Hi
Dr. Purushottam welcomes you to HCM virtual clinic!
Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.
1] Please do not worry.
2] I will suggest to get USG done, to know or rule out PCOS, as you have irregular cycles.
3] Along with USG, Tubal patency test- HSG and semen analysis of your partner is advisable.
4] With ovulation trigger drugs like clomiphene, follicle study from day 10, helps to know day of ovulation.
5] I will suggest indulging in a healthy diet and regular exercise regime.
Include plenty of fruits, salads, vegetables in the diet.
Have adequate water intake , say 8 – 10 glasses per day.
Avoid deep fried foods, bakery products, and refined sugars.
Start on FOLIC ACID, B12 supplements at least 3 months before you plan to have baby.

I hope my answer helps you.
Thanks.
Wish you great health.
Dr Purushottam

Hallow Dear,

I would advise you not to start on any medicines unless and until you have not clinched the cause for the non-conception.

Please get following work up done:

1. Find out whether you form the eggs regularly. Though there are number of tests to find this out, I would prefer you going for ultrasonography for ovulation monitoring. It would not only give you evidence of ovulation; it will also inform you when the egg is getting released. That will help you to plan your intercourse. Moreover, you will get the information about the size of follicle just before ovulation and thickness of the uterine lining (endometrium) at the time of ovulation. The eggs released from the follicles between 18 mm and 21 mm size are very healthy having successful pregnancy outcome. Endometrial thickness between 9 mm and 13 mm is most conducive for implantation of the fertilized egg. If the eggs are not getting released, you will have to then take medicines for inducing the ovulation.

If needed, you may be asked to get hormones in the blood estimated.

2. Ascertain the normalcy and patency of your Genital organs. Laparoscopy and Hysterosalpingography will give you most of the information.

3. Please find out the quality and quantity of your husband's semen. Semen should be submitted for laboratory evaluation after 4 days of sexual abstinence.

This will reveal the status of both of you. Then accordingly, if needed, the treatment and/or advice will be offered to you.

Please take an opinion of good Gynaecologist before you start any treatment.

Dr. Nishikant Shrotri