What to do after fertility workup and miscarriage?


What should I do after fertility workup and miscarriage? I am 38 and my husband is 36. We have been trying to get pregnant for almost two years. I chart and have regular cycles 26-28 days with a clear temp rise and a luteal phase of 12-13 days. I have always had very poor cervical mucus and use presead. The tests: day 3 FSH-9.1; 6 DPO Progesterone- 14.8; T4-6.8 (range of 4.7-13); TSH normal 2.68; sperm work up was above normal in all areas. Ultrasound and HSG were normal. The post coital test showed almost 100% dead sperm and the endometrial biopsy was ok, but showed an acute and chronic infection in the uterus. After 1 month of antibotics I became pregnant. At six weeks I miscarried after seeing a heart beat (slow, but it was there), which was more than four cycles ago.
I would like to take the next step, but I don’t know what that might be. The infection was in the uterine wall and the report did not say much else. I have asked if I should have another biopsy and they say that since treated with Cipro for about a month that should kill anything, so no need to retest. I also took tetracycline. I had no symptoms of the infection, but do have history of vaginosis, yeast, and UTI’s. Have had all three since Cipro treatment, but doctor said unrelated to uterine infection.

I have looked at many of the posts, but do not see my questions. I live in Peru, and doctors are quite good, but not what I could get in the states. I would be happy to pay for an online/email ‘consultation’ if there is a doc I could send all my test results and history to.

Thanks so much, Eury


Last Updated: September 25, 2013
The next step would be to get a comprehensive hormone profile. To do this you should be charting using the Creighton Method. Then targeted hormone evaluations are done by blood samples taken every other day starting about cycle day five and continuing until peak plus eleven. The pre-peak blood draws are for estradiol only, the post-peak draws are for estradiol and progesterone levels. Estradiol and progesterone levels can be boosted, if needed.

You might also want to get a “near-touch” laparoscopy to evaluate for and treat endometriosis as a large percentage of infertility patients have it. This might not be available in Peru.

You may also want to consider mucus enhancing agents such as amoxicillin, vitamin B6 (pyridoxine), guafenesin or prednisone. All of this is best accomplished under the guidance of a medical provider trained in NaProTechnology. Visit the Pope Paul VI Institute web site to learn more.

George Delgado, M.D., F.A.A.F.P.

Answered By:

George Delgado, M.D., F.A.A.F.P.
President and Founder of Steno Institute and Medical Director of Culture of Life Family Services (COLFS), San Diego, is a Professional Member / Supporter of CANFP. Board certified in both family medicine and hospice and palliative medicine, Dr. Delgado received his medical degree from the University of California, Davis, and completed his residency at Santa Monica Hospital/UCLA. Dr. Delgado is a Natural Family Planning Medical Consultant, trained in NaProTechnology.

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…

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…

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…

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?