Unexplained Infertility and Cervical Mucus

by Lucy
(London)

Hi Amelia,
I am 30 years old and stopped taking the pill in May 2011. I have not conceived since. All blood tests came back normal (day 21 progesterone, FSH, Thyroid, Liver, LH etc).

I use the Clear Blue Fertility Monitor which gives me a peak every month and my periods start exactly 14 days later. My cycle used to be irregular but has become stable-ish in the last 8 months ranging between 31 and 33 days.

My partner has had a sperm analysis, results came back as 'very satisfactory'.

I have had a HSG and an ultrasound, neither showed any problems. My period lasts about 5 days, isn't particularly heavy and with a painkiller I can function normally on even the first day.

I have had ovulation spotting last month (1 week after the HSG) and one other time before that).

A few days before ovulation I get thick, clear cervical mucus, too thick to stretch. I never get the kind that you can stretch between your fingers. During ovulation my cervical mucus is milky and watery. Could this indicate a fertility problem and is there anything I can do about this?

I would really appreciate any help you can give.

Many thanks,
Lucy

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Unexplained Infertility and Cervical Mucus
by: Amelia Hirota, D.Ac.

Hi Lucy,
It sounds like you have a lot of good things going for you. Thanks for the succinct recap and your straight forward question regarding unexplained infertility and cervical mucus.

To me it appears like you've zeroed in on your problem well. Cervical mucus that isn't stretchy tells us that possibly there are issues with the follicles developing and secreting estrogen. However, the fact that it's clear and thick before ovulation makes me think that you're not looking at too serious of a problem.

It's the estrogen from the developing follicles that signals the cervix to produce cervical mucus. Also, this estrogen throughout the follicular phase is responsible for the initial thickening of the uterine lining.

You didn't mention that you were charting your temps, so I'll assume that you're not. It's good that you're getting a high and a peak on your Clear Blue Easy Fertility Monitor, but it would be helpful to see what your temps look like throughout your cycle. Specifically, I wonder if you're getting a temp surge soon after your peak on your Clear Blue Easy Fertility Monitor.

The most helpful thing that you could do is check your hormones throughout your cycle. I find that unexplained infertility is often due to hormonal imbalances. It's good that your hormones look good on specific days, but what's really important is how your hormones ebb and flow throughout the entire cycle. A salivary hormone panel is the best way to do this.

Treating unexplained infertility often calls for deeper investigation. In my opinion, women are given the diagnosis of unexplained infertility before in depth investigations are done. Our menstrual cycles are run by hormones, therefore understanding the specifics of the hormones is the key to addressing your particular hormonal imbalance, so that you can get pregnant.

I can't be sure if you have a hormonal imbalance, but this is my suspicion and it would explain the non stretchy cervical mucus. Please come back and let us know if you get this figured out. You're in a good place with everything else looking good. Keep moving forward and you'll figure out why you're not conceiving. Good luck!

unexplained infertility and cervical mucus



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Temping
by: Lucy

Thank you so much for your quick and helpful response!

I temped for a few months but stopped because I didn't want to start every single day with the baby making business and all the ups and downs that come with it.

For the same reason I stopped using the CBFM this month and we now just make sure to do it every other day. I am finding that its really affecting me and with close friends falling pregnant easily its getting hard to think of anything else and remain hopeful.

Anyway, looking back over my notes i notice that it takes between 2 and 4 days for my temperatures to (gradually) go up by half a degree celcius. My estrogen was tested in March and was at the lower end but still within the normal range. Is there anything i can do to influence this? Are doctors able to medicate this?

I am reluctant to go with Clomid because of the negative impact it has on cervical mucus and womb lining. Would you agree with that? Sorry lot of questions. First time i feel someone actually hears what I am saying!

Many thanks,
Lucy

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Unexplained Infertility and Cervical Mucus
by: Amelia Hirota, D.Ac.

Hi Lucy,
The only meds that doctors have to help with ovulation are Clomid and injectables that stimulate the ovaries. Yes, I would agree that you need to be cautious with Clomid for the reasons that you mentioned. I also think that it's too early for you to move on to medications.

Did you watch my webinar on hormones? I think if you watch Webinar #1, "Your Hormones are the Driver Behind Your Fertility," that you will totally understand the complex interaction of your hormones.

The key is for your hormones to be in balance and for the signaling to be happening appropriately. That's why I recommended doing a full salivary hormone panel. That would give you the answers that you're looking for.

Lastly, I don't give direct herbal or supplement advice on my website, as I don't believe that all herbs and supplements are universally good for all women trying to conceive. However, if you're interested in learning about some safe herbs and supplements and when it's appropriate to take them, you can check out Webinar #6, "Straight Talk on Herbs and Supplements."

I hope this is helpful. I think that you're every other day schedule of BD is good. Best of luck!

unexplained infertility and cervical mucus

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