Since we’ve been struggling to get pregnant for over a year now, we had some testing done. I did mention it a little in this post: Being One in Eight is Heartbreaking.
Dan had a semen analysis done, and I had an HSG. A semen analysis is what you would expect, they have you bring in a semen sample, then analyze it. An HSG is an invasive test to check for any blockages in my system. They insert a tube through my cervix, then push a dye through so that it fills my uterus and spills out of my Fallopian tubes into my abdominal cavity. Blockages or an oddly shaped uterus can both be detected using this test.
Thankfully, my uterus is normal, and both of my Fallopian tubes allowed the dye to pass though into my abdominal cavity. The test was extremely uncomfortable, but not as bad as I expected – I wouldn’t go so far as to say it was painful, but it was uncomfortable.
The semen analysis also was totally normal. They check count (concentration and total count in sample), motility, and how many of the cells are motile. They do also check for a percentage of normal cells. The reference ranges given were minimums. Dan’s numbers were all significantly higher than the reference ranges! At least we know that all of that is working!
With both tests being normal, we talked about the next steps, since I’m still not pregnant.
First, she explained what can and cannot be controlled. For those of you that don’t know, I’ll give you a quick rundown of everything that has to happen to get pregnant:
- egg needs to mature and be released during ovulation
- the Fallopian tube has to pick the egg up and send it towards the uterus
- sperm has to make it from the vagina into the Fallopian tube where the egg should be
- sperm has to penetrate the egg – fertilize it
- the fertilized egg has to start dividing and continue its trip to the uterus
- the uterine lining has to get nice and thick while the egg is coming
- fertilized egg implants into the uterine lining, continues dividing and starts producing hCG – this is when you’re officially pregnant
- hormone levels are high enough to disrupt the cycle, and the uterine lining is not shed (you do not get your period)
- then it has to continue to grow and divide and turn into a new human being
As you can see, there’s a lot of steps to getting pregnant. All that my OB/GYN can control is the eggs maturing, eggs being released, and the uterine lining staying thick and fluffy. No one can control my Fallopian tubes picking up the eggs and sending them on their way.
For this cycle, we’re going to try progesterone. Progesterone pills help to increase the thickness of the uterine lining and encourage implantation. If I do not get pregnant this month, we’re trying Clomid and progesterone. Clomid encourages multiple eggs to mature, which increases the chance of them making it into the tubes for fertilization (and yes, it increases the chance of twins by about 8%).
Here’s hoping that the progesterone will be all I need! But, hopefully, I’ll be pregnant in the next 3 cycles, or else I’m going to be going back to my doctor to try different things.
Please pray/wish/hope that I’ll get pregnant soon, this has been a frustrating journey so far!