What Lowers The Chances Of Conceiving Despite Normal HSG And Semen Analysis Results?

Posted on Fri, 13 Apr 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 13 Apr 2018 Answered on

Thu, 3 Aug 2023 Last reviewed on

Question : wanted to discuss about infertility. we already have 1 baby. and facing challanges in having second baby. first baby is 4 years old. my wife has gone through HSG as well where everything was normal. me too have gone through semen analysis, which is again normal. USG is also normal for my wife

Answered by Dr. Shanti Vennam (31 minutes later)

Brief Answer:

Please upload reports if possible.

Detailed Answer:

Hello,

Please upload reports if possible.

If tubal patency and regular ovulation are established, the infection should be excluded. Associated hormone imbalance should be checked.

If the malefactor also is normal, look for antibody presence.

I would ask you to see an infertility expert for further management.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Shanti Vennam, OBGYN

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Shanti Vennam (23 minutes later)

Hi Mam

what do you mean by Antibody presence? which test should i go for? can you please name it

Answered by Dr. Shanti Vennam (10 minutes later)

Brief Answer:

Detailed below.

Detailed Answer:

Hello,

Sometimes, anti-sperm antibodies develop in the cervix and cause infertility which is observed in spite of all positive results in an investigation.

This can be detected by testing the cervical mucus. This can be done through the recommendation of an expert after a proper clinical evaluation when no other detectable cause can be found for infertility.

Hope I have answered your query.

Take care

Regards,
Dr Shanti Vennam, OBGYN

Above answer was peer-reviewed by : Dr. Remy Koshy