I am 30 years old and have irregular cycles. I have been trying to conceive for 8 months. I have a young child who was conceived naturally after about two months. All of my fertility labwork has been completely normal, including all of the day 3 labwork (FSH, estradiol), a thyroid panel, DHEA and prolactin, and I think maybe a few other hormonal tests that I don't recall.
My cycles are irregular and range in duration from about 29 to about 45 days, typically around 35 days. My cycles have been lengthy and irregular since I first got my period at age 13. I have been doing OPKs and temping for the past 4 cycles, and have confirmed ovulation for 3 of the 4 cycles. Ovulation has happened as late as day 33. OPKs have been a little tricky and I've had definite LH surges when I didn't go on to ovulate.
This has made me suspicious of PCOS, but I haven't suffered from any metabolic consequences, such as altered glucose or elevated cholesterol levels. Physician did not think it was necessary to do a vaginal ultrasound. My progesterone at 6 dpo has ranged from 4-6.8. Husband's semen analysis was normal. I don't find that I have particularly EWCM, although it gets more slippery for a day or two during ovulation.
Where do you suggest I go from here? Do you think that it's possible to conceive with progesterone levels as above? Do you see any benefit to an ultrasound? I have held off on doing HSG testing, but will likely go ahead to rule out tube blockages as well. I've not tried acupuncture yet, but it is something that I am interested in.