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Suggest Treatment For Unexplained Infertility

Posted on Tue, 21 Jun 2016

Question: Hi,

We are a married couple for 4 years. My wife was last conceived on Feb'14 but has to abort it as there is no growth in the child.

We have to give a gap for 4-6 months to plan again for kids. But since my wife is not able to conceive.

We started visiting gyno regularly and she initially started with drugs but still no result.

Then we attempted IUI for about 4 times but no result. IUI was done during Oct'15 to Jan'16.

Then Gyno suggested not to take any medications and asked us to give gap for about 3 months to start the next course.

My Sperm report and my wife scanning report everything looked normal.

Kindly advise the next step as we are thinking of IVF next.

Answered by Dr. Dr. Soumen Patra (19 minutes later)

Brief Answer:
Unexplained infertility. Upload or attach all reports.

Detailed Answer:
Hello dear,

Thanks for writing to us. I understand your health concern.

According to my opinion, it can be a case of Unexplained Infertility. I suggest you to upload or attach all latest reports including hormone profile to review them and give proper advice.

I will be looking forward for your response and attached reports.

Regards,

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Soumen Patra (24 minutes later)

Thank's Doctor for your reply. Yes, even my Gyno said the same thing "Unexplained infertility".

I will upload the reports in a day's time.

Answered by Dr. Dr. Soumen Patra (1 minute later)

Brief Answer:
OK dear.

Detailed Answer:
OK dear. I want to make a review before any suggestion.

Regards,

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Soumen Patra (46 hours later)

Dr S.Patra,

I have uploaded reports. Forgot to mention earlier that HSG was also done on Dec'15. Attached those reports as well.

Thank you.

Answered by Dr. Dr. Soumen Patra (3 hours later)

Brief Answer:
IVF would be the best option.

Detailed Answer:
Hello Dear,

Thanks for attaching all reports. I have reviewed them.

Most of the available reports are NORMAL except left side tubal block. I suggest you to undergo In Vitro Fertilization (IVF) without wasting further time. It will be worthwhile in this case.

Hope, I have answered your query. Wish your good health and take care.

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

Regards,

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Soumen Patra (1 hour later)

Dr S. Patra,

Thank you for your advice. Just wanted to know -

1. What could be possible reasons for failed IUI procedures.
2. Do you suggest us any Genetic tests to be done before we go ahead for IVF.

Answered by Dr. Dr. Soumen Patra (3 hours later)

Brief Answer:
PGD or PGS can be done before IVF.

Detailed Answer:
Hello,

Thanks for follow up query.

1) Some underlying causes of failed IUI could be as following:

a) Poor quality egg with chromosomal problem.

b) One sided blocked fallopian tube - another factor.

c) Improper timing - IUI should be done within 12 hrs of ovulation.

2) Preimplantation Genetic Diagnosis (PGD) or Preimplantation Genetic Screening (PGS) can be done before transferring embryo to the uterus.

They can detect certain genetic disease and screen for normal chromosome of the embryo. Some center may test eggs for chromosomal abnormalities before they are used to create embryos.

Hope, I have answered your query. Good luck and take care.

Regards,

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. Naveen Kumar