When do I need to look at infertility and taking the next step?

[Honeybug]

Hi everyone! I'm not sure if anyone remembers me but I have been TTC twin girls since January 2015. I am currently on cycle 17 of swaying (don't worry! there was a break from diet and swaying in there!) and am wondering when I need to start really looking and evaluate if there is a real, medial reason I am not getting pregnant.

I started fertility meds primarily for swaying. I am being seen by an OB and have done 4 cycles of clomid, followed by 3 cycles of Femara. I personally feel at least 1, maybe even 3 of the medicated cycles resulted in a chemical. My progestrone has been awesome on all cycles and all other bloodwork has been checked and is within normal range. Dh has had 1 sperm analysis (also normal) and has been cleared by 4 doctors.

Sigh. My OB would like to do a HSG x-Ray and then refer me to a specialist for iui. I am just not sure if I am emotionally and mentally prepared for that. Should I be insisting on running more tests to look for something medical? Should I stop swaying for a while? See if that makes a difference? Should I go ahead with the x-Ray and iui (if we don't conceive in the mean time)? If not, how much longer should I TTC before taking the next step? If yes, do I still sway while doing iui?

I honestly didn't think it would take us this long to conceive and am feeling so confused. I'm just very conflicted right now and any insight would be appreciated!

[Pbn3]

Honeybug can you give more detail as to what you've been doing swaying wise? How many attempts? J&d? Supps you & dh have been taking etc?

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[Erin514]

How old are you and DH? Did you have any trouble conceiving your DS?

[ksmom]

I think if you've been trying for that long, it's time to add in attempts (unless you're already doing that). I don't think it would hurt to get the HSG done. I had one done and it gave me peace of mind knowing it was all clear. Is your DH doing anything like FR or abstaining that could reduce sperm count/quality? If you're using any lubes, I'd ditch those and maybe even add in pre-seed (boy friendly I know, but if you've been swaying that long I don't think it'd hurt). Are you underweight? Have you had your iron levels checked?

[atomic sagebrush]

You need the HSG done at this point.

Can you please give me a recap? I know we've talked many times before but I keep finding things that people forget to tell me or are still doing against my suggestions.

If you're doing anything like shallow release, j and d, tighty whiteys, those things need to go.

If you've truly dropped everything (and I feel like I recall you haven't, yet, but I may be mixed up!) then we need to try doing things like adding in female O, Preseed, and guanefesin, and even going to SMEP. I would do that before I had an iui!! IUI sounds like no fun to me. :)