All of us at Ideal Gynecology understand how upsetting it can be to have difficulty getting pregnant. Dr. Schapiro had her own challenges with fertility and has written about them in Tick Tock. She wrote this novel to help other couples facing fertility issues. It not only outlines many of the steps, but delves into the emotional toll that infertility takes.
Your evaluation will begin with an indepth history including questions such as:
- How often are your periods – from the start of one cycle to the start of the next?
- How long do your periods last?
- Are your periods painful? Do you need to take anything for pain with your periods. (Sometimes periods are not painful if you are not ovulating.)
- How long have you been trying to get pregnant?
- Do you or your partner have any children from previous relationships?
- Have you been pregnant before?
- Have you used an ovulation predictor kit? And if so, are you ovulating?
- Have you watched for cervical mucus to show when you are ovulating?
- Do you and your partner travel for work? You could just be missing your ovulatory days.
- Have you ever been diagnosed with PCOS (polycystic ovarian syndrome) or fibroids?
- Have you ever been diagnosed with gonorrhea or chlamydia? These can cause scarring of your fallopian tubes.
- Have you ever had a pregnancy in your fallopian tube called an ectopic pregnancy?
After finding out about you and your fertility journey so far, we will probably do a physical exam. We will do blood tests check your hormones, your ovarian reserve and test for polycystic ovarian syndrome.
At a separate visit, we can evaluate your fallopian tubes with an ultrasound procedure called a femvue. This needs to be done after your period stops and before you ovulate. We can evaluate your uterine cavity with a sonohysterogram.
All of our practitioners are skilled at reviewing a temperature chart, so if you have one, please bring it. If you have not done a temperature chart – no worries. The ovulation predictor kits are much better. Your phone app can not tell you if you are actually ovulating. You need to use an ovulation predictor kit, available online or at your pharmacy.