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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Inability To Conceive Inspite Of Normal Reports?

hi,I m married since last 2years and not able to conceive since then..my hormonal reports fsh,lh,free testosterone,tsh,sugar levels,insulin levels are all normal..however my ultrasound says pcod..my periods are regular but scanty..my endometrial biopsy for tb pcr was normal but hsg shows both tubes blocked.so i had operative laproscopy and hysteroscopy 7months back..now again hsg done and both tubes are normal..latest report of my husband shows 100million sperm count and 70% motility with 22% grade A sperms..please guide me how to proceed now
posted on Thu, 13 Mar 2014
Twitter Sat, 4 Apr 2015 Answered on
Twitter Thu, 21 May 2015 Last reviewed on
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OBGYN, Maternal and Fetal Medicine,  's  Response
Hi, I have gone through your question and understand your concerns. Since you have regular cycles and hormonal profile is normal, then only polycystic ovaries in ultrasound does not makes the diagnosis of polycystic ovarian disease.
If your both tubes are patent and your husband semen parameters are normal, as you have mentioned, then you are having unexplained infertility. The management has to be done stepwise, the next step to be done when the previous step fails:
1. Ovulation induction with drugs
2. Intrauterine insemination
3. In vitro fertilization.
I would suggest you to consult an infertility specialist for appropriate treatment.
Hope you found the answer helpful.
Wishing you good health.
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General & Family Physician,  Dr. Nitasha Khan's  Response
Hello,

Welcome to Health Care Magic.

Thanks for writing.

I am Dr.Nitasha Khan. I have read you question completely, i understand your concern and will try to help you in best way possible.
ok great thats a good news that every thing is normal and you had treated blocked tubes and your husband is also normal so what you can do is now that go to a doctor like gyneacologist and get your self treated for pcos because they can cause inabilitu to cncieve but tht is a treatable cndition and can be treated and you wil be fine






I hope this answered your question.If you have more queries I am happy to answer.Otherwise rate and close the discussion

Regards.

Dr.Nitasha Khan
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What Causes Inability To Conceive Inspite Of Normal Reports?

Hi, I have gone through your question and understand your concerns. Since you have regular cycles and hormonal profile is normal, then only polycystic ovaries in ultrasound does not makes the diagnosis of polycystic ovarian disease. If your both tubes are patent and your husband semen parameters are normal, as you have mentioned, then you are having unexplained infertility. The management has to be done stepwise, the next step to be done when the previous step fails: 1. Ovulation induction with drugs 2. Intrauterine insemination 3. In vitro fertilization. I would suggest you to consult an infertility specialist for appropriate treatment. Hope you found the answer helpful. Wishing you good health.