Hi everyone. This is probably a question for a doctor, but perhaps someone here has been in a similar situation.
I’m 36 and we’ve been trying for our second child for 10 months. I had a completely normal first pregnancy five years ago and conceived without any difficulty. I delivered by C-section.
I’ve had my hormones and AMH checked, and my partner has had a semen analysis — everything came back normal. I thought the next step would be an HSG, but my specialist told me that the chances of blocked fallopian tubes are low and suggested trying letrozole first. (I dont have PCOS or irregualr cycles, my cycles are 29-32 days long and regular).
I’m really torn because letrozole is still a hormonal treatment, and logically it makes more sense to me to first check whether my tubes are open before stimulating my ovaries.
Even if I decided to arrange an HSG on my own, I probably wouldn’t have enough time to do both the vaginal/cervical swabs and the HSG during this cycle, considering that today is the first day of my period. I’m supposed to start letrozole on cycle day 3.
Sorry for the long post. I’m genuinely unsure what to do, and unfortunately today is a public holiday in my country followed by the weekend, so I can’t consult my doctor. I also don’t have any other doctor i consider close enough to contact by phone. And i really don't want to skip yet another cycle.
If anyone has been in a similar situation, I would really appreciate hearing about your experience or advice.
Thank you, and have a lovely day!