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TTCing for 2 years after a TR
An_191691 posted:

I am 35 (I was 33 when I had my tubal reversal). My tubes had been tied for 11 1/2 years when the TR was performed in April 09. I have 7cm Right and Left tube left after the procedure.

I have had 2 m/c both soon after the TR (July 09 and Oct 09) and have not been pregnant since.

I had an HSG done in June 2010 and it showed my left tube was open and my right tube was open but then spasmed closed because there was flow but it stopped. The doctor said my uterus looked great.

I have done the charting (bbt, ovulation predictor kits) used preseed, perfect bding, prenatal vitamins, folic acid.. and we still have not had a successful pregnancy.

I have very normal cycles 28-30 days, my periods are normal with little clotting.

My doctor did just told me to keep trying and it would happen, but that has been almost a year ago now. I will be 36 in June.

Suggestions? Help?
Susannah D Copland, MD, MS responded:
It sounds like you are doing everything correctly, and have not yet met your pregnancy goal. Has your partner had a recent semen analysis? The miscarriages mean sperm was present, however do not necessarily mean that count is normal. While your tubal anastomosis has created a path for sperm to meet egg, there may be resultant scarring or changes in tubal function that are a source of delay. Pregnancy can be harder to achieve as we age, so we start to evaluate women 35 and older after 6 months instead of a year. Since you are 35 and it has been over 6 months of trying with at least one open tube, it is time to see a doctor about fertility. Good luck!
georgiapeach060275 replied to Susannah D Copland, MD, MS's response:
Thank you.

My husband just started a new job, as soon as the insurance starts we are going to get an SA done for him.

Right now I am on cd 29 of what normally is a 28 day cycle. Average is 28 days but I know it can go alittle longer especially since I stopped charting and have no real clue when I actually ovulated.

I am not having my normal cervical fluid though, the last two days it has been milky and not creamy or shiny (the shiny cm is usually my indication the edometrium is breaking down for me). I have no symptoms of AF or pregnancy so far.

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For more information, visit the Duke Fertility Center