New here, overwhelmed
My husband and I have been trying for a second child for three years now. In that time, I had one chemical pregnancy. We are on the older side—38 and 47.
We live in East Jesus Nowhere, Kentucky. The nearest “fertility specialist” is an hour away. There are two reproductive endocrinologists 2 and 2.5 hours away in cities in opposite directions. My OBGYN sent me to the local fertility specialist OBGYN as my OBGYN didn’t feel we were making progress after a year of trying on our own without success, six rounds of letrozole, two rounds of clomid, and a partridge in a pear tree (confirmed ovulation with ultrasound, good bloodwork, good HSG, good semen analysis).
So I’m here, holding my breath on CD 12 for a positive ovulation test, reading about your experiences with IUI as this will be my first IUI cycle. I’m reading about ultrasounds during your period and trigger shots, not experiencing any of that. Is this unusual? Is this a more cautious approach?
The fertility specialist I’m currently seeing has done a post coital test (both negative) and ultrasound the past two cycles, and from what I’m reading online, the post coital analysis is considered an inconclusive test. This is making me wonder if his practices are outdated and not supported by current literature.
To be clear: I am not asking for medical advice, but I am asking if completing an IUI cycle without an ultrasound before ovulation, without a trigger shot to nail down timing is an acceptable way to approach IUI.