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What Causes Problem In Getting Pregnant?
Hello Doctor,
My wife had 2 abortion inpast 2 years before due to higher study. She is 26 years old. She has absolutly normal perids (MC) of 30 days. Now we trying for baby since last 6 months but not successed.
Following are the test result of my wife on 2nd day of MC.
Testatoran 0.186ng/ml
prolactin 26.85 ng/ml
FSH 10.41 miu/ml
LH 4.61 Miu/ml
Projestron (on 12thd day) 7.89 ng/ml
My sperm count also normal as per test.
Kindly Advice.
Regards.
MP
My wife had 2 abortion inpast 2 years before due to higher study. She is 26 years old. She has absolutly normal perids (MC) of 30 days. Now we trying for baby since last 6 months but not successed.
Following are the test result of my wife on 2nd day of MC.
Testatoran 0.186ng/ml
prolactin 26.85 ng/ml
FSH 10.41 miu/ml
LH 4.61 Miu/ml
Projestron (on 12thd day) 7.89 ng/ml
My sperm count also normal as per test.
Kindly Advice.
Regards.
MP
Wed, 1 Feb 2017
Hi MP,
Only points of concern are history of 2 abortions & FSH level.
Hope you have ruled out the other possible causes for such abortions.
Like Blood Sugars, Thyroid profile, APLA syndrome screening & ultrasound scan to rule out any problems in uterus & ovaries. But if she has conceived once ( even though it ended in abortions) her chances for pregnancies is high.
Second concern is the FSH level- Values above 7miu/ml means there are no sufficient eggs in ovaries. But your history doesn't correlate with that value. To confirm have a Serum AMH level in first week of periods . It will give a more specific value.
Serum Progesterone is done to know if she is ovulating, but that is done on Day21 of periods not 12 , so meaningless.
As your semen report is ok, kindly also have a tube patency test done ( Tube is the bridge between uterus & Ovaries , where egg & sperm meet to form baby. it's size of a hair follicle, can't be seen on scan.You will never know if it is blocked). Can be tested by HSG( X-ray with dye) or SSG ( Scan with dye) or Laparoscopy. All these methods also clear a block if present.
Be patient All the best
Dr.Balakrishnan
Only points of concern are history of 2 abortions & FSH level.
Hope you have ruled out the other possible causes for such abortions.
Like Blood Sugars, Thyroid profile, APLA syndrome screening & ultrasound scan to rule out any problems in uterus & ovaries. But if she has conceived once ( even though it ended in abortions) her chances for pregnancies is high.
Second concern is the FSH level- Values above 7miu/ml means there are no sufficient eggs in ovaries. But your history doesn't correlate with that value. To confirm have a Serum AMH level in first week of periods . It will give a more specific value.
Serum Progesterone is done to know if she is ovulating, but that is done on Day21 of periods not 12 , so meaningless.
As your semen report is ok, kindly also have a tube patency test done ( Tube is the bridge between uterus & Ovaries , where egg & sperm meet to form baby. it's size of a hair follicle, can't be seen on scan.You will never know if it is blocked). Can be tested by HSG( X-ray with dye) or SSG ( Scan with dye) or Laparoscopy. All these methods also clear a block if present.
Be patient All the best
Dr.Balakrishnan
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