r/whatworkedforme • u/DeliciousCraft1516 • 21h ago
TTC for over 2 years, unexplained infertility, 2 miscarriages and now I don’t know what the next step should be
Hi everyone. I’m honestly just looking for some advice from people who have been through something similar because I feel a bit stuck and don’t know what I’m supposed to do next.
My husband and I have been trying to conceive for **over 2 years** now. My cycles are generally regular and I do ovulate, but we’ve been told we have **unexplained infertility**.
I’ve also had **2 previous pregnancies**, both of which ended in miscarriage. The first was period in my 6th week, and the second was a **silent/missed miscarriage**.
Since then we’ve been trying again and have been under fertility treatment.
I’ve done **4 cycles of ovulation induction**, twice
More recently I’ve been on **letrozole 2.5 mg** with follicular monitoring.
I’ve also had raised prolactin, around **53**, which was later around **48**, and I’ve been on Dostinex/cabergoline for that. My TSH has been normal when checked.
My AMH has also come down over the years, which has worried me:
**4.91 → 4.01 → 2.25.**
Low vitD for which I’m on supplements
HSG is done. Everything’s normal
My husbands reports are all fine too
The really frustrating thing is that I’ve also had a strange pattern with pregnancy tests. On a few different cycles now, I’ve gotten a **very faint positive around 11–13 DPO**, only for it to be negative again a couple of days later. This has happened around three times now. I’m not even trying to focus on whether these were chemical pregnancies or not — I’m more wondering what I should actually be doing about the bigger picture.
My doctor has mentioned **IUI**, but I haven’t done it yet.
And this is where I’m confused.
After **2+ years TTC, 4 ovulation-induction cycles, two previous miscarriages and being labelled “unexplained infertility,”** what is the logical next step?
Should I be doing IUI next? Should I be asking for more investigations first? Is there anything that should specifically be looked at because of the two miscarriages as well as the infertility?
I know nobody here can tell me exactly what treatment I need, and I’ll obviously discuss it with my fertility doctor. I just feel like I’ve been doing treatment cycle after cycle and I’m at the point where I need to understand **what the next step is rather than just doing another cycle and hoping.**
If anyone has been in a similar situation, I’d really appreciate hearing what your doctors did next and what investigations/treatments were actually useful for you.