Aggressive Conception Plan

Begin BBT at CD1 and then:

CD 3:
Baseline US, Labs: FSH, estradiol, Prolactin, Thyroid Stimulating Hormone (TSH), Free T3, Free Thyroxine (T4), Total Testosterone, Free Testosterone, DHEAS and Androstenedione. You could hold off on the adrogen panel to see what your LH/FSH ratio is but I would just go ahead and get it. I might also go ahead and add a HgbA1C and GTT depending on the circumstances.

CD 7:
Begin OPK, saliva microscope, fertility monitor, disposable ferning strips. Begin checking cervical position/mucus/texture. Continue all of these throughout the entire cycle.

Day of LH surge:
US to assess the thickness of the endometrium (lining of the uterus), monitor follicle development and assess the condition of the uterus and ovaries. Labs: LH, FSH, Estradiol, Progesterone. Repeat US 2-3 days after LH surge to rule out lutenized unruptured follicle (LUF) syndrome---a situation in which eggs ripen but do not release from the follicle. This is a subtle form of female infertility and a bit difficult to diagnose.

From LH surge until 2 days after O:
Serial ultrasounds to monitor follicles

Seven days after O:
Estradiol and progesterone

After I had all of the test results and a full cycle of documented information (temps, opks, CP, CM, etc) then I would come up with a plan of where to go from there.