What next?


I am 32 year old and my husband and I have a five and a half year old son. We’ve been trying to conceive for about two years now. We have also been using fertility monitor for the last half a year. In May I had a hormonal blood test on day two. My doctor said that everything was normal, but estrogen was 75, which he thinks is a little high. My luteal phase also seems to be short: 12-13 days. I had an ultrasound at the middle of the cycle and the doctor said that I ovulate and my mucus is very good.
In addition to the above my husband had semen analysis and it was the following: Count:129, motility 43, morphology 77. My doctor said that it is quite weak. I have tried progesterone vaginal capsules for one month and my luteal phase increased to 16 days but I did not get pregnant.

The next step my doctor said should be Clomid therapy with hormonal blood test on day three and ten, and IUI. Do you think this is a right step or we should do more testing? Do you think it is possible to conceive naturally with this sperm count?

Thank you very much.


Last Updated: July 24, 2013
Sorry, I do not have enough information about you to determine if Clomid is justified. To determine that, in our office we do a complete hormone workup with at least three progesterone and estrogen samples of the luteal phase, as well as pre-peak estrogen samples. We also would want to know thyroid, prolactin and androgen values and possibly fasting glucose and insulin levels. As far as your husband’s semen analysis, the count and morphology are good but the motility is a little low. Normal in many labs is over 50 or 60% motile sperm; however, his motility is not in a really low range, and pregnancy is certainly possible. To improve his motility the following measures may help: reduction of alcohol and stopping tobacco, boxer shorts, discontinuing certain medications that can affect semen adversely. Some men have a subtle thyroid problem. Lifestyle changes to reduce stress, improve nutrition, and improve sleep can help. Also, there is a good supplement, Proxeed, that can be obtained from the web site www.proxeed.com. At some point if you do not get pregnant it might be useful also to check to see if your Fallopian tubes are open, or check for endometriosis.

Best wishes,

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.

Read more related questions

Panic About Fertility

I’m having a complete panic about my fertility. I’m 30 years old and stopped taking the pill a few months ago after being on it…

Trying to Conceive for First Time

I am a 38 year old woman, trying to conceive for the first time. I am using the Clearblue Fertility Monitor and it showed high…

Could Polyp Be Causing Miscarriage?

Could you please help me as I don’t know who I can ask? I am 43 years old (have had no children before) and within…

Breastfeeding and Miscarriage

I am a 38 year old woman with three children who has also had five miscarriages. I am currently four weeks pregnant (six weeks after…

Conflicting Advice on Progesterone and Infertility

I am 27 years old and my husband and I have been trying for our first child for five months. I have been charting since…

Low Estradiol on Day Three of Cycle

I am 26. I have had four miscarriages. Recently I had cycle day three labs done. The results are as follows: FSH 5.5 TSH 1.33…

How Long Should I Wait to Conceive After Weaning

I had a miscarriage a few weeks ago, and I believe that it is very possible it was due to low hormone levels. I had…

Is My Premenstrual Spotting Related to My Miscarriages

I am 40 years old, with an almost-three-year-old daughter. My husband and I have been married for eight and a half years. We went through…

New Normal After Stillbirth?

My first child (a beautiful baby girl) was stillborn in February of this year (40 weeks gestation with no known cause). My husband and I…

Poor Cervical Mucus and Now Miscarried

I am 37 years old, with two children ages six and three and a half. I have been trying to conceive for one year using…

Still Think Something is Just Not Right

I am 26 years old and my husband and I have been practicing NFP since we married two years ago. Right after getting married, I…

What is Normal TSH?

I was having a difficult time becoming pregnant. I finally got pregnant, but then miscarried. This was unusual for me because I quickly became pregnant…

Create An Account

This is not a membership, this is an account for our CANFP website. If you decide you would like to sign up for one of our memberships later, you can do so with or without this account.

First Name *
Last Name *
E-mail *
Username *
Password *
Confirm Password *
Edit Profile
Order History
Shipping and Billing
Login Information
Notification Settings
Notification Subscriptions

CANFP conducts varied outreach programs to the community at large, in addition to serving our members (NFP users, teachers, and advocates).

CANFP provides education programs tailored to the audience, not only on Natural Family Planning, but on the wide variety of topics related to it.

Programs can be continuing education for NFP Professionals, introductory information for a lay audience of youth or adults new to the topic, or specifically tailored to the interests of a professional audience, such as educators, physicians, or clergy. Content is faith based or secular, whichever is suitable for situation.

CANFP offers a variety of resources for those just discovering Natural Family Planning, as well as to meet the varied needs of our CANFP Members. Most resources are available to any visitors to our site. Some resources do ask you to register as a site user in order to access them, others are available only to CANFP Members.

CANFP statewide conferences, regional events offered in collaboration with local partners, events featuring CANFP speakers, or exhbit, as well as other events throughout the state of interest to our NFP community.  Come meet one of our experts at one of these events or book a speaker for your own upcoming event.

CANFP depends on the gifts, talents, and generosity of our members and supporters. The success of our mission depends on the collaboration of our members. Please consider contributing your time treasure and talent through CANFP to share the good news of NFP with the world! Both volunteer and contracted positions available.

Stay informed by joining our email list

* indicates required
Which role(s) best describes you?