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Hi!
When I began at my RE I did 25mg of clomid with trigger and IUI
I did get pregnant my first 2 tries, sadly they ended quickly for different reasons!
We found out I had urea plasma that is a bacteria that can cause inflammation in uterus
We tried another IUI that one didn't take!
We decided to do some testing (genetics) before moving to IVF, so we were doing the 3 IUIs before IVF too!
I also took Crinone progesterone after each IUI
During the blood tests and such we did get pregnant
No IUI or clomid! That baby is 17 months and I naturally am PG again with a baby boy due in Oct!
I think he is starting you on a good track! Ask for monitoring during your cycle to see if eggs are mature before trigger shot, I think that definitely helps!!
Best of luck!!!!!!

@mrswin: @FaithFertility: The SIS that she mentions is a Saline infused sonohystogram (spelling?). It's essentially an HSG. Instead of dye, they use saline. After I had an reaction to my first HSG, my new RE gave me an SIS (or sometimes known as SHG). Same thing from what I know. It still unblocks the tubes.

@jennaclarenda11: I don't have your issue but I did have infertility over 3 years (unexplained for 1.5 years). My IUIs didn't work but IVF worked for us. I didn't have a positive test until we tried IVF. Anyway, lots of luck to you. Your RE's plan sounds reasonable to me.

Oh, I had 1 HSG and 2 SIS over my 3 year IF journey. First one at my first clinic. Second one when I switch clinics and third one when we started the IVF process.

@jennaclarenda11: Sorry for your struggles but you have found a wonderfully supportive community of ladies who have been there! I don't have too much to add to your particular situation except wanted to pipe in about SIS/SHGs vs HSG.

@bluestriped bee: You have had tons more time (unfortunately!) learning about these things than me, so now I'm second-guessing myself, but according to my RE, the HSG and SHG are quite different and look for different things. I was told that the HSG was checking for blockages or tube issues plus uterine issues that could inhibit natural conception and the SHG was checking strictly for uterine health (fibroids, polyps) and abnormalities that could inhibit implantation or fetal growth.

Could there be variations between clinics on this? My HSG was more like an X-ray of my lady organs aided by the dye while the SHG was a glorified transvaginal u/s with saline. I was a completely different part of the clinic.

I had one HSG and two SHGs in less than one year at my RE. I balked at the second SHG (and $800 price tag) so the administrator walked me through the details of the SHG and all of the equipment costs for it. I guess that's why it sticks in my mind!

Anyway, I digress but just wanted to add what I have been told about the two diagnostics which is a bit different. Maybe it's worth asking your RE @jennaclarenda11?

Either way, wishing you all the best on this journey!

@Amorini: you are right! I found this link. http://www.princetonivf.com/hysterosalpinogram-hsg

I think since I had my HSG at my first clinic and had a not so pleasant possibly allergic reaction to the iodine. That when I switched clinics and asked for them to not use iodine and used saline instead, they used SIS & SHG instead. I assumed some dr used the abbreviation SHG or HSG and thought it was the same.

Now that you mentioned it, my new clinic did have my records from my first clinic, maybe that is why I didn't have to do an HSG again. Also, I do remember my new clinic saying that I might have a possible polyp and I had to do something again (I forget).

@jennaclarenda11: that sounds exactly like what I did, best of luck!!!!!

If all is well with hubby, it sounds like you might have some luck with less interventions - so the Clomid // TI // IUI might be a good place to start. As frustrating as it seems, even perfectly healthy folks can take 12+months to fall pregnant. Considering you have late ovulation, it might just take a little longer.

I would also recommend Letrozole/Femara if you don't have a great response with low dose Clomid. It has less side effects and risks of multiples, and even my stubborn ovaries managed to kickstart to life using that.

We have male factor too (hence moving to IVF for our journey) but hopefully you might not even need to get that far.