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When you’re trying to get pregnant and can’t, it’s one of the most frustrating things..well, ever. 

You’ve read all the books, you’ve stuck that thermometer in your mouth every morning at 7am(BBT), you’ve bought those OPK ovulation kits and done it at the perfect times, you’ve drank the juice, taken the vitamins and SHOULD be pregnant!

So why am I not?

And this is where ALL of the testing comes into play…..BUT FIRST….let me give you a tip:

TIP #1:

If your insurance doesn’t cover Infertility, then, most likely, anything you do with a Fertility Specialist won’t be covered 🙁

You can actually get some of your testing covered first by either going to your General Practitioner or OBGYN. Either way, if you go to your General Practitioner, tell them you’re tired and they will run a HUGE blood panel, usually all covered by insurance. And, usually, your OBGYN will do some testing before sending you to a Fertility Specialist anyways. Simply saying that you’ve been trying to get pregnant or you have pain or spotting during your cycle should get some tests covered.

I found out the hard way and was charged for EVERYTHING 🙁 Even things that I could have gotten covered by insurance I was charged for because I went straight to a Fertility Specialist. I guess it’s just the way they code it on the insurance claim so please learn from my mistakes.

Speaking of tests…here are two of the basic blood tests that they will first run:

FSH:

Day 3 FSH level FSH interpretation for DPC Immulite assay
Less than 9 Normal FSH level. Expect a good response to ovarian stimulation.
9 – 11 Fair.  Response is between normal and somewhat reduced (response varies widely). Overall, a slightly reduced live birth rate.
11- 15 Reduced ovarian reserve. Expect a reduced response to stimulation and some reduction in embryo quality with IVF. Reduced live birth rates on the average.
15 – 20 Expect a more marked reduction in response to stimulation and usually a further reduction in embryo quality. Low live birth rates. Antral follicle count is an important variable.
Over 20 Very poor (or no) response to stimulation.

AMH:

Interpretation
AMH Blood Level
High (often PCOS)
Over 3.0 ng/ml
Normal
Over 1.0 ng/ml
Low Normal Range
0.7 – 0.9 ng/ml
Low
0.3 – 0.6 ng/ml
Very Low
Less than 0.3 ng/ml

These two, at least from my Dr., are apparently the ones that are most important.(obviously there are A LOT more)

To give you an idea of where my numbers fall (I always wanted to see what other women’s numbers were to compare):

FSH: 12.8

AMH: 0.62

So….not that great 🙁 Actually, when my Dr. saw those numbers he immediately freaked me out and said, “We need to get out whatever eggs you have left ASAP” Ummmmm….way to make a girl stay calm…thanks Doc

Next step…. HSG(oh joy)

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