what tests should I ask gyno for?

genesismarie

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Its been 13months ttc after depo & still nothing. My gyno.has done nothing but give me the basic bloodwork up on a random cycle day. They didnt even give the results just called & said everything looked good but that was I dont know how many months ago. Since she has done nothing. So what I.wanted to know from you beautiful ladies is what tests have your doctor done & what tests do you suggest I ask for? & whereb your tests covered by your insurance if not what was your out of pocket cost?
Thanks ladies please don't read and run im desperate lol going to call doc in the morning if I get any responses
 
Well first, do you know if you are ovulating and how do you know you are ovulating? When do you ovulate? How long are your cycles?
 
My cycles have been all over the place b for this whole year. They got stable at 26days for four months then went back to being all over. I use opks but since my last two cycles have been crazy I can't say for sure when I ovulate. But my doc checked my pcos and she said the ultrasound showed that I had ovulated so I guess I do ovulate but it's a hit and miss with my irregular cycles. My last cycle was 29 days before that they had been 26days for four months this cycle im on cycle day 27 no af yet
 
Hmm. How often are you BDing?

Sorry for the 20 questions lol, I figure this way I can help more!
 
I don't mind. Yes we are often bding but it's random some cycles some days we just don't feel like it & in cycle we can go a week without bding. But thats rare
 
Okay so well if it was me again in your steps (I just went through getting further tests) I would ask for my husband to tested! You've probably done that already but I mention it just in case because it is so easy. And then I would want a full cycle work up, like a Hysterosalpingography or a Pelvic ultrasound to make sure your fallopian tubes are not blocked and that there is not any large cysts preventing you from ovulation. As well I'd ask for timed blood tests to make sure you are ovulating and that you have appropriate progesterone levels after ovulating and appropriate LH levels before ovulating and a long enough luteal phase to sustain implantation.
 
Those three things should pick up the majority of average fertility hurdles.
 
Also, some of my tests were covered and some were not because my insurance doesn't cover infertility treatment but they do cover the cost to treat underlying causes of infertility haha, funny little distinction!
 
JesstheMess pretty much covered all the bases.

The early cycle test is usually done on CD3/4 (FSH/LH/Estrogen/Progesterone). The mid-cycle test is usually done 7 days after ovulation (or CD 21 if going by the traditional methods).

You'll also want to see if they can check your thyroid (TSH) levels. Sometimes if that is even a little low it can cause issues.

You can talk to your doctor's office and any labs/facilities ahead of time and have them check your costs before you have the tests. If you're in the US, it's likely that the items can vary widely. (EX. My first HSG will likely be cheaper than the one I may have to get this month since I'm getting it done by a specialist rather than at the main hospital.) Sometimes it pays to shop around.

@JesstheMess - Our insurance is the same. So far they have covered everything after we met our annual deductible. We've just covered the co-pays.
 
Also you should do charts and show the doctor at least six months worth so he/she can have an idea of how your body works.
 

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