WOMENS-HEALTH Messages for February, 2000: Re: Af arrived again

Re: Af arrived again

From: anonymous@obgyn.net
Wed, 23 Feb 2000 08:58:04 -0600 (CST)

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In reply to: Stephanie: "Af arrived again"

At Wed, 23 Feb 2000, Stephanie wrote: >
>I'm really upset! We,ve been trying to conceive since August. Been
>Temping since September. All indications were I was ovulating late in
>the cycle(day 22 being avg). So we adjusted our lovemaking accordingly.
>I'm still not pregnant.
>
>I have spoken to my family doc. She says that no tests should be run
>til we have been trying a yr. I don't want to wait that long- in case
>something is really wrong(wasted time in my opin).
>
>Should my husband be going in for a SA? How is that arranged? What
>tests, if any , should I be asking be done on me? Or should I listen to
>the doc and let things happen naturally?

You still have a good chance of conceiving on your own, but I can understand your frustration. Technically, you are not considered to by "infertile" until you have been trying for a full year, but I tend to tailor my advice to the circumstances. If you are both young and healthy, with no problematic points of medical history, I would suggest that you wait a while longer. If you are already in your late 30s, or 40s then I would begin the evaluation right away. The initial tests that should be performed are a semen analysis, then a Thyroid Stimulating Hormone, Prolactin, Complete Blood Count, and a Rubella titer on you, along with a full history and physical exam. From there, there are a number of legitimate directions to proceed.

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only, and is not intended to be replacement
or substitute for consultation and examination by an appropriate medical
professional.  Due to time constraints, private e-mails cannot be answered.

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