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Suggest Treatment For Primary Infertility When Trying To Conceive

Posted on Mon, 13 Apr 2015

Question: Sorry may be i ask uncorrect question i mean late coception i had never got pregnancy ,Hi sir
Iam 35 yrs got married 5 ms ago,prolactin was 30, 70 in day 2, 5 of cycle recieved elonda 1 m ago i did serial folliculometry day 12, 14 was 14,21endo 10 ,my fsh lh was normal

Answered by Dr. Sandip Kabra (13 hours later)

Brief Answer:
Please get evaluated

Detailed Answer:
Hi,

It seems like your case is of primary infertility.

The important thing is to diagnose first; means we have to find out what is the actual cause behind it.

The causes of primary infertility are defects in uterus, cervix like fibroid, pelvic inflammatory disease, ovarian cyst, poly cystic ovarian disease, hormonal imbalances etc.

The male partner should also be evaluated for azoospermia or oligozoospermia.

You will have to consult infertility specialist for complete medical and thoroughly clinical examination to have a clear diagnosis.

If there is no underlying cause could be found then IVF would be the last option.
So, better to consult infertility specialist or gynecologist.

Thanks.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Sandip Kabra (6 hours later)

You scared me sir , i got married for first time in my life 5 month ago , and i hadnot family history of infirtility , my period was very regular, i find prolactin in 2nd month and toke elonda tab per week , i did folliculmetry in day 12, 14 and and had ovulation in both sides 14, 21 rt 19 mm and endometrial thickness was 10. Mm , but lastly i had severe back pain , breast then started mensual cyle but become XXXXXXX bleeding and one day longer ,
I hope this data keep your opinion away

Answered by Dr. Sandip Kabra (5 hours later)

Brief Answer:
Infertility means unable to conceive following unprotected sex.

Detailed Answer:
Hi XXXX,

Thanks for your follow-up query.

Female infertility means a woman who is unable to conceive with regular unprotected natural intercourse.

A couple eligible for treatment is a woman over the age of 35 years has not conceived after 6 months of contraceptive-free or unprotected sexual intercourse.

You have no family history of infertility or your menstruation are regular or FSH/LH are also normal or endometrial thickness,these all are good but you need to get evaluated thoroughly to diagnose the underlying cause that why are not conceiving.

Here,my intention was not to scare you but the purpose of mine is to disclose your problem and how you should go further to get rid off it.

The idea is that for women beyond age 35, every month should be counted and if made to wait for another 6 months to prove the necessity of medical intervention as in your case.

So,I will suggest you to go to a infertility specialist along with your husband to be examined thoroughly to detect the exact cause of not conceiving.

As I said earlier,if there is no underlying cause could be found then IVF would be the best option considering your age.

I hope you will understand my concern and seek for medical intervention.

Thanks

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Pradeep Vitta