Looking for advice:
My husband (34M) and I (31F) have been TTC on and off since February last year. We actively tried for about 5 months, conceived, and unfortunately miscarried at 7–8 weeks in September.
We tried again in October and November without success, then took a break from December through April due to some health concerns. We started trying again in May and have now had 4 unsuccessful cycles. The first 2 cycles, we were mainly following the Flo app. For the most recent 2 cycles, I’ve been tracking much more closely with Inito, inexpensive OPKs, and BBT. I’ve seen my LH surge, confirmed ovulation, a PDG rise that stays elevated, and the expected BBT shift.
I recently saw an OB-GYN in Indiana who said that since I’ve conceived before and haven’t been consistently trying for a full year, I can continue trying naturally. She also gave me the option of Letrozole/Clomid whenever I feel ready.
However, I’d really like to have some basic fertility testing done before continuing to try blindly—especially hormones, ovarian reserve, uterus, and whether my fallopian tubes are open (HSG/HyCoSy). I’d also like my husband to have a semen analysis.
Would you recommend seeing an OB-GYN or going directly to a reproductive endocrinologist/fertility clinic for this?
Also, for those in Indiana/US, how did you manage the cost if your insurance doesn’t cover fertility clinics? Are there affordable options or insurance plans that cover diagnostic testing?
Every month has become emotionally and physically exhausting, so I’d really appreciate hearing from anyone who has been through something similar.