The path of the desire for children
Dear medical team,
I have already written here once before because I am so impatient with our desire to have children. I am now (unfortunately today) starting the 8th cycle. A very nice doctor told me online that everything is normal for up to a year. I am now trying to force myself to relax, as I cannot change anything. I still went to the gynecologist and he said after I told him that I have pain before! (4 days before) and 2 days during my period, it could be a sign that I have endometriosis. But this is just a consideration and we should not assume the worst. He doesn't see anything in the ultrasound, but that doesn't mean anything. I showed him my cycle charts where he said that the curves look good and a high phase of 11-12 days is sufficient. The spotting before my period may indicate a slight progesterone deficiency. I have now been given chaste tree extract and should take it for the next few months, and if it still doesn't work, come back and we will do a sperm analysis and hormone control. Everything was fine in the ultrasound and I even had a great dominant follicle, perfectly built up lining and good cervical mucus. Unfortunately, "practicing" still didn't work this cycle. I know I had an ovulation. Now my question is: How do we proceed? We are open to all treatments and want to leave no stone unturned IF it comes to that. If our hormone levels and his sperm count are good, what is the next step? Honestly, my pain worries me. Most women say they have lower abdominal pain. My pain is in the pelvic floor. In the buttocks and lower back. (Feels deep inside, but in the back area) I tried putting these heat patches on the front, but it doesn't help because I don't have pain in the front. Also, and unfortunately the only information I have kept from my gynecologist, but more because I forgot, is my chronic irritable bowel syndrome. I have had it since I was 12 or so. It means a change of constipation and colic where then everything! comes out in the form of very loose stool. Sometimes! these symptoms occur with my period, but I actually have a "colic" like this every week. An ibuprofen 400 helps with menstrual pain and the world is okay again. But now I've read about endometriosis on the internet and I am super scared. So, to get back to my initial question, how does the process normally continue? Will you be referred directly to a fertility clinic? Do they automatically perform a laparoscopy? Are my symptoms sufficient for that? Does it take a long time if one partner is privately insured? In my case, my husband. Maybe you know the procedure and can tell me how it normally goes. I know from friends who have endometriosis that it is not visible on ultrasound and that many have only seen it in a laparoscopy. Therefore, my perfect ultrasound doesn't help me. I look forward to your reply.
