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Get a new OB, that's the next step. I don't know much about infertility treatments but from the little I do know, I don't see why he would put you on clomid if you are regularly ovulating. Has your husband had a sperm analysis done?

My advice is to go see an RE instead of your OBGYN. My RE wanted all of our previous testing redone when we first went to him. Were you monitored on the Clomid?

Yes, get an RE instead!! He shouldn't just be blindly throwing Clomid at you because he doesn't know what else to do.

First piece of advice? Go to a RE. They are efficient and can knock all these tests out for you. I think you need more information to know how to proceed. Were you monitored on Clomid? (Measure your lining, check to see how many eggs were released, blood test for progesterone). A RE will do a HSG and bloodwork and a SA for your husband. Why take all these drugs if you're fine and it is just a motility and/or numbers issue with your husband?

I feel your frustration. My RE was basically willing to do whatever I wanted, and what I wanted was for her to tell me what to do!

@swedishfish: Ah, gotcha. I still stand by get a new OB (or RE) though... I feel like this Dr is not partnering well with @LittleLashesToes: to come up with a solution that she agrees with, understands, and is comfortable with, and that's not cool.

@MamaMoose: oh I totally agree. I refused to take Clomid under the guidance of an OBGYN.

@LittleLashesToes: there is no way you should've been put on Clomid before basic bloodwork was done. Where do you live? Do you have infertility coverage with your medical insurance?

If you can't swing the RE just yet, get a hormone panel done- FSH, estrogen, LH, all that good stuff. I think it's strange that they would give you Clomid before doing any bloodwork/ can you switch OBs? I think that blindly giving medication is just a sign that your OB doesn't know what to do.

Hope you get some answers soon!

@LittleLashesToes: To second @swedishfish, usually being 35 ("AMA") and trying for 6 months qualifies you for some infertility coverage... I'd call and find out!

@littlelashestoes: Based on my own experience, I think monitoring is important on Clomid. After one cycle, my uterine lining was really thinned out. There would have been no way of knowing that without monitoring. With that said, there are others who were NOT monitored and they had happy endings.

I would try to line up all the testing @Redsmarties: listed before moving on to other treatments. Our insurance doesn't cover infertility, but they've been champs at getting so much covered. $600 sounds high for the first visit, but might be an estimate if it includes an initial ultrasound and blood work.

Good luck, and hang in there!

I agree with the others, time to switch providers! The first thing (before Clomid) should always be to do cd3 bloodwork (includes FSH and lots of other important things), then a progesterone test at 7dpo. Ask your friends, check yelp, find an OB that has good reviews.

Otherwise, I've been happy working with a naturopath who specializes in fertility. There should be plenty in Eugene if thats a path you want to take.

Don't forget to have FSH and AMH checked. AMH doesn't fluctuate as often as FSH.

You should go see an RE who will do much more thorough testing. My GP did a few blood tests and they came back pretty much normal so he didn't see any problems and just threw 50mg Clomid at me. My RE did a full month of testing including ultrasounds, blood work to test for everything under the sun, a HSG, an interuterine biopsy and the AMH test. Only then did he structure a treatment plan for me.

Honestly, my HSG wasn't that bad at all. My RE had me take some antibiotics the night before and morning of and I took an extra strength Advil an hour before the procedure. The doctor who did it was great and talked me through it soothingly. I didn't feel the catheter at all and when the "dye" went in it felt like bad menstrual cramps, but no stabbing pain or anything. The whole procedure lasted 5 minutes max. 20 minutes later the cramps were gone and I felt fine. I had some spotting for about an hour after. My suggestion is take another Advil 4 hours after the procedure too, because I did have some pain when my first dose wore off.

My endometrial biopsy was MUCH worse, but it doesn't seem that many actually have that procedure done anyway.

I had an HSG and I can't say it was the cause but I got knocked up two months later. I didn't have any permanent blockage but there was a slight pause in the flow of the dye. Many women have seen better conception results in the three months plowing and HSG.

I would go to a RE, it's more of their specialty and expertise.

@CatchAFallingStar: Oooh, good luck! He's an extremely skilled physician, and really friendly and professional. I'm just about to get back on the medical conception horse, and I wish I was still there to do it with him.

And as an added bonus, the man is beautiful. Not sure if that helps, but it sure doesn't hurt.

@CatchAFallingStar: good to hear it went well.

Sure. I went to him when my periods didn't return after discontinuing hormonal birth control. My mother experienced infertility, so I didn't want to wait around to see if my period came back. He prescribed me a course of progesterone to see if that would regulate my cycle - it did not. Then he ran a bunch of tests for thyroid function, PCOS, etc, and found nothing to worry about.

As I still was not cycling, he proscribed 50mg of clomid on days 5-8. I had a progesterone level done on CD 21 to see if I'd ovulated - which I did not on 50mg. So I moved to 100 mg, and ovulated consistently on that. He had me stop the blood work on my fourth cycle since I was ovulating consistently. I got pregnant on that cycle and now have a two year old.

We had planned to move on to an IUI if the fourth cycle wasn't a success, knowing that you only get 6 rounds of clomid at a time. Thankfully that wasn't needed. My husband was not asked to do a semen analysis. I'm about to start this process again, and we'll do the SA first thing, this time.

@CatchAFallingStar: good luck!