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Do My Blood Test And Fertility Reports Indicate My Ability To Conceive?

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Posted on Wed, 2 Dec 2015
Question: I really hope you can help me. Let me start from the beginning I am 39 years of age, never used any kind of contraception and have never been pregnant. I was never sexually active until I was 26 years of age and then it would only be maybe 3 times a year. We have been more sexually active the past 6 months about twice a week. I have only ever had one partner and that is my current husband. 
I got married in July 2012 and we decided we wanted to try for a baby. We have never been consistent with intercourse. 
I really want to conceive naturally, do you really see this can happen for us? I am overweight. My husband has 20 cigarettes a day and drinks within the alcoholic guidelines (lager or bitter). My husband has now stopped smoking and cut down alcohol. 
I have been to see fertility specialist. I have had vaginal swabs and an internal examination today. (Everything has come back normal). Ultrasound scan is also normal. Blood results are as follows: Estrogen 115, LH 1.7, FSH 7.1 
Husband semen analysis is also good. With a 5% morphology which specialist says has to be above 4%
My bmi is 45 and she wants it down to 30 before commencing any type of treatment which she said will probably be tablets to make me ovulate. I have currently lost 8lb. 
I am worried if I don't lose weight I will never get pregnant. Clearblue fertility monitor in the past has shown ovulation and some months no ovulation do you think I could keep try to use this. 
If I lose weight can I reverse things naturally and start to ovulate? 
I usually have a regular bleeding pattern 24-28 day cycles. Never have pain or any kind of problem. But my bleeding cycle this year has been very erratic and I am worried sick why. Bleeding pattern this year has been: 
SEPTEMBER 2015 
4th September – 8th September (5 days bleeding) 
Cycle 11th August – 3rd September = 24 days 
SEPTEMBER 2015 
30th September – 4th October (5 days bleeding) 
Cycle 4th September – 29th September = 26 days 
1. Are my bloods normal? 
2. Do you agree the fertility monitor is a good diagnosis for ovulating? 
3. Do you see I can conceive naturally? 
4. Any suggestions please to help me achieve what I really want. 
5. Am I stressing out too much? 
6. HSG was requested but I can’t have due to anaphylaxis to Iodine, is there any other way of telling if my tubes are blocked please? 
7. Do I need my tubes checked? Fertility Specialist says I dont 
If Clearblue fertility monitor shows 3 bars do I: 
1. Ovulate 
2. Release an egg 
3. Should I conceive naturally 
Another thing that confuses me is Fertility Monitor shows Ovulation, but Ovulation strips do not. I think I am getting myself into a Frenzy and should just use the Fertility Monitor and forget ovulation test strips. What are your thoughts please? 
All Day 21 Progesterone blood tests come back less than 1. Will I ever conceive or is this because my cycle is 24-26 days? I am worried and crying that I will never be a Mum. My Fertility Specialist is not worried and just stays I need to lose weight. Please help. Do I need to worry about my Day 21? 
My Fertility Specialist says I am not conceiving as I need to have sex more than 3 times a week
doctor
Answered by Dr. Mahesh Koregol (51 minutes later)
Brief Answer:
Details required about weight loss

Detailed Answer:
Hi XXXXXXX

Good to see you back.

I don't think your doctor is right.

Let me know how much weight you have lost as you were on weight loss mission.

I will answer in detail after seeing amount of weight you lost.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mahesh Koregol (4 minutes later)
In question it says 8 pound lost i have now lost over 2 stone and weigh 15 stone 3 from 17 stone 12

The same question on 21 October answered by you. You said everything is normal and I can conceive naturally so why have you changed your mind?
doctor
Answered by Dr. Mahesh Koregol (5 hours later)
Brief Answer:
You can conceive naturally if you lose weight

Detailed Answer:
Hi,

I still believe you can definitely conceive naturally as long as you keep losing weight which you are doing a good job already. As you have mentioned you need to lose till BMI reaches 30.

You blood tests are absolutely normal and nothing to worry.

SSG (Sonosalpingogram) is another way to test for tubal potency as you can't get HSG.
Clearblue monitor is good way to assess ovulation. Continue it. It shows ovulation. Forget ovulation strips.

You need have sexual Intercourse more frequently. You should have every alternate day between day 9 to day 16. These are probable ovulation dates bases on your dates.

Don't rely on progesterone on day 21 as your cycles are short.

Let me know if you need anymore help.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3830 Questions

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Do My Blood Test And Fertility Reports Indicate My Ability To Conceive?

Brief Answer: Details required about weight loss Detailed Answer: Hi XXXXXXX Good to see you back. I don't think your doctor is right. Let me know how much weight you have lost as you were on weight loss mission. I will answer in detail after seeing amount of weight you lost. Regards