into my uterus (because it's pretty much like a deflated balloon and the saline
helps them see if there is scarring or anything that may cause issues). RE said it looked
great and I was ovulating that weekend!
I also had one more test, just a u/s and cervical culture on day 21 (?) that showed I had ovulated.
So then DH had his 2nd SA and we got our results of all the testing the next day. He had improved considerably on the morph (up to 3% - he had taken male prenatals prescribed by our doc and got a standing desk for work - also gave up all alcohol). And my hormone tests showed that I had low Anti-Mullerian Hormone and high FSH, good indicator of premature ovarian aging (small and older ovaries are too). Our RE has a very holistic approach and didn't want to rush us into IUI or IVF , so he put me on DHEA ( as I mentioned, it can "turn back the clock" on older ovaries) and CoQ10, Melatonin, Isositol and L.Arginine, which can improve egg quality. Also, he recommended acupuncture, which I started last week and love already ( it even eased my menstrual cramps). I go back on day 3, which is tomorrow, for an u/s and bloodwork so our doc can see how
things are looking.
Sorry for writing a book, but hope that provides a little insight into the process of fertility testing. Some were painful, but overall, it was worth it and I felt better knowing what was wrong and could potentially be fixed! Hopefully you will get a BFP and won't need to be concerned with all this, bjt if you do, please know it is completely manageable!