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Early Pregnancy Symptoms and Big Fat Positives

Polyps cause of unexplained infertility, finally BFP after two years

Hi everyone, I just wanted to post on my experiences after TTCing for 2 years suffering from unexplained infertility, as I have been a lurker and a habitual symptom spotter all this time. I'm hoping my experiences can maybe assist someone out there that was desperately trying to look for answers just like me. ~ I'm a very research oriented person, the moment DH and I started actively trying, I looked up all the methods to give us a better chance at conceiving, ovulation times, opk, temp, SMEP plan. I have always had painful periods that required painkillers to get me through the day, and in recent years became progressively more clotty and abnormal, family doctor pushed it off as normal. It took a year of TTCing before DH finally agreed that we need to get help from a fertility specialist and that something was wrong. I should also mentioned that in the 5 years we were together before, we had never used protection, which added to my suspicions. We got a referral to a clinic, and while the doctor was nice, he didn't seem interested in really getting to know the details of what could be wrong (with my history of painful periods etc) and was overall detached from the situation, he kind of wrote us off as least concern considering DH and I were considered young (31 and 29 respectively). Still he ordered blood tests, and a HSG test. which took a couple months to get the appointment for. The HSG test revealed a retroverted uterus that was slightly arcuated. However the RE just says everything is fine, it's a normal variation of the uterus, so back to square one, unexplained. ~ next he prescribes letrozole for 3 cycles, 5mg from day3-7 to hopefully create stronger eggs and ovulation. I asked if I would be monitored, he mentioned there is no need and that it is perfectly safe to take. First cycle using it, caused incredible pain in both sides of my ovaries, literally felt throbbing pain from what I imagine were the follicles growing. It it was probably one of the first times I had felt ovulation pain, confirmed by opk. however, unsuccessful. ~ Second cycle, I decided to try halfing the dosage of letrozole on my own down to 2.5mg. And after researching on how to make it easier to conceive with a retroverted uterus, I started hanging off the side of the bed facedown after doing the deed, almost at 45degree angle. whatever I did, it seemed to help, I still felt the ovary pains, but not as intense. at 15Dpo I had gotten a light BFP FRER (half dark second line), I was overjoyed, it was literally the first time ever seeing that second line. I immediately phoned the clinic to get a blood test. However by the next day I tried a digital, it registered not pregnant, and the FRER was barely visible, blood test came back to confirm a chemical pregnancy Hcg was only 5. Even though I was extremely sad the bub did not stick, I finally had some hope that it was possible, and next time fingers crossed it would happen. ~ The next couple months after, I continued the letrozole at 2.5mg and the same things I did during the successful cycle. No BFP  during the month of august we decided to try IUI at the clinic we were at. The interesting thing about the clinic, they suggested IUI unmonitored to save half the costs, stating that there was no increased chance of success even with monitoring, which I found very odd. In the end my husband said whats the point of doing the procedure and not maximizing all the chances just to save a couple bucks, so we opted to pay for the monitoring. And thank goodness that we did. Although it was not a successful cycle, it was what I considered the turning point for figuring out what was causing our difficulties, which the doctor didn’t seem to care or could find out. I went on letrozole 5mg that cyle, day 3-7, about 3 ultrasound monitoring to get the timing of IUI (I don’t understand how they would of been able to do without monitoring). On the third ultrasound, the doctor noticed what could have been a polyp in my uterus, that was apparently not seen by any other doctor in all the previous ultrasounds, that was also the session he decided to trigger since I had three follicles ready to pop. I was scheduled a hysteroscopy if the cycle was not successful to figure out if it was actually a polyp or not. DH had 92% mobility and great sperm count, but the IUI was not successful. ~ Luckily the hysteroscopy was able to be scheduled in the upcoming cycle. I had terrible reaction to the sedatives given before the procedure, but otherwise it was a pretty smooth surgery, I got to see the inside of my uterus on the screen as the doctor cut away 3 small polyps in the end. Apparently they were only a few mm each, but all concentrated near the canal of my cervix. I was able to even see the specimens after, it was surreal. The nurse mentioned itll probably make a big difference as they definitely would have been interfering with the conception process. ~ I was excited and hopeful that it was the solution to our problem, however it took another cycle for my body to fully recover. I took 2.5mg letrozole the cycle after, and had transferred to a different clinic due to being disillusioned and disappointed in the lack of concern for my situation from the previous doctor. Funny thing I actually broke down crying at new doctors office, stating how no one cared about helping us find a solution to our infertility, she was lovely and made me feel heard and cared for, and just after the appointment, I got our BFP at 14dpo! Not a half positive like our last chemical, but a strong bright positive. I immediately went and got a clearblue digital, and was overjoyed to find that it said 1-2 weeks pregnant. I am now 11 weeks with hopefully our rainbow baby, we were able to see the bub wiggling on the 9 week ultrasound. It is one of the most amazing experiences. In the end, I have to say I was most upset that the doctors didn’t seem to care enough to tell us to get monitored, which I have to say was the only reason the polyps were detected and in the end removed. I personally felt that 5mg letrozole was way too strong for me, and may have caused unruptured follicles or delayed ovulation. I strongly believe that the polyps acted as a natural contraceptive, and maybe even made the uterus less receptive to implantation and therefore removing them was critical to our fertility. Since when I was doing my research I found minimal information on this particular, I’m hoping sharing my story would help those unexplained couples out there that have everything seemingly normal to maybe urge their doctors to do more detailed ultrasounds. ~ Good luck to everyone! Baby dust to all!

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