Not sure what the next step is.

My husband and I have been trying to conceive since 2009. I have had 2 laps to remove cysts and endometriosis. The first lap I had an abundant amount of scar tissue. I was put on metformin and Clomid for 8 months which was unsuccessful. I stopped taking the metformin due to the awful side effects. I had an HSG to confirm my tubes were cleared. The liquid went through without a problem however it took the operator 45 min to insert the tube into my uterus. He told me that my uterus was tilted but my fertility specialist told me that was not possible. The next step I took was the trigger shot. I tried it three times and was still unsuccessful. Due to not having fertility insurance this process has drained me emotionally and my financial situation. How do I cope what do I do next?

Was one of your laps after the 8 months of clomid? If not, it may be worth considering another. A lap could investigate the alleged tilted uterus issue and also remove any endo that has re-grown. Clomid does tend to make endo re-grow much more quickly.

Otherwise, the next step is usually FSH injections, either with or without IUI. After IUI you're looking at IVF. But if your insurance/financial situation rules both of those out, then you either keep doing what you're doing (not really advisable with clomid which is usually recommended to be used only 6 cycles in a lifetime) or you could try femara instead or else you walk away from assisted conception.

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Was one of your laps after the 8 months of clomid? If not, it may be worth considering another. A lap could investigate the alleged tilted uterus issue and also remove any endo that has re-grown. Clomid does tend to make endo re-grow much more quickly.

Otherwise, the next step is usually FSH injections, either with or without IUI. After IUI you're looking at IVF. But if your insurance/financial situation rules both of those out, then you either keep doing what you're doing (not really advisable with clomid which is usually recommended to be used only 6 cycles in a lifetime) or you could try femara instead or else you walk away from assisted conception.

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Well I stopped taking the Clomid at the advisement of doctor number #2. My first doctor didn't explain to me what was going on very thoroughly. I had my 2nd lap after I finished the last Clomid cycle.

Juniper, can you explain the 6 cycles on clomid in a lifetime thing? It took 1 cycle with my daughter and 2 with my son, so that's 3 all up but what if I want a few more kids ill be over the 6 for sure!

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Juniper, can you explain the 6 cycles on clomid in a lifetime thing? It took 1 cycle with my daughter and 2 with my son, so that's 3 all up but what if I want a few more kids ill be over the 6 for sure!

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It's best to discuss with your Dr, but I was told that anything more than 6 cycles increases your risk of ovarian cancer. I'm not sure how much the risk increases though - it may be a small amount?