Sorry if this is a dup, added to a few boards...

Hi All!

I have a few questions before a consult with my RE this week after a 4 month break...background: almost 36 - been TTC for about 2.5 years... my husband had some health issues last year that impacted his count (fluke infection without permanent damage _ forced us to cancel 4 cycles), but we know half the time his testing was normal. I have Hashimotos (TSH is always normal) PCOS (never said by RE but diagnosed by ob/gyn), and another autoimmune... shouldnt have a direct impact on fertility. I have never had regular cycles (since age of 14) without the help of metformin or birth control.

1. Have any of you used progesterone injections when only doing cycle monitoring? I have had one cycle of endometrin and another with crinone, but both were $200+ after my insurance. My RE never did a 21 day (or 7 day past ovulation in my case) progesterine labs, but added it in based on symptoms. I plan to ask for the test next , but wanted to know if I should ask about other forms of progesterone as well.

2. Are there any tests you wished you would have asked for earlier in your treatment? Have done 4 letrozole monitored cycles - I responded perfectly to each one -good follicle size/good lining, and am wondering what we are missing. I had a clean hsg and basic labs... My RE's diagnosis "sort of" is ovulation deficency/failure to ovluate (started have regular cycles after starting metformin about a year ago). My plan going in is to try 3 more cycles and then pause for a laproscopy, but maybe that is naive? My RE doesnt support those for "cleaning up" just diagnosis, she said she would do it last year but did not seem to think it was entirely necessary... and my husbands count had us wondering if we really had 4 good cycles or just the 1 after his recovery.

Thanks for taking the time to read this and for any input!