Hello,
In the couple who are finding difficulty in conception, following investigations need to be done:
1. Establish the egg release (Ovulation): It can be done by
a. Study of the uterine lining by hysteromicroscopy just before the menses.
b.
Ultrasonography ovulation monitoring: It will even help to locate the day of ovulation and thus you can plan the intercourse accordingly.
c. Ovulation monitoring kit.
d. Study of the hormones like FSH, LH,
prolactin in the blood.
2. Find out the patency of woman's genital tract. For this information:
a. Hysterosalpingography: X-ray of the
uterus after filling in the radio-opaque dye.
b. Laparoscopy: It will give the information about the normalcy of the genital organs and any other relevant information from the pelvis.
3. Semen examination after four days abstinence.
Once all this information is available, further planning of the management can be done.
Currently, most of the medicines Mrs. Arpita is receiving are to induce the ovulation. Their need can be opined only after seeing all the reports. Please visit a gynecologist and get all these investigations done.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Nishikant Shrotri