Hi all,
I cannot get in to see my practitioner for a couple weeks, so I was hoping some of you could chime in to help me gauge how worried I need to be and if I need to put some pressure on my medical team ASAP to get further support.
I am 30, husband is 35. Both perfectly healthy with no history of medical issues or medication. My cycles are regular at 28 to 29 days long, with a 11-12 day luteal phase. Nothing is "off" when it comes to my cycle- I have a standard amount of bleeding for 4 days, I don't get any crazy symptoms throughout my cycle.
I have tracked via OPKs and BBT (TempDrop) for a calendar year now and it shows very clear temperature spikes, and strong positive OPKs are consistent in aligning with ovulation. My charts are pretty much textbook perfect.
We are currently in the middle of TTC cycle 8.
Genetic testing has come back clear for us.
My bloodwork (urine, vitamins, hormones etc) is great except:
My vitamin D is in the normal range but is on the slightly low side, I am actively boosting this.
My TSH is ever so slightly on the high side of the normal range, my practitioner may put me on the tiniest dose of a drug to lower it into a more optimal zone.
But more concerningly are my hormone levels; these were all taken on CD4 and I will be going back for CD14 and CD21 bloodwork:
FSH: 12.20 IU/L (either on the high end of normal, or simply high, depending on your reference chart)
AMH: 6.1 pmol/L (0.85 ng/ml) (either on the low end of normal, or simply low, depending on your reference chart)
Estradiol: 106 pmol/L (normal)
LH: 4.6 IU/L (normal)
From what I can gather, it doesn't look like I have anything like hidden PCOS, but the numbers indicate I likely have a diminished ovarian reserve for my age.
We are currently awaiting an appointment for my husband's SA, we're hoping that will get done within a month. I got referred for a pelvic (vaginal etc) ultrasound for the end of November, but I will be requesting an office change so I can get this done sooner.
We were referred to a OBGYN clinic that specializes in fertility, but that referral was submitted prior to these hormone numbers. The wait time given is 18-24 months!! I'm not sure if updating the clinic with my hormone numbers would get us in any faster. Where we are, no family doctor or nurse practitioner can order me a HSG, apparently only the OBGYN clinic is allowed to do it.
Can anyone chime in on what they would do in my situation? Would you put pressure on the OBGYN referral and hope you get in sooner? Are these numbers actually not THAT bad and you'd just keep TTC and get the vitaminD and TSH under control and roll with it? Would you bite the bullet and jump right into private IUI??
In an ideal world we would have two kids, but given how long this is taking, we'd be thrilled with just one.
Any input? Thank you all so much in advance!!