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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Infertility Be Treated?

I have thyroid issues I m diabetic type 2 I m 42 years old just got married we been trying to convince my wife and I want a child she s 35 pre diabetic her tube s we re closed she now has them open just started trying to convince this month July 2017 Don t know if my sperm count is low I have a 15 year old son my only child I have had other women pregnant in the past when I was in healthier physical fitness my wife has a 10 year old daughter but it took her 12 years to get pregnant in her previous relationship I m 42 she s 35 we really want a child together what are our chances she s taking prenatal vitamins and has had hsg to open up here tubes both were blocked
posted on Fri, 4 Aug 2017
Twitter Tue, 14 Aug 2018 Answered on
Twitter Tue, 14 Aug 2018 Last reviewed on
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advise.

First of all get both Fallopian tubes open through surgery. Get investigated yourself for sperm count and motility (semen analysis). If your wife gets regular menstrual cycle, try to have intercourse during mid menstrual cycle (14-20 days after menstruation bleeding). If it fails to conceive despite 3-4 attempts get your wife examined for status of uterus and Fallopian tubes, USG examination, etc. Another option is in vitro fertilization (IVF) if reports of fertility of both of you are normal and uterus of your wife is in healthy condition.

Hope I have answered your query. Let me know if I can assist you further.
Regards,     
Dr. Hiren Hirpara
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How Can Infertility Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advise. First of all get both Fallopian tubes open through surgery. Get investigated yourself for sperm count and motility (semen analysis). If your wife gets regular menstrual cycle, try to have intercourse during mid menstrual cycle (14-20 days after menstruation bleeding). If it fails to conceive despite 3-4 attempts get your wife examined for status of uterus and Fallopian tubes, USG examination, etc. Another option is in vitro fertilization (IVF) if reports of fertility of both of you are normal and uterus of your wife is in healthy condition. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Hiren Hirpara