No pregnancy after 12 years

Question

My husband and I have been without birth control for over twelve years. We have two daughters, 15 and 12, and I had no problems conceiving either. We are both 36 and have been trying for about 5 years, thinking that our timing has been off. We are just now seeking medical advice on this condition. About one year ago, I was diagnosed with fibromyalgia and hypothyroid. I am currently on medication for this and just recently discovered that this could be contributing to our infertility problem. However, my OB/GYN is having me chart temperatures and it doesn’t appear that I am ovulating either. She is suggesting that I start Clomid and my fibro doctor is suggesting progesterone. If I utilize both – will this hurt?

Answer

Last Updated: July 23, 2013
It can take a while to obtain the full effect of thyroid treatment on the reproductive system. However, once your thyroid problem is corrected and you are not ovulating there may be some other reason such as polycystic ovary syndrome, elevated prolactin levels, or even pre-menopause. After a workup, Clomid and/or progesterone could be a logical treatment depending on the cause of the lack of ovulation.

M. Davenport, MD

Answered By:

Mary Davenport, MD, MS
Mary Davenport, MD, FACOG, an obstetrician/gynecologist from the Oakland Region of California, offers telehealth services over MyCatholicDoctor.com She graduated from Tufts University School of Medicine and completed her residency at UC San Diego. Dr. Davenport is a Fellow of the American College of Obstetrics and Gynecology, and serves on the Advisory Board of the California Association of Natural Family Planning.

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