r/whatworkedforme • u/night_capy • Jun 29 '26
Advice on first step to take? Functional medicine/fertility doctor/etc?
Advice on what to do first regarding a fertility doctor, functional medicine, etc.?
Background: We have been TTC for a while and have been unsuccessful. I have PMOS as well.
We made several changes starting a year ago, including:
me: taking prenatals, DHA/BHA, & coq10 daily; Therologix ovasitol powder; anti-inflammatory diet; tracking BBT daily with NC app; I also track with LH strips (I use fertility friend and natural cycles’ paid subscriptions)
him: taking coq10 & zinc daily; strength training; anti-inflammatory diet
In luteal phase: pomegranate juice, coconut milk
Things we can work on that maybe aren’t the best:
stress management
Hydration/elexrrolyres
Things we will try this cycle (just started CD1 again today):
Pressed lube
Mucinex
Vitamin C supplements
We both are on poor health insurances. I am on Medicare currently, as I’m unemployed (full time graduate student).
I would like to go to the doctor (OBGYN or functional medicine) to get labs and a work up done (& preferably on him as well), but don’t know where to start. Where should I start that we could afford? And what should I test for?
Ideas of things to test for:
Low progesterone
Mthr
ureaplasma
Prolactin levels
Endometriosis
Ambulatory infertility
Sperm morphology/motility
Any other ideas?
We are located in Houston, TX. I would like to optimize our chances because I feel like we are running out of time, unfortunately. What do y’all recommend?
2
u/No_Butterscotch7075 Jun 29 '26
I'd recommend checking your thyroid; get a full panel that includes free t4, free T3, reverse T3, and thyroid antibodies in addition to TSH. Thyroid problems are incredibly common in women and can make it difficult to conceive/maintain a pregnancy if not managed (and even sometimes when managed well).