You have several things potentially going on here. Have you seen a Reproductive Endocrinologist (RE)? If not I highly recommend one as other Docs aren’t looking for ideal lab results or lab results that are specific to conception and thus will often go by lab standard values which means that your thyroid could be within the normal range, but still be keeping you from getting pregnant. See a regular Doc and even a regular Endocrinologist is a specialist in what is normal for you when not pregnant or TTC so you really need someone that will look for and treat to ideal levels rather than what is considered clinically" normal.
For example, I have had numerous symptoms of hypothyroidism but my labs have always come back as normal. However when I switched to my RE he said mine was too high for conception because my TSH was a 3.7 and they like to see it under 2.5 and ideally at a 1 for conception. Since going on synthroid and getting my TSH down to a 1 all of my hypothyroid symptoms have disappeared. I also have a strong family history of adrenal disease so…
Upon realizing this I told my little sister who also has similar symptoms and was having trouble conceiving. She had been trying for two years unsuccessfully. She went to her Doc and had her levels tested and they were like mine in the normal range. Her Doc was willing to allow her to try the synthroid and bring her number down to 1 and she conceived the following cycle and is now 15wks or so pregnant.
Okay–so I said all that to say that having an enlarged thyroid is not a good sign and I feel you need someone more specialized who will help you reach ideal levels rather than dismissing your symptoms due to clinically normal lab values.
Also, when you have yout thyroid test done matters as your TSH levels drop during the day so if you have a draw in the afternoon it is actually possible to get misdiagnosed because your levels are highest in the morning so you could have a level that is not normal in the morning and by the afternoon it has dropped within range. This is one of the causes of misdiagnosed hypothyroidism.
Though I am not sure what thyroid disorder you have the fact that it is enlarged says volumes and you need to be properly tested and diagnosed.
[COLOR=“Blue”]As far as if you are ovulating: You cannot just go by OPK’s to tell you if you are ovulating or not as they are notoriously unreliable especially for those with underlying conditions such as Pcos and adrenal disease such as thyroid issues. I, for example, got positive OPK’s every month and yet through doing ultrasounds and bloodwork it was determined that I was not ovulating. The reason is because you can have an LH surge where you body is trying to ovulate, but yet not have anything matured to ovulate since your body isn’t maturing follicles as it should. Here again you really need an RE. If your cycles are long that is another sign something is off so having a through workup off your hormones by a Doc that specializes in this is highly recommended.
[COLOR=“Blue”]As far as your husbands SA: It appears he has a high White Blood Cell Count (WBC) which indicates either infection or antisperm antibodies. This would explain why there aren’t many sperm and they are not motile and with white blood cells attached to them they are too heavy to move or potentially dead. A urologist is good for boosting sperm count where boosting it is all that is needed and may be able to get rid of some infection, but if the protective barrier to the sperm has been damaged enough to allow WBC’s in and with the counts you are seeing I am not personally seeing how timed intercourse or IUI’s would be beneficial though I admit I don’t know much about WBC’s. Seems to me you would be wasting your time, money, and emotions to continue with the urologist without taking the numbers to an RE as well for their recommendation as to how to proceed. You may very well need IVF to overcome such as severe male factor. I would read all you can about WBC’s and what causes them and what the treatment is for them. It may be that they can give some antibiotics to clear up the WBC’s and that will raise his count or they may be able to go in surgically and remove a good enough count for the use in an IVF w/ICSI.
This may not be what you want to hear and might be your worst fear since it is the most expensive treatment. I know how you feel as I felt the same way when we found out my DH had 95% of his sperm affected by antisperm antibodies and thus only donor sperm or IVF w/ICSI would work for us. It certainly helps to find out all you can about you and your husband’s issues and what the recommendations/options are for you though because then you can come to terms with what you need to do and move forward and moving forward with a plan is very encouraging and renews your spirit.
Having said that I am not an RE and can only give you my view point based on my limited knowledge of SA’s. Maybe there is something more they can do that I am unaware of. Definitely seek an RE though in conjunction with the urologist and find out where to go from here.
Good luck with everything and please don’t get discouraged. Even if you have to go with IVF I have hope for you and want to encourage you to have hope that you will make your way to that BFP. It is only a matter of the proper treatment in your situation and time. :grouphug:
Sending you lots of :babydust: :babydust: !!